TY - JOUR
T1 - An Institutional Approach to Managing the Opioid Crisis
AU - Gazelka, Halena M.
AU - Clements, Casey M.
AU - Cunningham, Julie L.
AU - Geyer, Holly L.
AU - Lovely, Jenna K.
AU - Olson, Cheri L.
AU - Philpot, Lindsey M.
AU - Porter, Steven B.
AU - Witt, Terrence J.
AU - Zavaleta, Kathryn W.
AU - Habermann, Elizabeth B.
N1 - Publisher Copyright:
© 2019 Mayo Foundation for Medical Education and Research
PY - 2020/5
Y1 - 2020/5
N2 - The opioid crisis is a major concern of most health care institutions, including our large academic center. In this article, an organized approach to managing the epidemic institutionally is discussed. An Opioid Stewardship Program was instituted at our tertiary-care center with multiple sites and states of practice, which included diverse membership and expertise. Charges of the program included reviewing current practice, workflows, and external and internal guidelines and evaluating and standardizing prescribing practices. The development of an Opioid Stewardship Program resulted in: (1) an understanding of our diverse prescribing practices and the formation of patient- and procedure-specific guidelines to manage them, (2) education tools for our patients and providers, and (3) workflows and practice advisories within the electronic health record to support appropriate prescribing and monitoring of patients. This ongoing work continues to evolve in response to the needs of our patients, changing regulatory environments, and our improved understanding of our practices.
AB - The opioid crisis is a major concern of most health care institutions, including our large academic center. In this article, an organized approach to managing the epidemic institutionally is discussed. An Opioid Stewardship Program was instituted at our tertiary-care center with multiple sites and states of practice, which included diverse membership and expertise. Charges of the program included reviewing current practice, workflows, and external and internal guidelines and evaluating and standardizing prescribing practices. The development of an Opioid Stewardship Program resulted in: (1) an understanding of our diverse prescribing practices and the formation of patient- and procedure-specific guidelines to manage them, (2) education tools for our patients and providers, and (3) workflows and practice advisories within the electronic health record to support appropriate prescribing and monitoring of patients. This ongoing work continues to evolve in response to the needs of our patients, changing regulatory environments, and our improved understanding of our practices.
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U2 - 10.1016/j.mayocp.2019.11.019
DO - 10.1016/j.mayocp.2019.11.019
M3 - Review article
C2 - 32171474
AN - SCOPUS:85083899991
SN - 0025-6196
VL - 95
SP - 968
EP - 981
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 5
ER -