This study, “Models for Implementing Emergency Department-initiated Buprenorphine with Referral for Ongoing Medication Treatment at Emergency Department Discharge in Diverse Academic Center” was published in The Annals of Emergency Medicine in May 2022. It cites the work that Mosaic Group has provided:
Site A stakeholders attribute the peer recovery coaches as key to the program’s success. They are employed by the hospital through a contract mechanism with a nationally recognized community-based organization that provides services associated with substance use disorders with oversight by both the organization and the ED medical director.
There has been a substantial rise in the number of publications and training opportunities on the care and treatment of emergency department (ED) patients with opioid use disorder over the past several years. The American College of Emergency Physicians recently published recommendations for providing buprenorphine to patients with opioid use disorder, but barriers to implementing this clinical practice remain. We describe the models for implementing ED-initiated buprenorphine at 4 diverse urban, academic medical centers across the country as part of a federally funded effort termed “Project ED Health.” These 4 sites successfully implemented unique ED-initiated buprenorphine programs as part of a comparison of implementation facilitation to traditional educational dissemination on the uptake of ED-initiated buprenorphine. Each site describes the elements central to the ED process, including screening, treatment initiation, referral, and follow-up, while harnessing organizational characteristics, including ED culture. Finally, we discuss common facilitators to program success, including information technology and electronic medical record integration, hospital-level support, strong connections with outpatient partners, and quality improvement processes. [Ann Emerg Med. 2022;80:410-419.]
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Annals of Emergency Medicine is an international publication and is owned by the American College of Emergency Physicians.