Zoom Logo

Hospital Quality Improvement Program ED Opioid Use Disorder Update - Shared screen with speaker view
chris edwards
chris edwards
Marty Kenyon
Thank you for joining the HAP Opioid LAN Hospital Quality Improvement Program (HQIP) Emergency Department (ED) Opioid Use Disorder (OUD) Update webinar.After the meeting, you will receive an email with a link to the webinar evaluation. Please take a moment to respond. The evaluation can be found at https://www.surveymonkey.com/r/lan-012821We will be taking questions at the end of the webinar. You will be able to ask a question verbally by unmuting yourself. You can also ask questions through the chat box. We will answer these questions during the question and answer period.
Thomas Campbell
Tom Campbell, Emergency Medicine Physician with Allegheny Health Network. Hi everyone.
chris edwards
chris edwards division manager mirmont outpatient center Broomall. 484-476-1848. edwardschr@mlhs.org
Jeff Gillingham
Jeff Gillingham Project Coordinator at Thomas Jefferson University Hospital. Hope everyone is having a good morning so far.
Debbie Cannon
Good morning. I am a Process Improvement specialist with UPMC Mercy Department of quality and safety. Previously an Emergency Dept. RN and clinician.
Thomas Anderson
Tom Anderson, VPMA at Wellspan Chambersburg and Waynesboro Hospitals. Good morning.
David Greenspan
Hi all. Psychiatry at Einstein Philadelphia, co-chair opioid management program
Kory London
Kory London, medical director and director of OUD/SUD services at Jefferson University and Jefferson Methodist Hospitals
Mary Ann Heller
Hi Everyone,
Mary Ann Heller
Mary Ann Heller CRNP, Acute Pain Management Service at Methodist. Service was just launched here 9/8/20.
June Caldwell
Pam Braun
Dr. Kelley - is there any plan to continue this program in 2021?
Tonya Harris
When will the announcement go out for the Opioid center of excellence?
Lee Radosh
Any plan to expand these programs like COE to other substances/alcohol, so those with AUD, methamphetamine abuse, etc. can also get care management and related support?
Tonya Harris
Are there site set up in the community for induction for Burp or can that only be done in the hospital?
Tonya Harris
Is there a PSA for Burp, or?
Zachary Weiss
Do you know what the targets will be for next program year? Will the benchmark target increase?
Lee Radosh
Thanks, so I guess the answer is no, there are no plans to allow us to use care management / COE's for alcohol, meth, cocaine, etc.? Until there is reimbursement for those specifically (for COE's) they can't be helped.
Lee Radosh
I'm sure everyone saw recent HHS changes coming, where providers do not even need a DEA waiver to manage up to 30 patients on buprenorphine. Managing more than that you need a waiver.
Lee Radosh
Yes - quicker access to mental health would help, as well as coverage for non-opioid issues
Thomas Campbell
Yes, interim data would be great to help all of us.
Kory London
our issues have been internal reporting related given the complexity of our system and the fact that we are trying to get all our hospitals on the same system. I find our partnership with our CRS provider has made some of this better as they keep their own records, but we gravely underreport all the great work we do as of now. Patients not given diagnoses related to OUD but still receiving services are also a problem. We are working on solutions but they are slow in delivery.
Rachel Grove
They are an excellent resource.
Lee Radosh
One challenge - often patients not ready in the ED for buprenorphine right away, need to wait many hours, but that takes up valuable ED space and limits throughput
Patrick Vulgamore
agreed - time to initiation and a very busy ED
Austin Kilaru
We are using home induction to decrease time spent in the ED, particularly for patients that have COWS score < 8
Austin Kilaru
How available are peer or CRS services across health systems?
Kory London
As to Jefferson - we have CRS at a majority of our hospitals now but none 24/7, which in Philly, is absolutely necessary
Kory London
I find them to be the keystone of our hospital response,
Kory London
we thank the city and state for them and encourage continued funding from any and all sources (opioid manufacturer settlement money)
Kory London
and HAP
Austin Kilaru
Thank you to Dr. Kelley and HAP. Dr. Perrone and I also wanted to add a comment that we have had a fair amount of success with establishing Bridge clinic, also using primary care as an option for patients with opioid use disorder but also other medical and social needs
Tonya Harris
Marty Kenyon
David Greenspan
The more the State can support creative ideas to ease access to care in settings and in ways that people want to receive it very much appreciated.