Difference between revisions of "Improve Professional Training on Opioids & Alternative Pain Management Approaches"

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<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Mapor]] [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]] or [[ZOOM_MAP_-_Reduce_Prescription_of_Opioids|ZOOM MAP-Reduce Prescription of Opioids]] <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">__TOC__&nbsp;  
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<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Mapor]] [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]] or [[ZOOM_MAP_-_Reduce_Prescription_of_Opioids|ZOOM MAP-Reduce Prescription of Opioids]] <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">__TOC__&nbsp;  
 
= Partnering With Prescribers to Prevent Prescription Opioid Misuse =
 
= Partnering With Prescribers to Prevent Prescription Opioid Misuse =
  
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= Current Status =
 
= Current Status =
  
*72% of doctors in one study indicated their knowledge of opioid dependence was low.<sup class="reference">[1]</sup>  
+
*72% of doctors in one study indicated their knowledge of opioid dependence was low.<sup class="reference"><ref>[1]Davis, C. S., & Carr, D. (2016). Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements. Drug and Alcohol Dependence, 163, 100–107. https://doi.org/10.1016/j.drugalcdep.2016.04.002</ref></sup>  
*Many doctors in one study rated their training "unsatisfactory."<sup class="reference">[2]</sup>  
+
*Many doctors in one study rated their training "unsatisfactory."<sup class="reference"><ref>[2]Davis, C. S., & Carr, D. (2016). Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements. Drug and Alcohol Dependence, 163, 100–107. https://doi.org/10.1016/j.drugalcdep.2016.04.002</ref></sup>  
*Only 5 states require all physicians to receive opioid-related CME.<sup class="reference">[3]</sup>  
+
*Only 5 states require all physicians to receive opioid-related CME.<sup class="reference"><ref>[3]Davis, C. S., & Carr, D. (2016). Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements. Drug and Alcohol Dependence, 163, 100–107. https://doi.org/10.1016/j.drugalcdep.2016.04.002</ref></sup>  
*Physicians who studied at lower-ranked medical schools prescribe nearly three times as many opioids per year as those who attended top-tier institutions <sup class="reference">[4]</sup>  
+
*Physicians who studied at lower-ranked medical schools prescribe nearly three times as many opioids per year as those who attended top-tier institutions <sup class="reference"><ref>[4]Doctors who attend lower-tier medical schools prescribe far more opioids. (2017, August 7). Retrieved November 24, 2019, from STAT website: https://www.statnews.com/2017/08/07/doctors-opioid-prescriptions/</ref></sup>  
**On average, the researchers found, physicians who attended Harvard wrote fewer than 100 opioid prescriptions per year, while physicians trained at the lowest-ranked schools wrote about 300 per year.<sup class="reference">[5]</sup>   
+
**On average, the researchers found, physicians who attended Harvard wrote fewer than 100 opioid prescriptions per year, while physicians trained at the lowest-ranked schools wrote about 300 per year.<sup class="reference"><ref>[5]Doctors who attend lower-tier medical schools prescribe far more opioids. (2017, August 7). Retrieved November 24, 2019, from STAT website: https://www.statnews.com/2017/08/07/doctors-opioid-prescriptions/</ref></sup>   
  
 
&nbsp;
 
&nbsp;
  
 
== Medical Education ==
 
== Medical Education ==
<div class="_">The Forum, in collaboration with the Chris Cornell Foundation, will enhance the education of healthcare providers about the identification and treatment of substance use disorder (SUD). Only 8 percent of all U.S. medical schools have a distinct course on addiction built into the required coursework and only a handful of schools teach a robust, evidence-based curriculum on the diagnosis and treatment of SUDs.<sup class="reference">[6]</sup></div> <div class="_">&nbsp;</div>  
+
<div class="_">The Forum, in collaboration with the Chris Cornell Foundation, will enhance the education of healthcare providers about the identification and treatment of substance use disorder (SUD). Only 8 percent of all U.S. medical schools have a distinct course on addiction built into the required coursework and only a handful of schools teach a robust, evidence-based curriculum on the diagnosis and treatment of SUDs.<sup class="reference"><ref>[6]Forum, A. P. (n.d.). Https://www.addictionpolicy.org/404. Retrieved November 24, 2019, from https://www.addictionpolicy.org/404</ref></sup></div> <div class="_">&nbsp;</div>  
 
