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Table 2 The intervention for augmenting routine health system-based implementation of opioid policy recommendations in primary care

From: Enhancing system-wide implementation of opioid prescribing guidelines in primary care: protocol for a stepped-wedge quality improvement project

QI Intervention Component Description
Academic Detailing A single on-site educational meeting between a content expert (project team member) and the clinicians and staff from the enrolled clinic wishing to improve the quality of care for their opioid-treated patients.
Two Online Educational Modules, delivered via email:
1) Responsible Opioid Prescribing
2) Shared Decision Making
Brief, straightforward, and easily accessible educational tools delivered via the web or mobile devices. A set of 20–21 multiple-choice questions with instant feedback allows learners to assess and validate their current knowledge of the targeted content, which is presented in the context of a given health system setting. These modules were developed by the project team members, content area experts, and reviewed by the health system and external experts (content can be made available upon request).
Practice Facilitation An evidence-based method of assisting clinical practices in changing and optimizing the process of care. External facilitators (project team members) assist practices in implementing their prioritized goals and changing practice workflow, typically using the Plan, Do, Study, Act cycle model, ([21]) with the ultimate goal of improved patient care and outcomes.
Two Patient Education Modules:
1) Opioids for Chronic Pain
2) Agreement for Using Opioids
Brief, online educational tools for patients, professionally developed by Emmi Solutions, LLC (