1. New Tools and Strategies for Opioid Misuse and Abuse Hal Stockbridge, MD, MPH Labor and Industries

2. Opioid Dosing Guidelines An interagency guideline developed by DSHS, DOH, HCA, L&I, Corrections, in collaboration with pain specialists Purpose: assist primary care providers to prescribe in a safe and effective manner Applies only to chronic non-cancer pain Only 11 pages

3. Opioid Dosing Guidelines - 5 key points 1.In general, the total daily dose of opioid should not exceed 120 mg of oral morphine equivalents 2.If considering going above 120mg, obtain a pain management consultation 3.Assess function regularly, for example using SF-36, Oswestry, QuickDash

4. Opioid Dosing Guidelines 4.Free online calculator is available to determine if dose exceeds 120 mg threshold

5. Opioid Dosing Guidelines

6. 5.Finding a pain management specialist: - List of specialists at www.agencymeddirectors.wa.gov

7. Opioid Dosing Guidelines Weaning opioids safely Behavioral issues Urine drug toxicology screening One-year educational pilot

8. Free Category 1 CME -www.agencymeddirectors.wa.govwww.agencymeddirectors.wa.gov -Easy online format -Print certificate immediately -No registration needed

9. Consultations Traditional Telephone consults Chart review Telemedicine