Emergency Department Healthcare system and the hospital setting
Optimal care for the individual suffering with acute and chronic pain in the emergency department
Optimal care for the individual suffering with opioid use disorder/ addiction in the emergency department
The Challenge: To provide competent care for the individual suffering with pain related conditions and or Opioid Use Disorders
A comprehensive, coordinated, evidence based approach to the care of individuals with pain, opioid dependence and addiction and associated issues in the hospital emergency department.
Vision:
All individuals receiving medical care in the medical system are provided frictionless, evidence based, optimal care for their condition.
Goals and outcomes:
Individuals are able to achieve goals of treatment.
To get access to or participate with our evolving efforts to improve the care for individuals suffering with addiction click on the bell.
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 medical condition who is also suffering with substance use disorders
Optimal care for Opioid Use Disorders within the medical system.
Stakeholders
Visualizing the Pain Opioid Ecosystem to understand the stakeholders, processes, and barriers involved with the various aspects of the pain opioid epidemic.
Learn more about the Pain Opioid Ecosystem
Connect to the hospital ecosystem: In the development
The Healthcare System and the Hospital within the Pain Opioid Ecosystem
Using the Tracer Methodology to Achieve Best Practice
Tracers are designed to “trace” the care experiences that a patient had while at an organization. We use tracers as a way to analyze the organization’s system of providing care for individuals suffering with pain and or substance use disorders.
Connect to the overdose tracer: In development
Best practice and evidence-based management of the individual suffering with Opioid Use Disorder.
Approach to the patient
Culture of care and impact on opioid use disorder
Screening for substance use disorder
Diagnosis of individuals with opioid use disorders
Management of individuals suffering with opioid use disorder
Tools
Morphine Conversion App (Download)
Guidelines & Policies
Acute Pain Assessment and Opioid Prescribing Protocol
VA Opioid Therapy and Methadone Use in Primary Care for Chronic Non-cancer Pain Guide (2017)
Requirement
Patient Education and Communication
Brief interventions for individuals with substance-related problems: a review of the effectiveness
Resources
Montgomery County, PA: Substance Use Disorders
Montgomery County, PA: Behavioral Health Services
Montgomery County, PA: Pain Management
Use of brief interventions and psychosocial techniques designed to help recipients recognise harmful patterns of substance use, and to motivate and support them to address that use.
Best practice and evidence based management of the individual suffering with Pain Disorder
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
Approach to the patient
Culture of care and impact on opioid use disorder
Screening for substance use disorder
Diagnosis of individuals with opioid use disorders
Management of individuals suffering with opioid use disorder
Citizen Brief
Tools
Morphine Conversion App (Download)
Guidelines & Policies
PA Pain Treatment Guidelines
Acute Pain Assessment and Opioid Prescribing Protocol
VA Opioid Therapy and Methadone Use in Primary Care for Chronic Non-cancer Pain Guide (2017)
Requirement
The Joint Commission
Patient Education and Communication
The Pain Medication Contract
Brief interventions for individuals with substance-related problems: a review of the effectiveness
Resources
Montgomery County, PA: Substance Use Disorders
Montgomery County, PA: Behavioral Health Services
Montgomery County, PA: Pain Management
Hospital Services
Pain Management
Palliative Care
Behavioral Health
Dental
Special Populations
Maternity
New Borns
Elderly: This guideline will highlight special problems concerning using opioids when treating older adults for chronic non-cancer pain.
Managing Pain in the Elderly
Addiction
Checklists
Hospital System
Hospital
Pharmacy
Community Benefit
Providers
Resources
Solutions through Technology
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Hospital and Healthcare System Checklist
VA/DoD Management of Opioid Therapy (OT) for Chronic Pain (2017)
Organizational competence and Culture Change
Reports:
Treatment of opioid dependence
Providers’ Clinical Support System For Medication-Assisted Treatment
We are a national training and mentoring project developed in response to the prescription opioid misuse epidemic and the availability of newer pharmacotherapies to address opioid use disorder. The overarching goal of PCSS-MAT is to make available the most effective medication-assisted treatments to serve patients in a variety of settings, including primary care, psychiatric care, and pain management settings.