Feasibility of Implementing a Standard Operating Protocol for Safe Opioid Prescribing in Outpatient Palliative Care: A Quality Improvement Project (F425A)

1.Summarize risk factors for opioid misuse.2.Describe key components of a standard operating protocol (SOP) safe prescribing in an outpatient palliative care program.3.Explain the process by which feasibility SOP was determined. The misuse opioids is public health emergency. Opioid guidelines exist chronic pain, but not care. Lack contribute to absence policies use programs. 1)Establish clinic embedded VA cancer center; 2) Determine implementing each measure over 9 months. An created based on CDC/VA/DoD prescribing. implemented non-hospice patients and included 6 components: 1. Completion consent; 2. Baseline stratification misuse; 3. Urine toxicology every months; 4. Review State PMP 3 5. Naloxone individuals with high-risk score; 6. Aberrant behavior plans. Determined component calculating completion rates after 3, 6, After months (n = 43), were: consent 91%, ORT 98%, CTPMP 77%, urine 65%, 67% cases. 44): 100%, 95%, 78%. (N 48): 94%, 79%, 75%. 100% 12) unexpected Results had aberrant feasible. >75% months, including during COVID-19 pandemic face-to-face restrictions. resulted earlier identification individuals, timelier interventions misuse, increased partnership patients. Future research needed determine impact SOPs implementation non-VA settings.