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Hospital and Clinician Resources

Ohio hospitals have been at the forefront of collaborations aimed at addressing the estimated 110,000 Ohioans currently suffering with an addiction to opioids. The OHA Opioid Response Initiative’s three focus areas are prevention, transition to treatment and recovery, and harm reduction. To this end, we have assembled resources for hospitals and clinicians that include guidelines, order sets and protocols.

Made Possible by the Cardinal Health Foundation

Opioid Response Initiative

OHA pinpointed communities and hospitals disproportionately affected by the opioid epidemic. Leading experts from the state’s most highly impacted hospitals assembled to identify proven interventions from local, regional and national sources with a plan to share statewide. The OHA Opioid Response Initiative work is organized into focus areas around prevention, transition to treatment and recovery and harm reduction and is guided by meaningful patient outcomes.

Efforts in the first year of the ORI focused primarily on harm reduction and community-wide awareness and education. Initial data show these efforts have been worthwhile.  We are beginning to see a decline in overdose encounters in most major metropolitan areas in the state from the first half of 2017 compared to the latter half. 

Opioid Response Initiative Roster

If your hospital would like to join the Opioid Response Initiative, contact OHA's Ryan Everett, MPH.

Buprenorphine/Suboxone Waiver Training Resources

OHA estimates about 110,000 Ohioans are addicted to opioids. Part of the solution is for prescribers to learn more about how to care for addiction with Medication Assisted Treatment, or MAT. 

The Ohio Department of Mental Health and Addiction Services has partnered with the American Society of Addiction Medicine and the Substance Abuse and Mental Health Services Administration to provide free MAT training for prescribers.  

Data 2000 Waiver Training

In 2000 Congress passed the Drug Addiction Treatment Act, or DATA, which permits qualified physicians to treat narcotic dependence with schedules III-V narcotic controlled substances that have been approved by the Food and Drug Administration for that indication. The legislation waives the requirement for obtaining a separate Drug Enforcement Administration registration as a Narcotic Treatment Program. 

The DATA 2000 waiver training, which allows physicians or advanced practice prescribers who complete the course to prescribe buprenorphine, is offered as a 1.5-day in-person training or as an online course. The in-person option provides partial reimbursement to providers for their time.   

Topics Covered
  • Pathophysiology of opioid addiction 
  • Role of buprenorphine, naltrexone and methadone to aid addiction treatment 
  • Combination of MAT with behavioral health and psychosocial treatment 
Learn More About the Ohio DATA 2000 Waiver Trainings
Additional Resources  
  • Learn more about incorporating MAT in physician practices  
  • Learn more about expanded MAT Waiver eligibility for NP, CNM, CNS, and CRNA providers

Inpatient/Outpatient - Clinical Resources

Buprenorphine/Suboxone Order Sets
  • Support for Hospital Opioid Use Treatment Toolkit (SHOUT) - Inpatient guidelines (Buprenorphine & Methadone), acute pain and perioperative guidelines, order sets, clinical opioid withdrawal score (COWS) score card and patient materials

  • ​​​Three-Day Opioid Detox Order Set - download here

  • Hospital Consent - Patient and Family Agreement on Opioids - download here

  • Opioid Withdrawal Medication Assisted- Medical Adjunct Therapy - download here

  • Opioid Withdrawal Medication Assisted- Medical Adjunct Therapy- SHOUT Protocol - download here

Alternatives to Opioids (ALTO) Order Sets
  • Think Pause: Not all pain is the same (powerpoint) - Alternatives to opioids – Kettering Health Network - download here. A pathway to manage chronic or benign paint for outpatient providers and pharmacists - download here

  • Opioid Prescribing & Treatment Guidelines - Colorado ACEP - download here

  • ALTO Clinical Applications - St. Joseph's Healthcare System - download here

  • Chronic Opiate and Sedative Management in the Emergency Department - St. Joseph's Healthcare System - download here

Hand-off & Transfers
SBIRT - Screening, Brief Intervention and Referral to Treatment Screening Tools
Guidelines & Education

MATERNAL OUD - CLINICAL RESOURCES

National Resources
State & Local Resources
Order Sets

OHIO OPIOID ONLINE CURRICULA SERIES

OHA Opioid Webinar Series

OHA presents a webinar series of effective practices around opioid prescribing identified through medical literature, national comparisons and internal analysis of the OHA opioid data collaborative members. OHA's opioid webinar series is provided by Coverys Community Healthcare Foundation’s Educating Ohio’s Prescribers.

​Future Webinars (topics and presenters will be updated as available). Webinars are 11:30 a.m.-12:30 p.m. unless otherwise noted.

Previous Webinars

  • Jan. 22, 2019: "Strategies to Combat the Opioid Epidemic," Joan Papp, MD, FACEP, Office of Opioid Safety, Director, MetroHealth Medical Center. Slides and video recording.
  • March 22, 2019: "Care of Moms with Opioid Disorders," Rebecca Starck, MD, FACOG, President, Cleveland Clinic Avon Hospital. Slides and video recording.
  • May 21, 2019: "Medication Assisted Treatment in the Emergency Room," - Emily Kauffman, DO, MPH, Clinical Assistant Professor, Departments of Emergency and Hospital Medicine, The Ohio State University Wexner Medical Center; "Peer Support Model," Jody Morgan, PRS-MH/A, CHHC, Director of Special Projects, Thrive Behavioral Health - Slides and video recording.
  • July 16 - "Safe Prescribing and Alternatives to Opioids in the Clinic and ED," Nancy Pook, MD, Kettering Health Network. - Slides and video recording