Primary Care Outpatient Clinics
The Cabinet approached KHA to expand its bandwidth and provide education and guidance in opioid stewardship to primary care clinics. The suggested program, called Six Building Blocks (6BB), was created by a physician-led multidisciplinary team from the University of Washington Department of Family Medicine and the Kaiser Permanente Washington Health Research Institute. The 6BB Program is a team-based approach to improving opioid management in primary care. In its entirety, the 6BB Program is a 9-to-12-month commitment for primary care clinics. This program is a “clinic redesign” with goals to consistently treat chronic pain patients on long-term opioid therapy in accordance with evidence-based clinical practice guidelines.
For more information about the outpatient KYSOS program, contact Marilyn Connors and Shanna Jaggers.
The Kentucky Hospital Association partnered with the Cabinet for Health and Family Services as part of the Kentucky Opioid Response Effort (KORE) to launch the Kentucky Statewide Opioid Stewardship (KYSOS) program. The goals of the KYSOS program are to decrease opioid overprescribing while improving safe opioid usage. As part of the effort to combat the state’s opioid epidemic, KYSOS offers an opioid stewardship program to provide education and guidance to hospital-owned primary care outpatient clinics. KHA and KYSOS plan to implement this program throughout the state.
- Program purpose is to help primary care clinics implement a consistent, team-based, patient-centered approach for the care of patients on long-term opioid treatment for chronic pain
- Created by a physician-led multidisciplinary team from the University of Washington Department of Family Medicine and Kaiser Permanente Washington Health Research Institute
- Evidence-based quality improvement guide, built upon the CDC 2016 Clinical Guidelines for Opioid Prescribing
- Participating outpatient primary care clinics engage in a 9-12 month commitment to work with the KYSOS outpatient team to improve opioid management
- Achieved through development of an Opioid Improvement Team, an assessment of current policies, workflows and procedures, interviews with providers and key stakeholders, training through webinars and shared resources
- Prioritizes primary care clinics’ specific needs and develops an action plan
- Monthly data submission to Kentucky Quality Counts required for all participating clinics
Six Building Blocks Program: A Team-Based Approach to Opioid Management in Primary Care
- Leadership and consensus
- Policies, patient agreements, and workflows
- Tracking and monitoring patient care
- Planned, patient-centered visits
- Caring for complex patients
- Measuring success
Encyclopedia of Measures (Outpatient)
April 2023
Metrics for patients on long-term opioid therapy.
