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Lauren M. Broyles, PhD, RN

Research Health Scientist, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania

presenter photoDr. Lauren M. Broyles is a Research Health Scientist and Core Faculty member at the VA Pittsburgh Center for Health Equity Research and Promotion (CHERP), and Core Investigator with the VAs VISN 4 Mental Illness Research, Education, and Clinical Center (MIRECC). Dr. Broyles is a nurse investigator with advanced training in health services research, and is the recipient of a five-year a VA Career Development Award. Her program of research focuses on alcohol screening, brief intervention, and referral to treatment (SBIRT) in inpatient and primary care settings. As an application of this research, Dr. Broyles directs implementation of the new SBIRT-related hospital accreditation measures from The Joint Commission at VA Pittsburgh Healthcare System. At VA Pittsburgh, Dr. Broyles also serves as Co-Director of the Pittsburgh site for the VA Office of Academic Affiliations Advanced Interprofessional Fellowship in Addictions Treatment. She serves as Secretary of the Association for Medical Education and Research in Substance Abuse (AMERSA), and as an Associate Editor for their journal, Substance Abuse. Dr. Broyles holds academic appointments as an Assistant Professor of Medicine, Clinical and Translational Science, and Nursing at the University of Pittsburgh.

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Sarah E. Wakeman, MD, FASAM

Medical Director, Substance Use Disorder Initiative, Massachusetts General Hospital, Boston, Massachusetts

presenter photoSarah Wakeman, MD, FASAM, is the Medical Director of the Massachusetts General Hospital Substance Use Disorder Initiative and an Assistant Professor of Medicine at Harvard Medical school. She is also co-medical director of the MGH Addiction Consult Team. Dr. Wakeman received her undergraduate and medical degrees at Brown University. She completed internal medicine residency at Massachusetts General Hospital followed by chief residency. She is a diplomate of the American Board of Addiction Medicine.

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Focus Session Track

From Mandate to Action: Redesigning Substance Use Care in Inpatient Settings

4/25/2015

2:30 PM - 3:30 PM

Room: 400/402, Fourth Floor

Presenter(s):

Lauren M. Broyles, PhD, RN

Research Health Scientist, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania

Sarah E. Wakeman, MD, FASAM

Medical Director, Substance Use Disorder Initiative, Massachusetts General Hospital, Boston, Massachusetts

Substance use is common in hospitalized patients. Recent quality/performance measures and strategic initiatives aim to systematically and comprehensively address substance use during the hospital stay. However, to date, there is little practical guidance for implementation of substance use processes of care (POC) that are specific to the inpatient care setting and patient populations. In this presentation, experts will present exemplars of how two large academic medical centers (VA Pittsburgh Healthcare System and Massachusetts General Hospital) are redesigning processes of care to respond to substance use in inpatient general medical settings. At VA Pittsburgh, new inpatient POC are being implemented in response to VA-mandated Joint Commission measures for alcohol/tobacco screening, brief intervention, referral to treatment, pharmacotherapy, and follow-up. At Massachusetts General, new inpatient substance use POC are being implemented in response to community input and strategic redesign. Presenters will address topics such as the rationale for implementation, special considerations for inpatient settings, unique features of each healthcare that shaped implementation, facilitators and barriers to implementation, and the advantages and disadvantages of different evaluation strategies.