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Cohort III International Pain Policy Fellows

Cohort III International Pain Policy Fellows. Opioid Availability Action Planning Worksheet. Madison, Wisconsin, USA 6 – 10 August 2012. * IEC member who will not attend Training Program, but will provide follow-up technical assistance. Step 1 – Develop the Action Plan.

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Cohort III International Pain Policy Fellows

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  1. Cohort IIIInternational Pain Policy Fellows Opioid Availability Action Planning Worksheet Madison, Wisconsin, USA 6 – 10 August 2012

  2. * IEC member who will not attend Training Program, but will provide follow-up technical assistance.

  3. Step 1 – Develop the Action Plan • Section A: State the 3-5 problems that lead to inadequate patient access to opioid analgesics. • Section B: State the objective(s) that would address the problem. (WHAT) • Section C: List the action steps needed to achieve the objectives. (HOW) • Section D: List those who have the authority/responsibility to take the necessary action. (WHO) • Section E: Indicate an approximate timeline for completion of the action steps. (WHEN) • Section F: State the assistance (technical, financial) that will be needed to achieve each objective. (HOW MUCH) • Section G: Expected outputs, and how measured

  4. Drug Distribution System Model Level 2: National Competent Authority Level 1: International Narcotics Control Board Level 3. Importer/Manufacturers/Distributors Level 4. Hospitals/Pharmacies/Hospice/PC programs Level 5. Physicians/Pharmacists/Other Information Level 6. PATIENTS Medication

  5. Action Plan for: {NAME OF YOUR COUNTRY} Prepared by: {YOUR NAME} 10 August 2012

  6. 1: State the 3-5 problems that lead to inadequate patient access to opioid analgesics – Be as specific as you can Problem 1: Problem 2: Problem 3: Problem 4: Problem 5:

  7. PROBLEM 1 A: State the problem that leads to inadequate patient access to opioid analgesics (What?) – Be as specific as you can in stating one problem

  8. B: State the objective(s) that would address the problem. Which objectives are the top priorities? (What?)

  9. C: What action steps are needed to achieve the objectives? (How?) D: List those who have the authority and/or responsibility to take the necessary action; and with whom they should collaborate. (Who?)

  10. E: Timeline for completion of action steps. (When?) F: What assistance (technical, financial) will be needed to achieve each objective under part “B”? (How much?)

  11. G: Expected outputs, and how measured

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