= Prescribing Guidelines =
 
= Prescribing Guidelines =
<div class="_">The Department of Drug and Alcohol Programs (DDAP) and Department of Health (DOH) in Pennsylvania are co-chairing the Prescribing Practices initiative with the purpose of reducing prescription drug abuse and overdoses, while maintaining effective pain management. The group includes representation from all medical professionals, as well as their professional associations and regulatory agencies. The focus of this group is to identify and find consensus on best and safest prescribing and pain management practices, and to identify ways that the stakeholders at the table (representing various state departments and private organizations) can most effectively promote those practices. <sup class="reference">[7]</sup></div> <div class="_">&nbsp; The[https://www.va.gov/painmanagement/ Veterans Health Administration] recognizes the clinical challenges to successfully managing pain and prescribing safely for Veterans. The National Pain Management Program office convened a national task force comprised of multidisciplinary pain exerts to create an[https://www.va.gov/PAINMANAGEMENT/Opioid_Safety_Initiative_OSI.asp Opioid Safety Toolkit] that contains documents and presentations that can aid in your clinical decisions about starting, continuing, or tapering opioid therapy, and other challenges related to safe opioid prescribing.<sup class="reference">[8]</sup></div> <div class="_">&nbsp; Although the act of going to multiple doctors with the goal of getting multiple prescriptions for painkillers, known as doctor shopping, is a pretty rare phenomenon (studies indicate that only 0.7 percent of patients actively attempted to scam providers into issuing duplicate prescriptions), doctors should still educate themselves on the signs that someone's just looking for a prescription.<sup class="reference">[9]</sup> This one group is particularly good at getting multiple prescriptions, purchasing a total of 11.1 million grams of opioids from their average of 32 prescriptions from ten different prescribers in less than a</div> <div class="_">&nbsp; This [https://insight.athenahealth.com/infographic-opioid-regulations-state-by-state infographic] describes how state-by-state laws such as supply limits, PDMP, and assessment requirements vary in relation to prescription pain management and opioid use.</div> <div class="_">&nbsp;'''See [[TR_-_Improve_Professional_Training_on_Opioids_&_Alternative_Pain_Management_Approaches|Tools & Resources]] to download the CDC Opioid Prescribing Guidelines'''</div> <div class="_">&nbsp;</div>  
+
<div class="_">The Department of Drug and Alcohol Programs (DDAP) and Department of Health (DOH) in Pennsylvania are co-chairing the Prescribing Practices initiative with the purpose of reducing prescription drug abuse and overdoses, while maintaining effective pain management. The group includes representation from all medical professionals, as well as their professional associations and regulatory agencies. The focus of this group is to identify and find consensus on best and safest prescribing and pain management practices, and to identify ways that the stakeholders at the table (representing various state departments and private organizations) can most effectively promote those practices.<ref> [7]Can't find source </ref></div> <div class="_">&nbsp; The[https://www.va.gov/painmanagement/ Veterans Health Administration] recognizes the clinical challenges to successfully managing pain and prescribing safely for Veterans. The National Pain Management Program office convened a national task force comprised of multidisciplinary pain exerts to create an[https://www.va.gov/PAINMANAGEMENT/Opioid_Safety_Initiative_OSI.asp Opioid Safety Toolkit] that contains documents and presentations that can aid in your clinical decisions about starting, continuing, or tapering opioid therapy, and other challenges related to safe opioid prescribing.<sup class="reference"><ref>[8]HealthITSecurity. (2016, November 2). Addressing Opioid Abuse with Analytics, Population Health Strategies. Retrieved November 24, 2019, from HealthITAnalytics website: https://healthitanalytics.com/features/addressing-opioid-abuse-with-analytics-population-health-strategies</ref></sup></div> <div class="_">&nbsp; Although the act of going to multiple doctors with the goal of getting multiple prescriptions for painkillers, known as doctor shopping, is a pretty rare phenomenon (studies indicate that only 0.7 percent of patients actively attempted to scam providers into issuing duplicate prescriptions), doctors should still educate themselves on the signs that someone's just looking for a prescription.<sup class="reference"><ref>[9]Can't find source</ref></sup> This one group is particularly good at getting multiple prescriptions, purchasing a total of 11.1 million grams of opioids from their average of 32 prescriptions from ten different prescribers in less than a</div> <div class="_">&nbsp; This [https://insight.athenahealth.com/infographic-opioid-regulations-state-by-state infographic] describes how state-by-state laws such as supply limits, PDMP, and assessment requirements vary in relation to prescription pain management and opioid use.</div> <div class="_">&nbsp;'''See [[TR_-_Improve_Professional_Training_on_Opioids_&_Alternative_Pain_Management_Approaches|Tools & Resources]] to download the CDC Opioid Prescribing Guidelines'''</div> <div class="_">&nbsp;</div>  
 
