American Hospital Association Social Determinants of Health Resources for Hospitals

The AHA is working to support hospitals and health systems as they address social determinants of health, eliminate health care disparities and provide comprehensive care to every patient in every community—all of which improve community health. The AHA is continuously developing resources on how hospitals can address the social determinants of health in their communities. The website includes reports, case studies, webinars and videos on eight social determinants of health.

“My After Nursing Home Care Plan”

Discharge Planning tool completed by nursing home interdisciplinary teams with the patient and caregiver throughout the discharge planning process. Adapted based on materials from Agency for Healthcare Research and Quality (AHRQ), Project RED (Re-engineered Discharge), and the Coleman Transitions Intervention in support of the Special Innovation Project: Improving Nursing Home Discharges Back to The Community Implementation Guide.

Opioid and Pain Management Best Practice Aggregate Results Dashboard

Use with the Opioid and Pain Management Best Practice Assessment and the Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain document.

The Opioid and Pain Management Best Practice Assessment Aggregate Results Dashboard shows baseline and quarterly results aggregated by all care settings, hospital, nursing home, home healthcare and primary care.

For questions or additional information about this Dashboard, please contact

Anne Myrka, RPh, MAT

amyrka@ipro.org

Sr. Director, Drug Safety and Chronic Disease Management

IPRO QIN-QIO Program Director, Ohio

Opioid and Pain Management Best Practice Assessment

Use with Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain document and the Opioid and Pain Management Best Practice Aggregate Results Dashboard.

The Opioid and Pain Management Best Practice Assessment was adapted from the CDC’s document: Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain. Our assessment contains 22 questions within 12 best practice recommendation areas with a Likert scale response range of whether the best practice is performed Very Frequently, Frequently, Occasionally, Rarely or Never. It is used with hospitals, nursing homes, home healthcare services, and primary care practices and is deployed quarterly after the initial response for serial assessment of improvement.

Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain

Use this resource in conjunction with the Opioid & Pain Management Best Practice Assessment and compare your improvement progress against your peers using the Opioid & Pain Management Best Practice Aggregate Results Dashboard.

Guideline Purpose: To encourage careful and selective use of long-term opioid therapy in the context of managing chronic pain through (a) an evidence-based prescribing guideline, (b) quality improvement (QI) measures to advance the integration of the CDC Guideline for Prescribing Opioids for Chronic Pain (CDC Prescribing Guideline) into clinical practice, and (c) practice-level strategies to improve care coordination.

Guideline Goal: To ensure patients have access to safer, more effective chronic pain treatment by improving the way opioids are prescribed through an evidence-based clinical practice guideline, while reducing the number of people who misuse, abuse, or overdose from these drugs.

IPRO QIN-QIO Opioid Utilization Dashboard

The IPRO QIN-QIO Opioid Utilization Dashboard is an interactive tool in Tableau that shows geographic comparisons at the state and county levels of de-identified Medicare Part D opioid prescriptions filled within11 states and the District of Columbia in the IPRO QIN-QIO network. We also provide information on the concomitant use of benzodiazepines and opioids. Our goal is to support your efforts, as an organization or a community partner, in improving opioid prescribing practices.

For additional information or questions about this Dashboard, please contact:

Anne Myrka, RPh, MAT

amyrka@ipro.org

Sr. Director, Drug Safety and Chronic Disease Management

IPRO QIN-QIO Program Director, Ohio

Behavioral Health Bite-Sized Learnings

These short recorded learning modules are on an array of topics related to improving identification of depression and alcohol use disorder in primary care practices and transitioning inpatient psychiatric patients to outpatient care. These were developed by the Quality Innovation Network National Coordinating Center (QIN NCC) in partnership with Dr. Ed Boudreaux, under contract with the Centers for Medicare & Medicaid Services (CMS).