chris edwards

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.

Tom Campbell, Emergency Medicine Physician with Allegheny Health Network. Hi everyone.

chris edwards division manager mirmont outpatient center Broomall. 484-476-1848. edwardschr@mlhs.org

Jeff Gillingham Project Coordinator at Thomas Jefferson University Hospital. Hope everyone is having a good morning so far.

Good morning. I am a Process Improvement specialist with UPMC Mercy Department of quality and safety. Previously an Emergency Dept. RN and clinician.

Tom Anderson, VPMA at Wellspan Chambersburg and Waynesboro Hospitals. Good morning.

Hi all. Psychiatry at Einstein Philadelphia, co-chair opioid management program

Kory London, medical director and director of OUD/SUD services at Jefferson University and Jefferson Methodist Hospitals

Hi Everyone,

Mary Ann Heller CRNP, Acute Pain Management Service at Methodist. Service was just launched here 9/8/20.

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Dr. Kelley - is there any plan to continue this program in 2021?

When will the announcement go out for the Opioid center of excellence?

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?

Are there site set up in the community for induction for Burp or can that only be done in the hospital?

Is there a PSA for Burp, or?

Do you know what the targets will be for next program year? Will the benchmark target increase?

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.

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.

Yes - quicker access to mental health would help, as well as coverage for non-opioid issues

Yes, interim data would be great to help all of us.

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.

They are an excellent resource.

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

agreed - time to initiation and a very busy ED

We are using home induction to decrease time spent in the ED, particularly for patients that have COWS score < 8

How available are peer or CRS services across health systems?

As to Jefferson - we have CRS at a majority of our hospitals now but none 24/7, which in Philly, is absolutely necessary

I find them to be the keystone of our hospital response,

we thank the city and state for them and encourage continued funding from any and all sources (opioid manufacturer settlement money)

and HAP

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

Stimga...

https://hapopioidlan.org/Resources-tools

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.