= Best Practices =
 
= Best Practices =
  
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= Screening Before Prescribing =
 
= Screening Before Prescribing =
<div class="_">Dr. John Zweifler recommends that clinicians "find objective evidence of severe disease through physical examination or diagnostic studies before prescribing long-term opioids.<sup class="reference">[10]</sup></div> <div class="_">&nbsp;</div>  
+
<div class="_">Dr. John Zweifler recommends that clinicians "find objective evidence of severe disease through physical examination or diagnostic studies before prescribing long-term opioids.<sup class="reference"><ref>[10]page not found </ref></sup></div> <div class="_">&nbsp;</div>  
 
== DIRE Scoring System ==
 
== DIRE Scoring System ==
 
<div class="_">(Diagnosis, intractability, reliability with 4 measures, and efficacy)</div> <div class="_">&nbsp;</div>  
 
<div class="_">(Diagnosis, intractability, reliability with 4 measures, and efficacy)</div> <div class="_">&nbsp;</div>  
*A validated measure used to predict patient suitability for long-term opioid analgesic treatment for non-cancer pain.<sup class="reference">[11]</sup>  
+
*A validated measure used to predict patient suitability for long-term opioid analgesic treatment for non-cancer pain.<sup class="reference"><ref>[11]Page not found</ref>12</sup>  
 +
*&nbsp;
 
*[http://www.emergingsolutionsinpain.com/content/tools/esp_9_instruments/pdf/DIRE_Score.pdf DIRE Rubric] via University of Colorado, Denver  
 
*[http://www.emergingsolutionsinpain.com/content/tools/esp_9_instruments/pdf/DIRE_Score.pdf DIRE Rubric] via University of Colorado, Denver  
  
Line 89: Line 90:
 
== CO*RE/ASAM Opioid Prescribing ==
 
== CO*RE/ASAM Opioid Prescribing ==
  
[https://www.asam.org/education/resources/Opioid-Prescribing The CO*RE/ASAM Opioid Prescribing: Safe Practice, Changing Lives course] addresses this public health crisis. This comprehensive course was developed by renowned experts from [http://core-rems.org/ Collaborative for REMS Education (CO*RE)] and incorporates all six units outlined in FDA blueprint for safe opioid prescribing. The updated course also provides necessary context for safe opioid prescribing by discussing biopsychosocial aspects of pain, the newest clinical guidelines on the treatment of chronic pain, and state policies about prescribing opioids.<sup class="reference">[12]</sup><br/> &nbsp;
+
[https://www.asam.org/education/resources/Opioid-Prescribing The CO*RE/ASAM Opioid Prescribing: Safe Practice, Changing Lives course] addresses this public health crisis. This comprehensive course was developed by renowned experts from [http://core-rems.org/ Collaborative for REMS Education (CO*RE)] and incorporates all six units outlined in FDA blueprint for safe opioid prescribing. The updated course also provides necessary context for safe opioid prescribing by discussing biopsychosocial aspects of pain, the newest clinical guidelines on the treatment of chronic pain, and state policies about prescribing opioids.<sup class="reference"><ref>[12]HealthI Security. (2016, November 2). Addressing Opioid Abuse with Analytics, Population Health Strategies. Retrieved November 24, 2019, from HealthITAnalytics website: https://healthitanalytics.com/features/addressing-opioid-abuse-with-analytics-population-health-strategies</ref></sup><br/> &nbsp;
  
