Step 4

Define Practice Goals and Priorities

Set measurable goals

Once you have assessed your current approach and identified areas for improvement, the next step is to define the specific goals your practice aims to achieve. The change team should determine the goals with input from key stakeholders (e.g., clinicians, leadership). The following are some examples of goals:

  • Policies on opioid prescribing will be reviewed and revised within X months.
  • All clinicians will calculate and document MME for patients on long-term opioid therapy by X month.
  • All patients on long-term opioid therapy have at least quarterly pain and functional assessments by X month.
  • All clinicians will be registered with the PDMP within X months.
  • Within X months, all medical assistants will sign up as delegates to access the PDMP (if allowed in your state).
  • Within X months, all clinicians will be documenting use of the PDMP before prescribing a new opioid prescription.
  • At least 2 clinicians will become buprenorphine waivered (or have a list of community providers available who are waivered) within X months.
  • Number of patients prescribed opioids and benzodiazepines concurrently will be reduced by X% within Y months.
  • Number of patients prescribed opioids at > 50 MMEs will be reduced by X% within Y months.
  • Urine drug testing (UDT) will be completed at least annually for X% of patients on long-term opioid therapy.

Self-Assessment for Step 4

Obtain leadership support and identify a champion(s) 1 2 3 4
Change team agrees upon goals for treatment of pain, both acute and chronic, and the safe use of opioids. System goals have not been discussed. Goals have begun to be identified based on the assessment (Step 2). Goals have been drafted by the change team. Goals have been decided with input from key stakeholders.
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