Implementation Support for MOUD (ISM)
Keywords
Practice facilitation; opioid use disorders; MOUD; substance use disorders; implementation
Types of Research
Dissemination and implementation research; practice based research
Summary
ISM is funded by the Behavioral Health Administration through the State Opioid Response grant (SOR). The purpose of SOR is to address the opioid overdose crisis by providing resources to states to increase medication for opioid use disorder (MOUD) services.
Through ISM, each participating practice will be assigned a practice facilitator to help them through the change package created by subject matter experts. Each practice will participate for 9-12 months and receive compensation for completing the project.
The practices and providers also receive 1:1 support from substance use subject matter experts.
Practices can also request a 1-day team training to train everyone on their team from front desk staff to providers. This helps the practices have a cohesive model and understanding.
Significance
On average, someone dies in Colorado from an opioid-related overdose every 15 hours. MOUD treatment is more effective at keeping individuals with opioid use disorder (OUD) in treatment than detoxification or counseling without medication. By helping providers and practices implement MOUD, more patients are offered treatment.
Impact
ISM brings opportunity to practices and patients in Colorado to receive support and education around MOUD. Past cohort data indicates that practices significantly improve their MOUD care and resources through the project.
Demonstrated Translational Science Benefits Model* impact indicators: Investigative procedures, Guidelines, Therapeutic procedures, Drugs, Health education resources, Health care accessibility, Health care delivery, Health care quality, Disease prevention and reduction
*The Translational Science Benefits Model is a framework designed to help public health and clinical scientists demonstrate the impact of their work in the real world. The Translational Science Benefits Model and Translating for Impact Toolkit © 2017-2023, created by the Institute of Clinical and Translational Sciences at Washington University in St. Louis and available at translationalsciencebenefitsmodel.wustl.edu, is licensed under Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).
Health Equity Implications
ISM focuses on all practices across Colorado to help patients get the care they need. Certain cohorts have focused on rural clinics and pediatric clinics. Many clinics do not have a MOUD clinic or offer MOUD. ISM is bringing this to more clinics which allows patients to access care.
Lessons Learned
Past cohorts have indicated that many clinics need support with MOUD. They need support knowing how to implement MOUD in their clinic but also help learning stigma and bias associated with MOUD.