 
== <span style="font-size: 110%">SAFE Opioid Course</span> ==
 
== <span style="font-size: 110%">SAFE Opioid Course</span> ==
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[[TR_-_Improve_Professional_Training_on_Opioids_&_Alternative_Pain_Management_Approaches|TR - Improve Professional Training on Opioids & Alternative Pain Management Approaches]]
 
[[TR_-_Improve_Professional_Training_on_Opioids_&_Alternative_Pain_Management_Approaches|TR - Improve Professional Training on Opioids & Alternative Pain Management Approaches]]
 
 
<div class="mw-parser-output">
 
<div class="mw-parser-output">
 
= Scorecard Building =
 
= Scorecard Building =
  
 
Potential Objective Details(Under Construction)&nbsp;<br/> Potential Measures and Data Sources(Under Construction)&nbsp;<br/> Potential Actions and Partners(Under Construction)&nbsp;
 
Potential Objective Details(Under Construction)&nbsp;<br/> Potential Measures and Data Sources(Under Construction)&nbsp;<br/> Potential Actions and Partners(Under Construction)&nbsp;
</div>
+
</div>  
 
 
 
= Resources to Investigate =
 
= Resources to Investigate =
  
Line 125: Line 124:
  
 
= Sources =
 
= Sources =
 
+
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>  
----
 
 
 
#[http://www.sciencedirect.com/science/article/pii/S0376871616300278 [1]]
 
#[http://www.sciencedirect.com/science/article/pii/S0376871616300278 [2]]
 
#[http://www.sciencedirect.com/science/article/pii/S0376871616300278 [3]]
 
#[https://www.statnews.com/2017/08/07/doctors-opioid-prescriptions/ [4]]
 
#[https://www.statnews.com/2017/08/07/doctors-opioid-prescriptions/ [5]]
 
#[http://www.addictionpolicy.org/single-post/2017/12/12/Addiction-Policy-Forum-Announces-New-Initiatives-and-Partnerships-to-Address-the-Opioid-Crisis [6]]
 
#100 Million Healthier Lives State-Wide Efforts.<br/> [http://www.ddap.pa.gov/overdose/Pages/Department%20Focus%20on%20Addressing%20Overdose.aspx [7]]
 
#100 Million Healthier Lives Country-Wide Efforts
 
#[https://healthitanalytics.com/features/addressing-opioid-abuse-with-analytics-population-health-strategies [8]]
 
#[http://www.annfammed.org/content/10/4/366.full [9]]
 
#[http://www.annfammed.org/content/10/4/366.full [10]]
 
#[https://www.asam.org/education/resources/Opioid-Prescribing [11]]
 
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div>  
 
 
[[Category:SAFE-Prescriptions and Medical Response]]
 
[[Category:SAFE-Prescriptions and Medical Response]]

Revision as of 01:03, 25 November 2019

Return to Opioid Top-Level Strategy Mapor Zoom Map (Reduce Access to Opioids) or ZOOM MAP-Reduce Prescription of Opioids
 

Partnering With Prescribers to Prevent Prescription Opioid Misuse

==Engaging Prescribers== The importance of engaging prescribers in efforts to prevent prescription drug misuse—to provide credibility, reach target audiences, and provide their critical perspective.
 

 

==Supply, Demand, and the Role of Prescribers== The unique role prescribers play in modulating both the amount and dosage of prescription drugs being prescribed, as well as the demand for these prescriptions.
 

