1. OHSU Addiction Medicine ECHO clinic
PRESENTED BY: Jessica Gregg MD, PhD

2. Timeline Sept 2016: SAMHSA funding to address the opioid crisis
Faculty recruitment and curriculum development winter
Cohort 1: Spring 2017
Enhanced Funding and Partnership w ORPRN summer 2017
More robust outreach and needs assessment
Streamlined evaluation
CME and MOC
Cohorts 2-4 Fall 2017-Spring 2018

3. Decisions More participants, shorter ECHOs
12 sessions per clinic
3 clinics per year
Addiction generally, not just opioids
Target PAs and NPs
Strong peer component
Cases first, didactics second

4. Date
Topic
Speaker
January 16
Neurobiology and diagnosis of Substance Use Disorders
Jessica Gregg
January 23
Assessing and treating co-occurring mental illness and OUD
John Mahan
January 30
Introduction to Peer Recovery Mentors
O’Nesha Cochran/Chris Colasurdo
Feb 6
Buprenorphine basics
Todd Korthuis
Feb 13
Medications for OUD: who should get what when?
Feb 20
Treating pain in the setting of Prescription OUD
Melissa Weimer
Feb 27
Behavioral Interventions
Laura Heesacker
March 6
Naltrexone
March 13
Tobacco use disorder
Randy Torralva
March 20
Benzodiazepine use disorder
March 27
Alcohol use disorder
Alann Weissman-Ward
April 3
Harm reduction strategies
Haven Wheelock

10. Table 2. The FREQENCY that you taught or shared information
Zero
1 – 5
More than 5
I conducted a didactic teaching session for my colleagues on OUD or substance abuse disorder.
70% (16)
30% (7)
I provided case consultation for a colleague on a patient with OUD or substance abuse disorders.
39% (9)
43% (10)
17% (4)
My clinic changed a policy or procedure to improve care for patients with OUD or other substance abuse disorders ________ times.
61% (14)
I convened a multi-disciplinary group within my clinic to discuss improving care for patients with OUD or other substance abuse disorders ________ times.
52% (12)

11. Coming Attractions Persistent pain and opioid management
Opioid tapers
Difficult conversations
Non-opioid treatment
When to refer
Alternating with Substance Use Disorders ECHO
Two sessions per week?

12. Questions?