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University of Washington-Group Health Research Team Michael Parchman, MD, MPH Director, MacColl Center for Innovation Group Health Research Institute.

Published byRosamond Daniel Modified over 9 years ago

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Presentation on theme: "University of Washington-Group Health Research Team Michael Parchman, MD, MPH Director, MacColl Center for Innovation Group Health Research Institute."— Presentation transcript:

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2 University of Washington-Group Health Research Team Michael Parchman, MD, MPH Director, MacColl Center for Innovation Group Health Research Institute parchman.m@ghc.org Laura-Mae Baldwin, MD, MPH Professor, Department of Family Medicine University of Washington lmb@uw.edu Brooke Ike, MPH Project Manager and Practice Facilitator University of Washington bike2@uw.edu David Tauben, MD Chief of Pain Medicine University of Washington

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4 Clinic Collaborators

5 Key Components of the Team Based Opioid Management Approach

6 Support for the Project

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8 Quality Improvement AND Research

9 Funded by AHRQ Grant # 1R18HS023750-01

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13 IN WASHINGTON STATE, THERE ARE 77 OPIOIDS OR PRESCRIPTION PAIN MEDICATIONS WRITTEN FOR EVERY 100 PEOPLE.

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19 19 2007 Guidance recommending increased caution in COT 2010 Multi-faceted COT risk mitigation initiative Trescott, Beck, Seelig & Von Korff Health Affairs, 2011 Group Health Actions Regarding Opioids Prescribing

20 20 Percent of COT patients receiving > 120 mg. morphine dose GH group practice physicians Community physicians (GH contracted network)

21 Learning from Effective Ambulatory Practices PRIMARY CARE TEAMS:

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24 Registry Element Suggested Frequency Type of Data Patient demographics: age, sex, marital state, race/ethnicity BaselineCategorical and Numeric Medication, Dose and frequencyEvery visitNumeric Med review for concurrent use of sedatives Every visitCategorical (yes/no) Random Urine Drug Screen All new patients; prn per policy Categorical (positive: yes/no) PEG Scale (Function and Pain)Every visitNumeric State Prescription Registry CheckEvery 6 monthsCategorical (yes/no) Prescription Opioid Misuse Index (POMI) survey Every 6 monthsNumeric PHQ-2Every 6 monthsNumeric

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