Opioid Prescribing Guideline Implementation

Read our Opioid Prescribing Metrics
(Adopted July 2017)

Read our Dental Guideline on Prescribing Opioids for Acute Pain Management
(Adopted September 2017)

Read our Prescribing Opioids for Postoperative Pain – Supplemental Guidance
(Adopted July 2018)
Read the Prescribing Opioids for Postoperative Pain Summary

Developed in partnership with the Washington Health Alliance

Read the Provider Fact Sheet: Opioid Prescribing Guidelines

Read the Patient Fact Sheet: Opioid Medication & Pain: What You Need to Know

Upcoming Meetings:

Unless otherwise stated, all meetings will take place at:
The Foundation for Health Care Quality
705 Second Avenue, Suite 410
Seattle, WA 98104

Note: New Call-In Information
Zoom Meeting: https://zoom.us/j/3598179708
Phone Number:1 720 707 2699 US
Meeting ID: 359 817 9708

Date Time Materials
Wednesday, December 11 3:00 – 4:30pm TBD

The Washington State Agency Medical Directors Group (AMDG) developed a comprehensive Guideline on Prescribing Opioids for Pain in June 2015. The Guidelines were subsequently adopted by the Bree Collaborative at the July 2015 meeting. This workgroup will design and carry out strategies to implement the Guidelines.

This workgroup started meeting in December 2015.

Previous Meeting Materials

Date Materials
November 13 Agenda November 13
Minutes September 16
Draft Guidelines
October 16 Agenda October 16
Minutes September 25
Chronic Opioid Therapy Assessment Draft
September 25 Agenda September 25
Minutes August 28
Draft Chronic Opioid Management Patient Engagement
 August 28 Agenda August 28
Minutes June 26
Draft Opioid Recommendations
June 26 Agenda June 26
Minutes May 22
Draft Chronic Opioid Management Recommendations
May 22 Agenda May 22
Minutes April 24
Murphy: Guidance on opioid tapering
Berna: Tapering long-term opioid therapy
Opioid Prescribing: Chronic Opioid Therapy Draft
April 24 Agenda April 24
Minutes March 27
Weighing Risks Benefits Chronic Opioid Therapy Lembke
FDA Safety Announcement
March 27 Agenda March 27
Minutes February 27
February 27 Agenda February 27
Minutes December 5
Tapering Guidance Tools
Presentation: Oregon Tapering Update
December 5 Agenda December 5
Minutes October 10
Presentation slides
October 10 Agenda October 10
Minutes June 27
AMDG Tapering Guidance

Supporting Materials:

Letter from the Health Care Authority Accepting the Postoperative Prescribing Guidelines

Letter from the HCA Accepting Dental Prescribing Guidelines

Letter from Health Care Authority Accepting Opioid Prescribing Metrics

Opioid Guideline Implementation Charter

Agency Medical Directors Group Interagency Guideline on Prescribing Opioids for Pain

AMDG Guideline Summary

Opioid Prescribing: Long-Term Opioid Therapy Opioid Guideline Implementation Workgroup Members

Name Title Organization
Gary Franklin, MD, MPH (Co-Chair) Medical Director Washington State Department of Labor and Industries
Charissa Fotinos, MD (Co-Chair) Deputy Chief Medical Officer Washington State Health Care Authority
Andrew Saxon, MD (Co-Chair) Director, Center of Excellence in Substance Abuse Treatment and Education (CESATE) VA Puget Sound Health Care System
Rose Bigham and Cyndi Hoenhous (Co-Chairs) Patient Advocates Washington Patients in Intractable Pain
Pamela Stitzlein Davies, MS, ARNP, FAANP Nurse Practitioner Departments of Neurology & Nursing, University of Washington
Andrew Friedman, MD Physical Medicine and Rehabilitation Virginia Mason Medical Center
Kelly Golob, DC Chiropractor Tumwater Chiropractic Center
Dan Kent, MD Chief Medical Officer UnitedHealthcare
Kathy Lofy, MD Chief Science Officer Washington State Department of Health
Jaymie Mai, PharmD Pharmacy Manager Washington State Department of Labor and Industries
Mark Murphy, MD Addiction Medicine and Pain Management MultiCare Health System
Anne Blake-Nickels Patient Advocate
Gregory Rudolph, MD Addiction Medicine Swedish Pain Services
Jennifer Davies-Sandler Patient Advocate
Mark Stephens President Change Management Consulting
Mark Sullivan, MD, PhD Psychiatrist University of Washington
David Tauben, MD Chief of Pain Medicine University of Washington Medical Center
Gregory Terman MD, PhD Professor Department of Anesthesiology and Pain Medicine and the Graduate Program in Neurobiology and Behavior, University of Washington
John Vassall, MD, FACP Physician Executive for Quality and Safety Comagine Health
Michael Von Korff, ScD Senior Investigator Kaiser Permanente Washington Research Institute
Mia Wise, DO Medical Director, Collaborative Healthcare Solutions Premera Blue Cross

