Healthcare system and the hospital setting
Optimal care for the individual suffering with opioid use disorder/ addiction
The Challenge: To provide competent care for the individual suffering with 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 and healthcare* system (Including outpatient services).
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 development
The Healthcare System and the Hospital within the Pain Opioid Ecosystem
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.
Learn more about using the tracer methodology (Coming Soon)
Connect to the overdose tracer: In development
Using the Tracer Methodology to Achieve Best Practice
Best practice and evidence-based management of the individual suffering with opioid use disorder in the primary care setting.
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
VA Opioid Therapy and Methadone Use in Primary Care for Chronic Non-cancer Pain Guide (2013)
Acute Pain Assessment and Opioid Prescribing Protocol
Resources
Procedures for Medication-Assisted Treatment of Alcohol or Opioid Dependence in Primary Care
This guide provides an introduction to identifying and treating patients with substance use disorders in primary care settings.
Outpatient Primary Care Practice
Approach to the Patient in the Primary Care 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.
The Opioid Prescription Epidemic and the Role of Emergency Medicine. (Pdf)
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
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
Resources
Tools
The Hospital Setting
How Health System CEOs Perceive and Execute their Roles Regarding Addiction
A conversation among CEOs of three major, geographically and organizationally diverse health systems.
ECRI 2016, Conference; Health Systems and Addiction: The Use and Misuse of Legal Substances
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
-
Hospital and Healthcare System Checklist
VA/DoD Management of Opioid Therapy (OT) for Chronic Pain (2017)
American Hospital Association's Toolkit: Stem the Tide, addressing the Opioid Epidemic
Organizational competence and Culture Change
Reports: