The following resources can help clinics implement each of the Six Building Blocks to improving opioid management.

Leadership & Consensus resources

Opioid harm stories: Stories are the emotional drivers for engaging clinicians. Here are some personal stories of the harm caused by opioids.

Six Building Blocks self-assessment: A tool that can be used to measure status in the Six Building Blocks, both as a small group activity during site visits and by the Opioid Improvement Team to track progress over time.

CDC training and webinarsThe CDC has an interactive clinical training series and a webinar series available to the public.

UW TelePain: A clinical education resource.

Motivating slow to adopt providersSpecific strategies for encouraging providers to adopt the practices in the revised policies.

Levers of motivation guide: Ways to motivate providers and staff.

Chronic Pain Management TeamsThis resource supports the development of a Chronic Pain Management Team.

Policy, Patient Agreement, & Workflow resources

Model policy: An example policy your clinic can use during the policy revision process; developed using the CDC guidelines.

CDC Guidelines for Prescribing Opioids for Chronic Pain

AMDG 2015 Interagency Guideline on Prescribing Opioids for Pain

Model patient agreement: An example patient agreement your clinic can use during the patient agreement revision process.

VA Opioid Taper Decision Tool: The Opioid Taper Decision Tool is designed to assist Primary Care providers in determining if an opioid taper is necessary for a specific patient, in performing the taper, and in providing follow-up and support during the taper.

Chronic pain appointment workflow: An example workflow for chronic pain appointments.

Opioid refill workflowAn example workflow for processing opioid refill requests.

Opioid list manager workflowAn example workflow for tracking and monitoring patients on chronic opioid therapy.

Tracking & Monitoring Patient Care resources

Morphine Equivalent Dose (MED) calculator

Approaches to identifying patients on chronic opioids: Suggested approaches to try when first attempting to identify your patients on chronic opioid therapy.

Purposes of tracking & monitoring: An outline of the key uses of data in tracking & monitoring patients on chronic opioid therapy to use when planning your approach.

Data to consider tracking: A list of variables to consider tracking and monitoring for care planning and measuring success.

Tracking & Monitoring example spreadsheet: An Excel spreadsheet a clinic can adapt to track and monitor key measures overall and by provider if they are unable to easily pull reports from their EMR.

List of opioid names: A list of opioids to use in identifying patients on chronic opioid therapy.

List of sedative names: A list of sedatives to use in identifying patients on concurrent sedatives and opioids.

Planned, Patient-Centered Visits resources

CDC patient education example: A handout for patients educating them on the risks of chronic use of opioids.

Patient letter: A letter introducing patients to the clinic’s new approach to caring for patients on chronic opioid therapy.

Provider guide to difficult conversations: Key principles and specific scripts to help providers navigate difficult conversations.

Staff guide to difficult conversations: Suggested conversation approaches and scripts for clinical and administrative staff who interact with patients on chronic opioid therapy.

Difficult Conversations video vignette: An example that illustrates using principles of how to have a difficult tapering conversation with a patient.

Turn the Tide pocket guide for cliniciansA quick reference for clinicians about opioid prescribing.

Pain Tracker: An example guide of assessments to use during pain visits.

Alternative treatments fact sheet: CDC recommended non-opioid treatments for chronic pain.

Evidence on non-opioid approaches to chronic painA summary of existing evidence for noninvasive non-pharmacological treatments and complementary health approaches for chronic pain conditions.

Chronic pain self-management resources: A list of suggested resources for providers, care coordinators, and patients to use for chronic pain self-management.

For specific assessment tools, such as the Opioid Risk Tool, see Recommended Assessment table.

The CDC offers many helpful clinical tools on their website.

Caring for Complex Patients resources

Tips for managing legacy patients: Suggestions for how to approach patients you have inherited from another clinician.

Intensity & frequency of monitoring by risk example: How one clinic handled setting monitoring approaches by risk level.

Buprenorphine information from SAHMSA: Buprenorphine is used in medication-assisted treatment (MAT) to help people reduce or quit their use of heroin or other opiates, such as pain relievers like morphine.

Naloxone information from SAHMSA: Naloxone is a medication used in medication-assisted treatment (MAT) to counter opioid overdose.

Measuring Success resources

Measuring success metrics: A list of potential aims to use to measure success

Six Building Blocks milestonesA tool to track progress in achieving typical Six Building Blocks milestones.