1. Medicaid National Meeting on Prescription Drug Abuse and Overdose
Day 2: Strategy Session
Medicaid National Meeting on Prescription Drug Abuse and Overdose
Tuesday, February 2, 2016

2. 8:15-8:30 Review Agenda Housekeeping and “Ground Rules”
Vision: What does this discussion look like for your state in 2 years?
Goal-setting:
Where are you right now? What works? What doesn’t (yet)?
What do you need/who do you need?
SMART objectives – be practical, but be bold and accountable
Teamwork
Brainstorming
Roles for each participant (Everyone participates)
What can others do? Think PARTNERSHIP
What levers/actions get you there?
Policy change takes time. Goal today is to Identify 1-3 incremental action steps in each segment area that you can take
In the next 7-10 days
In the next 30 days
In the next six months (and beyond)
Document on provided worksheet and template. Copies for you and your team, and for National Council to drive technical assistance

3. Housekeeping and Ground Rules (cont.)
Some Guideposts:
Energetic Pace -- Strategy sessions focused on action
~20 minutes group discussion and brainstorming
~10 minutes report out (3-5 groups)
Seek Help -- National organizations represented here today are available as resources -- ask questions, seek perspective and engage them as needed
Engage -- All groups will participate in report outs during the sessions
Think Big -- All ideas have merit; be inclusive
Make Room for Others-- Partnership includes people/resources not here today; who should be at the table?
Be Bold -- Think short-term AND long-term
Make a Wish List -- Keep a list of resource, knowledge and coaching needs (that comes later)

4. 8:30 – 10:30 Strategy Session 1: Developing State Action Plans
Assessing Your Overall Strategy
Key Questions:
1. What is your biggest opportunity to enhance prevention/treatment?
2. What partnerships can help achieve this?
3. What are your best resources (today) for tackling this opportunity?
4. What are obstacles (if any) to tackling this opportunity?
20 min Team Discussion
10 min Share It (3-4 teams)

5. Session 1: Developing State Action Plans
Data: Defining the Problem; Identifying Solutions
Key Questions:
1. Think about your current use of Medicaid and BH data. What are 2-3 ways to enhance how you’re using it for monitoring, prevention and/or access to treatment?
2. What are other agency/external partner sources for data to monitor prevention and treatment?
3. How do you identify outliers (excessive or problematic use) of opioids or PDMPs? What could enhance your capability in this area?
4. What are your highest 1-3 priorities/opportunities in this area? 
20 min Team Discussions
10 min Share It (3-4 teams)

6. Session 1: Developing State Action Plans
Prevention
Key Questions:
1. What actions can each represented entity take to improve provider education about EBP for prescribing? Where are there opportunities to collaborate?
2. What other actors should be at the table to maximize prevention efforts (e.g., MCOs, community organizations, provider groups, philanthropies)?
3. What other prevention strategies can be explored:
a. non-pharmacological interventions for chronic pain
b. chronic pain centers
c. utilization management strategies for high-utilizers/high prescribers
d. prescribing guidelines/best practices
20 min Team Discussions
10 min Share It (3-4 teams)

7. Session 1: Developing State Action Plans
Treatment and Care Coordination
Key Questions:
1. What actions can each entity take to improve provider education about prescription drug abuse treatment?
2. What are current treatment pathways available? What are 1-2 short-term actions that can improve treatment? What are long-term steps that can help improve treatment?
3. How can your organizations collaborate to support more effective prescription drug abuse treatment?
4. What role do care coordination models play in expanding access and outcomes for individuals with SUD?
20 min Team Discussions
10 min Share It (3-4 teams)

8. 10:30 – 10:45 Break
Write one high priority opportunity on flip chart

9. 10:45 – 12:45 Strategy Session 2: Refining Action Plans
Synthesis
What are your highest priority opportunities identified in Session 1?
Identify 1-3 for focused goal-setting in this session.
2. Where could you take action tomorrow?
3. Where do you need to spend more time assessing need or capability?
10 min Team Discussions

11. Round 1: Refine Action Plan for Highest Priority Area
Refining Action Plans
Round 1: Refine Action Plan for Highest Priority Area
1. What are 1-3 policy levers to achieve change?
2. What are actions steps in the next 30 days?
3. What are action steps in the next six months?
4. Who else needs to be involved?
5. Where could you use more information/resources/knowledge/tools?
20 min Team Discussions
5 min Share It (1-3 Teams)

12. Round 2: Refine Action Plan for Priority Area #2
Refining Action Plans
Round 2: Refine Action Plan for Priority Area #2
1. What are 1-3 policy levers to achieve change?
2. What are actions steps in the next 30 days?
3. What are action steps in the next six months?
4. Who else needs to be involved?
5. Where could you use more information/resources/knowledge/tools?
20 min Team Discussions
5 min Share It (1-3 Teams)

13. Developing & Refining Action Plans (cont.)
Round 3: Refine Action Plan for Priority Area #3
1. What are 1-3 policy levers to achieve change?
2. What are actions steps in the next 30 days?
3. What are action steps in the next six months?
4. Who else needs to be involved?
5. Where could you use more information/resources/knowledge/tools?
20 min Team Discussions
5 min Share It (1-3 Teams)

14. Session 2: Refining Action Plans
Taking Stock of Resources and Needs
Key Questions:
1. Where do your organizations feel best prepared to take action?
2. Where do your organizations feel least prepared to take action?
3. What kinds of technical assistance would support your action steps most in the next 30 days? In the next six months?
4. What topics, tools or information would contribute the most to your planned action?
15 min Share It (Everyone)

15. 12:45 – 1:00 Next Steps