Key points
- Based on pilot testing results, health systems found success integrating the CDC Opioid Prescribing Electronic Clinical Decision Support (CDS) Tools.
- This page provides examples of results from real health systems that have used CDC's Opioid Prescribing Electronic CDS Tools.
Success with the CDC Opioid Prescribing Electronic CDS Tools
Houston Methodist, Houston, Texas
- Increased the number of patients counseled on the purpose and use of naloxone.
- Either prescribed or referred patients to obtain naloxone.
- Increased how often clinicians checked the prescription drug monitoring program (PDMP) prior to a new opioid prescription for chronic pain.
- Increased the number of patients whose health record documented that a PDMP was checked at least once per quarter.
Montefiore Medical Center, Bronx, New York
- Increased completion of controlled substance agreements, urine drug testing, and naloxone distribution.
- Decreased the number of patients on long-term opioid therapy and high-dose opioid therapy.
Stormont Vail Health, Topeka, Kansas
- Increased the number of naloxone prescriptions.
- Reduced the duration of short-term opioid prescription.
- Increased the percentage of primary care clinicians who consult the PDMP before writing an opioid prescription to 85%.
Yale New Haven Health, New Haven, Connecticut
- Achieved a nearly 100% naloxone prescription rate for patients on daily opioid dosages ≥50 morphine milligram equivalents (MME) cared for by house staff in the primary care clinic.
Learn insights from the following health systems:
Duke Health, Durham, North Carolina
https://www.dukehealth.org
Contributor: Eugenia "Genie" McPeek Hinz, M.D., M.S., Associate Chief Medical Information Officer
Houston Methodist, Houston, Texas
https://www.houstonmethodist.org
Contributor: Ezekiel Fink, M.D., Medical Director of Pain
Montefiore Medical Center, Bronx, New York
https://www.montefiore.org
Contributor: Sharon Rikin, M.D., M.S., Director of Ambulatory Quality Improvement
Stormont Vail Health, Topeka, Kansas
https://www.stormontvail.org
Contributor: Brandy Ficek, M.D., Medical Director, Palliative Medicine and Supportive Care
Yale New Haven Health, New Haven, Connecticut
https://www.ynhhs.org
Contributor Nitu Kashyap, M.D., Associate Chief Medical Information Officer
"Through presenting this work throughout our institution, we have developed a multidisciplinary team of healthcare providers interested in improving judicious opioid prescribing. What started as an initiative in the primary care setting has evolved to a system-wide plan to improve [opioid] prescribing in different settings, including at the time of hospital discharge and post-operative care."
- Sharon Rikin, M.D., M.S., Director of Ambulatory Quality Improvement, Montefiore Medical Center