1. Eagleville Hospital Methadone Induction Christine Falcone, RN, Director of Quality Management/Patient Safety Officer Charlie Folks, Director of Counseling and Community Integration

2. Methadone Utilization at Eagleville Hospital  Opiate Detoxification  Induction of Methadone Maintenance for Pregnant Females  Detoxification from other substances for Methadone Maintenance Patients  Rehabilitation of Methadone Maintenance Patients for other substances of abuse with return to Methadone Clinic

3. Board Questions  Is Methadone Maintenance consistent with our traditional drug free programming?  Is Methadone Maintenance more addicting?  How would this effect our reputation in the community?  How will we assure it is implemented correctly?

4. The Journey to Additional Paths to Recovery  Board Education to broaden their view of additional paths to recovery.  Satisfying board concerns in reference to safety and efficacy.  Soliciting a letter of support from the Board of Directors to for submission to licensing bodies.  Soliciting input and agreement from Medical and Psychiatric Staff

5. Barriers  Achieving Board approval  Staff acceptance  Multiple regulatory demands and limited resources  Development of policies and procedures for patient selection criteria  Development of an educational program to meet the needs of all

6. Successes  Achieved Letter of support from board  Developed policies and procedure for selection and medication protocols  Developed electronic learning primor with 85% completion rate  Developed and a role specific learning program and implementation underway  Ability to begin to expand our comprehensive services.  Application of request submitted to regulatory bodies October 2012

7. Next Steps  Looking forward to evolution of other medication assisted treatment modalities  Await regulatory approval  Continue and revisit round tables once program is implemented  Continue to evaluate current practice and look to streamline evidence based care as it applies to medication assisted treatment  Look to collaborate in best practice initiatives to support positive patient outcomes