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Solution: The Force Multiplier Began in August 2011 Utilizes tele-medicine to train primary care providers to deliver specialty care Utilizes case-based training and didactic sessions to increase proficiency and confidence of primary care providers in their management of complex cases
Office Based Opioid Treatment: Buprenorphine Training • March 7, 2012: conducted the first SCAN OBOT training held at the VA • 52 attended; 8 hour session enabled physicians to apply for a DATA 2000 waiver to prescribe Buprenorphine for the treatment of opioid dependence • 23 submitted applications • Physician waivers: – Year 1: prescribe for 30 patients at one time – After year 1: up to 100 patients at one time
Page 1 and 2: Patricia Pade, MD University of Col
Page 3 and 4: Objectives • To provide a brief o
Page 5 and 6: Chronic Pain • 116 million people
Page 7 and 8: Opioid Use • Use of opioids has i
Page 9 and 10: Fatal Drug Poisoning • Between 19
Page 11 and 12: Opioid Pharmacology: How do these M
Page 13 and 14: • Tolerance: Repeated Dosing: Opi
Page 15 and 16: Brief pharmacology overview: full o
Page 17 and 18: Brief pharmacology overview: opioid
Page 19 and 20: The Use of Buprenorphine/Naloxone t
Page 21 and 22: The Problem for Veterans
Page 23 and 24: Improvement Change: Creation of Co-
Page 25 and 26: Patient population • Referrals fr
Page 27 and 28: Initial Evaluation A. PAIN Detailed
Page 29 and 30: Buprenorphine induction process •
Page 31 and 32: Study participants Participant Data
Page 33 and 34: Months Average duration of opioid u
Page 35 and 36: Number Number Number 60 40 Co-morbi
Page 37 and 38: Adjuvant Medications Na and Interve
Page 39 and 40: Ongoing monitoring for compliance
Page 41 and 42: 93/143 patients remained in treatme
Page 43: Conclusions 11. Patients with co-oc
Page 47: References 1. Institute of Medicine

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