Six Building Blocks adapted for CDC-funded Oregon Prescription Drug Overdose Project Oregon State Guidelines & Prescription Drug Overdose (PDO) Project • Nov. 2016 – Oregon State approves Prescribing Guidelines from Opioid Taskforce (based on CDC guidelines) • PDO project to implement guidelines, promote regional & community collaboration • 4 year project, CDC funding • Address opioid crisis in 10 critical need regions • Key emphasis is community collaboration
Oregon State Prescription Drug Overdose Project Develop Implementation Tools & Training (Jan – Aug 2017) • Six Building Blocks - framework for implementation • Oregon opioid prescribing metrics (same as WA Bree Collaborative) • Training - Practice coaching, UW Tele-pain, online training course • Annual Pain Conference (May 2018) & Regional Community Summits • www.OregonPainGuidance.org central website for resources, training Implement in 10 regions (Sep 2017 - Aug 2018) • Collaboration with leadership in each region • 1 – 3 clinics in each region • Providence Healthcare System (state wide) • Practice coaching, UW Tele-pain, learning calls
Oregon PDO project adaptations Six Building Blocks Customized to Oregon PDO Project • Incorporate “Lessons Learned” from Team Based Opioids Project • Greater emphasis on measurement as a key goal at outset • Encourage more flexible, low tech options for patient registry • Promote community collaboration in the solutions • Encourage use from small practices to large systems • Incorporates the 12 CDC prescribing recommendations into policies Oregon PDO Six Building Block Workgroup Catriona Buist(OR), Roger Chou (OR), Paul Coelho (OR), Laura Heesacker(OR), Safina Koreishi(OR), David Labby (OR), Nadejda Razi-Robertson(OR), Jim Shames (OR), Lisa Shields (OR), Mark Stephens (WA), Mark Sullivan (WA), David Tauben (WA)
CDC Chronic Pain Guidelines Project D evelop “Implementation Package” for CDC Chronic Pain Guidelines • Three year CDC contract with Abt Associates (Oct 2016 to Sep 2018) Tasks 1. Develop/refine set of opioid metrics (Oct 2016 – Feb 2017) 2. Create a QI “Implementation Package” (Mar 2017 - Nov 2017) 3. Launch an Opioid QI Collaborative (Dec 2017 – Sep 2018) Target Organizations • Six large healthcare organizations in different regions of U.S. Six Building Blocks • Part of Implementation Package - Self-assessment tool for organizations Project Consultants • Laura Heesacker (OR), Michael Parchman (WA), Mark Stephens (WA), David Tauben (WA), Michael Von Korff (WA)
Six Building Blocks and the Washington state Accountable Communities of Health? The Challenge Can the Six Building Blocks provide a framework for how ACHs approach opioids and pain management? If so, how might this work?
Six Building Blocks and WA ACHs Some options 1. Individually, each ACH may consider using the 6BBs as a framework for their approach to opioids 2. One ACH (for example, OCH) could develop an approach to opioids using the 6BBs and share with other ACHs 3. Some ACHs might form a group to collaborate on using the 6BBs – sharing approaches, sharing results 4. ACHs and HCA may suggest/recommend that all ACHs consider the 6BBs as a framework for their approach to opioids
How can our team assist with resources and support? Eager to help, limited in our consulting/coaching resources 1. Could help a few ACHs with individual coaching of clinics 2. Series of 6BB workshops and centralized support for groups of clinics 3. Leadership conference and workshop ▪ One or two day conference in Spring 2018 ▪ Attendees - clinical and QI leadership, administrators ▪ Briefing on 6BBs, workshops on how to implement ▪ Website with resources, online training 4. Tele-pain webinars on 6BBs during 2018 (already scheduled as part of Oregon PDO project)
Feedback and Q & A
Contacts Michael L. Parchman, MD, MPH Director, MacColl Center for Health Care Innovation, Kaiser Permanente Washington Health Research Institute Phone: 206-287-2704 E-mail: parchman.m@ghc.org Laura-Mae Baldwin, MD, MPH Professor, University of Washington Department of Family Medicine, Director, WWAMI region Practice and Research Network Phone: 206-685-4799 E-mail: lmb@uw.edu Mark Stephens Healthcare Consultant - Team Based Opioids, Oregon Prescription Drug Overdose project, and CDC Opioid Guidelines Implementation Phone: 425-970-3170 E-mail: mark.r.stephens@comcast.net
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