Optimizing Opioid Prescribing For Acute Back Pain

1. Monitoring plan

1.1. Bi-annual or annually gap analysis

1.2. Assess frequency of incorrect opioids prescribed

1.3. Assess frequency of correct non-opioids prescribed and non-pharmacological treatments

2. Proposed Action Plan

2.1. Develop workgroups

2.2. Create toolkits

2.3. Distribute toolkits to leaders and providers to use as resources

3. Current State

3.1. Incorrect opioid prescribing

3.2. Non-compliance of Best Practices

4. Desired State

4.1. Appropriate Use of non-pharmacological and non-opioid treatments

5. Identified Gaps

5.1. Lack of resources

5.2. Lack of standardized protocols

5.3. Lack of knowledge and training

6. Barriers to Plan

6.1. Lack of leadership support

6.2. Limited use of Prescription Drug Monitoring Programs (PDMPs).

6.3. Staff resistance

6.4. Fear of Litigation