Primary Care Outpatient Clinics
The Cabinet approached KHA to expand its bandwidth and provide education and guidance in opioid stewardship to primary care clinics. The suggested program, called Six Building Blocks (6BB), was created by a physician-led multidisciplinary team from the University of Washington Department of Family Medicine and the Kaiser Permanente Washington Health Research Institute. The 6BB Program is a team-based approach to improving opioid management in primary care. In its entirety, the 6BB Program is a 9-to-12-month commitment for primary care clinics. This program is a “clinic redesign” with goals to consistently treat chronic pain patients on long-term opioid therapy in accordance with evidence-based clinical practice guidelines.
For more information about the outpatient KYSOS program, contact Marilyn Connors and Shanna Jaggers.
The Kentucky Hospital Association partnered with the Cabinet for Health and Family Services as part of the Kentucky Opioid Response Effort (KORE) to launch the Kentucky Statewide Opioid Stewardship (KYSOS) program. The goals of the KYSOS program are to decrease opioid overprescribing while improving safe opioid usage. As part of the effort to combat the state’s opioid epidemic, KYSOS offers an opioid stewardship program to provide education and guidance to hospital-owned primary care outpatient clinics. KHA and KYSOS plan to implement this program throughout the state.
- Program purpose is to help primary care clinics implement a consistent, team-based, patient-centered approach for the care of patients on long-term opioid treatment for chronic pain
- Created by a physician-led multidisciplinary team from the University of Washington Department of Family Medicine and Kaiser Permanente Washington Health Research Institute
- Evidence-based quality improvement guide, built upon the CDC 2016 Clinical Guidelines for Opioid Prescribing
- Participating outpatient primary care clinics engage in a 9-12 month commitment to work with the KYSOS outpatient team to improve opioid management
- Achieved through development of an Opioid Improvement Team, an assessment of current policies, workflows and procedures, interviews with providers and key stakeholders, training through webinars and shared resources
- Prioritizes each primary care clinics’ specific needs and develops an action plan
- Monthly data submission to Kentucky Quality Counts required for all participating clinics
Six Building Blocks Program: A Team-Based Approach to Opioid Management in Primacy Care
- Leadership and consensus
- Policies, patient agreements, and workflows
- Tracking and monitoring patient care
- Planned, patient-centered visits
- Caring for complex patients
- Measuring success
Encyclopedia of Measures (Outpatient)
April 2023
Metrics for patients on long-term opioid therapy.
Outpatient Resources
| Title | Summary | Categories | Tags | File Type | Link | Date | hf:doc_categories | hf:doc_tags | hf:file_type |
|---|---|---|---|---|---|---|---|---|---|
| Important Information About Your Opioid Prescription One-Pager | This information is to help you better understand the risks and benefits of taking an opioid medication that is prescribed to you. It may also help you communicate better with your doctor or healthcare provider when discussing your pain management. | ED Bridge, Inpatient, Outpatient, Patient Resources | June 13, 2024 | ed-bridge inpatient outpatient patient-resources | |||||
| NIDA Initiating BUP Resources for Prescribers | Includes examples and cases for motivating patients (National Institute on Drug Abuse) | ED Bridge, Inpatient, Outpatient, Provider Resources | www | April 9, 2024 | ed-bridge inpatient outpatient provider-resources | www | |||
| Addictionary | If we want addiction destigmatized, we need a language that’s unified. The words we use matter. Caution needs to be taken, especially when the disorders concerned are heavily stigmatized as substance use disorders are. | ED Bridge, Inpatient, Outpatient, Provider Resources | Tools | www | April 9, 2024 | ed-bridge inpatient outpatient provider-resources | tools | www | |
| KYSOS Webinar: Impact of OUD Stigma | ED Bridge, Inpatient, Opioid Use Stigma, Outpatient | Webinar | www | March 28, 2024 | ed-bridge inpatient opioid-use-stigma outpatient | webinar | www | ||
| Opioid Overdose Recognition and Response: A Guide for Communities and Bystanders | Naloxone educational how-to and informational guide from the Department of Public Health | ED Bridge, Inpatient, Naloxone, Outpatient | February 2, 2024 | ed-bridge inpatient naloxone outpatient | |||||
| Substance Abuse and Mental Health Services Administration | The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. | Outpatient | Website | www | February 1, 2024 | outpatient | website | www | |
| KBML Considerations for Urine Drug Testing | The Board has developed the following intervals for urine drug screens in order to provide some guidance to physicians… | Outpatient | aspx | February 1, 2024 | outpatient | aspx | |||
