Trajectories — Opioid Use Disorder
Staff Contact: Leslie Porth
The July 2017 edition of Trajectories highlights the issue of opioid use and abuse. While prevention through safe prescribing practices is essential, many patients already live with an opioid addiction. Collaboration between the provider and patient is critical to success. Physicians, nurses, case managers and social workers all play an important role in assisting patients to manage their medical condition and formulate a tapering plan or minimize their use of opioids. A successful plan includes the following.
- Understanding how to manage the challenges of living with a chronic condition.
- Learning how to inform and activate patients to take responsibility for self-management using the skills of empathy and “motivational interviewing.”
- Using realistic goal-setting instead of a “silver-bullet” approach.
- Shared decision-making.
- Identifying responsibility.
- Identifying and using self-management strategies.
Another resource for providers is to use ongoing screening tools to re-assess the need for continued opioid therapy and risk for addiction. These tools, used at provider-defined intervals during opioid treatment, promote close monitoring of use and help identify when intervention is necessary. Read more to learn about additional tools.
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CMS Releases OQR Specifications Manual
Staff Contact: Sherry Buschjost
Version 11.0 of the Hospital Outpatient Quality Reporting Specifications Manual, effective for outpatient encounters from Jan. 1 through Dec. 31, 2018, is available on QualityNet. A complete list of the changes is available in the release notes. Major changes include the following.
- added outcome measures OP-35: Admissions and Emergency Department Visits for Patients Receiving Outpatient Chemotherapy and OP-36: Hospital Visits after Hospital Outpatient Surgery
- redefined OP-18b as the performance measure of nonpsychiatric/mental health and transferred patients
- provided clarification of OP-13 by adding cardiac computed tomography angiography to the imaging modalities included in the measure’s denominator
- provided example changes to OP-29 to better align denominator exclusions with similar measures in other programs
- added a denominator exclusion to OP-33
- provided clarification of certain data elements
- removed patient HIC# from the data elements
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