Project SHOUT

WEBINARS

Project SHOUT webinars to outline the details of implementing treatment for opioid use disorder

Webinar Series

 

In early 2018, SHOUT concluded a series of seven webinars outlining details around the implementation of opioid agonist therapy in the hospital setting including inpatient, OB, postoperative, and ED.


WEBINAR 1:

THE CASE FOR INPATIENT OPIOID AGONIST THERAPY

Opioid addiction and opioid-related death rates are climbing, and our medical system is on the front lines. Effective medications can save lives, but not enough patients have access to them. While thousands of patients with opioid use disorder are hospitalized in California each year, they are rarely started on lifesaving treatment for their addiction. In this webinar, we examined the efficacy of medications for opioid use disorder, evidence for prescribing these medications in hospital settings, and strategies for implementing prescription programs in your hospital. (11/15/2017)

Presenter:

  • Diana Coffa, MD, associate professor, UCSF primary care addiction medicine fellowship, and director, UCSF/ZSFG Family and Community Medicine Residency Program

WEBINAR 2:

BUPRENORPHINE AND METHADONE INDUCTION

Buprenorphine and methadone are safe, effective, and potentially lifesaving treatments for hospitalized patients. This practical webinar gave providers the clinical tools necessary to provide methadone and buprenorphine in inpatient settings for nonpregnant adults. Participants learned about both the clinical guidelines produced by SHOUT and common clinical scenarios that providers face during treatment with opioid agonist therapy. (11/29/2017)

Presenters:

  • Hannah Snyder, MD, clinical fellow, primary care addiction medicine at UCSF/ZSFG
  • Michelle Geier, PharmD, psychiatric clinical pharmacist supervisor, San Francisco Department of Public Health

WEBINAR 3:

ACUTE PAIN AND PERIOPERATIVE MANAGEMENT

Management of acute pain in patients with opioid use disorders can be challenging, and many clinical questions arise when patients are already on medication-assisted treatment. This webinar focused on management of acute pain and control of pain and cravings in the perioperative period for patients who are taking methadone, buprenorphine, or naltrexone for opioid use disorder. Led by an inpatient provider and a hospitalist, the session will cover practical steps for achieving analgesia and preventing relapse. (12/13/2017)

Presenters:

  • Curt Geier, Pharm D, UCSF clinical pharmacist, emergency medicine, assistant clinical professor
  • Ben Smith, MD, UCSF assistant professor of family and community medicine

WEBINAR 4:

BUPRENORPHINE AND METHADONE IN PREGNANCY

Pregnancy is a time when women with opioid use disorder may be highly motivated to decrease their opioid use. Both methadone and buprenorphine are safe and effective in pregnancy. This webinar addressed the unique opportunities and challenges of treating opioid use disorder in pregnancy. It will address initiation of methadone and buprenorphine, as well as management of pain for women on these medications during pregnancy. (12/20/2017)

Presenter: 

  • Kristen Harter, PharmD, women’s health clinical pharmacist, Zuckerberg San Francisco General Hospital and Trauma Center, assistant clinical professor, UCSF School of Pharmacy
  • Diana Coffa, MD, associate professor, UCSF primary care addiction medicine fellowship, and director, UCSF/ZSFG Family and Community Medicine Residency Program

WEBINAR 5:

INPATIENT HOSPITAL LOGISTICS FOR OPIOID AGONIST THERAPY

This webinar supported hospitals in implementing opioid agonist therapy (OAT) in the inpatient setting. It reviewed steps to implementation, including increasing the number of providers with “X” waivers and communicating effectively with hospital administration. This was an interactive webinar inviting participant questions and comments. The panel also discussed regulations of methadone and buprenorphine as well as insurance coverage for these medications. (1/17/2018)

Panel:

  • Diana Coffa, MD, associate professor, UCSF primary care addiction medicine fellowship, and director, UCSF/ZSFG Family and Community Medicine Residency Program
  • James Gasper, PharmD, BCPP, psychiatric and substance use disorder pharmacist at California Department of Health Care Services
  • Hannah Snyder, MD, clinical fellow, primary care addiction medicine at UCSF/ZSFG

WEBINAR 6:

DISCHARGE PLANNING AND STARTING BUPRENORPHINE IN THE ED

This webinar continued the discussion of Opioid Agonist Therapy (OAT) implementation in an inpatient setting, focusing on discharge planning for inpatients on buprenorphine. We also reviewed models for connection to outpatient care on discharge, especially in communities where buprenorphine prescribers are less available. Finally, we discussed the option of buprenorphine inductions in the ED. (2/14/2018)

Presenters:

  • Hannah Snyder, MD, clinical fellow, primary care addiction medicine at UCSF at Zuckerberg San Francisco General Hospital
  • Diana Coffa, MD, associate professor, UCSF primary care addiction medicine fellowship, and director, UCSF/ZSFG Family and Community Medicine Residency Program
  • Andrew Herring, MD, attending emergency physician at Highland Hospital-Alameda Health System, and assistant clinical professor at UCSF

WEBINAR 7:

TELEMEDICINE – BREAKING DOWN BARRIERS

This webinar concluded the discussion of implementation of opioid agonist therapy (OAT), focusing on how telemedicine can ease OAT initiation. Leaders at Bright Heart Health, which provides access to substance use disorder specialists through a telemedicine platform, discussed how their providers can serve as remote consultants and prescribe to patients on discharge. Local physicians described how telemedicine has been incorporated into their hospital practice, offered insight into barriers they have faced, and discussed the solutions that have opened the door to increasing access to care. (3/21/2018)

Presenters:

  • Jonathan Ciampi, Bright Heart Health
  • Christy Waters, MD, Bright Heart Health

  • Reb Close, MD, emergency physician, Community Hospital of the Monterey Peninsula

  • Casey Grover, MD, emergency physician, Community Hospital of the Monterey Peninsula