Opioid Safe Prescribing Legislation

LARA
MSMS Checklist
St. Joe’s Opioid Toolkit

Opioid Best Practices

Suggested Opioid Best Practices
CDC Guidelines
Guidelines at a Glance
Opioid Prescribing for Chronic Pain
Opioid Prescribing for Acute Pain

Opioid / Benzodiazepine Tapering – 

Opioid Withdrawal Symptoms and Tapering Recommendations
Tapering Recommendations
Overview of Suggested Approaches to Tapering Benzodiazepines

Tools – 

MME Calculation Tools
Opioid Risk Tool
PEG Score (Pain Inventory Score)
Start Back 9 (Likelihood of Developing Chronic Pain)
Cage Form (Alcohol and Drug Dependency Screening Tool)
PHQ9 (Depression Screening Tool)
GAD 7 Calculator (Anxiety Screening Tool)
Pain Scale
DAST-Drug Abuse Screening Test
AUDIT- Alcohol Use Disorders Identification Test

 

Documents – 

Controlled Substance Agreement
MAPS Registration Tips for Providers
Opioid Start Talking_English
Opioid Start Talking_Spanish

 

 

Patient Information about Opioids – 

CDC Patient Education
OPEN about Opioids
How to talk to your doctor about pain
Pain Control
About Opioid (Pain) Medication
Pain Management Patient Letter
Pain-Comfort Menu
Managing your Pain after a Surgical Procedure
Condition Specific Patient Handouts
CDC Patient Opioid Factsheet

Videos related to Opioids – 

This is What Happens to your Brain on Opioids (National Geographic)
Best Advice for People Taking Opioids
Opioid Epidemic (PBS)
The Mystery of Chronic Pain (TED Talk)

Provider Education – Online Training/CME – 

CAPC (Center to Advance Palliative Care)

CAPC’s Pain Management curriculum offers 14 online courses to help clinicians learn how to safely and effectively manage pain (free to Mercy affiliates- sign on with Mercy password)

SCOPE of Pain

Boston University offers free instant online training, a schedule of live in-person events, as well as specialized modules covering opioid tapering and post-operative prescribing.

STEM the Tide 

Toolkit to provide guidance and resources to hospitals and health systems on how to work with patients, clinicians and communities to stem the opi­oid epidemic includes links to other resources regarding pain management and opioid utilization- for hospitals, ED and ambulatory care

Treatment of OUD education and support: MOC Michigan Opioid Collaborative
“The Michigan Opioid Collaborative (MOC) can help Michigan providers who are treating patients with Opioid Use Disorders (OUD’s”

CDC Interactive Training

To help healthcare providers gain a deeper understanding of the Guideline. Find tips on implementing the Guideline into primary care practice and overcoming challenges.

PCSS

Evidence-based training and resources to give healthcare providers the skills and knowledge they need to treat patients with OUD, including online MAT training

Articles – 

Alternatives to Opiates (ALTO) Program
Overdose Prevention Through Medical Treatment of Opioid Use Disorders
Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States
Evidence-Based Nonpharmacologic Strategies for Comprehensive Pain Care
Improving the Safety of Opioid Use for Acute Noncancer Pain in Hospitalized Adults
Opioid Exit Strategy
Opioid Prescribing Recommendations for Opioids
Postoperative Opioid Prescribing: Getting it RIGHT
Resources for Ambulatory Long Term Controlled Substance Management 
MAT for Opioid Use Disorder
Annals of Internal Medicine: Primary Care Models for Treatment of OUD
NEJM: Treatment of Opioid-Use Disorders
Urine Drug Testing: Urine Drug Testing in Clinical Practice / Johns Hopkins

Michigan OPEN
Michigan Surgical Collaborative OPEN (Opioid Provider Engagement Network)A collaborative effort to develop a preventive approach to the opioid epidemic in the state of Michigan by tailoring postoperative and acute care opioid prescribing. (BCBS/ UofM)

 

Pain Topics –

NIH Information for Providers

Pain research and to promote collaboration among researchers across the many NIH Institutes and Centers that have programs and activities addressing pain. Includes information about specific conditions with some patient education as well.

Difficult Conversations –

Oregon Pain Guidance Center
to help healthcare teams transform difficult conversations into a type of medicine that is safe, effective, and satisfying for patients and families as well as the healthcare team.

 

CDC Effectively Communicating with Patients about Opioid Therapy
Webinar with strategies on discussing opioid tapering with patients

 

Practicing Excellence
Web-based modules with CME credit with topics about improving the Patient Experience, Clinician Well-Being, High Performing Teams, Clinical Leadership, Quality and Safety, and Building a Group Section regarding opioid and pain management is an excellent resource for those difficult conversations.