Evaluation of a Veterans Health Administration tool and policy to reduce patients’ risk of adverse events from opioid prescriptions

Conditions

Opioid use Mental and Behavioural Disorders Opioid use

Kiersten L. Strombotne, Aaron Legler, Taeko Minegishi, Jodie Trafton, Elizabeth M. Oliva et al. (10 authors)

Journal of General Internal Medicine2022-05-0216 citations

Tracking implementation strategies in the randomized rollout of a Veterans Affairs national opioid risk management initiative.

Rogal SS, Chinman M, Gellad WF, Mor MK, Zhang H, McCarthy SA, Mauro GT, Hale JA, Lewis ET, Oliva EM, Trafton JA, Yakovchenko V, Gordon AJ, Hausmann LRM.

2020-06-2319 citations

10.1186/s13012-020-01005-y

Protocol for evaluating the nationwide implementation of the VA Stratification Tool for Opioid Risk Management (STORM)

Matthew Chinman, Walid F. Gellad, Sharon McCarthy, Adam J. Gordon, Shari S. Rogal et al. (7 authors)

Implementation Science2019-01-1824 citations

10.1186/s13012-019-0852-z

Effectiveness of policy and risk targeting for opioid-related risk mitigation: a randomised programme evaluation with stepped-wedge design

Taeko Minegishi, Melissa M. Garrido, Steven D. Pizer, Austin B. Frakt

BMJ Open2018-06-0116 citations

10.1136/bmjopen-2017-020097

Interventions

The VHA Office of Mental Health Operations (OMHO) developed the Stratification Tool for Opioid Risk Mitigation (STORM) to prioritize review of patients receiving opioids based on their risk for overdo

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Veterans Health Administration (VHA) patients with opioid prescription 2. Identified by STORM to have a risk of SAE in the top 10% of all VHA patients

Exclusion criteria

Exclusion criteria: Patients who are in palliative care or hospice care.

Design outcomes

Primary

Measure	Time frame
Opioid-related serious adverse events (SAEs) are determined using ICD9 and ICD10 codes using VA Corporate Data Warehouse in daily increments from baseline to 180 days.	—

Secondary

Measure	Time frame
Number of case reviews and the number of completed risk mitigation strategies using VA Corporate Data Warehouse in daily increments from baseline to 180 days.	—

Countries

United States of America

Outcome results

None listed