Six Building Blocks adapted for the Oregon PDO Project

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Presentation transcript:

Six Building Blocks adapted for the Oregon PDO Project Mark Stephens – Healthcare Consultant The Challenge How to adapt the Six Building Blocks to fit the needs to the Oregon State Prescription Drug Overdose Project

Oregon State Prescription Drug Overdose (PDO) Project Background March 2016 - CDC issues Guidelines for Prescribing Opioids for Chronic Pain Nov. 2016 – Oregon State approves “Oregon specific” Prescribing Guidelines – based on CDC Guidelines Jan. 2017 – PDO Workgroup formed to implement Oregon Opioid Prescribing Guidelines Jan – Aug 2017 – PDO Project develops tools and training to implement Oregon Guidelines Sept. 2017 for next two years – implement the Guidelines in 8 regions in Oregon

Oregon State PDO Project Implementation Tools & Training Opioid prescribing metrics UW Tele-pain OR Pain Commission Online Training Regional Opioid Summits (OrCRM) Six Building Blocks - the framework for implementation www.OregonPainGuidance.org hosts tools & training

Modifying the Six Building Blocks to fit the Oregon PDO project Lessons learned from the Team Based Opioids Project Target clinics vary from small practices to large systems Community participation in the solutions Includes specific policies for all 12 CDC prescribing recommendations More detailed guidance on What to implement and How to do it

And a Small Army of Experts to Refine it Credit and thanks to: David Tauben, Roger Chou, Jim Shames, Mark Sullivan, Safina Koreishi, David Labby, Mark, Stephens, Lisa Shields, Laura Heesacker, Nadejda Razi-Robertson, Catriona Buist, Paul Coelho And special recognition to: Michael Parchman and Michael Von Korff for 6 BB Version #1

What’s It Look Like?

What’s Next? Test it in 6 regions, help from practice coaches & academic detailers Take a test ride in the Workshop on Saturday. We would be grateful for your feedback.

Just a Forewarning… It’s still not going to be easy! Our prescribers, clinic teams, patients, families, and the community have a difficult journey to get back to safe levels of pain medication, change the mindset to alternative therapies for treating pain, and to get the excess pills out of our communities.