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{"sheet":"Opioid ","index":0,"n_rows":28,"n_cols":36,"rows_kept":28,"cut":false,"hidden":false,"merged":[[30,1,40,11],[27,2,27,17],[0,1,3,1],[4,0,4,20],[15,0,22,0],[9,0,14,0],[24,0,26,0]]}
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["In the section below, please enter \"y\" or \"n\" for patient being tracked to indicate if the following elements were completed. Note: All fields must be filled in. "]
["Dates being tracked:","Please enter the current period being tracked here:"]
["Element","Best Practice","Patient Sample"]
[null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,"Total","Percentage"]
["Patient ID# (optional)",null,"ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE"]
["Upon admission","Patient is screened using an opioid risk assessment tool ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C10:AF10,\"y\")","v":0},{"$f":"IFERROR(AG10/(AG10+AI10),\"0\")","v":"0"},{"$f":"COUNTIF(C10:AF10,\"n\")","v":0},{"$f":"COUNTIF(C10:AF10,\"n\")","v":0}]
[null,"Patient is screened for opioid addiction and protocol is implemented to treat patients as needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C11:AF11,\"y\")","v":0},{"$f":"IFERROR(AG11/(AG11+AI11),\"0\")","v":"0"},null,{"$f":"COUNTIF(C11:AF11,\"n\")","v":0}]
[null,"Patient’s opioid status (naïve vs. tolerant) is documented in the health record or prescriber orders",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Patient’s type of pain (acute vs. chronic) is documented in the health record or prescriber orders",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Patient is weighed and weight is documented in metric units",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Patient is educated on risk factors for opioid use upon admission and that is documented in patient's record",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",{"$f":"COUNTIF(C15:AF15,\"n\")","v":0},0]
["Prevention practices\n","Total daily opioid dose is calculated using a conversion calculator, verified by pharmacy and discussed with physician as needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Total daily dose does not exceed 90 MME/day; exception per hospital policy (i.e., cancer patients, etc.) utilized",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Patient with continuous opioid infusions (PCA and regular infusions) have continuous monitoring of respiratory status using capnography or pulse oximetry",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Criteria and directions for the use of naloxone as a rescue agent are contained in the order set if an opioid is prescribed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Co-prescribing of two or more opioids is monitored by pharmacy with interventions as needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Co-prescribing of benzodiazepines with opioids is monitored by pharmacy with interventions as needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Buprenorphine, methadone and naltrexone are initiated for patients during inpatient stay as appropriate",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Behavioral health or addictionologist consult if needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
["Patient education","Patient and family members are given education and counselling on opioid risk and safety ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
["Discharge planning","Patient is given a naloxone script upon discharge",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",{"$f":"COUNTIF(C25:AF25,\"n\")","v":0},0]
[null,"Patient has a plan of care for opioid management after discharge ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Patient is referred to medication-assisted treatment programs upon discharge",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",{"$f":"COUNTIF(C27:AF27,\"n\")","v":0},0]
[null,"\n","This material was prepared by the Healthcare Association of New York State, Inc., a Hospital Quality Improvement Contractor under contract with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. 12SOW/EQIC/HQIC-0020-12/09/22"]