The state of Massachusetts passed legislation in 2018 requiring acute care hospitals to develop programs to initiate medication assisted treatment (MAT) for patients with opioid use disorder (OUD) seen in the emergency department. These guidelines, developed by the Massachusetts Hospital Association and state College of Emergency Physicians, offer clinical and operational recommendations for hospitals when implementing this state policy.
Extended-Release Opioid Agonists and Antagonist Medications for Addiction Treatment (MAT) in Patients with Opioid Use Disorder: Effectiveness and Value
Source: New England Comparative Effectiveness Public Advisory Council (CEPAC)
This 2018 report from the Institute for Clinical and Economic Review compared the evidence for effectiveness and value of new extended-release medications for opioid use disorder (two buprenorphine injections, one buprenorphine implant, and naltrexone injection).
Pharmacogenomics-Guided Policy in Opioid Use Disorder Management: An Ethically-Diverse Case-Based Approach
Source: Earl B. Ettienne, et. al.
This article describes the case of an individual prescribed buprenorphine for opioid use disorder (OUD) who did not achieve treatment stability at the maximum dose allowed by the patient’s insurer of 24 mg daily.
Medication-Assisted Treatment Models of Care for Opioid Use Disorder in Primary Care Settings
Source: Agency for Healthcare Research and Quality
A 2016 report from the Agency for Healthcare Research and Quality, this report describes 12 models of care for providing medication assisted treatment (MAT) for opioid use disorder in primary care settings.
Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan – Volume 2, Tools and Resources
Source: Agency for Healthcare Research and Quality
The Agency for Healthcare Research and Quality has compiled this guide to tools and resources available to help create or expand medication assisted treatment (MAT) for opioid use disorder (OUD), particularly in rural areas. The tools are grouped into four categories: tools for prevention of OUD, tools to assist in training or educating individuals about MAT, tools for implementing MAT programs in office-based settings, and tools for preventing or responding to opioid overdose.
Strategies to Increase MAT Prescribing
Source: Association for Community Affiliated Plans
The Association for Community Affiliated Plans, which represents insurers that work with low income and vulnerable individuals, prepared this report on strategies health plans can adopt to increase the number of primary care providers willing to prescribe medications to treat opioid use disorder.
Evidence Brief: Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain
Source: U.S. Department of Veterans Affairs
This report provides an overview of the evidence of effectiveness for multi-modal pain treatment programs with the goal of determining key elements of effective treatment programs.
Evidence-based Nonpharmacologic Strategies for Comprehensive Pain Care: The Consortium Pain Task Force White Paper
Source: The Pain Task Force of the Academic Consortium for Integrative Medicine and Health
A 2017 white paper from the Academic Consortium for Integrative Medicine and Health, section one of this report reviews the current status of medical pain management and the nature of the pain crisis in America.
Opioid Initiative Wave 1: Starting an ALTO Program – Presentation Slides
Source: Emergency Quality Network
The ALTO program, or alternatives to opioids, is a comprehensive program focused on providing non-opioid treatments for some common conditions treated in hospital emergency departments. These presentation slides provide guidance to providers or administrators who may want to start an ALTO program in their emergency department.
Rethinking Pain: A Picture Doesn’t Tell the Whole Story
Source: Providence Health & Services
This resource serves as a visual presentation for use with patients when talking about pain, this resource shows that pain is not necessarily connected to physical injury or disease.