1. May 24th – VCSQI Opioid Management Workgroup Today’s Objectives and Agenda
Review why we’re doing this work
Display survey results
Recommended Actions
Tell us your story!
Today’s agenda is organized around our objectives for today, as seen here.

2. Opioids: Why This Work is Important

3. Opioids: Why This Work is Important

4. VCSQI Survey: Opioid Prescribing Practices-March 2018
Thursday, May 24, 2018

5. 12 Total Responses Date Created: Wednesday, March 14, 2018
Complete Responses: 10

6. Q4: Do any clinicians in your practice prescribe opioids?
Answered: Skipped: 0

7. Q4: Do any clinicians in your practice prescribe opioids?
Answered: Skipped: 0

8. Q5: Does your practice have an opioid prescribing protocol used by your clinicians?
Answered: 7 Skipped: 5

9. Q5: Does your practice have an opioid prescribing protocol used by your clinicians?
Answered: 7 Skipped: 5

10. Q6: Do your prescribers use the your state's Prescription Drug Monitoring  Program (PDMP) when prescribing opioids? Check all that apply.
Answered: 7 Skipped: 5

11. Q6: Do your prescribers use the your state's Prescription Drug Monitoring  Program (PDMP) when prescribing opioids? Check all that apply.
Answered: 7 Skipped: 5

12. Q7: Do your prescribers assess a patient's risk of addiction prior to prescribing an opioid?
Answered: 7 Skipped: 5

13. Q7: Do your prescribers assess a patient's risk of addiction prior to prescribing an opioid?
Answered: 7 Skipped: 5

14. Q8: Does your practice have prescribing restrictions for the number of opiate pills prescribed?
Answered: 7 Skipped: 5

15. Q8: Does your practice have prescribing restrictions for the number of opiate pills prescribed?
Answered: 7 Skipped: 5

16. Q9: How many days/weeks of opiate pain medication do your prescribers typically prescribe?
Answered: 7 Skipped: 5

17. Q9: How many days/weeks of opiate pain medication do your prescribers typically prescribe?
Answered: 7 Skipped: 5

18. Q10: On average, how soon does your team follow up with patients who are receiving opiates?
Answered: 7 Skipped: 5

19. Q10: On average, how soon does your team follow up with patients who are receiving opiates?
Answered: 7 Skipped: 5

20. Q11: Do your prescribers document in the medical record a signed "opioid treatment agreement" between the patient and prescriber?
Answered: 7 Skipped: 5

21. Q11: Do your prescribers document in the medical record a signed "opioid treatment agreement" between the patient and prescriber?
Answered: 7 Skipped: 5

22. Q12: Do you have a patient/family education process to jointly determine how the patient can best manage pain and inform the patient of risks associated with opioids?
Answered: 7 Skipped: 5

23. Q12: Do you have a patient/family education process to jointly determine how the patient can best manage pain and inform the patient of risks associated with opioids?
Answered: 7 Skipped: 5

24. Q13: Does your patient/family education material include information about how to safely dispose of unused opioids?
Answered: 7 Skipped: 5

25. Q13: Does your patient/family education material include information about how to safely dispose of unused opioids?
Answered: 7 Skipped: 5

26. Q14: Where do your clinicians primarily see patients
Q14: Where do your clinicians primarily see patients? (check all that apply)
Answered: 7 Skipped: 5

27. Q14: Where do your clinicians primarily see patients
Q14: Where do your clinicians primarily see patients? (check all that apply)
Answered: 7 Skipped: 5

28. Q15: Do you currently measure/track opioid prescribing practices with your patients? (Check all that apply).
Answered: 7 Skipped: 5

29. Q15: Do you currently measure/track opioid prescribing practices with your patients? (Check all that apply).
Answered: 7 Skipped: 5

30. Q17: Are there any questions we did not ask that you would like to address, or that you think we SHOULD ask in future surveys on this topic? Open comment box
Answered: 6 Skipped: 6

31. Q17: Are there any questions we did not ask that you would like to address, or that you think we SHOULD ask in future surveys on this topic? Open comment box
Answered: 6 Skipped: 6

32. Survey Take-Away’s
Most practices that prescribe opioids do NOT have a protocol
The state’s PDMP is being used to check for other scripts
Patient’s risk is being assessed prior to prescribing
Prescribing limits exist, but most at 14 days, with follow up in 2 weeks
Signed treatment agreement not being used, but discussion about risks is usually done
Discussion about safe disposal not usually done
Minimal measurement of opioid prescribing practices
Should ask about naloxone prescribing

33. Recommended actions
Review your state’s laws – there have been many new ones passed that require checking PDMP and have dosage and duration limits
Establish a prescribing protocol that meets the law’s expectations*
Consider non-opioid treatment regimens
Document assessment of patient’s risk
Consider a signed treatment agreement with chronic pain patients and those at high risk for addiction
Consider monitoring the practice’s prescribing patterns to confirm compliance with law and best practices *

34. Opportunities for Positive Change
Treatment and reimbursement
Medication-assisted treatment (MAT)
Evidence-based non-opioid treatment options
Tools to prevent overprescribing
Prescribing limits
Prescription Drug Monitoring Programs (PDMPs)
Screening, education, and communication
Provider and patient education

35. In the Words of a Patient…
“I'm a good person. I'm a contributing member of society. I'm educated. I have a good job, make good money, have wonderful relationships with my loved ones. I'm so completely average. The only thing that sets me apart from that other young business professional that seems to have it all is that I'm addicted to opiates.”
Source:

36. Tell Us Your Story to Improve Prescribing Practices
Demographic information
Strategies used
Type of initiative (i.e., decreasing opioid usage, increasing treatment access, etc.)
Data collection methods
Initiative success
Person and Family Engagement (PFE) methods