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Research ArticleOriginal Research

Primary Care Clinic Re-Design for Prescription Opioid Management

Michael L. Parchman, Michael Von Korff, Laura-Mae Baldwin, Mark Stephens, Brooke Ike, DeAnn Cromp, Clarissa Hsu and Ed H. Wagner
The Journal of the American Board of Family Medicine January 2017, 30 (1) 44-51; DOI: https://doi.org/10.3122/jabfm.2017.01.160183
Michael L. Parchman
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
MD, MPH
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Michael Von Korff
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
PhD
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Laura-Mae Baldwin
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
MD
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Mark Stephens
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
BS
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Brooke Ike
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
MPH
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DeAnn Cromp
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
MPH
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Clarissa Hsu
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
PhD
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Ed H. Wagner
From the MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA (MLP, MVK, DC, CH, EHW); Department of Family Medicine, University of Washington, Seattle (L-MB, BI); Change Management Consulting, Seattle (MS).
MD, MPH
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  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
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References

  1. 1.↵
    1. Von Korff MR,
    2. Franklin G
    . Responding to America's iatrogenic epidemic of prescription opioid addiction and overdose. Med Care 2016;54:426–9.
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  2. 2.↵
    1. Rudd RA,
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    . Increases in drug and opioid overdose deaths—United States, 2000–2014. MMWR Morb Mortal Wkly Rep 2016;64:1378–82.
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    Report of the International Narcotics Control Board for 2015. United Nations Publication Sales No. E.16.XI.1. New York: United Nations. March 2, 2016.
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    2. Humphreys K,
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    . Distribution of opioids by different types of Medicare prescribers. JAMA Intern Med. 2016;176:259–61.
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    1. Matthias MS,
    2. Parpart AL,
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    1. Dowell D,
    2. Haegerich TM,
    3. Chou R
    . CDC guideline for prescribing opioids for chronic pain—United States, 2016. Recommendations and Reports 2016;65:1–49.
    OpenUrl
  7. 7.↵
    1. Sullivan M,
    2. Hudson T,
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    4. et al
    . National analysis of opioid use among veterans. Proceedings of the 30th Annual Meeting of the American Academic of Pain Medicine; 2014 March 6–9, Phoenix AZ.
  8. 8.↵
    1. Von Korff M,
    2. Dublin S,
    3. Walker RL,
    4. et al
    . The impact of opioid risk reduction initiatives on high-dose opioid prescribing for patients on chronic opioid therapy. J Pain 2016;17:101–10.
    OpenUrl
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    1. Trescott CE,
    2. Beck RM,
    3. Seelig MD,
    4. Von Korff MR
    . Group Health's initiative to avert opioid misuse and overdose among patients with chronic noncancer pain. Health Affairs 2011;30:1420–4.
    OpenUrlAbstract/FREE Full Text
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    1. Ladden MD,
    2. Bodenheimer T,
    3. Fishman NW,
    4. Flinter M,
    5. Hsu C,
    6. Parchman M,
    7. Wagner EH
    . The emerging primary care workforce: preliminary observations from the primary care team: Learning from effective ambulatory practices project. Acad Med 2013;88:1830–4.
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  11. 11.↵
    1. Krebs EE,
    2. Lorenz KA,
    3. Bair MJ,
    4. et al
    . Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference. J Gen Intern Med 2009;24:733–8.
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  12. 12.↵
    1. Krebs EE,
    2. Bair MJ,
    3. Damush TM,
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    6. Kroenke K
    . Comparative responsiveness of pain outcome measures among primary care patients with musculoskeletal pain. Med Care 2010;48:1007–14.
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  13. 13.↵
    1. Solberg LI
    . Improving medical practice: A conceptual framework. Ann Fam Med 2007;5:251–6.
    OpenUrlAbstract/FREE Full Text
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The Journal of the American Board of Family     Medicine: 30 (1)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 1
January-February 2017
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Primary Care Clinic Re-Design for Prescription Opioid Management
Michael L. Parchman, Michael Von Korff, Laura-Mae Baldwin, Mark Stephens, Brooke Ike, DeAnn Cromp, Clarissa Hsu, Ed H. Wagner
The Journal of the American Board of Family Medicine Jan 2017, 30 (1) 44-51; DOI: 10.3122/jabfm.2017.01.160183

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Primary Care Clinic Re-Design for Prescription Opioid Management
Michael L. Parchman, Michael Von Korff, Laura-Mae Baldwin, Mark Stephens, Brooke Ike, DeAnn Cromp, Clarissa Hsu, Ed H. Wagner
The Journal of the American Board of Family Medicine Jan 2017, 30 (1) 44-51; DOI: 10.3122/jabfm.2017.01.160183
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