 

 

Current Status

  • 72% of doctors in one study indicated their knowledge of opioid dependence was low.[1]
  • Many doctors in one study rated their training "unsatisfactory."[2]
  • Only 5 states require all physicians to receive opioid-related CME.[3]
  • Physicians who studied at lower-ranked medical schools prescribe nearly three times as many opioids per year as those who attended top-tier institutions [4]
    • On average, the researchers found, physicians who attended Harvard wrote fewer than 100 opioid prescriptions per year, while physicians trained at the lowest-ranked schools wrote about 300 per year.[5]

 

Medical Education

The Forum, in collaboration with the Chris Cornell Foundation, will enhance the education of healthcare providers about the identification and treatment of substance use disorder (SUD). Only 8 percent of all U.S. medical schools have a distinct course on addiction built into the required coursework and only a handful of schools teach a robust, evidence-based curriculum on the diagnosis and treatment of SUDs.[6]
 

Prescribing Guidelines

The Department of Drug and Alcohol Programs (DDAP) and Department of Health (DOH) in Pennsylvania are co-chairing the Prescribing Practices initiative with the purpose of reducing prescription drug abuse and overdoses, while maintaining effective pain management. The group includes representation from all medical professionals, as well as their professional associations and regulatory agencies. The focus of this group is to identify and find consensus on best and safest prescribing and pain management practices, and to identify ways that the stakeholders at the table (representing various state departments and private organizations) can most effectively promote those practices.[7]
  TheVeterans Health Administration recognizes the clinical challenges to successfully managing pain and prescribing safely for Veterans. The National Pain Management Program office convened a national task force comprised of multidisciplinary pain exerts to create anOpioid Safety Toolkit that contains documents and presentations that can aid in your clinical decisions about starting, continuing, or tapering opioid therapy, and other challenges related to safe opioid prescribing.[8]
  Although the act of going to multiple doctors with the goal of getting multiple prescriptions for painkillers, known as doctor shopping, is a pretty rare phenomenon (studies indicate that only 0.7 percent of patients actively attempted to scam providers into issuing duplicate prescriptions), doctors should still educate themselves on the signs that someone's just looking for a prescription.[9] This one group is particularly good at getting multiple prescriptions, purchasing a total of 11.1 million grams of opioids from their average of 32 prescriptions from ten different prescribers in less than a
  This infographic describes how state-by-state laws such as supply limits, PDMP, and assessment requirements vary in relation to prescription pain management and opioid use.
 See Tools & Resources to download the CDC Opioid Prescribing Guidelines
 

Best Practices

  • CDC Prescribing Guidelines
  • Non-pharmacologic therapies
  • Non-opioid pharmacologic therapies
  • “Start low and go slow”
  • Regularly monitor patients

 

Screening Before Prescribing

Dr. John Zweifler recommends that clinicians "find objective evidence of severe disease through physical examination or diagnostic studies before prescribing long-term opioids.[10]
 

DIRE Scoring System

(Diagnosis, intractability, reliability with 4 measures, and efficacy)
 
  • A validated measure used to predict patient suitability for long-term opioid analgesic treatment for non-cancer pain.[11]12
  •  
  • DIRE Rubric via University of Colorado, Denver

Alternative Pain Management Approaches

 

Training Curriculum & Programs

Project ECHO

Project ECHO (Extension for Community Healthcare Outcomes) is a program offered through the University of New Mexico. The program is a remote training that focuses on treatment of substance use disorders (SUDs) and behavioral health disorders. It features an a team of multidisciplinary addiction specialists and is offered for free to care providers in the U.S.
  This ECHO provides training in opioid addiction treatment at no cost, delivered right to your clinic, with a variety of bi-weekly schedules to choose from. They serve federally-qualified health centers, with a special focus on those that received the Substance Abuse Service Expansion awards using simple videoconferencing technology, healthcare teams connect to a community of learners. This free program ends in August of 2018.
 

