Opioid Overdose in Oregon: Coordination & Collaboration Mary Borges Prescription Drug Overdose Prevention Regional Development Coordinator May 19,2018 Oregon s Conference on Opioids, Pain & Addiction Treatment, Eugene, OR
Learning Objectives Participants will be able to: Define the regional approach to Oregon s Opioid Initiative Discuss highlights of coordination and collaboration Locate online resources for Oregon s Opioid Initiative Nothing to Disclose
Oregon Opioid Initiative: Strategies Pain treatment Non-opioid therapies for chronic pain Best practices for acute, cancer, end of life pain Reduce harms Reduce pills Ensure availability of treatment for opioid use disorder Increase access to naloxone and MAT Decrease the amount of opioids prescribed Data Use data to target and evaluate interventions to inform policy & practice
OHA opioid award projects CDC PDO Prevention for States 2015-2019 Regional Development Coordination Fund high-burden regions to coordinate prevention infrastructure State, regional, tribal opioid/pain summits Opioids Policy and Practice Academy Health Systems Policy Coordination Toolkit and training for implementation of opioid prescribing guidelines Academic Detailing team for health care organizations Enhance OR Pain Commission training module PDMP enhancements Opioid overdose and prescribing data SAMHSA State Targeted Response 2017-2019 Increase MAT and OTPs in rural counties OHSU ECHO for Addiction Medicine and Persistent Pain Tribal needs assessment Department of Corrections: peer recovery support, individual and family support, supportive housing Expands and enhances CDC PDO award Health education campaign on pain and
High Burden Regions Oregon PDO Regions High burden regions were identified by a combination of indices on mortality, hospitalizations, prescribing data, opioid patient use, and county population. Regions consist of 2-4 neighboring counties, which were selected to receive federal funding
PMIT Site PDO Coordinator 1. Providence Health & Services: Gresham, Medford 2. Columbia-Pacific CCO: Columbia-Memorial, Rinehart, Adventist 3. Lake Health District: Warner Mountain, Lake Health 4. Clackamas Health Centers: Beavercreek, Sandy, Sunnyside WHAT IS PMIT? The PAIN MANAGEMENT IMPROVEMENT TEAM (PMIT) provides training and mentoring on best clinical practices for pain management and safe opioid prescribing, quality improvement metrics, electronic health record (EHR) integration, work flow optimization, forming communities of practice, and other topics, using academic detailing and practice facilitation methods. PDO PRESCRIPTION DRUG OVERDOSE For more information: Lisa.m.shields@state.or.us PREVENTION PROJECT
Prescription Drug Overdose Prevention Project: Regional Outreach Regions are funded to: Establish or strengthen a Pain Guidance Group, assisting clinicians with implementing the CDC Opioid Prescribing Guidelines; Establish or strengthen an Interdisciplinary Action Team, working with stakeholders and colleagues to guide the opioid prevention initiative; Assist medical directors with increasing the PDMP (Prescription Drug Monitoring Program) by enrolling prescribers; Work with community partners to educate and inform the public, prescribers and others by arranging training, summits or conferences within the region. PDO Regions /Counties Central Oregon Deschutes, Crook, Jefferson Eastern Oregon Baker, Union, Malheur, Umatilla Lane, Douglas Lincoln, Linn, Benton Mid-Willamette Valley: Marion, Yamhill, Polk North Coast: Clatsop, Tillamook, Columbia South Coast: Coos, Curry Tri Counties: Multnomah, Washington, Clackamas Southern Oregon: Jackson Lead Organization Deschutes Co. Health Services Umatilla Co. Public Health Lane Co. Public Health Douglas Co. Public Health Lincoln Co Health & Human Services Yamhill Co. Public Health Clatsop Co. Public Health Advanced Health Multnomah Co. Public Health Clackamas Co. Public Health Oregon Pain Guidance Group Contact MaCayla Arsenault, macayla.claver@cohealthcouncil.org Erin Solomon dnesolomon@bendbroadband.com Mike Stensrud mike.stensrud@umatillacounty.net Corie Ufert corie.ufert@umatillacounty.net Lane Elisabeth Maxwell Elisabeth.MAXWELL@co.lane.or.us Douglas Christin Depner christin@douglaspublichealthnetwork. org Jennifer Versteeg jversteeg@co.lincoln.or.us Jill Dale dalej@co.yamhill.or.us Sarah Mitchell smitchell@co.clatsop.or.us Kate Frame kate.frame@advancedhealth.com Multnomah & Washington Chris Sorvari christine.e.sorvari@multco.us Clackamas Apryl Herron AprylHer@co.clackamas.or.us Melissa Cantwell cantwellm@careoregon.org For more information on the OHA Regional Prescription Drug Overdose Prevention project contact: Mary Borges mary.l.borges@state.or.us. 3/8/18
Collaboration and Coordination PDO Coordinators in 9 regions with LHD s 7 Regional, 1 tribal pain/opioid summits Opioid Policy and Practice Academy -- local health depts. & A & D Prevention partners OR Coalition for the Responsible Use of Meds Public safety OHSU & NW Addictions Technology Transfer Center Syringe exchange programs Board of Pharmacy Oregon Health Leadership Committee Regional Key partners Statewide Health care & Treatment Opioid Prescribing Guidelines Task Force State Pain Conference Naloxone Work Group Prescribing and Overdose Data Dashboard Governor s Task Force on Opioid Clinical toolkit: MED calculator, QI metrics aligned across OHA/WA 10 implementation sites Coordinated Care Organizations (Opioid PiP) Oregon Pain Commission module aligned with Nat l Pain Strategy MAT trainings PDMP Toolkit for SUD Tx
Opioid Summits/Conferences
Health Education http://www.takemedsseriouslyoregon.org/ Coming Soon-Statewide Awareness Campaign
Required Web-based Module CHANGING THE CONVERSATION ABOUT PAIN: PAIN CARE IS EVERYONE S JOB "Changing the Conversation about Pain: Pain Care is Everyone's Job" was developed by the Oregon Pain Management Commission for all levels of healthcare professionals. Oregon Pain Commission Oregon s Regional Approach to Opioid Prevention Work https://www.oregonpainguidance.org/ Web Portals for each region
Other Resources PDMP Naloxone Tools http://www.orpdmp.com/healthcare-provider/ Register for the PDMP from the Convenience of your Smartphone https://youtu.be/trhkj7qukao
Oregon Statewide Tableau Opioid Dashboard http://www.oregon.gov/oha/ph/preventionwellness/substanceuse/opioids/pages/data.aspx 13
Regional Approach to Opioid Prevention = Partnerships
Thank You Questions?? Mary Borges Mary.L.borges@state.or.us 15