Millcreek Community Hospital

EVIDENCE-BASED ALTERNATIVES FOR SAFER EMERGENCY PAIN MANAGEMENT (EASE) - THE LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM) MEDICAL CENTER AND BEHAVIORAL HEALTH PAVILION PROPOSES EVIDENCE-BASED ALTERNATIVES FOR SAFER EMERGENCY PAIN MANAGEMENT (EASE), A THREE-YEAR INITIATIVE TO IMPROVE EMERGENCY DEPARTMENT (ED) PAIN MANAGEMENT, REDUCE UNNECESSARY OPIOID EXPOSURE, STRENGTHEN IDENTIFICATION AND TREATMENT OF OPIOID USE DISORDER (OUD), AND IMPROVE CONTINUITY OF CARE FOR RESIDENTS OF ERIE COUNTY, PENNSYLVANIA. EASE WILL SERVE APPROXIMATELY 2,775 UNDUPLICATED PATIENTS PRESENTING TO THE ED WITH ACUTE OR CHRONIC PAIN, INCLUDING INDIVIDUALS AT RISK FOR OPIOID MISUSE OR EXPERIENCING OUD. THE PROJECT WILL IMPLEMENT A COMPREHENSIVE, PERSON-CENTERED APPROACH TO PAIN MANAGEMENT THAT EXPANDS THE USE OF EVIDENCE-BASED, MULTIMODAL ALTERNATIVES TO OPIOIDS WHILE STRENGTHENING EMERGENCY DEPARTMENT CAPACITY TO IDENTIFY AND TREAT SUBSTANCE USE DISORDERS. CORE INTERVENTIONS INCLUDE STANDARDIZED PAIN ASSESSMENT AND TREATMENT PATHWAYS, SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT), EMERGENCY DEPARTMENT INITIATION OF MEDICATION FOR OPIOID USE DISORDER (MOUD), EVIDENCE-BASED OPIOID STEWARDSHIP, MOTIVATIONAL INTERVIEWING, CARE COORDINATION, AND WARM HANDOFFS TO PRIMARY CARE, BEHAVIORAL HEALTH, PAIN MANAGEMENT, ADDICTION TREATMENT, AND RECOVERY SUPPORT SERVICES.