Resources for Clinics
COVID-19 handout: A resource to help primary clinics think through how to continue to care for their patients with chronic pain on long-term opioid therapy while maintaining good public health practices during the COVID-19 event.
The following resources can help clinics implement each of the Six Building Blocks to improving opioid management.
Leadership & Consensus resources
Opioid harm stories: Stories are the emotional drivers for engaging clinicians. Here are some personal stories of the harm caused by opioids.
Building an opioid improvement team: Information about who should be on an opioid improvement team to lead opioid management quality improvements.
Six Building Blocks self-assessment: A tool that can be used to measure status in the Six Building Blocks, both as a small group activity during site visits and by the Opioid Improvement Team to track progress over time.
Clinical education opportunities: This resource lists clinical education opportunities on opioids and chronic pain by topic.
CDC training and webinars: The CDC has an interactive clinical training series and a webinar series available to the public.
UW TelePain: A clinical education resource.
CME Pain Management Course: We highly recommend all clinicians and staff receive training on pain etiology. This course from the Oregon Pain Management Commission is an excellent resource.
Elevator Speech on Six Building Blocks: This resource helps you think through how to talk with others in your organization about why you are improving opioid management through the Six Building Blocks.
Motivating slow to adopt providers: Specific strategies for encouraging providers to adopt the practices in the revised policies.
Levers of motivation guide: Ways to motivate providers and staff.
Chronic Pain Management Teams: This resource supports the development of a Chronic Pain Management Team.
Policy, Patient Agreement, & Workflow resources
Model policy: An example policy your clinic can use during the policy revision process; developed using the CDC guidelines and Washington state opioid prescribing rules.
Policy checklist: A checklist to use when reviewing if your policy aligns with evidence-based guidelines.
CDC Guidelines for Prescribing Opioids for Chronic Pain
AMDG 2015 Interagency Guideline on Prescribing Opioids for Pain
Model patient agreement: An example patient agreement your clinic can use during the patient agreement revision process.
Chronic pain appointment workflow: An example workflow for chronic pain appointments.
Remote urine drug testing FAQ and workflow: A resource to think through how to conduct urine drug testing remotely.
Opioid refill workflow: An example workflow for processing opioid refill requests.
Opioid list manager workflow: An example workflow for tracking and monitoring patients on long-term opioid therapy.
Rollout and training: A resource to think through how to do rollout and training on new approaches.
Tracking & Monitoring Patient Care resources
Morphine Equivalent Dose (MED) calculator
Approaches to identifying patients: Suggested approaches to try when first attempting to identify your patients on long-term opioid therapy.
Developing a tracking and monitoring dashboard: Tips for developing a tracking and monitoring dashboard.
Purposes of tracking & monitoring: An outline of the key uses of data in tracking & monitoring patients on long-term opioid therapy to use when planning your approach.
Data to consider tracking: A list of variables to consider tracking and monitoring for care planning and measuring success.
WSMA opioid management dot phrases: Washington State Medical Association resource to help develop EHR templates and workflows for opioid management.
Tracking & Monitoring example spreadsheet: An Excel spreadsheet a clinic can adapt to track and monitor key measures overall and by provider if they are unable to easily pull reports from their EMR.
List of opioid names: A list of opioids to use in identifying patients on long-term opioid therapy.
List of sedative names: A list of sedatives to use in identifying patients on concurrent sedatives and opioids.