Opioid Prescribing: Postoperative Pain Workgroup Members

Name Title Organization
Chris Baumgartner Director Prescription Monitoring Program Washington State Department of Health
Gary Franklin, MD, MPH (Chair) Medical Director Washington State Department of Labor and Industries
Charissa Fontinos, MD Deputy Chief Medical Officer Washington State Health Care Authority
Deb Gordon, DNP, RN, FAAN Teaching Associate, Co-director, Pain Service, Anesthesiology & Pain Medicine Harborview Medical Center
Frances Gough, MD Chief Medical Officer Molina Healthcare
Dan Kent, MD Chief Medical Officer UnitedHealthcare
Kathy Lofy, MD Chief Science Officer Washington State Department of Health
Jaymie Mai, PharmD Pharmacy Manager Washington State Department of Labor and Industries
Shirley Reitz, PharmD ‎Clinical Pharmacist Client Manager OmedaRx, Cambia
Gregory Rudolph, MD Addiction Medicine Swedish Pain Services
Mark Stephens President Change Management Consulting
David Tauben, MD Chief of Pain Medicine University of Washington Medical Center
Gregory Terman MD, PhD Professor Department of Anesthesiology and Pain Medicine and the Graduate Program in Neurobiology and Behavior, University of Washington
Michael Von Korff, ScD Senior Investigator Kaiser Permanente Washington Research Institute
Mia Wise, DO Medical Director, Collaborative Healthcare Solutions Premera Blue Cross

Opioid Guideline: Metrics Workgroup Members

Name Title Organization
Chris Baumgartner Director Prescription Monitoring Program Washington State Department of Health
David Buchholz, MD Medical Director Premera Blue Cross
Gary Franklin, MD, MPH (Chair) Medical Director Washington State Department of Labor and Industries
Charissa Fontinos, MD Deputy Chief Medical Officer Washington State Health Care Authority

Deb Fulton-Kehoe, PhD, MPH

 

Epidemiologist

University of

Washington

Frances Gough, MD Chief Medical Officer Molina Healthcare
Dan Kent, MD Chief Medical Officer UnitedHealthcare
Kathy Lofy, MD Chief Science Officer Washington State Department of Health
Jaymie Mai, PharmD Pharmacy Manager Washington State Department of Labor and Industries
Mark Murphy, MD Family Medicine and Addiction Medicine MultiCare
Shirley Reitz, PharmD ‎Clinical Pharmacist Client Manager OmedaRx, Cambia
Gregory Rudolph, MD Addiction Medicine Swedish Pain Services
Mark Stephens President Change Management Consulting
David Tauben, MD Chief of Pain Medicine University of Washington Medical Center
Gregory Terman MD, PhD Professor Department of Anesthesiology and Pain Medicine and the Graduate Program in Neurobiology and Behavior, University of Washington
Michael Von Korff, ScD Senior Investigator Kaiser Permanente Washington Research Institute

Opioid Guideline: Dental Prescribing Workgroup Members

Name Title Organization
Chris Baumgartner Director Prescription Monitoring Program Washington State Department of Health
David Buchholz, MD Medical Director Premera Blue Cross
Rolf Christensen, DDS Dental Urgent Care Clinic Director University of Washington School of Dentistry
Tom Dodson, DMD, MPH Professor & Chair, Oral and Maxillofacial Surgery University of Washington School of Dentistry
Gary Franklin, MD, MPH (Chair) Medical Director Washington State Department of Labor and Industries
Charissa Fontinos, MD Deputy Chief Medical Officer Washington State Health Care Authority
Bea Gandara, DDS Professor University of Washington School of Dentistry
Frances Gough, MD Chief Medical Officer Molina Healthcare
Dan Kent, MD Chief Medical Officer UnitedHealthcare
Kathy Lofy, MD Chief Science Officer Washington State Department of Health
Jaymie Mai, PharmD Pharmacy Manager Washington State Department of Labor and Industries
Theresa Madden, DDS, MS, PhD Fellow International College of Dentists

Ron Marsh, DDS

 

Member

Washington State Dental

Quality Assurance Commission

Mellani McAleenan, JD Director of Government Relations Washington State Dental Association
Shirley Reitz, PharmD ‎Clinical Pharmacist Client Manager OmedaRx, Cambia
Gregory Rudolph, MD Addiction Medicine Swedish Pain Services
Mark Stephens President Change Management Consulting
David Tauben, MD Chief of Pain Medicine University of Washington Medical Center
Gregory Terman MD, PhD Professor Department of Anesthesiology and Pain Medicine and the Graduate Program in Neurobiology and Behavior, University of Washington
Michael Von Korff, ScD Senior Investigator Kaiser Permanente Washington Research Institute