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.
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.
VA Opioid Taper Decision Tool: The Opioid Taper Decision Tool is designed to assist Primary Care providers in determining if an opioid taper is necessary for a specific patient, in performing the taper, and in providing follow-up and support during the taper.
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics: The Guide covers important issues to consider when changing a patient’s chronic pain therapy.
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.
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
Approaches to identifying patients: Suggested approaches to try when first attempting to identify your patients on long-term opioid therapy.
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.
Event tally: A form to help a clinic track a simple measure of interest over a couple weeks.