WSMA and WSHA guidance for Medicaid demonstration opioid projects
With the opioid epidemic in Washington and the rest of the nation showing no signs of abating, state agencies and provider communities continue to explore strategies to combat the crisis, with the WSMA at the ready to assist with clinician-driven expertise and solutions. Together with our partners at the Washington State Hospital Association, the WSMA is excited to announce a set of strategies that can help hospitals, health systems, independent/group practices and the state’s Accountable Communities of Health target the opioid crisis. These strategies offer promising interventions that can be implemented as part of the Medicaid demonstration opioid project.
Each Accountable Community of Health, the regional vehicles for Medicaid transformation, is required to submit a targeted strategy this November to address the opioid crisis. To assist the ACHs and their providers, the WSMA and WSHA have convened subject matter experts to identify promising strategies focused on prevention, appropriate prescribing and access to treatment. The strategies are:
Overdose prevention – Implementing protocols and policies in the emergency department and primary care setting for overdose education and take-home naloxone for at-risk individuals.
Expanding access to treatment – Initiating medication-assisted treatment in emergency departments and coordinating outpatient treatment for at-risk individuals.
Integrating PMP data into clinical workflows – Furthering utilization of the prescription monitoring program and integration of PMP data into the electronic medical record.
Expanding access to treatment – Developing and implementing a toolkit to support providers in increasing the number of patients treated with MAT.
Improving opioid prescribing practices – Leveraging data and guidelines to support appropriate opioid prescribing practices.
Develop low-barrier methadone and buprenorphine access (under development).
For details on the opioid strategies, including expected outcomes, implementation approach and timeline, required system capacity and more, click here.
We hope that hospitals, health systems and providers will discuss these strategies with their ACHs and that ACHs will implement many of these approaches. We believe the impact will be stronger by having work aligned across regions. If you have questions or wish to partner with WSMA or WSHA on any of these strategies, contact Jeb Shepard, firstname.lastname@example.org or Ian Corbridge, email@example.com.