FEATURESSuccess Factors for and Barriers to Integration of Electronic Mental Health Screening in Primary CareMei, Carmen DNP, APRN, FNP-C; Vaez, Kelly DNP, APRN, FNP-BCAuthor Information Author Affiliations: Department of Health Systems Science, College of Nursing, University of Illinois at Chicago. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Determination of Human Subject Research: UIC Office for the Protection of Research Subjects determined that this study does not meet the definition of human subjects research. Corresponding author: Carmen Mei, DNP, APRN, FNP-C (firstname.lastname@example.org). CIN: Computers, Informatics, Nursing: September 2020 - Volume 38 - Issue 9 - p 441-450 doi: 10.1097/CIN.0000000000000617 Buy Take the CE Test Metrics Abstract Currently, only a third of primary care providers screen for substance use, which is a growing epidemic. This quality improvement study aimed to improve the screening process by integrating the Drug Abuse Screening Test without information systems support into the electronic health record to increase completed screenings and provider interventions for positive screenings in adult patients at an urban primary care clinic. Electronic drug abuse screening should include a prescreen followed by the Drug Abuse Screening Test, interprofessional approach, comprehensive education, and utilization of generic tools to create new screening forms. Staff participated in a new drug abuse screening process, and chart audits and staff interviews were conducted. There was a 9% increase in completed screenings by medical assistants with electronic versus paper screening (30% vs 21%, respectively; P < .001). There was a 33.4% increase in provider intervention for positive screenings with electronic versus paper screening (55% vs 21%, respectively; P = .1081). Primary care providers can play an increased role in drug abuse treatment by using available technology to overcome barriers to screening independent of information systems support. By adopting the new electronic screening documentation process, this clinic was able to increase its screening outcomes. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.