| Talking About Naloxone with Patients Prescribed Opioids | This guide offers tips to help clinicians communicate the benefits of naloxone to patients, family members, and caregivers. (CDC) | Naloxone, Outpatient, Provider Resources | February 1, 2024 | naloxone outpatient provider-resources ed-bridge | |||||
| When to Offer Naloxone to Patients | Only 1 naloxone prescription is dispensed for every 70 high-dose opioid prescriptions. As a healthcare professional, you play a critical role in ensuring patients receive naloxone. (CDC) | Naloxone, Outpatient, Provider Resources | Guidelines | February 1, 2024 | naloxone outpatient provider-resources ed-bridge | guidelines | |||
| National Quality Forum Opioid Stewardship Playbook | The National Quality Partners™ (NQP) Opioid Stewardship Action Team brought together experts and recognized leaders from the private and public sectors committed to addressing the nation’s escalating opioid epidemic. | Inpatient, Outpatient, Provider Resources | aspx | February 1, 2024 | inpatient outpatient provider-resources | aspx | |||
| Michigan OPEN: Opioid Prescribing | OPEN takes a preventative approach to the opioid epidemic by focusing on appropriate opioid prescribing and pain management best practices in acute care settings (surgery, dentistry, emergency medicine, obstetrics, pediatrics). | Inpatient, Outpatient, Provider Resources | Guidelines | www | February 1, 2024 | inpatient outpatient provider-resources | guidelines | www | |
| Kentucky Poison Control Information for Healthcare Professionals | Acetaminophen Overdose Faxable Guidelines, Recommendations RE Cetylev, Antidote Stocking Guide, Ethanol Dosing for Toxic Alcohol Ingestion, Synthetic Cannabinoids | Inpatient, Outpatient, Provider Resources | Guidelines | www | January 31, 2024 | inpatient outpatient provider-resources | guidelines | www | |
| Comfort Menu | Alliant Quality | Inpatient, Outpatient, Provider Resources | January 31, 2024 | inpatient outpatient provider-resources | |||||
| CDC Patient Education | Pain can impact almost every aspect of your life, leading to limited physical functioning, poor mental health, and reduced quality of life. No matter the cause of your pain, you should receive access to safe and effective pain management options and good communication with your doctor to make informed decisions about what is right for you. | Outpatient, Patient Resources | Website | html | January 31, 2024 | outpatient patient-resources | website | html | |
| Voices of Hope | Mission Statement: To promote lifelong recovery from the chronic disease of addiction through recovery support services, advocacy, research and education. | Outpatient, Patient Resources | Website | www | January 31, 2024 | outpatient patient-resources | website | www | |
| Operation Unite | Operation UNITE provides a toll-free Treatment Referral Line for anyone seeking assistance with a substance use disorder. 1-833-859-4357 | Inpatient, Outpatient, Patient Resources | www | January 31, 2024 | inpatient outpatient patient-resources | www | |||
| Kentucky Naloxone Copay Program | Kentucky Pharmacists Association | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
| Never Use Alone | Toll-free national overdose prevention, detection, life-saving crisis response and medical intervention services for people who use drugs while alone. Never Use Alone’s peer operators are available 24-hours a day, 7 days a week, 365 days a year. Call Never Use Alone 877-696-1996, your Overdose Prevention Lifeline. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
| Find Recovery Housing Now | The purpose of FindRecoveryHousingNowKY.org (FRHNKY) is to link individuals in recovery to safe, quality, and available recovery housing in Kentucky. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
| 988 Suicide and Crisis Lifeline | When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing Lifeline network. These trained counselors will listen, understand how their problems are affecting them, provide support, and connect them to resources if necessary. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
| Hope and Health KY | Individuals seeking treatment for themselves or others – as well as family members who have questions or are in need of support – can call 1-833-8KY-HELP (1-833-859-4357) toll-free or text HOPE to 96714 and speak with a specialist about available treatment services most relevant to their needs. All calls are confidential. | Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | inpatient outpatient patient-resources | website | www | |
| Findhelpnowky.org | Enables patients and family members to find information about available substance use disorder treatment options in the Commonwealth of Kentucky. | ED Bridge, Inpatient, Outpatient, Patient Resources | Website | www | January 31, 2024 | ed-bridge inpatient outpatient patient-resources | website | www | |
| Any Positive Change: Harm Reduction is Public Health | Inpatient, Outpatient | Webinar | www | November 9, 2023 | inpatient outpatient | webinar | www | ||
| 2023 Naloxone Update | Inpatient, Naloxone, Outpatient | Webinar | www | September 26, 2023 | inpatient naloxone outpatient ed-bridge | webinar | www | ||
| Integrating MAT/MOUD in Primary Care | Inpatient, Outpatient | Webinar | www | September 12, 2023 | inpatient outpatient | webinar | www | ||
