1. Partnering With Horizon Behavioral Health
Mandy Cocke, RN, BSN

2. Identifying Need OrthoVirginia Mission Increased Post-operative Risk
To improve the musculoskeletal health and well-being of those who live in our communities
Increased Post-operative Risk
Opioid Epidemic
Of prescription opioids taken for NONMEDICAL reasons, over 24% came directly from a physician. *SAMHSA, NSDUH 2014

3. Partnering with Horizon
Pre-Implementation
Staff Training
Updated Pain Medication Contracts
Identification / Scheduling
Intake vs METS class
Assessing Pre-surgical Risk (Depression, Anxiety, Substance Use Disorder)
Assessing Opioid Prescription Risk (ORT, Aberrant Behavior)
Monitoring
Compliance
Outcomes