TY - JOUR
T1 - Models for Implementing Emergency Department–Initiated Buprenorphine With Referral for Ongoing Medication Treatment at Emergency Department Discharge in Diverse Academic Centers
AU - Whiteside, Lauren K.
AU - D'Onofrio, Gail
AU - Fiellin, David A.
AU - Edelman, E. Jennifer
AU - Richardson, Lynne
AU - O'Connor, Patrick
AU - Rothman, Richard E.
AU - Cowan, Ethan
AU - Lyons, Michael S.
AU - Fockele, Callan E.
AU - Saheed, Mustapha
AU - Freiermuth, Caroline
AU - Punches, Brittany E.
AU - Guo, Clara
AU - Martel, Shara
AU - Owens, Patricia H.
AU - Coupet, Edouard
AU - Hawk, Kathryn F.
N1 - Publisher Copyright:
© 2022 American College of Emergency Physicians
PY - 2022/11
Y1 - 2022/11
N2 - There has been a substantial rise in the number of publications and training opportunities on the care and treatment of emergency department (ED) patients with opioid use disorder over the past several years. The American College of Emergency Physicians recently published recommendations for providing buprenorphine to patients with opioid use disorder, but barriers to implementing this clinical practice remain. We describe the models for implementing ED-initiated buprenorphine at 4 diverse urban, academic medical centers across the country as part of a federally funded effort termed “Project ED Health.” These 4 sites successfully implemented unique ED-initiated buprenorphine programs as part of a comparison of implementation facilitation to traditional educational dissemination on the uptake of ED-initiated buprenorphine. Each site describes the elements central to the ED process, including screening, treatment initiation, referral, and follow-up, while harnessing organizational characteristics, including ED culture. Finally, we discuss common facilitators to program success, including information technology and electronic medical record integration, hospital-level support, strong connections with outpatient partners, and quality improvement processes.
AB - There has been a substantial rise in the number of publications and training opportunities on the care and treatment of emergency department (ED) patients with opioid use disorder over the past several years. The American College of Emergency Physicians recently published recommendations for providing buprenorphine to patients with opioid use disorder, but barriers to implementing this clinical practice remain. We describe the models for implementing ED-initiated buprenorphine at 4 diverse urban, academic medical centers across the country as part of a federally funded effort termed “Project ED Health.” These 4 sites successfully implemented unique ED-initiated buprenorphine programs as part of a comparison of implementation facilitation to traditional educational dissemination on the uptake of ED-initiated buprenorphine. Each site describes the elements central to the ED process, including screening, treatment initiation, referral, and follow-up, while harnessing organizational characteristics, including ED culture. Finally, we discuss common facilitators to program success, including information technology and electronic medical record integration, hospital-level support, strong connections with outpatient partners, and quality improvement processes.
UR - http://www.scopus.com/inward/record.url?scp=85135956764&partnerID=8YFLogxK
U2 - 10.1016/j.annemergmed.2022.05.010
DO - 10.1016/j.annemergmed.2022.05.010
M3 - Article
C2 - 35752520
AN - SCOPUS:85135956764
SN - 0196-0644
VL - 80
SP - 410
EP - 419
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 5
ER -