Opioid Safety

The U.S. and RCHC’s 4 member counties are experiencing an unprecedented epidemic precipitated by large increases in per capita dispensing of oxycodone, hydrocodone, morphine and methadone since the mid-1990’s. Opioid analgesics are now responsible for more deaths than the number of deaths from both suicide and motor vehicle crashes, or deaths from cocaine and heroin combined. This epidemic significantly impacts all member health centers.

The California Health Care Foundation (CHCF) is funding an 18-month project (November 2015 – June 2017) through RCHC to increase opioid safety through 3 interventions:

1) Support safe prescribing practices through the development and implementation of common opioid prescribing guidelines among primary care provider and hospital emergency departments in Sonoma County.

2) Expand access to buprenorphine treatment for health center patients in Yolo, Napa, Marin and Sonoma Counties – induction and maintenance.

3) Develop policies, procedures and funding options to assure access to naloxone for opioid overdose prevention for high risk Partnership Health Plan managed care Medi-Cal patients.

Link to Sonoma County Health Action Safe Opioid Prescribing for Health Care Providers
Link to CHCF Opioid Safety Coalitions Network

Safe Opioid Prescribing
1) RCHC Opioid Prescribing Guidelines Detailed 1-6-17
2) RCHC Opioid Prescribing Guideline Summary 1-6-17
3) ED Opioid Guideline 1 pager Span 1-6-17
4) ED Opioid Guideline 1 pager Eng 1-6-17
5) Opioid_Risk_Tool

Buprenorphine Treatment
1) RCHC Buprenorphine- Naloxone Treatment Guideline
2) CHCF Recovery Within Reach MAT
3) CHCF Buprenorphine Programs: 10 Elements of Success
4) You Got Your X-Number, Now What PPT

Naloxone for Opioid Overdose Prevention
1) Naloxone for Opioid Safety PPT
2) SAMHSA Opioid Overdose Prevention Toolkit
3) Naloxone Guide for Pharmacists
4) Naloxone Prescribing Guide SF Dept of Public Health
5) Preventing Fatal Opioid Overdose Among Your Patients
6) Naloxone Fact Sheet 2016
7) RCHC Naloxone Patient Education Flyer in English
8) RCHC Naloxone Patient Education Flyer in Spanish

In the News
1) Sonoma Medicine Magazine – Summer 2016
2) RCHC Opioid Safety Press Release – April 2016
3) Redwood Community Health Coalition wins $60,000 grant – April 18, 2016
4) Sonoma County Implements New Opioid Prescribing Guidelines – January 23, 2017