Demonstrate leadership support and build organization-wide consensus to prioritize more selective and cautious opioid prescribing.
| 1. Leadership prioritizes the work |
123 |
456 |
789 |
101112 |
| The commitment of leadership in this clinic to improving management of patients on long-term opioid therapy… |
…is not visible or communicated. |
…is rarely visible, and communication about use of opioids for patients with chronic pain is ad hoc and informal. |
…is sometimes visible and communication about patients on long-term opioid therapy is occasionally discussed in meetings. |
…is communicated consistently as an important element of meetings, case conferences, emails, internal communications, and celebrations of success. |
| 2. Shared vision |
123 |
456 |
789 |
101112 |
| A shared vision for safer and more cautious opioid prescribing… |
…has not been formally considered or discussed by clinicians and staff. |
…has been discussed, and preliminary conversations regarding a clinic-wide opioid prescribing standard have begun. |
…has been partially achieved, but consensus regarding a clinic-wide opioid prescribing standard has not yet been reached. |
…has been fully achieved. Clinicians and staff consistently follow prescribing standards and practices. |
| 3. Responsibilities assigned |
123 |
456 |
789 |
101112 |
| Responsibilities for practice change related to patients on long-term opioid therapy… |
…have not been assigned to designated leaders. |
…have been assigned to leaders, but no resources have been committed. |
…have been assigned to leaders with dedicated resources, but more support is needed. |
…have been assigned. Dedicated resources support protected time to meet and engage in practice change. |