Applying CDC's Guidelines for Prescribing Opioids

Thisfree online training series aims to help healthcare providers apply CDC’s recommendations in a clinical setting through interactive patient scenarios, videos, knowledge checks, tips, and resources. You will gain a better understanding of the recommendations, the risks and benefits of prescription opioids, non-opioid treatment options, patient communication, and risk mitigation.
 Two training courses are already provided on their website:
 

See Tools & Resources for more

Training Courses Coming Soon:

  • Communicating With Patients: Providers will learn communication strategies they can use when treating chronic pain, including motivational interviewing.
  • Deciding Whether to Prescribe: In this section of the training, providers learn mechanisms for deciding if opioids should be prescribed, and next steps for treatment – whether opioid or non-opioid treatments are selected.
  • Dosing and Titration of Opioids: How Much, How Long, and How and When to Stop? When providers choose to prescribe opioids, they need to know how to properly dose and titrate opioids to reduce risk of opioid use disorder and overdose. This module explains methods of dosing and titration.
  • Reducing the Risks of Opioids: Providers will learn best risk mitigation strategies and when to employ them after prescribing an opioid.
  • Assessing and Addressing Opioid Use Disorder: This module describes methods available to a provider for assessing and addressing an opioid use disorder when it is suspected.
  • Implementing the CDC Guideline: This module provides strategies and tools for implementing the CDC Guideline for Prescribing Opioids for Chronic Pain in a provider’s own practice, while outlining steps to overcome common barriers to implementation.

 

COCA Call Webinar Series

CDC’s National Center for Injury Prevention and Control (NCIPC) partnered with CDC’s Clinician Outreach and Communication Activity (COCA) and the University of Washington to present a webinar series about the CDC Guideline for Prescribing Opioids for Chronic Pain.
  This seven-part series is intended to use a data-driven approach to help providers choose the most effective pain treatment options and improve the safety of opioid prescribing for chronic pain. The primary objective is to provide informative, case-based content that will demonstrate and instruct participants on how the 12 recommendations of the CDC Guideline for Prescribing Opioids for Chronic Pain can be incorporated and applied in a primary care practice setting.
 

Providers' Clinical Support System For Opioid Therapies

PCSS-O is a national training and mentoring project developed in response to the prescription opioid overdose epidemic. The consortium of major stakeholders and constituency groups with interests in safe and effective use of opioid medications offers extensive experience in the treatment of substance use disorders and specifically, opioid use disorder treatment, as well as the interface of pain and opioid use disorder. PCSS-O makes available at no cost CME programs on the safe and effective use of opioids for treatment of chronic pain and safe and effective treatment of opioid use disorder.

Core Curriculum
PCSS-O clinical experts have created a comprehensive course on opioid prescribing for primary care providers in the essential evidence-based clinical practices in treating chronic pain—with or without medications.
This course will provide clinicians with a solid base when treating chronic pain. The curriculum was created in an effort to consolidate the vast amount of information available to clinicians into a course that provides clinicians with the information, resources, and knowledge they need to treat their patients who suffer from chronic pain, including non-pharmacological treatments. The result is the most comprehensive and up to date curriculum developed thus far for the treatment of chronic pain.

Clinical Online Modules
PCSS-O offers a large library of online modules that allow you to take trainings when you want and at your own pace. The modules enhance prescribers’ and other health professionals’ knowledge, skills, and attitudes regarding safe and effective use of medication assisted treatment of opioid use disorder. Most modules include CME credit. Details about obtaining credit are provided with each module description and are noted on the page.

These online modules are designed to increase your:

  • understanding of the current state of opioid use disorder
  • understanding of treatment issues for special populations
  • ability to assess and treat patients


See Tools & Resources for more

Archived Webinars
These archived webinars present a wide variety of topics, involving opioids, targeted towards physicians.
 

