11:02:26 From Jennifer Wagner to Everyone: Welcome! If you have questions, please feel free to type in the chat or unmute and ask! We will send the recording and slides after the meeting. 11:04:59 From Jennifer Schultz to Everyone: Helping with safe opioid use and saving lives 11:05:00 From Mary Jane Lowrance to Everyone: Need to understand the measurement so we can provide the best data 11:05:08 From Julia Drishinski to Everyone: Seeking tools for a problem that we have made little gains on 11:05:20 From Kristi Danforth to Everyone: I have a lot to learn - look forward to that! 11:05:38 From Leota Gormely to Everyone: I am fairly new to Quality, so being able to gather the data correctly and to understand the why the data is being gathered and to be able to share that with staff 11:05:40 From Zoe Obert to Everyone: I really enjoy collecting data and educating to try to improve upon measures! 11:05:42 From Stephanie Eney to Everyone: Help our staff understand how to improve 11:05:42 From Athena Gardenier to Everyone: There is no program at this time in our facility, and we can update our care for the patients. Tools and understanding.. 11:06:32 From Jennifer Wagner to Everyone: Thank you all so much for sharing! 11:16:58 From Alida Merritt to Everyone: Excellent places to start! 11:17:36 From Katie Lewis to Everyone: Do you have links or resources to provide the providers with the prescribing guidelines to start? 11:19:07 From Leota Gormely to Everyone: Do most insurances cover the cost of the naloxone prescription? 11:20:25 From Katie Lewis to Everyone: In MT are pharmacists allowed to dispense naloxone without a prescription? 11:20:26 From Alida Merritt to Everyone: It would be helpful to connect with organizations that have been successful with this step (naloxone kits). How do you combat the stories that have circulated on the news about people who end up receiving naloxone time after time after time (i.e., they continue to OD then 911 responds and administers naloxone)? 11:23:50 From Julia Drishinski to Everyone: Have there been legal issues that fall upon those dispensing. 11:24:15 From Jennifer Schultz to Everyone: Pharmacists operating under a collaborative practice agreement (standing order from a physician) can dispense naloxone to anyone without a prescription. Pharmacy Access Notes: Law allows any licensed pharmacist to dispense to anyone without a prescription. 11:26:00 From Jennifer Schultz to Everyone: Here is the link about the Montana Standing Order: https://dphhs.mt.gov/assets/publichealth/EMSTS/opioids/MontanaStandingOrderforNaloxoneOpioidAntagonists2021.pdf 11:27:24 From Athena Gardenier to Everyone: No 11:27:47 From Alida Merritt to Everyone: We do have a Pain Management physician that providers refer to. 11:29:46 From Katie Lewis to Everyone: Montana Narcotics Anonymous Resources for professionals: https://namontana.com/index.php/pages/professional/ 11:31:38 From Alida Merritt to Everyone: Jennifer, How soon will the recording be available? 11:32:04 From Jennifer Wagner to Everyone: It will be available this afternoon! 11:35:30 From Zoe Obert to Everyone: Ive seen these exclusions here and in other areas however in QHI it does not filter out the denominator: it just says total ER patients like you said: should we be filtering out the exclusions 11:35:56 From Athena Gardenier to Everyone: Are the Slides going to be available also? 11:36:21 From Zoe Obert to Everyone: Also did the fix the denominator Numerator issue?? 11:36:34 From Lindsay Konen to Everyone: Yes that has been fixed 11:36:44 From Zoe Obert to Everyone: total ER 11:36:52 From Zoe Obert to Everyone: that's my vote :) 11:36:57 From Alida Merritt to Everyone: Some of those exclusions could be having acute crises.... 11:37:00 From Megan Steen to Everyone: Total ER patients 11:37:10 From Fawne McCleary to Everyone: Patients over 18 are the only ones for me that are easy to exclude 11:37:12 From Jennifer Schultz to Everyone: Total ER 11:37:14 From Athena Gardenier to Everyone: Will go with total ER's 11:37:15 From Stephanie Eney to Everyone: Total ER 11:39:32 From Jennifer Wagner to Everyone: Athena, Yes, slides will go out with the recording. I will also share the links that Jennifer and Katie shared, as well as any HQIC resources developed. 11:40:58 From Athena Gardenier to Everyone: They gave us access but not what to do with it. 11:41:18 From Fawne McCleary to Everyone: I have not collected this because I did not understand how to do the MMEs 11:41:30 From Zoe Obert to Everyone: its manually extracted for me and I'm lucky that our patient volumes are low 11:41:49 From Alida Merritt to Everyone: If you have Cerner, there is a pharmacy report that captures/calculates MMEs 11:41:58 From DaniJo McDaniel to Everyone: We have been able to incorporate all of the exclusions except the last. We have having difficulty identifying procedures in the ED and using fentanyl for sedation. Would anyone else be willing to share? 11:42:21 From BOBBIE MURRAY to Everyone: Alida, do you happen to have a report name? 11:43:26 From Delia Lantz to Everyone: I would like some more information about the Cerner pharmacy report please 11:43:53 From Jennifer Wagner to Everyone: Jennifer.wagner@mtha.org 11:44:00 From BOBBIE MURRAY to Everyone: Me as well Alida! 11:45:12 From Leota Gormely to Everyone: Alida, I would as well. Thanks 11:45:35 From Alida Merritt to Everyone: Will do. I'll send to Jennifer and she will forward to all. 11:46:42 From Alida Merritt to Everyone: We have a report built for this measure. I will share the DA2 report parameters with Jennifer. 11:47:23 From Jennifer Schultz to Everyone: Why are ortho surgical patients excluded? Thinking they need more opioids? 11:51:49 From Jennifer Wagner to Everyone: https://michigan-open.org/ 11:58:48 From Alida Merritt to Everyone: Very thorough initial presentation. Need to digest!! 12:00:41 From Alida Merritt to Everyone: Thank you! Jennifer I will forward that Cerner report info to you. 12:01:11 From Leota Gormely to Everyone: This has been very helpful, thanks 12:01:23 From Fawne McCleary to Everyone: Thank you, great information.