Engaging Primary Care Clinics to Support Use of Best Practices for Opioid Prescribing, Pain Management, and Treatment of Opioid Use Disorder

When implementing an intervention in a primary care setting, clinicians and staff may bring different knowledge, attitudes, and behaviors to the work. In the month prior to the implementation of a 15-month clinic-based intervention called Improving Pain and Opioid Management in Primary Care (PINPOINT), a baseline survey was conducted to assess knowledge, attitudes, and behaviors regarding pain management, opioid prescribing, and treatment of opioid use disorder (OUD) at 36 participating clinics from May 2020 to October 2022. The survey results suggested significant differences between clinical staff and prescribers in behaviors and attitudes about opioid therapy for the treatment of chronic pain, familiarity with opioid prescribing best practices, and opioid-related policies and procedures.

This session will discuss the implication of these findings for the implementation of PINPOINT, which combines Six Building Blocks (6BB), academic detailing (AD), and practice facilitation (PF) approaches to improve pain management, opioid prescribing practices, and treatment of OUD in primary care clinics throughout Oregon. Presenters will provide a detailed overview of the PINPOINT intervention, including 6BB, AD, and PF approaches, and discuss how these approaches can be used to uniquely tailor interventions to clinic needs.