New Tools and Strategies for Opioid Misuse and Abuse Hal Stockbridge, MD, MPH Labor and Industries

New Tools and Strategies for Opioid Misuse and Abuse

Hal Stockbridge, MD, MPHLabor and Industries

Opioid Dosing Guidelines

• An interagency guideline developed by DSHS, DOH, HCA, L&I, Corrections, in collaboration with pain specialists

• Purpose: assist primary care providers to prescribe in a safe and effective manner

• Applies only to chronic non-cancer pain• Only 11 pages

Opioid Dosing Guidelines -5 key points

1. In general, the total daily dose of opioid should not exceed 120 mg of oral morphine equivalents

2. If considering going above 120mg, obtain a pain management consultation

3. Assess function regularly, for example using SF-36, Oswestry, QuickDash

Opioid Dosing Guidelines

4. Free online calculator is available to determine if dose exceeds 120 mg threshold

Opioid Dosing Guidelines

Opioid Dosing Guidelines

5. Finding a pain management specialist: - List of specialists at

www.agencymeddirectors.wa.gov

Opioid Dosing Guidelines

• Weaning opioids safely• Behavioral issues• Urine drug toxicology screening• One-year educational pilot

Free Category 1 CME

- www.agencymeddirectors.wa.gov- Easy online format- Print certificate immediately- No registration needed

Consultations• Traditional• Telephone consults• Chart review• Telemedicine