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Prescribing Resources

Ohio Pain Management Toolkit: Implementing the Ohio Rules and Guidelines for Prescribing Opioids for Acute, Subacute, and Chronic Pain in the Primary Care Setting

The Ohio Department of Health in partnership with Medical Advantage Group and the Ohio State Medical Association (OSMA) developed a toolkit for primary care providers to assist with the implementation of Ohio’s pain management rules and guidelines. A free training on the toolkit will be available through the OSMA website for one free CME until 6/30/2020.

Screen for Opioid Abuse Risk (SOAR)

The SOAR is a reimbursable comprehensive assessment of opioid abuse risk and behavioral health. The immediately available SOAR report provides a risk score and critical items that can inform precision medicine for opioid prescribing and can be used as a SBIRT tool.

Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain

The purpose of this document is to encourage careful and selective use of opioid therapy in the context of managing chronic pain through an evidence-based prescribing guideline, quality improvement measures to advance the integration of the CDC Guideline for Prescribing Opioids for Chronic Pain (CDC Prescribing Guideline) into clinical practice, and practice-level strategies to improve care coordination.

Issuing a Valid Prescription - What Every Prescriber Needs to Know

Prescribers are required to adhere to Board of Pharmacy rules for what constitutes a valid prescription. This document provides an overview of the prescription requirements set forth in rule 4729-5-30 of the Ohio Administrative Code. Compliance with this rule ensures that a pharmacist has all the information needed to dispense your patient’s medication in a timely manner.

Ohio Automated Rx Reporting System (OARRS)

OARRS collects information on all outpatient prescriptions for controlled substances dispensed by Ohio-licensed pharmacies and personally furnished by licensed prescribers in Ohio. As the only statewide electronic database that stores all controlled substance dispensing and personal furnishing information, OARRS helps prescribers and pharmacists avoid potentially life-threatening drug interactions as well as identify individuals fraudulently obtaining controlled substances from multiple health care providers. It can also be used by professional licensing boards to identify or investigate clinicians with patterns of inappropriate prescribing and dispensing, and to assist law enforcement in cases of controlled substance diversion.

Clinical Pocket Guide: Tapering Opioids for Chronic Pain

Brief recommendations from the CDC for healthcare providers who are tapering patients’ opioid use for chronic pain.

Calculating Total Daily Dose of Opioids for Safer Dosage

CDC resource that provides guidance to healthcare providers on how to calculate safe daily dosage amounts of opioids.

Safe Prescribing and Medication Step Down Infographic

An infographic illustrating how prescribers can safely prescribe opioid medication for acute pain and taper patients off opioids as pain becomes manageable.

Prevent Fatal Opioid Overdose Among Your Patients

Co-prescribing Naloxone with prescription opioids can ensure those at risk for overdose have this lifesaving medication. This resource covers assessment of overdose risk, types of naloxone and links to buprenorphine trainings.

Ohio Opioid Prescribing Resources

This is a link to the OhioMHAS website. The information is comprehensive.

Link to Pharmacy Board MED Calculator

The MED Calculator is designed to assist in the calculation of a patient’s opioid intake.

FAQs: Electronic Prescribing of Controlled Substances (EPCS)

The Ohio Health Information Partnership (OHIP) through ClinicSync has released information regarding the Electronic Prescribing of Controlled Substances (EPCS). These documents discuss steps that Ohio prescribers must take to include the use of EPCS in their prescribing practices.

EPCS Ohio Hospital and Clinic Flyer

The Ohio Health Information Partnership (OHIP) through ClinicSync has released information regarding the Electronic Prescribing of Controlled Substances (EPCS). These documents discuss steps that Ohio prescribers must take to include the use of EPCS in their prescribing practices.

Opioid Withdrawal “Comfort Pack” Order Set

A sample order set for a “comfort pack” of medications to treat symptoms of acute opioid withdrawal such as anxiety, gastrointestinal upset, fever, and hypertension. Can be useful for patients planning to receive injectable naltrexone (Vivitrol) and patients who stop using opioids, either by choice or involuntarily.

Resources for treating injured workers

A website that provides guidelines and resources for providers who treat injured workers.

Pain Management Contract Samples

This resource includes two sample patient agreement forms that can be used with patients who are beginning long-term treatment with opioid analgesics or other controlled substances.

Psychosocial Pain Assessment Form Example

This tool was designed to standardize a comprehensive psychosocial pain assessment for an interdisciplinary pain service.

Opiate withdrawal scale (COWS)

This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time.

Drug Abuse Screening Tool (DAST-10)

The Drug Abuse Screening Test (DAST-10) is a 10-item brief screening tool that can be administered by a clinician or self-administered. Each question requires a yes or no response, and the tool can be completed in less than 8 minutes. This tool assesses drug use, not including alcohol or tobacco use, in the past 12 months.

Mathematics of Pain Relief

The National Safety Council developed an infographic on the mathematics of pain relief. The infographic portrays the effectiveness of non-opioid pain medications.