• SBIRT Utilization and Billing among Prenatal Providers in Hawaii

      Tanner, Stacy; Porter, Rebecca; Hanson, Bridget (Center for Behavioral Health Research and Services, 2018)
      This report presents findings from key informant interviews that were conducted to understand Hawaii prenatal providers’ use of screening, brief intervention, and referral to treatment (SBIRT) in everyday practice. Five prenatal providers who practice in Hawaii participated in the interviews. Although participants acknowledged the importance of utilizing SBIRT in prenatal care, SBIRT appeared to be underutilized. Most did not have standard SBIRT procedures incorporated within their practice. Participants’ primary concerns regarding routine use of SBIRT included time constraints, lack of technology within the electronic health record, and stigma. Recommendations from prenatal providers regarding SBIRT decision-making, billing process improvements, and provider incentives to enhance reimbursement practices are discussed.