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Reduce Opioid Misuse

Prescribing Practices

The President of the United States has declared the opioid crisis a “national public health emergency” and announced initiatives to address the epidemic. Here are resources for your reference in reassessing your prescribing practices “to do no harm.”

Have conversations to alert patients to safely dispose of unused pain medication. It’s been reported that 55% of abusers obtain painkillers from a friend or relative!

Addressing the Opioid Misuse Crisis is a priority of VCSQI SAN 2.0 and CMS!

“Impacting the Opioid Crisis through Improved Prescribing Practices”

In this one-hour VCSQI SAN 2.0 sponsored webinar Dr. Jared Skillings from American Psychological Association and Dr. Robert Bales, Family Medicine Cleveland Clinic and Assistant Professor of Family Medicine provide an overview of the crisis, current trends, general considerations when prescribing opioids, and non-pharmacological pain management techniques.

Click here for the October 24, 2017 Webinar Recording. 

Click here for the October 24, 2017 Webinar PowerPoint Slides: 10-24-VCSQI webinar-opioid prescribing – FINAL

Check Out These Recent Opioid-related Releases from CDC

Rx Awareness Campaign

With the tagline “It only takes a little to lose a lot,” the Rx Awareness Campaign tells the real stories of people whose lives were torn apart by prescription opioids. The goal of the campaign is to increase awareness that prescription opioids can be addictive and dangerous.

Here is a social media kit with sharable resources.

CDC Web Feature:  Rx Awareness – Impact of an Epidemic

Click here to read more about how we can work together to share stories of Americans whose lives have been impacted by the opioid misuse epidemic.

New Opioid Overdose Materials for Patients

CDC released several new patient-centered materials for patient education about opioid use.  These materials are free and available for download.

  • What You Need to Know outlines the differences in acute and chronic pain and what you need to know when prescribed opioids for acute pain management.
  • Get the Facts Infographic highlights important information about acute pain management for common conditions and injuries.
  • Know the Signs. Save a Life. This is a resource that identifies factors that can increase the risk of overdose and steps to prevent overdose and death.

New Provider Training Module:  Communicating with Patients

Click here to learn effective communications strategies to promote healthy dialogue with patients regarding benefits and harms of opioids.  

Click here for the CDC Guideline for Prescribing Opioids for Chronic Pain.

Take the New Pledge to Join the Effort to Reduce Opioid Misuse

In alignment with national action towards improving medication management and opioid misuse, TCPI is focused on improving health outcomes, reducing unnecessary utilization, and generating cost savings for government and private payers. TCPI launched the Medication Management and Opioid Initiative in alignment with the TCPI 7 Aims, find more info at www.mylocalnews.ie/. We ask our enrolled clinicians to complete the pledge and make a commitment to review opioid prescribing practices. Please follow this link and take the pledge now.

Medication Management

Medication Management: Does the clinical teamwork with the patient and family to support their patient/caregiver management of medications?

# Websites
1.  HSAG Medication Management Resources

https://www.hsag.com/en/medicare-providers/care-coordination/medication-management/

 

# Toolkits
26.  Sutter Health: Diabetes Self-Management Tools and Resources

http://www.pamf.org/diabetes/patients/

27.  South West Self-Management Program

http://www.swselfmanagement.ca/smtoolkit/

28.   Partnering in Self-Management Support: A Toolkit for Clinicians

http://www.ihi.org/resources/Pages/Tools/SelfManagementToolkitforClinicians.aspx

29.  Diabetes Literacy and Numeracy Education Toolkit

https://labnodes.vanderbilt.edu/cdtr

30.  Million Hearts Medication Adherence Featured Tools

https://millionhearts.hhs.gov/tools-protocols/medication-adherence.html

 

# Guides
2.  AHRQ Rx Medicine Instructions Guide

http://www.ahrq.gov/professionals/quality-patient-safety/pharmhealthlit/prescriptionmed-instr.html

3.  AMA Medication Adherence Module

www.stepsforward.org/modules/medication-adherence

4. Patient Centered Primary Care Institute (PCPCI)

http://www.healthcarecommunities.org/Login.aspx?ReturnUrl=%2fDesktopModules%2fBring2mind%2fDMX%2fDownload.aspx%3fportalid%3d3%26EntryId%3d106161&portalid=3&EntryId=106161

–        A patient booklet describing strategies for using medications successfully to alleviate symptoms of depression. This booklet focuses on antidepressant treatment but many of the principles and strategies also apply to using other medications successfully.

5. AHRQ (2014)

http://www.healthcarecommunities.org/Login.aspx?ReturnUrl=%2fDesktopModules%2fBring2mind%2fDMX%2fDownload.aspx%3fportalid%3d3%26EntryId%3d101373&portalid=3&EntryId=101373

–        Explicit, standardized instructions improve patients’ understanding, and possibly reduce errors while improving adherence. These tested instructions for pills follow the Universal Medication Schedule (UMS), which simplifies complex medicine regimens by using standard time periods for administration (morning, noon, evening, and bedtime). These instructions have also been translated into Chinese, Korean, Russian, Spanish, and Vietnamese.

6.  Medication Management in Care Transitions

http://www.pharmacist.com/medication-management-care-transitions-best-practices

7.  Patient-Centered Primary Care Collaborative’s Integrating Comprehensive Medication Management to Optimize Patient Outcomes

https://www.pcpcc.org/sites/default/files/media/medmanagement.pdf

 

# Videos
8. Motivational Interviewing Example: Medication Usage

https://www.youtube.com/watch?v=b_8PnKBktr8

–        Motivational interviewing examples

9.  Effectively Communicating Medication Instructions

–        Need new link

10.  Next Step in Care: Family Caregivers Guide to Medication Management

http://nextstepincare.org/Caregiver_Home/Medication_Management_Guide/videos_about_Medication/

–        Six podcasts

11.  Video on Coaching Patients for Successful Self-Management

http://www.chcf.org/publications/2008/08/video-on-coaching-patients-for-successful-selfmanagement

12.  Video with Techniques for Effective Patient Self-Management

http://www.chcf.org/publications/2006/08/video-with-techniques-for-effective-patient-selfmanagement

 

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