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Hospital Medicine Pilot Overview

Learn about CO's CURE, the Colorado Opioid Solution, a pilot program aiming to implement alternatives to opioids in hospital medicine. Reduce harm, decrease opioids, increase treatment opportunities, and increase ALTOs.

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Hospital Medicine Pilot Overview

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  1. The Colorado Opioid Solution: Clinicians United to Resolve the Epidemic Hospital Medicine Pilot Overview Revised 8.19.19

  2. Colorado 2017 Colorado 2017 Data • 1,012 drug overdose deaths • 578 opioid related overdose deaths • 373 prescription opioid overdose deaths which amounts to 37% of all drug overdose deaths

  3. What can we do about it? If you want to go fast, go alone. If you want to go far, go together.

  4. CO’s CURE What is CO’s CURE? • The Colorado Opioid Solution: Clinicians United to Resolve the Epidemic Our shared vision: • All specialty societies of Colorado will work together to develop the nation's first comprehensive, multispecialty medical guidelines to address and resolve the opioid epidemic in Colorado

  5. CO’s CURE Framework Reduce Harm Decrease Opioids Increase Treatment Opportunities Increase ALTOs

  6. CO’s CURE Hospital Medicine Pilot • [Organization] is part of a 10-hospital pilot embarking on the first ever coordinated effort to implement the alternatives to opioids (ALTOs) approach in the inpatient setting • Goal: Reduce the number of opioids administered and prescribed while increasing the number of ALTOs administered and prescribed

  7. Why hospital medicine? • Opioids prescribed on hospital discharge increase the risk of the patient becoming a long-term opioid user • 25% of opioid naïve patients go home with an opioid prescription • The risk of becoming a long-term opioid user is 4% versus 1% if the patient did not get a prescription at discharge

  8. How do we get there? [Organization’s] hospital medicine teams will be trained in the following subjects: • Treating Pain – Modalities and Opportunities • Alternatives to Opioids – Order Sets and Pathways • Engaging and Empowering Patients • Physiology of Pain • Treating Opioid Use Disorder and Addressing Stigma • Harm Reduction and Action Beyond Alternatives to Opioids This content will guide and foster long term cultural changes to prescribing practices

  9. CO’s CURE Hospital Medicine Pilot • Oct. 1, 2019 through March 31, 2020 • Access tools and resources specific to this pilot at www.cha.com/hospitalistCURE • Contact [Organization Contact] with comments or questions Thank you for your participation in this pilot and commitment to the challenging work that will result in many lives saved and, ultimately, an end to Colorado’s opioid epidemic.

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