A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care

Lee, Chuan-Mei; Scheuter, Claudia; Rochlin, Danielle H; Platchek, Terry; Kaplan, Robert M.

doi:10.1007/s11606-019-04998-5

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Additionally, students and clinicians collaborated to identify patients with OUD or history of opioid overdose in both the inpatient and emergency department (ED) settings. After identifying patients, students and clinicians worked with the patients’ care teams to offer on-site OEND and buprenorphine initiation where indicated, as well as appropriate outpatient referral 14 , 15 . Remote provision of OEND had not been used previously as part of this program.…”

Section: Methodsmentioning

confidence: 99%

“…COVID-19 limited the ability to provide on-site OEND, and in April 2020 the decision was made to pivot to a newly designed remote-only model. For this next phase of the program, patients were identified from two pools deemed at-risk and in need of OEND: (1) patients in the ED or inpatient setting with OUD or a history of opioid overdose identified by an existing EHR-based search algorithm 14 , 15 and (2) all 338 REACH clinic patients. We will refer to patients in the ED or inpatient setting as “ED/hospitalized.”…”

Section: Methodsmentioning

confidence: 99%

“…After identifying patients, students and clinicians worked with the patients' care teams to offer on-site OEND and buprenorphine initiation where indicated, as well as appropriate outpatient referral. 14,15 Remote provision of OEND had not been used previously as part of this program.…”

Section: Intervention Settingmentioning

confidence: 99%

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A Medical Student-Led Model for Telephone-Based Opioid Overdose Education and Naloxone Distribution during the COVID-19 Pandemic

et al. 2022

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Background: The co-occurrence of the COVID-19 pandemic and opioid epidemic has increased the risk of overdose and death for patients with opioid use disorder (OUD). COVID-19 has also exacerbated already limited access to opioid overdose education and naloxone distribution (OEND). In this context, we aim to increase access to OEND for patients at risk for opioid overdose. Methods: Medical student volunteers were trained to conduct telephone-based OEND, and subsequently contacted all patients at a NYC primary care clinic for people who use drugs as well as those presenting to the hospital with OUD or a history of opioid overdose. Interested patients who completed the training received naloxone kits via mail or at hospital discharge. Results: OEND provision was converted to a remote-only model from May to June 2020. During this time, eight pre-clinical medical students called a total of 503 high-risk patients. Of these patients, 165 were reached, with 90 (55%) accepting telephone-based OEND. Comparing across populations, 51% of primary care patients versus 76% of ED/hospitalized patients accepted opioid overdose education. Eighty-four total patients received naloxone. Conclusions: We have outlined a scalable, adaptable model by which clinics and hospitals with affiliated medical schools can provide OEND by telephone. Medical student-driven, telephone-based OEND efforts can effectively reach at-risk patients and increase naloxone access.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%