TY - JOUR
KW - medication-assisted treatment (MAT)
KW - Office-based opioid treatment
KW - Opioid
KW - outpatient-based opioid treatment (OBOT)
AU - J. K. Kirk
AU - T. Yount
AU - C. T. Boyd
AU - L. Cassidy-Vu
AU - A. N. Koehler
AU - J. G. Spangler
A1 - 
AB - Background: Opioid use and overdose are escalating in the United States. Primary care providers are in a strategic position to assess patients for medication-assisted treatment (MAT). Objectives: To describe the implementation of MAT in an integrated primary care residency clinic and assess provider comfort levels with evaluating patients for high-risk opioid use, conduct crucial conversations about MAT treatment options and referral to MAT for evaluation and treatment. Methods: As part of a Primary Care Training and Enhancement grant through Health Resources and Services Administration, we used an implementation process to allow for optimal clinic flow. The process included assessment of patient populations, identifying a provider champion, organizing multidisciplinary team, engaging a practice facilitator, designing clinic model and infrastructure, creating the electronic health record order sets along with provider and staff training. Providers responded to brief questions to evaluate comfort levels in 3 domains: identifying high-risk opioid use, conducting crucial conversations about treatment options and referral to MAT for evaluation and treatment. Discussion: Incorporating MAT within an integrated primary care clinic and residency program with waiver training for residents was a successful and innovative program. The availability of MAT provided a solution for patients that could benefit from this type of treatment. MAT presence gave providers the opportunity to refer these patients for treatment that had not previously been as accessible. Conclusion: An integrated primary care practice with an embedded MAT can be successful with an organized structure to optimize clinic flow.
AD - Wake Forest School of Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA.; Northwest Area Health Education Center, Wake Forest School of Medicine, Winstons Salem, NC, USA.; Wake Forest School of Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA.; Wake Forest School of Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA.; Wake Forest School of Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA.; Wake Forest School of Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA.
BT - Journal of primary care & community health
C5 - Education & Workforce; Opioids & Substance Use
DO - 10.1177/2150132720940723
JF - Journal of primary care & community health
LA - eng
M1 - Journal Article
N2 - Background: Opioid use and overdose are escalating in the United States. Primary care providers are in a strategic position to assess patients for medication-assisted treatment (MAT). Objectives: To describe the implementation of MAT in an integrated primary care residency clinic and assess provider comfort levels with evaluating patients for high-risk opioid use, conduct crucial conversations about MAT treatment options and referral to MAT for evaluation and treatment. Methods: As part of a Primary Care Training and Enhancement grant through Health Resources and Services Administration, we used an implementation process to allow for optimal clinic flow. The process included assessment of patient populations, identifying a provider champion, organizing multidisciplinary team, engaging a practice facilitator, designing clinic model and infrastructure, creating the electronic health record order sets along with provider and staff training. Providers responded to brief questions to evaluate comfort levels in 3 domains: identifying high-risk opioid use, conducting crucial conversations about treatment options and referral to MAT for evaluation and treatment. Discussion: Incorporating MAT within an integrated primary care clinic and residency program with waiver training for residents was a successful and innovative program. The availability of MAT provided a solution for patients that could benefit from this type of treatment. MAT presence gave providers the opportunity to refer these patients for treatment that had not previously been as accessible. Conclusion: An integrated primary care practice with an embedded MAT can be successful with an organized structure to optimize clinic flow.
PY - 2020
SN - 2150-1327; 2150-1319; 2150-1319
SP - 2150132720940723
T1 - Launching a Medication-Assisted Treatment in an Outpatient Office-Based Practice
T2 - Journal of primary care & community health
TI - Launching a Medication-Assisted Treatment in an Outpatient Office-Based Practice
U1 - Education & Workforce; Opioids & Substance Use
U2 - 32644863
U3 - 10.1177/2150132720940723
VL - 11
VO - 2150-1327; 2150-1319; 2150-1319
Y1 - 2020
Y2 - Jan-Dec
ER -