Widespread and sustainable implementation of Screening, Brief Intervention and Referral to Treatment (SBIRT) in primary care settings remains elusive in the U.S., despite years of government funding to train medical professionals, create performance metrics, and conduct implementation research. After 12 years of assisting dozens of clinics in all aspects of SBIRT implementation, the presenter will describe how multiple entities connected to a clinic setting, from physicians to receptionists to IT staff to funding agencies, continue to both facilitate and hinder SBIRT implementation. This presentation will identify where and why the SBIRT clinic workflow breaks down, and offer recommendations on what can be done to fix it.
Jim Winkle, MPH has trained hundreds of providers and clinical team members how to address substance use with primary care and emergency medicine patients. As the creator behind the SBIRT Oregon website, Jim has designed screening forms, clinic tools and training videos used by health professionals across the country