Tools and Resources
General Guidelines/Resources
- Stem the Tide – AHA Opioid Toolkit
- NQF Playbook: Opioid Stewardship (requires purchase)
- CDC – Opioid Overdose
Measurement and Data
Stigma
- StigmaFreeWV
- Help&HopeWV
- The Crisis Next Door
- Reducing Stigma: Why Words About Addiction Matter – Boston Medical Center
- Words Matter: How Language Choice Can Reduce Stigma (SAMHSA)
- Understanding Drug Related Stigma – Half day training by the Harm Reduction Coalition
- Stigma Video Series – six brief educational videos with training handouts
Substance Use Disorder Treatment
Inpatient Opioid Misuse Prevention – A Comprehensive Guide for Patient Management with Regards to Opioid Misuse. These guidelines were specifically developed to assist hospital-based practitioners to care for adults with OUD while they are inpatients, using compassion and evidence-based best practices. The document was developed by the Massachusetts Hospital Association in collaboration with hospitals in their membership.
Colorado ACEP 2017 Opioid Prescribing and Treatment Guidelines cover multiple topics – including screening, suboxone for withdrawal, alternatives to opioids, harm reduction and MAT.
Universal Screening
- SAMHSA – TIP 63, Part 2 – Addressing Opioid Use Disorder in General Medical Settings
- Module 5 – Assessing and Addressing Opioid Use Disorder (OUD) – CDC’s Online Training Series for Healthcare Providers – Applying CDC’s Guideline for Prescribing Opioids
- National Institute of Drug Abuse – Drug Screening and Assessment Resources
Clinical Opioid Withdrawal Scales
Standardized Order Sets for Patients in Withdrawal
- Project SHOUT – Provides clinical leaders with the tools necessary to start and maintain patients on effective treatment for opioid use disorder
Access to Treatment
- Help4WV – 24 hour call, chat, or text line that provides immediate help for any West Virginian struggling with an addiction or mental health issue
- Project Engage
- Bridge Clinics
Expanding Medication-Assisted Treatment (MAT)
- American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use
- Project SHOUT – Provides clinical leaders with the tools necessary to start and maintain patients on effective treatment for opioid use disorder
- National Institute on Drug Abuse – Initiating Buprenorphine Treatment in the Emergency Department
- National Institute on Drug Abuse – Medication Treatment for Opioid Use Disorder
- Guidelines for Medication for Addication Treatment for Opioid Use Disorder within the Emergnecy Department (Massachusetts Health & Hospital Association, 2019)
- Special Circumstances for Providing Buprenorphine (SAMHSA)
- Three-day rule (DEA – Emergency Narcotic Addiction Treatment)
Obtaining an X waiver
- Buprenorphine Waiver Management (SAMHSA)
- US Department of Justice DEA Informational Documents regarding DATA Waivered Physicians
- Physicians – https://www.samhsa.gov/medication-assisted-treatment/training-materials-resources/buprenorphine-waiver
- NPs and PAs – https://www.samhsa.gov/medication-assisted-treatment/training-materials-resources/qualify-np-pa-waivers
- To find practitioners currently authorized to treat opioid dependency with buprenorphine:
https://www.samhsa.gov/medication-assisted-treatment/practitioner-program-data/treatment-practitioner-locator
Harm Reduction
- What is Harm Reduction?
- Harm Reduction in the Emergency Department (starts on page 17 of the linked document – Colorado ACEP)
Substance Use Disorder (SUD) and Endocarditis
- Stretching the Scope – Becoming Frontline Addiction-Medicine Professionals (NEJM. Infectious disease physicians at Beth Israel Deaconess Medical Center offer buprenorphine in conjunction with antibiotics.
Hospital Opioid Stewardship
Pain Management
- The Joint Commission Pain Management Standards for Hospitals
- Optimizing acute pain management – A guide to multimodal analgesia and quality improvement (Mallinckrodt Pharmaceuticals and the Massachusetts Hospital Association)
- Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review (AHRQ)
- Medscape Commentary: How Hospitals Can Fight the Opioid Epidemic. (requires free log in). Learn about how the Hospital for Special Surgery in New York City reduced opioid prescribing at discharge by 30% by instituting prescribing guidelines post-orthopedic surgery.
Safe Prescribing of Opioid Medications
Acute Pain
- Safe Opioid Prescribing for Acute Noncancer Pain in Hospitalized Adults: A Systematic Review of Existing Guidelines
- Intermountain Healthcare – Acute Pain Opioid Prescribing Guidelines
- CDC – An Online Training Series for Healthcare Providers – Applying CDC’s Guideline for Prescribing Opioids
Chronic Pain
- CDC Guidelines for Prescribing Opioids for Chronic Pain
- MMWR – March 18, 2016
- CDC Prescribing Guidelines Factsheet
- Training for Providers – CDC’s Clinician Outreach and Communication Activity (COCA) and the University of Washington developed a series of webinars which uses a data-driven approach to help primary care providers choose the most effective pain treatment options and improve the safety of opioid prescribing for chronic pain.
- Screener and Opioid Assessment for Patients with Pain (SOAPP) – evaluation of a patient’s relative risk for developing problems when placed on long-term opioid therapy (Version 1.0-14Q)
- Physician Fact Sheet – Physician/Prescriber Reminders When Prescribing Opioids (Massachusetts Medical Society and the Massachusetts Hospital Association)
- National Institute on Drug Abuse: Other Opioid Prescribing Resources
Patient Resources
- CDC – Helpful Materials for Patients
- National Institute of Drug Abuse – Opioid Guide for Teens
- SAMHSA – Rx Pain Medications, Know the Options, Get the Facts
Alternatives to Opioids (ALTOs)
- ALTO – Alternatives to Opiates Program, St. Joseph’s Medical Center
- Colorado Hospital Association – ALTO Project
Drug Diversion
- Minnesota Hospital Association’s Drug Diversion Prevention Resources
- Minnesota Hospital Association’s Roadmap to Controlled Substance Diversion Prevention 2.0
- The Joint Commission – Quick Safety 48: Drug Diversion and impaired healthcare workers
- National Prescription Drug Take Back Day – April 27, 2019
- How-to Guide for Drug Take-back
- US Department of Justice DEA Drug Disposal Information
- Diversion of Drugs Within Health Care Facilities, a Multiple-Victim Crime: Patterns of Diversion, Scope, Consequences, Detection, and Prevention at the Mayo Clinic