The Oregon Health Authority (OHA) opioid initiative: bringing together health experts and communities to reduce deaths, non-fatal overdoses, and harms to Oregonians from prescription opioids, while expanding use of non-opioid pain care.
- Reduce risks to patients by making pain treatment safer and more effective, emphasizing non-opioid and non-pharmacological treatment.
- Medicaid enhanced coverage for back pain and non-opioid care: cognitive behavioral therapy, massage, exercise programs
- Fee-for-service prior authorization criteria for opioid analgesics
- Enhanced Oregon Pain Management Commission education module for providers
- Expanded access for Oregon providers to UW Tele-Pain™ program and OHSU Project Echo on Addiction Medicine
- Toolkit and technical assistance for health care organizations to implement best practices for pain treatment and opioid prescribing
- Tribal opioids needs assessment
- Reduce harms to people taking opioids and support recovery from substance use disorders by making naloxone rescue and medication-assisted treatment (MAT) more accessible and affordable.
- Pharmacists can prescribe and dispense naloxone
- Oregon’s Good Samaritan law protects those who seek medical attention for an overdose
- Expanding MAT and substance use disorder treatment programs
- House Bill 3440 removes barriers to treatment, expands access to naloxone
- Dept. of Corrections: peer recovery and housing support for community transitions
- Collaboration with law enforcement and first responders
- State naloxone work group
- Opioids in Pregnancy Work Group
- Protect the community by reducing the number of pills in circulation through implementation of safe prescribing, storage, and disposal practices.
- Prescription Drug Monitoring Program (PDMP) to monitor patient safety and coordinate care
- PDMP Advisory Work Group to review safe prescribing practices
- Implementation of CDC Prescribing Guideline as adopted by the Oregon Opioid Taskforce
- Oregon Recommended Opioid Guidelines for Dentists
- CCO Opioids Performance Improvement Program
- Community and clinical interventions in high-burden regions (23 counties)
- Regional and tribal opioid summits
- Pharmacy-based disposal programs for unused meds
- Statewide pain/opioids public education campaign
- Optimize outcomes by making state and local data available for informing, monitoring, and evaluating policies and targeted intervention.
- Opioid prescribing and overdose outcome measures are updated quarterly and posted in an interactive data dashboard
- Drug overdose (Fentanyl) Response Team developing investigative guideline for counties
- Collaboration with Oregon Medical Board and State Medical Examiner on overdose fatality notification for providers
- Trainings and templates for Local Public Health Authorities to access and report on overdose and prescribing data
- Opioid metrics work group developing standardized QI measures
For more information
- OHA Opioid website
- Oregon Prescription Drug Monitoring Program website
- Statewide PIP website
- Health Evidence Review Commission (HERC)
Contacts
- Katrina Hedberg, State Epidemiologist and State Health Officer
- Lisa Bui, OHA Quality Improvement Director
- Lisa Shields, PDO Program Coordinator
- Mary Borges, Regional PDO Coordinator
