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Had the expected parallel differences in 3 objective outcomes connected with alcohol use inside the year just after their second screen --HDL cholesterol, trauma and hospitalizations for alcohol-related GI circumstances. Procedures: This retrospective cohort study applied secondary data from VA and Medicare datasets. Eligible patients received care at 24 VA Molecular Weight Of Jtc-801 facilities and were screened together with the AUDIT-C on 2 occasions at the least 12 months apart 2004?007. Patients' 1st and 2nd AUDIT-C scores had been every categorized into among five drinking groups: two negative-screen groups--no alcohol use (AUDIT-C score 0 points) and drinkers with unfavorable screens (AUDIT-C 1? girls; 1? men)--and 3 positive-screen groups with mild (3? girls; 4 males); moderate (five?) or severe (9?2) alcohol misuse. 3 outcomes were assessed within the year after the 2nd AUDIT-C: 1) imply HDL cholesterol, a identified biomarker of alcohol use; 2) "trauma" defined as a key inpatient trauma or fracture diagnosis or any outpatient fracture diagnosis in VA or Medicare, and 3) "GI hospitalization" defined as a primary inpatient diagnosis of liver disease, pancreatitis or upper GI bleeding in VA or Medicare. Analyses evaluated each outcome across 25 groups according to patients' 1st and 2nd AUDIT-C scores (5? groups), adjusting for age, gender, race, marital status, VA eligibility, days in between screens, and facility, and accounting for correlation within facilities. Linear regression was employed to estimate imply HDL, and logistic regression was made use of to estimate the risk of trauma and GI hospitalizations, across the 25 groups.VALIDATION OF A NOVEL SELF-REPORT INSTRUMENT FOR MEASURING PANEL MANAGEMENT IN Main CARE Elizabeth Rogers1,2; Danielle Hessler3; Rachel Willard-Grace3; Kate Dube3 ; Reena Gupta1; Thomas Bodenheimer3; Kevin Grumbach3. 1 University of California San Francisco, San Francisco, CA; 2University of California San Francisco, San Francisco, CA; 3University of California San Francisco, San Francisco, CA. (Tracking ID #1619055) BACKGROUND: To meet demands for evidence-based chronic and preventive solutions and improve functionality, major care practices are turning toward team-based techniques like panel management (PM). In PM, non-clinician staff for instance health-related assistants are offered increased responsibility for routine preventive and chronic care, using patient registries to identify care gaps and standing orders to close these gaps. No validated instruments have been published for measuring the degree to which a practice has implemented PM. We created and tested a selfreport Panel Management Questionnaire (PMQ) for primary care clinicians and staff to assess implementation of PM. Approaches: Our conceptual model of PM included 4 domains: 1. Correct care gap identification by PM staff, 2. confidence in use of standing orders, three. ability of PM employees to counsel individuals concerning needed services, and 4. overall buy-in into the PM model. The 12-item PMQ contains one item to represent each of those domains, with every single item applied to three representative service places: immunizations, cancer screening, and diabetes care. Language on things was tailored into a clinician PMQ and staff PMQ to represent every single viewpoint. A 1?0 Likert scale was made use of for each item. We calculated a PMQ subscale score for every service kind (e.g. immunizations) by averaging scores for the 4 domains, and an overall PMQ score as the mean of all 12 things, having a score of ten representing the greatest degree of PM implementation.