Opioid Initiative

student with pills Opioid use disorder is complex and requires multifaceted solutions with two goals: identify and help individuals who are currently facing opioid use disorder; and implement prevention strategies to reverse the alarming trends. Both the downstream turbulence and upstream opportunities must be addressed. There is no single action or policy change that will suddenly halt and reverse this crisis. Research and changes to both practice and policy are important strategies currently being implemented by Missouri hospitals, providers and other key partners.

Opioid Prescribing Guidance

New opioid prescribing recommendations designed to guide hospital-based physicians’ use have been adopted and released by a coalition of health care policy and advocacy organizations. The revised guidance reflects evolving best practices in the use of opioids for pain management and changes in the law designed to reduce the opioid addiction crisis.

Learn more by reading the news release.
  • Research
  • Policy
  • Practice
  • Videos

MHA Board-Approved Policies:

Prescribing Guidelines:

MHA News Release | Hospitals Update Opioid Prescribing Guidance for Physicians Hospitalwide

CDC Recommendations | The Centers for Disease Control and Prevention issued 12 recommendations for prescribing opioid medications for chronic pain, excluding cancer, palliative and end-of-life care. The CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016, will help primary care providers ensure safe and effective treatment for their patients with chronic pain.

Opioid Prescriber-Accountability Initiative

Beginning March 1, 2018, the Department of Social Services, the Department of Mental Health, and the Department of Health and Senior Services will begin enforcing national standards for prescribing opioids to chronic pain patients. The departments are working to bring MO HealthNet providers who aren't following Centers for Disease Control and prevention guidelines into compliance when it comes to opioid prescriptions. Providers will need to respond to the Missouri Medicaid Audit and Compliance Unit with clinical data justifying the prescription history or a plan for modification to comply with the MO HealthNet standard.

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MHA Presentations (PDF)


Patient Education Flyers


SAMHSA: Rx Pain Medications: Know the Options, Get the Facts

Recovery Coach Video

Kael Maness

Why EPICC Matters:
Kael Maness, Recovery Coach




Opioid Initiative Videos

Evan Schwarz, MD

Best Practices for Treating Opioid Overdoses in the Emergency Department:
Dr. Evan Schwarz, Washington University emergency medicine physician at
Barnes-Jewish Hospital




The Opioid Epidemic’s Impact on Expectant Mothers & Babies:
Dr. Randy Tobler, Scotland County Hospital



Randall Williams
Opioid Overuse Reduction Strategies:
Dr. Randall Williams, Director, Missouri Department of Health & Senior Services



Darin HaugEmergency Department Opioid-Prescribing Guidelines Implementation:
Dr. Darin Haug



Sam PageThe Value Of A Prescription Drug Monitoring Program For Physicians:
Dr. Sam Page