The vision of Competent Optimal Care
Clinicians Providing care for the individual suffering with opioid use disorder/ addiction
The Challenge: Understanding the individual suffering with Opioid Dependence: Healthcare & Medical System Approach
The Challenge
A comprehensive, coordinated, evidence-based approach to the care of individuals with pain, opioid dependence, and addiction and associated issues in the hospital and healthcare* network system (Including outpatient* services).
Vision:
All individuals receiving medical care in the medical system are provided evidence-based, optimal care for their medical condition.
Goals and outcomes:
Individuals are able to achieve the goals of treatment.
The approach to the individual suffering with pain
Optimal acute and chronic pain management for individuals within the medical system.
The approach to the individual suffering with substance use disorders
Optimal care for Opioid Use Disorders within the medical system.
The approach to the individual with a medical condition who is also suffering with substance use disorders
Optimal care for Opioid Use Disorders within the medical system.
Stakeholders
Board of Trustees
Hospital leadership
Clinical leadership
Hospital staff
Pharmacy
Outpatient Primary Care Office Practice
Diagnosis
Management
Specialty Practices
Pain Management
Behavioral Health
Addiction Program
Emergency Room and trauma
Diagnosis
Management
Medical Service
Surgery
Maternal
Pediatrics
The Hospital and Medical System Pain Opioid Ecosystem
The challenge of the opioid epidemic is best understood from the complexity/ ecosystem lens. An understanding of the complexity of the Opioid Ecosystem and the various stakeholders and their interaction. It is clear that the challenge and potential “solutions” require an understanding of the Pain Opioid Ecosystem and the complexity and the dynamics driving and maintaining the various issues.
Categories:
National
State
Community
Hospital system
Hospital
Department
Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop
Host Dr. John Russell chats with Dr. Anna Lembke, Chief of Addiction Medicine and an Assistant Professor at Stanford University School of Medicine. Dr. Lembke is the author of Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop, exploring how the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.
Patrice Harris, MD, MA
Sparking Change: The Providers' Role in Combatting the Opioid Crisis
Outpatient Primary Care Office Practice
Best practice and evidence-based management of the individual suffering with Opioid Use Disorder in the primary care setting.
Culture of care and impact on opioid use disorder
Diagnosis of individuals with opioid use disorders
Management of individuals suffering with opioid use disorder
Tools and resources:
Primary Care Checklist
VA Opioid Therapy and Methadone Use in Primary Care for Chronic Non-cancer Pain Guide (2013)
Emergency Room and Acute Care Clinics
Best practice and evidence-based management of the individual suffering with Opioid Use Disorder in the acute medical setting.
Culture of care and impact on opioid use disorder
Diagnosis of individuals with opioid use disorders
Management of individuals suffering with opioid use disorder
Acute Care Checklist
Tools and resources
Corey Waller, MD describes addiction, behavioral health issues and super-utilization of hospital emergency departments as the symptoms of a single yet-to-be-recognized chronic disease.
Published on Dec 23, 2014
The Hospital Setting
Best practice and evidence-based management of the individual suffering with Opioid Use Disorder in the acute medical setting.
Culture of care and impact on opioid use disorder
Diagnosis of individuals with opioid use disorders
Management of individuals suffering with opioid use disorder
Acute Care Checklist
Tools and resources
Corey Waller, MD describes addiction, behavioral health issues and super-utilization of hospital emergency departments as the symptoms of a single yet-to-be-recognized chronic disease.
Published on Dec 23, 2014
Special Populations
Maternity
To Help Newborns Dependent On Opioids, Hospitals Rethink Mom's Role Updated March 27, 2016
The ASAM National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use
The National Practice Guideline makes recommendations on:
POCKET GUIDE
Within the Pocket Guide are the key points on diagnosing and treating opioid use disorder with medication. The Pocket Guide is available for purchase and below is a link to the document for viewing purposes only.
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The clinical assessment and diagnosis of opioid use disorder;
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How to choose among available treatment options for a given patient;
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The treatment of opioid withdrawal;
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The use of methadone, buprenorphine and naltrexone in the treatment of addiction involving opioid use;
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Psychosocial treatment options; and
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Treating opioid overdose with naloxone.
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This comprehensive guide also includes specific recommendations for special populations, including adolescents, pregnant women, individuals with pain, individuals with co-occurring psychiatric disorders and individuals in the criminal justice system.
THE APP
The app is a quick-reference tool to provide healthcare professionals with instant access to this guideline in a clear concise format no matter where they are located. The app can be downloaded on smartphones and tablets.
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