| Starting from Strength: How the Trait-Based Model of Recovery is Changing Addiction Treatment | Inpatient, Outpatient | Webinar | www | August 16, 2023 | inpatient outpatient | webinar | www | ||
| Treating Mental Health and Substance Use Disorder | Inpatient, Outpatient | Webinar | www | July 26, 2023 | inpatient outpatient | webinar | www | ||
| ASAM DEA Education Requirement for Providers | American Society of Addiction Medicine | Outpatient | Website | www | June 27, 2023 | outpatient | website | www | |
| Nonopioid Therapies for Pain Management | CDC | Outpatient, Provider Resources | html | June 14, 2023 | outpatient provider-resources | html | |||
| Outpatient Encyclopedia of Measures | Primary Care and Outpatient Clinic | Outpatient | April 1, 2023 | outpatient | |||||
| CDC Clinical Practice Guideline at a Glance | Applying the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain | Inpatient, Outpatient, Provider Resources | Guidelines | www | March 16, 2023 | inpatient outpatient provider-resources | guidelines | www | |
| Addiction Medicine Toolkit | CDC | Inpatient, Outpatient, Provider Resources | Tools | html | January 31, 2023 | inpatient outpatient provider-resources | tools | html | |
| Pain Management of an Ankle Sprain | Inpatient, Outpatient | Webinar | www | January 18, 2023 | inpatient outpatient | webinar | www | ||
| Clinical Practice Guideline for Prescribing Opioids for Pain | This guideline provides recommendations for clinicians providing pain care, including those prescribing opioids, for outpatients aged ≥18 years. (CDC) | Inpatient, Outpatient, Provider Resources | Guidelines | htm | November 4, 2022 | inpatient outpatient provider-resources | guidelines | htm | |
| Unspoken Risks of Opioids | Outpatient | Webinar | www | September 20, 2022 | outpatient | webinar | www | ||
| Empathy: Talking to Patients About Substance Use Disorder | As a clinician, you have an important role in screening patients for a substance use disorder and connecting them to treatment resources. You may also be actively involved in their treatment. (CDC) | Inpatient, Outpatient, Provider Resources | July 7, 2022 | inpatient outpatient provider-resources | |||||
| BRAVO Opioid Tapering Protocol | Oregon Pain Guidance | Inpatient, Outpatient, Provider Resources | www | February 1, 2022 | inpatient outpatient provider-resources | www | |||
| Linking People with Opioid Use Disorder to Medication Treatment | A Resource for Action of Policy, Programs, and Practices (CDC) | Inpatient, Outpatient, Provider Resources | January 1, 2022 | inpatient outpatient provider-resources | |||||
| Safe Opioid Disposal – Remove the Risk Outreach Toolkit | FDA outreach toolkit to help education patients on safe, proper disposal of opioids | Inpatient, Outpatient, Provider Resources | Promotional Materials, Tools | www | March 19, 2021 | inpatient outpatient provider-resources | promotional-materials tools | www | |
| Medication Risk Alert: Opioids & Benzodiazepines | Alliant Quality | Inpatient, Outpatient, Provider Resources | February 3, 2021 | inpatient outpatient provider-resources | |||||
| Words Matter: Terms to Use and Avoid When Talking About Addiction | This handout offers background information and tips for providers to keep in mind while using person-first language, as well as terms to avoid to reduce stigma and negative bias when discussing addiction. | Inpatient, Outpatient, Provider Resources | Guidelines | January 13, 2021 | inpatient outpatient provider-resources | guidelines | |||
| KORE Deaf and Hard of Hearing Language Access Program Guidelines | Kentucky Opioid Response Effort | Outpatient, Provider Resources | September 1, 2020 | outpatient provider-resources | |||||
| Kratom Drug Fact Sheet | DOJ/DEA | Inpatient, Outpatient, Provider Resources | April 1, 2020 | inpatient outpatient provider-resources | |||||
| Medication-Assisted Treatment (MAT) for Opioid Use Disorder Printable Guide | A Printable Pocket Guide, created in partnership with AHCCCS and the ASU Medical Advisory Board | Inpatient, Outpatient, Provider Resources | Guidelines | July 3, 2019 | inpatient outpatient provider-resources | guidelines | |||
| HHS Pain Management Best Practices | Updates, Gaps, Inconsistencies, and Recommendations | Inpatient, Outpatient, Provider Resources | May 9, 2019 | inpatient outpatient provider-resources | |||||
| Kratom Drug Facts | NIH National Institute on Drug Abuse | Inpatient, Outpatient, Provider Resources | April 1, 2019 | inpatient outpatient provider-resources | |||||
| What’s Trending? Kratom | CADCA | Inpatient, Outpatient, Provider Resources | January 1, 2018 | inpatient outpatient provider-resources | |||||
| Beyond Opioids: How Physical Therapy Can Transform Pain Management and Improve Health | APTA White Paper | Inpatient, Outpatient, Provider Resources | January 1, 2018 | inpatient outpatient provider-resources | |||||
| Prescribing and Administering Opioid Doses Based Solely on Pain Intensity | American Society for Pain Management Nursing Position Statement | Inpatient, Outpatient, Provider Resources | June 1, 2016 | inpatient outpatient provider-resources |