TY - JOUR
T1 - Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department
AU - Hawk, Kathryn F.
AU - Weiner, Scott G.
AU - Rothenberg, Craig
AU - Bernstein, Edward
AU - D'Onofrio, Gail
AU - Herring, Andrew
AU - Hoppe, Jason
AU - Ketcham, Eric
AU - LaPietra, Alexis
AU - Nelson, Lewis
AU - Perrone, Jeanmarie
AU - Ranney, Megan
AU - Samuels, Elizabeth A.
AU - Strayer, Reuben
AU - Sharma, Dhruv
AU - Goyal, Pawan
AU - Schuur, Jeremiah
AU - Venkatesh, Arjun K.
N1 - Publisher Copyright:
© 2023 American College of Emergency Physicians
PY - 2024/3
Y1 - 2024/3
N2 - The American College of Emergency Physicians (ACEP) Emergency Medicine Quality Network (E-QUAL) Opioid Initiative was launched in 2018 to advance the dissemination of evidence-based resources to promote the care of emergency department (ED) patients with opioid use disorder. This virtual platform-based national learning collaborative includes a low-burden, structured quality improvement project, data benchmarking, tailored educational content, and resources designed to support a nationwide network of EDs with limited administrative and research infrastructure. As a part of this collaboration, we convened a group of experts to identify and design a set of measures to improve opioid prescribing practices to provide safe analgesia while reducing opioid-related harms. We present those measures here, alongside initial performance data on those measures from a sample of 370 nationwide community EDs participating in the 2019 E-QUAL collaborative. Measures include proportion of opioid administration in the ED, proportion of alternatives to opioids as first-line treatment, proportion of opioid prescription, opioid pill count per prescription, and patient medication safety education among ED visits for atraumatic back pain, dental pain, or headache. The proportion of benzodiazepine and opioid coprescribing for ED visits for atraumatic back pain was also evaluated. This project developed and effectively implemented a collection of 6 potential measures to evaluate opioid analgesic prescribing across a national sample of community EDs, representing the first feasibility assessment of opioid prescribing-related measures from rural and community EDs.
AB - The American College of Emergency Physicians (ACEP) Emergency Medicine Quality Network (E-QUAL) Opioid Initiative was launched in 2018 to advance the dissemination of evidence-based resources to promote the care of emergency department (ED) patients with opioid use disorder. This virtual platform-based national learning collaborative includes a low-burden, structured quality improvement project, data benchmarking, tailored educational content, and resources designed to support a nationwide network of EDs with limited administrative and research infrastructure. As a part of this collaboration, we convened a group of experts to identify and design a set of measures to improve opioid prescribing practices to provide safe analgesia while reducing opioid-related harms. We present those measures here, alongside initial performance data on those measures from a sample of 370 nationwide community EDs participating in the 2019 E-QUAL collaborative. Measures include proportion of opioid administration in the ED, proportion of alternatives to opioids as first-line treatment, proportion of opioid prescription, opioid pill count per prescription, and patient medication safety education among ED visits for atraumatic back pain, dental pain, or headache. The proportion of benzodiazepine and opioid coprescribing for ED visits for atraumatic back pain was also evaluated. This project developed and effectively implemented a collection of 6 potential measures to evaluate opioid analgesic prescribing across a national sample of community EDs, representing the first feasibility assessment of opioid prescribing-related measures from rural and community EDs.
UR - http://www.scopus.com/inward/record.url?scp=85173820771&partnerID=8YFLogxK
U2 - 10.1016/j.annemergmed.2023.08.490
DO - 10.1016/j.annemergmed.2023.08.490
M3 - Article
C2 - 37831040
AN - SCOPUS:85173820771
SN - 0196-0644
VL - 83
SP - 225
EP - 234
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 3
ER -