World Café: Data Placemats Materials Needed Easel and flipcharts, markers (MeHAF to supply) 3 facilitators Copies of placemats for each participant (60) Directions Split grantees into 3 groups. Each group will have a facilitator. Participants have a few minutes to review the placemat then the facilitator asks group for their responses. They are added to the flipchart. Have facilitators rotate to next location. Participants look at next placemat and build upon what was said in previous round. Give 5 minute warnings while in group. Collect placemats back. Timing (2:10-3:25) Topic # Minutes Start Time End Time Transition/Introduction 5 2:10 2:15 Placemat Group 1 15 2:30 Placemat Group 2 2:45 Placemat Group 3 3:00 Share Back 3:15 Evaluation Findings: Key Topics of Interest (ask: we are going to be writing briefs, are there any specific topics you would like us to highlight?) and in what dissemination format? 10 3:25

A B Access to Care Key Finding 1 PLACEMAT #1 Access to Care Key Finding 1 Programs that reduce barriers to accessing care are essential for treatment initiation and ongoing engagement. In discussions with providers and patients, seven overlapping primary barriers emerged (infographic A). Patients cited additional barriers (infographic B). Thinking back to the start of the grant, are there any major barriers missing from either of the infographics? If so, add them to the graphic. Note: Infographic B only pertains to the patient perspective. A What has been your greatest success in reducing barriers for patients? __________________________________________________________________________________________________________________________________________________________________________________________________________________ Celebrate Success! CQI data from grantees shows the number of MAT patients is increasing and the average wait time for treatment is decreasing. (source: grantee dashboards) B “This epidemic … probably wouldn’t be half as bad if everybody had access to help when they wanted it. I wanted help a long time before I got it.” -Person in recovery

Organizational & Provider Support PLACEMAT #2 Organizational & Provider Support Key Finding 2 Organizational resources and supports for providers facilitate the expansion of MAT in primary care settings. Providers agree that current and future MAT prescribers could benefit from professional mentoring, particularly providers that have newly completed an X-waiver training Collaboration and stakeholder engagement have been critical to informing systems of care and establishing the partnerships necessary to provide comprehensive MAT programs Grantee organizations who do not have a centralized treatment location have employed universal releases Leadership, providers, and staff all need to support the integration of a MAT program In year two, change teams have expressed the importance of having a project coordinator or manager Celebrate Success! CQI data from grantees shows increased capacity for delivering MAT (source: grantee dashboards) Do the five programmatic components above reflect your experience as a grantee? If not, what component(s) are missing? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Additional words of advice? Change Teams were asked: What should someone know before undertaking the effort to implement a MAT program? Is there anything missing from this list? If so, add it to the table. Which piece of advice resonates most with you? Place a sticker next to this piece of advice on the facilitator’s copy. PLACEMAT #3 Words of Advice Engagement Recruit providers to participate (and be aware of barriers to recruitment) Engage partners early Convene a diverse advisory group Infrastructure Understand the types of providers and support staff that will be needed for the program Establish a relationship with a pharmacy/pharmacist Plan out the program’s infrastructure (e.g. processes for registrations, schedule, finances) Have a project coordinator or designate someone who will push the work forward (strong leadership) Flexibility Individualization for patients Flexibility for the program as it grows Other Don’t make assumptions (e.g. about who will want to participate and who won’t, who is educated around issues related to substance use disorders) Find time to educate yourself about relevant topics (e.g. OUDs, substance use disorders, needle exchanges, etc.) Be aware of your environment (e.g. politics) Prepare for lots of hard work, but it will pay off with rewarding experiences Additional words of advice?