Prescribing Best Practices

CDC Guideline

CDC

“CDC Guideline for Prescribing Opioids for Chronic Pain”

Haegerich & Dowell (6/22/16)

PowerPoint presentation on CDC Guidelines

www.cdc.gov/drugoverdose/pdf/coca-webinar-series-allslides-a.pdf

CDC Prescribing Guideline

CDC

CDC Guideline for Prescribing Opioids for Chronic Pain

National Center for Injury Prevention and Control, Division of Unintentional Injury (March 2017)

Guidelines for prescribing with links to other resources including JAMA Special Communication (22 pp.)

https://www.cdc.gov/drugoverdose/prescribing/guideline.html and

https://www.cdc.gov/drugoverdose/prescribing/faq.html

CDC Prescribing Guideline

CDC

Guideline Resources: Clinical Tools

Date unknown

Links to all of the prescribing brochures including the Mobile App, Pharmacists’ Brochure, Tapering, Factsheet, Checklist, Nonopioid Treatments, Assessing Benefits and Harms Calculating Dosage, PDMPs, Infographic, and Turn-the-Tide Pocket Guide

https://www.cdc.gov/drugoverdose/prescribing/clinical-tools.html

CDC Prescribing Guideline and Training

CDC

Guideline Information for Providers: Safe Prescribing Saves Lives

Updated Feb 2017

Link to the Guideline, JAMA commentary, data overview, etc.

https://www.cdc.gov/drugoverdose/prescribing/providers.html

Prescribing Brochure

CDC

Promoting Patient Care and Safety

Date unknown

Brochure for prescribing

www.cdc.gov/drugoverdose/pdf/guidelines_at-a-glance-a.pdf

Training

CDC

Applying CDC’s Guideline for Prescribing Opioids

Date unknown

CE credits available; includes links to provider resources; one module

https://www.cdc.gov/drugoverdose/training/overview/index.html

Evidence Review

CDC Grand Rounds*

Clinical Evidence Review for the CDC Guideline for Prescribing Opioids for Chronic Pain

Mar 18, 2016

Addresses the evidence regarding (1) effectiveness, (2) harms and adverse events, (3) dosing strategies, (4) risk assessment and risk mitigation strategies, (5) long-term use.

https://tacks.cdc.gov/view/cdc/38026

Monitoring Program

CDC/

Vital Signs

Prescription Drug Monitoring Programs (PDMPs)

 2017

 Website

https://www.cdc.gov/drugoverdose/pdmp/index.html

Prescribing

CDC/

Vital Signs

Opioid Prescribing-Where You Live Matters

NICPC/ Division of Bacterial Diseases (July 2017)

State comparisons; promising actions for safer opioid prescribing

https://www.cdc.gov/vitalsigns/opioids/infographic.html

Prescribing Guideline Workgroup

CDC/

NCIPC

Prescribing Opioids for Chronic Pain Workgroup (Opioid Guideline Workgroup)

2016

Work group charge, membership; link to report by Porucznik (2016)

https://www.cdc.gov/injury/bsc/opioid_guideline_workgroup.html

Prescribing Overview

CDC/

Vital Signs

Opioid Prescribing-Overview

2017

Link to Vital Signs Factsheet; state comparisons

https://www.cdc.gov/vitalsigns/opioids/index.html ; https://www.cdc.gov/features/opiod-prescribing-guide/index.html ; https://www.cdc.gov/vitalsigns/opioid-prescribing/index.html;

https://www.cdc.gov/drugoverdose/data/prescribing.html

Prescription Monitoring Programs

CDC/

NCIPC

Integrating & Expanding Prescription Drug Monitoring Program Data: Lessons from Nine States (15 pp.)

Updated March 2017

Illinois received SAMHSA funds from 2012-2016 to increase use of PDMPs and effective reduce prescription opioid misuse and overdose

Available at https://www.cdc.gov/drugoverdose/pdmp/index.html

CDC Guideline

CDC/MMWR

“CDC Guidelines for Prescribing Opioids for Chronic Pain-United States, 2016”

Dowell, Haegerich, &

Chou; March 2016/

65(11);295

CDC Guidelines for Prescribing Opioids for Chronic Pain (note link to an Errata)

https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm

CDC Prescribing Guideline Development

CDC/NCIPC

Common Elements in Guidelines for Prescribing Opioids for Chronic Pain

Report of existing professional guidelines used to develop the CDC Guideline

PDF document

Dosing Titration

CDC/Office of Public Health Preparedness and

Dosing and Titrating Opioids

August 17, 2016

PowerPoint presentation

PDF document of slide presentation

Training Webinars

CDC/Office of Public Health Preparedness and

CDC’s Guideline webinar series

2016

Webinars include Overview, Non-opioid treatments, Assessing Benefits and Harms of Opioid Therapy, Dosing and Titration of opioids, Assessment and Evidence-Based Treatments for OUD, Risk Mitigation Strategies to Reduce Opioid Overdoses, Effectively Communicating with Patients

https://emergency.cdc.gov/coca/calls/opioidresources.asp

Prescription Monitoring Program

Illinois Prescription Monitoring Program (PMP)

N/A

N/A

Electronic tool that collects information on controlled substance prescriptions; available to pharmacists and prescribers

https://www.ilpmp.org/

Guidelines

SAMHSA

Federal Guidelines for Opioid Treatment Programs

January 2015

Describes SAMHSA’s expectations of how federal treatment standards are to be satisfied by opioid treatment programs (OTPs).

Search for name of report, and there will be a link to the PDF version.

Medication-Assisted Treatment

SAMHSA

Medication-Assisted Treatment of Opioid Use Disorder Pocket Guide (16 pp.)

March 2016

­Checklist for prescribing opioids, approved treatments for OUD, ideal candidates, contraindications, warnings, Clinical Opiate Withdrawal Scale; can order manual or free download

https://store.samhsa.gov/product/Medication-Assisted-Treatment-of-Opioid-Use-Disorder-Pocket-Guide/BackInStock/SMA16-4892PG [have had some trouble with this link]

Practice Guidelines

WellCare Health Plans

Pain Management Clinical Practice Guideline, HS-1064

Apr 2017

Highlights of guidelines from AAN, AAPM, WHO, and APS; includes educational materials that are available only to members

https://www.wellcare.com/Illinois/Providers/Clinical-Guidelines/CPGs