CO*RE/ASAM Opioid Prescribing

The CO*RE/ASAM Opioid Prescribing: Safe Practice, Changing Lives course addresses this public health crisis. This comprehensive course was developed by renowned experts from Collaborative for REMS Education (CO*RE) and incorporates all six units outlined in FDA blueprint for safe opioid prescribing. The updated course also provides necessary context for safe opioid prescribing by discussing biopsychosocial aspects of pain, the newest clinical guidelines on the treatment of chronic pain, and state policies about prescribing opioids.[12]
 

SAFE Opioid Course

The SAFE Opioid Course by the American College of Physicians provides guidance that is essential for safe and effective pain management when prescribing extended-release (ER) and long-acting (LA) opioids. It is critical to recognize best practices for how to start to therapy with ER/LA, how to provide therapy, how to end therapy, and what to do in between. Evidence-based tools are required for screening at-risk patients and for monitoring adherence to prescribed ER/LA opioids. Proven methods to counsel patients on ER/LA opioids and to achieve positive outcomes need to be employed. Comprehensive information is also essential on ER/LA-opioids as a drug class. This recorded course will provide clinical insights from the SAFE Opioid Prescribing Blueprint.
 

Board Approved CME Regarding Opioid Prescribing

Beginning with the 2016-2017 CME reporting cycle, physicians who possess a DEA license will need to include 3 hours of Board approved opioid CME as part of the regular every-other year CME reporting cycle that coincides with license renewal. The New Hampshire Medical Society put together a Board approved list as of July 31, 2017.
 
 

Best Prescribing Practices - Dentists

Best Prescribing Practices in Dentistry Course - Cost is only $25. This 1-hour online, self-paced course will provide information to understand the significance of the opioid epidemic, understand the role of dentists, learn best practices and strategies for preventing prescription drug diversion and abuse, and identify tools and resources.
See Tools & Resources for more E-Learning opportunities and information

 

Tools & Resources

TR - Improve Professional Training on Opioids & Alternative Pain Management Approaches

Scorecard Building

Potential Objective Details(Under Construction) 
Potential Measures and Data Sources(Under Construction) 
Potential Actions and Partners(Under Construction) 

Resources to Investigate

More RTI on Professional Training on Opioids and Alternative Pain Management

PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer Date Comments
     

Sources

  1. ^ [1]Davis, C. S., & Carr, D. (2016). Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements. Drug and Alcohol Dependence, 163, 100–107. https://doi.org/10.1016/j.drugalcdep.2016.04.002
  2. ^ [2]Davis, C. S., & Carr, D. (2016). Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements. Drug and Alcohol Dependence, 163, 100–107. https://doi.org/10.1016/j.drugalcdep.2016.04.002
  3. ^ [3]Davis, C. S., & Carr, D. (2016). Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements. Drug and Alcohol Dependence, 163, 100–107. https://doi.org/10.1016/j.drugalcdep.2016.04.002
  4. ^ [4]Doctors who attend lower-tier medical schools prescribe far more opioids. (2017, August 7). Retrieved November 24, 2019, from STAT website: https://www.statnews.com/2017/08/07/doctors-opioid-prescriptions/
  5. ^ [5]Doctors who attend lower-tier medical schools prescribe far more opioids. (2017, August 7). Retrieved November 24, 2019, from STAT website: https://www.statnews.com/2017/08/07/doctors-opioid-prescriptions/
  6. ^ [6]Forum, A. P. (n.d.). Https://www.addictionpolicy.org/404. Retrieved November 24, 2019, from https://www.addictionpolicy.org/404
  7. ^ [7]Can't find source
  8. ^ [8]HealthITSecurity. (2016, November 2). Addressing Opioid Abuse with Analytics, Population Health Strategies. Retrieved November 24, 2019, from HealthITAnalytics website: https://healthitanalytics.com/features/addressing-opioid-abuse-with-analytics-population-health-strategies
  9. ^ [9]Can't find source
  10. ^ [10]page not found
  11. ^ [11]Page not found
  12. ^ [12]HealthI Security. (2016, November 2). Addressing Opioid Abuse with Analytics, Population Health Strategies. Retrieved November 24, 2019, from HealthITAnalytics website: https://healthitanalytics.com/features/addressing-opioid-abuse-with-analytics-population-health-strategies