1. 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

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

3. 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
hosts tools & training

4. 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

5. 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

6. What’s It Look Like?

7. 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.

8. 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.