The Implementation of a Clinic-Based Opioid Review Board to Address High-Risk Opioid Prescribing in Primary Care

In Brief

The Implementation of a Clinic-Based Opioid Review Board to Address High-Risk Opioid Prescribing in Primary Care

Jonathan L. Robbins and colleagues

Background The internal medicine clinic at Oregon Health & Science University formed an opioid review board to set clinic policy for safe opioid prescribing aligned with state and federal guidelines and evidence-based practices.

What This Study Found The ORB has updated the patient-physician opioid agreement and now conducts formal case reviews of two to four patients each month. The ORB focuses on the process of case reviews and has improved clinical alignment with state and federal guidelines.

Implications

• Increasingly, providers actively seek ORB assistance for difficult cases.