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Compass Opioid Stewardship 2026 Virtual Symposium- ...
05-Resources-Quick Hit Application Session-Susan B ...
05-Resources-Quick Hit Application Session-Susan BradleyHandouts
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The Compass Opioid Prescriber Safety and Support (OPSS) Program, developed by the Iowa Healthcare Collaborative with Epifluence under a CMS contract, aims to improve opioid prescribing and pain care. Its goals are to educate and conduct outreach to outlier opioid prescribers on best practices for opioid prescribing and on non-opioid pain management therapies, and to reduce the number of opioid prescriptions written by these outlier prescribers.<br /><br />The program’s opioid stewardship model emphasizes education through multiple supports: individualized coaching based on provider needs, chart reviews, monthly live Grand Rounds, a “Compass On-Call” service, weekly microlearnings, and several podcast series (including clinical cases, motivational interviewing, health equity/disparities, stigma, expert spotlights, and weekly article reviews).<br /><br />A key offering is confidential 1:1 clinical coaching from board-certified physicians and clinical pharmacists with expertise in pain management, addiction medicine, and stewardship. Coaching provides case-based guidance on chronic pain, opioid tapering, safer prescribing, medication conversions, and management of legacy patients on long-term or high-risk regimens, plus communication and motivational interviewing strategies. Sessions are included with enrollment and are flexibly scheduled, aiming to reduce provider stress and help translate guidelines into feasible care plans.<br /><br />Resources include microlearning content and toolkits (notably an opioid prescribing and treatment guidance toolkit aligned with program pillars), patient-facing non-opioid pain management materials to support informed consent and shared decision-making, and buprenorphine decision guides and examples (rotation, cross-taper, and OUD induction).<br /><br />A new Pain Management Patient Handbook is planned, covering topics from non-pharmacologic and non-opioid treatments to opioid risks, buprenorphine, tapering, naloxone, safe storage/disposal, and regulatory considerations.<br /><br />The program also uses a quarterly data survey to track training completion and practice changes such as naloxone prescribing, tapering practices, controlled substance agreements, benzodiazepine co-prescribing limits, and buprenorphine rotations.
Keywords
Compass OPSS Program
opioid prescriber safety
opioid stewardship
outlier opioid prescribers
non-opioid pain management
clinical coaching 1:1
opioid tapering guidance
buprenorphine decision guide
motivational interviewing
naloxone prescribing
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