The vision of Competent Optimal Care 

Clinicians Providing care for the individual suffering with opioid use disorder/ addiction 

 

 

The Challenge: Understanding the individual suffering with Opioid Dependence: Healthcare & Medical System Approach 

 

 

The Challenge

 

A comprehensive, coordinated, evidence-based approach to the care of individuals with pain, opioid dependence, and addiction and associated issues in the hospital and healthcare* network system (Including outpatient* services).

 

Vision:


All individuals receiving medical care in the medical system are provided evidence-based, optimal care for their medical condition.  


Goals and outcomes:

 

Individuals are able to achieve the goals of treatment.

The approach to the individual suffering with  pain 

 

Optimal acute and chronic pain management for individuals within the medical  system. 

The approach to the individual suffering with  substance use disorders 

Optimal care for Opioid Use Disorders within the medical  system. 

 

 

The approach to the individual with a medical condition who is also suffering with  substance use disorders 

Optimal care for Opioid Use Disorders within the medical  system. 

 

 

Stakeholders

Board of Trustees

Hospital leadership

Clinical leadership

Hospital staff

Pharmacy

Outpatient Primary Care Office Practice

 

Diagnosis

Management

 

Specialty Practices

 

Pain Management 

 

Behavioral Health 

 

Addiction Program

 

Emergency Room and trauma

 

Diagnosis

Management 

 

Medical Service

 

Surgery

 

Maternal 

 

Pediatrics 

 

The Hospital and Medical System Pain Opioid Ecosystem

 

The challenge of the opioid epidemic is best understood from the complexity/ ecosystem lens. An understanding of the complexity of the Opioid Ecosystem and the various stakeholders and their interaction. It is clear that the challenge and potential “solutions” require an understanding of the Pain Opioid Ecosystem and the complexity and the dynamics driving and maintaining the various issues.

 

Categories:

National

State 

Community 

Hospital system  

Hospital   

Department

Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop

Host Dr. John Russell chats with Dr. Anna Lembke, Chief of Addiction Medicine and an Assistant Professor at Stanford University School of Medicine. Dr. Lembke is the author of Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop, exploring how the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.

 

Patrice Harris, MD, MA 


Sparking Change: The Providers' Role in Combatting the Opioid Crisis 

Outpatient Primary Care Office Practice

 

Best practice and evidence-based management of the individual suffering with Opioid Use Disorder in the primary care setting.

 

Culture of care and impact on opioid use disorder

Diagnosis of individuals with opioid use disorders 

Management of individuals suffering with opioid use disorder

 

Tools and resources: 

 

Primary Care Checklis

VA Opioid Therapy and Methadone Use in Primary Care for Chronic Non-cancer Pain Guide (2013)

Emergency Room and Acute Care Clinics 

 

Best practice and evidence-based management of the individual suffering with Opioid Use Disorder in the acute medical setting.

 

Culture of care and impact on opioid use disorder

Diagnosis of individuals with opioid use disorders 

Management of individuals suffering with opioid use disorder

 

Acute Care Checklist 

 

Tools and resources

 

Corey Waller, MD describes addiction, behavioral health issues and super-utilization of hospital emergency departments as the symptoms of a single yet-to-be-recognized chronic disease.

 

Published on Dec 23, 2014

The Hospital Setting  

 

Best practice and evidence-based management of the individual suffering with Opioid Use Disorder in the acute medical setting.

 

Culture of care and impact on opioid use disorder

Diagnosis of individuals with opioid use disorders 

Management of individuals suffering with opioid use disorder

 

Acute Care Checklist 

 

Tools and resources

 

Hospital Best practice 

 

 

 

Corey Waller, MD describes addiction, behavioral health issues and super-utilization of hospital emergency departments as the symptoms of a single yet-to-be-recognized chronic disease.

 

Published on Dec 23, 2014

The ASAM National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use

The National Practice Guideline makes recommendations on:

POCKET GUIDE

Within the Pocket Guide are the key points on diagnosing and treating opioid use disorder with medication. The Pocket Guide is available for purchase and below is a link to the document for viewing purposes only.

 

  • The clinical assessment and diagnosis of opioid use disorder;

  • How to choose among available treatment options for a given patient;

  • The treatment of opioid withdrawal;

  • The use of methadone, buprenorphine and naltrexone in the treatment of addiction involving opioid use;

  • Psychosocial treatment options; and

  • Treating opioid overdose with naloxone.

  •  

This comprehensive guide also includes specific recommendations for special populations, including adolescents, pregnant women, individuals with pain, individuals with co-occurring psychiatric disorders and individuals in the criminal justice system.

 

THE APP

The app is a quick-reference tool to provide healthcare professionals with instant access to this guideline in a clear concise format no matter where they are located. The app can be downloaded on smartphones and tablets.

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