Improving SUD/OUD in Hospital Settings and Starting MAT in the Emergency Department

Learning Objectives:

At the end of this module, participants will:

Part: 1

• Gain understanding of the background of the opioid crisis
• Gain understanding of the Yale Study and how it informed the work of Mid Coast Hospital
• Review the pathway development of Mid Coast Hospital
• Review the first 15 months worth of results gathered by Mid Coast Hospital since implementing their program to initiate Buprenorphine in the Emergency Department
• Challenges faced when implementing a program to initiate Buprenorphine in the Emergency Department and the lessons learned

Part 2:

• Participants will be able to articulate the impact of untreated SUD/OUD’s in healthcare related to:
  • Mortality,
  • Cost and
  • Access to Medical Standards of Care.
• Participants will be able to describe and identify hospital peer improvement strategies for SUD/OUD involved encounters related to
  • Leadership
  • Stigma Reduction
  • Universal Risk Screening and
  • Narcan and MAT Access Expansion

Module Structure:

This module is self-paced and available to any user who registers with the Maine Medical Association, Center for Quality Improvement Learning Lab. The estimated time to complete is approximately 90 minutes. The module consists of multiple sub-sections or units and will contain various elements, including hyperlinks to readings and web resources, video lessons, and pre-and post-assessments needed to obtain a CME Certificate or a CME Certificate of Participation.

The Maine Medical Education Trust designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity qualifies for 1.5 credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s legislation to address the opioid drug crisis.

This activity qualifies for 1.5 hours of the 8 hours of training on opioid or other substance use disorders and the appropriate treatment of pain required by the MATE Act.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and Maine Medical Association, Center for Quality Improvement. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

None of the planners or presenters for this activity have relevant financial relationships to disclose.

Duration & Fee:

• Estimated Time to Complete: 1.5 hours

(note: the module is divided into short digestible units [10-20 mins] which can be completed in small increments)

• Registration Fee: FREE for Maine Clinicians
• CME Credits Offered: 1.5

Hardware/Software Requirements:

• Computer with Internet connection
• Current version of Chrome, Firefox or Safari browser. You must have JavaScript enabled.
• The quiz tool within the online modules are not fully compatible with smartphones or tablets. In order to avoid issues, such as answers not being recorded, we recommend using a computer to complete the pre- and post-tests.

Assessment and Grading:

This learning module begins with a pre-test that will test your knowledge and allow you to gauge your baseline understanding of the topics to be covered. Your pre-test score will not count toward your overall grade. At the end of the module, there is a post-test that will determine your final grade. A comparison of your pre-test score and post-test score will help to assess how much knowledge you’ve gained. You will have three attempts to complete the post-test. Your score must be 75% or better in order to receive a certificate for CME credit. Please complete the evaluation survey at the conclusion of the learning module.

To Obtain a CME Certificate or a CME Certificate of Participation:

• Complete the entire learning module.
• Complete the pre-test, post-test, and Survey Monkey evaluation at the end of the module.
• Earn a score of 75% or higher on the post-test in order to receive a certificate.

Upon completion of the evaluation in Survey Monkey, including the required demographic information, a CME Certificate will be emailed to M.D.s and D.O.s and a CME Certificate of Participation will be emailed to all other learners. These certificates will be emailed within 10 business days of completing the evaluation.

Table of Contents:

• Introduction
• Pre-Assessment
• Background on Opioid Epidemic and the Role of MAT in Addressing the Opioid Epidemic
• Experience at Mid Coast Hospital
• Pathway Development
• Results, Challenges, and Lessons Learned
• Improving Care for SUD/OUD Involved Patient Encounters in a Hospital Setting
• Stigma and How to Address It
• Post-Assessment
• Evaluation Survey

Disclosures: The planners, presenters, and speakers do not have any relevant financial relationships.

Leah Bauer, MD
Psychiatrist and Medical Director of the Addiction Resource Center
Mid Coast Hospital in Brunswick

Eric Haram, LADC
Consultant
Haram Consulting

Amy Belisle, MD
Medical Director
Qualidigm

Kayla Cole, CSM, CSP
Project Manager
Qualidigm

Funding Statement
Funding for this online learning module was provided by the Maine Bureau of Licensure in Medicine.