Principal Investigator: David Hahn; Alek Zgierska, Co-PI

PI Department: Department of Family Medicine

Summary of Study:This is a system-based improvement project incorporating evidence-based practices for chronic pain management and opioid prescribing that can ultimately lead to improved clinical outcomes of primary care patients with chronic pain who are treated with prescription opioids.

Objective:  Our objectives are to:

  • Increase patient-clinician education and discussion surrounding issues relevant to long-term opioid therapy
  • Increase assessment of the risks associated with long-term opioid therapy
  • Improve monitoring for prescription medication misuse or abuse

Study Design:

We will recruit clinics to participate in this randomized controlled trial (stepped-wedge design) of an educational intervention for primary care clinicians. Nine clinics within the UW Health system (caring for adult patients) will be enrolled. The desired outcome is to change clinician behavior so that patient care and, ultimately, safety and outcomes, are improved.

  • Performance of enrolled clinics will be assessed at baseline via review of EHR.
  • Knowledge-based intervention (spaced education) will occur for all opioid-prescribing clinicians and their supporting medical staff in the nine intervention clinics.
  • Academic detailing (dedicated lecture) will occur for clinicians and supporting medical staff completing spaced education.
  • Patient education tools will be provided to enrolled clinics.
  • Practice facilitation will occur on a monthly basis to reinforce the interventions.
  • Post-intervention change will be assessed via review of EHR and clinician use of the Wisconsin Prescription Drug Monitoring Program (PDMP).

DFM Clinic(s):  DFM clinics choosing to participate

DFM Contact: David Hahn, MD, MS

Study Contact Person:
Amy Irwin
WREN Regional Study Coordinator
Amy.Irwin@fammed.wisc.edu

Date of Approval: 12/09/2014