Risk Mitigation Strategies to Reduce Opioid Overdoses
This is the sixth webinar in a COCA Call series about CDC Guideline for Prescribing Opioids for Chronic Pain. To view a list of other webinars in the series, visit the opioid call series overview webpage
Date:Tuesday, December 6, 2016
Time: 2:00-3:00 pm (Eastern Time)
Deborah Dowell, MD, MPH
Senior Medical Advisor
Division of Unintentional Injury Prevention
National Center for Injury Control and Prevention
Centers for Disease Control and Prevention
Jane C Ballantyne, MD, FRCA
Anesthesiology and Pain Medicine
Department of Medicine
University of Washington
Harborview Medical Center
Joseph O. Merrill MD, MPH
Department of Medicine
University of Washington
Harborview Medical Center
When prescribing opioids, risk mitigation strategies can be an effective way to reduce abuse and overdose. Strategies described in CDC’s Guideline for Prescribing Opioids for Chronic Pain include reviewing prescription drug monitoring program (PDMP) data, urine drug testing (UDT), and co-prescribing naloxone. During this COCA Call, clinicians will learn about steps they can take when concerning information is discovered through PDMP checks or UDT. Presenters will review how to evaluate factors that increase risk for opioid overdose and how to determine when co-prescribing naloxone would be beneficial. In addition, a case study of a 46-year-old man with chronic low back pain, on high-dose opioid, will be presented to illustrate how PDMP and UDT results and medical evaluation can be used for opioid treatment decision-making.
- Describe the evidence for opioid prescribing risk mitigation strategies.
- Review different opioid prescribing risk mitigation strategies.
- Summarize steps that clinicians can take when concerning information is discovered through prescription drug monitoring program checks and urine drug testing.
- Evaluate factors that increase risk for opioid overdose and determine when co-prescribing naloxone would be beneficial.
CDC Guideline for Prescribing Opioids for Chronic Pain and Related Materials
- SAMHSA Buprenorphine Training for Physicians
- MMWR: CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
- JAMA Special Communication: CDC Guideline for Prescribing Opioids for Chronic Pain
- Guideline Resources: Clinical Tools
- Pocket Guide: Tapering Opioids for Chronic Pain
- Guideline for Prescribing Opioids for Chronic Pain: Recommendations
- Checklist for Prescribing Opioids for Chronic Pain
- Nonopioid Treatments for Chronic Pain
- Assessing Benefits and Harms of Opioid Therapy
- Calculating Total Daily Dose of Opioids for Safer Dosage
- Prescription Drug Monitoring Programs (PDMPs)
CDC Vital Signs
CDC Injury Prevention and Control
- CDC Prescription Drug Overdose
- Prescription Drug Overdose: What Health Care Providers Need to Know about the Epidemic
- Prescription Drug Overdose Prevention for States
Other Agency Resources
- The White House – Office of National Drug Control Policy: Opioid Abuse in the United States[471KB]
- NIH Pain Consortium Centers of Excellence in Pain Education (CoEPEs)
- Providers’ Clinical Support System for Medication Assisted Treatment
- Providers’ Clinical Support System for Opioid Therapies
- CMS Improvements to Medicare Drug and Health Plans
- SAMHSA – Substance Abuse and Mental Health Services Administration
- National Institute on Drug Abuse
- PDMP Center of Excellence, Brandeis University
- Audio conference call on 12/6/16: 2:00 – 3:00 PM EDT
- Web-on-demand training after 3:00 PM EDT on 12/6/16
- Materials: PowerPoint slide set
“WC2286” for attendees who participate in the live call (must be completed by January 5, 2017)
“WD2286” for attendees who participate in the online presentation (must be completed by January 5, 2019)
- Physician Assistants
- Health Educators
- Other Clinicians
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- Support/Funding:Centers for Disease Control and Prevention, Emergency Risk Communications Branch
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- Page last reviewed: November 29, 2016
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