Category: Federal Forum Posters
Purpose: Throughout the past several decades, opioid prescribing for chronic pain has steadily increased as have the number of overdoses involving opioids. The widespread use and prescribing of opioids has contributed to the current opioid crisis; however, over the last few years there have been several efforts focused on improving opioid safety. The objective of this study is to assess the benefits of a whole health shared medical appointment (SMA) on opioid safety and opioid risk mitigation.
Methods: Prior to initiation, this study will be submitted to the institutional review board for approval. This study consists of a retrospective review of computerized patient medical records of patients who participated in a whole health and opioid safety SMA. The following data will be collected: name, last four of SSN, demographics, weight, height, opioid prescribed, length of therapy, substance use disorder, mental health disease, PHQ9 score, concomitant use of a benzodiazepine, morphine equivalent daily dose (MEDD), risk index for overdose or serious opioid induced respiratory depression (RIOSORD) score, stratification tool for opioid risk mitigation (STORM), pain score, naloxone distribution, change in clinic utilization (phone calls, secure messaging, walk-ins, appointments), and addition of non-opioid pharmacotherapy or non-pharmacotherapy modalities for the treatment of pain. Data collected will be kept confidential; with all patient identifiers being removed.
Results: Not applicable
Conclusion: Not applicable
Amanda Holloway– Pharmacy Resident, Birmingham VA Medical Center, Pelham, AL