{"id":2134,"date":"2020-10-15T08:00:30","date_gmt":"2020-10-14T21:00:30","guid":{"rendered":"https:\/\/codachange.org\/?p=2134"},"modified":"2021-06-24T09:31:23","modified_gmt":"2021-06-23T23:31:23","slug":"dishing-out-opioids-in-the-emergency-department","status":"publish","type":"post","link":"https:\/\/codachange.org\/dishing-out-opioids-in-the-emergency-department","title":{"rendered":"Dishing out opioids in the Emergency Department"},"content":{"rendered":"

The rising death toll from our nation\u201a opioid epidemic has been rivaled in modern history only by that at the peak of the AIDS epidemic in the early 1990s. Consider, in 1995 at the peak of the AIDS epidemic, 51,000 Americans died from the disease. In 2015, 52,000 died from drug overdoses. Emergency departments have stood at the front lines of both crises.<\/p>\n

As a specialty that prides itself on rising to the occasion at times of great need, our time to lead on this crisis is now. As a response, EDs nationwide are expanding their roles in the care of patients with opioid use disorder (OUD), and many have begun ED-MAT programs.<\/p>\n

In December of 2017, we launched the Get Waivered Campaign which aimed to get our physicians the DEA X waivers needed to be able to prescribe ED-MAT(buprenorphine) to patients coming to our hospital seeking recovery.<\/p>\n

In May of 2018, our ED instituted its first ED-MAT protocol and while greater than 90% of our attending physicians had their DEA-X waivers and were able to prescribe buprenorphine, we found that there remained an opportunity to increase the rate of MAT initiation in our ED.<\/p>\n

Through semi-structured interviews we set out to examine the barriers to providers, use of our MAT initiation protocol and patients\u201a willingness to seek help in obtaining OUD treatment in our ED. Our work has identified multiple barriers, affecting both providers and patients, that have limited wide-scale early adoption of our protocol.<\/p>\n

The barriers identified from our ED-MAT program\u201a first year of operation, and the interventions aimed at making the use of our ED-MAT protocol as effortless as possible may serve as useful lessons as other hospitals seek to lead by operationalizing their own ED-MAT programs.<\/p>\n","protected":false},"excerpt":{"rendered":"

EDs stand at the front line of the opioid epidemic and by leveraging ED-initiated MAT they can give patients the chance at recovery they deserve.<\/p>\n","protected":false},"author":4,"featured_media":2743,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[42,474,742],"tags":[450,449,396,448,447],"acf":[],"yoast_head":"\nDishing out opioids in the Emergency Department | Coda Change - Clinical Conferences and Podcasts<\/title>\n<meta name=\"description\" content=\"EDs stand at the front line of the opioid epidemic and by leveraging ED-initiated MAT they can give patients the chance at recovery they deserve.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/codachange.org\/dishing-out-opioids-in-the-emergency-department\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dishing out opioids in the Emergency Department | Coda Change - 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