July 2017


The Six Building Blocks© were developed as part of a research project on Team Based Opioid Management in rural clinics. The three-year research study is a collaboration between 20 rural and rural-serving clinics in Washington and Idaho. Funding is provided by the U.S. DHHS AHRQ grant # R18HS023750. For further information, contact Dr. Michael Parchman, Director, MacColl Center for Innovation, Kaiser Permanente Washington Health Research Institute.

The Six Building Blocks have been adapted for the Oregon State Prescription Drug Overdose (PDO) project. This project is broader in scope and scale, involving eight regions in Oregon and their respective local healthcare communities and agencies. The target organizations vary from sole practitioners to larger health care systems. For information about the PDO project, contact Lisa Shields, PDO project manager, Oregon Health Authority. For information about the PDO Six Building Blocks, contact Mark Stephens, PDO project consultant.

CDC Guidelines Alignment: The CDC Guideline for Prescribing Opioids for Chronic Pain has 12 recommended policies for prescribers.  All the CDC recommendations are incorporated in Building Block #2. We cross-reference the CDC recommendations.

Instructions for completing the Self-Assessment Questionnaire

  1. Read the “standard” for this measure. This describes what is needed for full implementation.
  2. Check the level of implementation your clinic or organization has achieved. NOTE! – If in doubt on what level to select, choose the lower level. Often clinics rate themselves high initially, and realize later that they need to change to a lower level.
  3. Describe what aspects of the measure your clinic has currently implemented and/or is working on.

Download the Six Building Blocks – Abbreviated Workshop version.