Integrating Public Health and Health Care Strategies to... : Journal of Public Health Management and Practice
Summary
Examples include updating pain training required by law for Oregon health care providers, legalizing dispensing of naloxone by pharmacists, passing a good Samaritan law that protects persons who call emergency medical services for an overdose from arrest for illegal possession of a controlled substance, automating queries to the Oregon Prescription Drug Monitoring Program (PDMP) by the emergency department information exchange (EDIE), implementing a PDMP prescribing practices review subcommittee to identify health care providers who prescribe high doses of opioids and might benefit from targeted education, and developing opioid prescribing guidelines for emergency departments and dental settings. The specific goal of the PIP is to reduce risky dosage levels in patients on long-term opioid therapy (ie, morphine equivalent doses [MEDs] of ≥120 and ≥90) among enrollees. The development and endorsement of Oregon guidelines were intended to optimize care, improve patient safety, and provide a consistent framework for implementation throughout the state. Interdisciplinary Pain Management Improvement Teams provide technical assistance to health care organizations using academic detailing and practice facilitation methods. PDO coordinators convene provider pain guidance groups and interdisciplinary action teams, use local data to measure impacts, and create fact sheets and trend reports.
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