Need Assistance? PMIT can Help.

The PAIN MANAGEMENT IMPROVEMENT TEAM (PMIT) is a multi-disciplinary team from Southern Oregon, the state leader in community response to prescription drug overdose.  PMIT provides technical assistance to healthcare organizations for the OHA Prescription Drug Overdose Prevention (PDO) project. PMIT supports health systems to enhance internal capacity for a team-based approach to chronic pain and/or opioid management.  Using the Six Building Blocks, a research-based framework, PMIT provides coaching and resources to help organizations work towards goals.

PMIT provides training and mentoring on

  • Guideline implementation
  • Pain specialist consult service
  • Training in difficult conversations
  • Medication-assisted treatment
  • Integration of behavioral health
  • IT consultation for patient tracking tools, EHR templates, and quality reporting
  • Other educational opportunities and topics

If you are interested to apply the Six Building Blocks on your own, you can get education, training and consultation assistance from Synergy Health Consulting, LLC.  Contact Nadejda Razi-Robertson at, phone (541) 613-1393.

NOTE – For a limited number of clinics, the Oregon Health Authority Prescription Drug Overdose (PDO) project will provide free assistance and consulting. For more information, contact Lisa Shields, PDO project manager, at

The PMIT Team

has lived and practiced in Southern Oregon since 1973. He is Board certified in Family Medicine and Addiction Medicine, has been the Medical Director and Health Officer for Jackson County since 2002, is a consultant for the Oregon Health Authority, and was one of the founding members of the Oregon Pain Guidance. The OPG is a collaboration of health care providers in Southern Oregon that facilitates the safe treatment of chronic pain and has created guidelines for safe prescribing, and has created a website for professionals and the public ( In 2012 Dr. Shames was awarded the Doctor Citizen of the Year Award by the Oregon Medical Association for this work.

is a Licensed Clinical Social Worker with over 25 years of experience in behavioral health and chronic pain management in primary care. Laura currently works as a Behavioral Health Innovation Specialist with Jackson Care Connect/Care Oregon in Southern Oregon.  She is a founding member of the Oregon Pain Guidance (OPG) group and is a consultant with the Center for Disease Control and Oregon Health Authority. Laura specializes in supporting health systems in finding the delicate balance of providing compassionate care and establishing boundaries that enable safe and effective treatment of chronic pain and use of opioids.

is a Licensed Clinical Social Worker and has a doctorate in behavioral health. Her doctoral research focused on understanding the barriers to implementing changes in opioid prescribing practices. Nadejda currently works as a Behavioral Health consultant offering technical assistance and practice facilitation to clinics developing clinical pathways for addressing long-term opioid use, pain management, and integrated behavioral health programs within primary care.

is the Medical Director of AllCare Health CCO in Jackson and Josephine counties and a founding member of the OPG. He has worked as a hospitalist, PA, internist, and as a primary care provider. Combining his experience with the OPG, working on the frontlines with outpatient and hospitalized patients with pain, and his administrative experience, Dr. Kolsbun has developed a broad and deep perspective on the opioid crisis and how best to approach it.

is a Health Informatics Consultant who provides guidance and coaching on EHR tools, implementation strategies and in-house data collection. He has ten years of experience working with EHRs, data analysis, and medical IT, with a public health perspective. He has particular expertise in assisting the implementation of simple EHR tools to support opioid management in primary care settings.

Prescription Drug Overdose (PDO) Prevention Grant Projects in high-burden regions

Funded by CDC Prevention for States (PfS) Grant and SAMHSA State Targeted Response to the Opioid Crisis (STR) Grant

The Oregon Health Authority Opioid Initiative

AIM: Reduce deaths, non-fatal overdoses, and harms to Oregonians from prescription opioids, while expanding use of non-opioid pain care.

  1. Reduce risks to patients by making pain treatment safer and more effective, emphasizing non-opioid and non-pharmacological treatment
  2. Reduce harms for people taking opioids and support recovery from substance use disorders by making naloxone rescue and medication-assisted treatment (MAT) more accessible and affordable
  3. Protect the community by reducing the number of pills in circulation through implementation of safe prescribing, storage, and disposal practices
  4. Optimize outcomes by making state and local data available for informing, monitoring and evaluating policies and targeted interventions

OHA identified high-burden regions by scoring Oregon counties based on overdose hospitalizations, deaths, opioid prescribing rates, and population. The regions consist of 2-3 neighboring counties which were selected to receive funding from the OHA’s Prescription Drug Overdose (PDO) Prevention Project. CCOs and community partners are crucial to this work.

Each region has a PDO Coordinator to help organize local regional organizations and clinics and connect them to state resources, guidelines, and tools. Within several regions, the PMIT team is working with selected clinics (PMIT sites) who receive free assistance for a limited time. Find out more about the PDO regions, including regional contacts, events, drug take back locations, and other regional resources.