East Bay Safe Prescribing Coalition

Logo for the East Bay Safe Prescribing CoalitionThe East Bay Safe Prescribing Coalition is a collaborative effort by the East Bay medical community, consumers and community leaders to promote safe and appropriate prescribing practices and reduce prescription drug abuse in our community. Click here to learn more about our strategic framework and goals.

The Coalition is co-sponsored by local organizations that represent the medical community: the Alameda-Contra Costa Medical Association (ACCMA), the Hospital Council of Northern and Central California, the Alameda County Health Care Services Agency, Contra Costa Health Services and the Alameda Health Consortium. These organizations serve as the steering committee for the Coalition.

For the latest information on CURES, click here.

Logos for the ACCMA, Hospital Council of Northern and Central California, the Alameda County Health Care Services Agency, the Contra Costa Health Services, and the Alameda Health Consortium.

Acute Pain Toolkit

In 2017, the East Bay Safe Prescribing formed an Ad Hoc Committee on Opioid Best Practices with the goal of helping physicians manage patient’s pain safely. The committee consisted of community stakeholders such as physicians, pharmacists, and other prescribers, and together they created the Acute Pain Toolkit to assist physicians in managing short term pain in outpatient settings. The toolkit identifies five evidence-based interventions to promote safe treatment and limit new opioid prescriptions, as well as links to other best practice resources such as information on safe storage and disposal and safe prescribing guidelines.

Print Version

Expanded Online Version

Chronic Pain Toolkit

In 2017, the coalition formed an Ad Hoc Committee on Chronic Pain Best Practices, an extensive collaboration with stakeholder engagement across the medical community. The committee developed a Chronic Pain Toolkit which offers key messages and resources for treatment of chronic pain for patients with varying levels of prior exposure to opioid therapy. The toolkit includes numerous links to resources which provide assistance, guidance and best practices for chronic pain management.

Print Version

Expanded Online Version

Emergency Department Safe Prescribing Guidelines

A major focus of the East Bay Safe Prescribing Coalition has been to promote safe prescribing guidelines safe in hospital emergency departments. The guidelines were developed by California emergency physicians and have been endorsed by numerous statewide medical organizations.

Guidelines:

Copies of the guidelines are available in both English and Spanish, and there are also versions for hospitals and clinics to add their logo:

English, Add Your Own Logo

Spanish, Add Your Own Logo

To print the guidelines for distribution in your hospital or clinic, follow these instructions:

  • Final printed size of handouts is 5½" x 8½", with English on one side Spanish on the other
  • If you print on 8½" x 11", place two copies of the guidelines on each side and cut in half for two copies
  • Paper type should be 80# gloss coated book

Implementation Resources:

 

Participating Emergency Departments:

  • Alameda Health System-Alameda Hospital
  • Alameda Health System-Highland Hospital
  • Alameda Health System-San Leandro Hospital
  • Alta Bates Summit Med Ctr - Alta Bates
  • Alta Bates Summit Med Ctr - Summit Campus
  • Contra Costa Regional Medical Center
  • Eden Medical Center
  • John Muir Medical Center-Concord Campus
  • John Muir Medical Center-Walnut Creek
  • Kaiser Foundation Hospital - Antioch
  • Kaiser Foundation Hospital - Fremont
  • Kaiser Foundation Hospital - Oakland
  • Kaiser Foundation Hospital - Richmond
  • Kaiser Foundation Hospital - San Leandro
  • Kaiser Foundation Hospital - Walnut Creek
  • San Ramon Regional Medical Center
  • St. Rose Hospital
  • Stanford Health Care - ValleyCare
  • Sutter Delta Medical Center
  • Sutter Urgent Care Facilities (Antioch, Berkeley, Castro Valley)
  • Washington Hospital Healthcare System

Urgent Care Safe Prescribing Guidelines

The emergency guidelines have also been adapted for urgent care settings, to help create a consistent standard of care across emergency departments and urgent care centers in the East Bay.

Guidelines:

Copies of the guidelines are available in both English and Spanish, and there are also versions for hospitals and clinics to add their logo:

English, Add Your Own Logo

Spanish, Add Your Own Logo

To print the guidelines for distribution in your hospital or clinic, follow these instructions:

  • Final printed size of handouts is 5½" x 8½", with English on one side Spanish on the other.
  • If you print on 8½" x 11", place two copies of the guidelines on each side and cut in half for two copies
  • Paper type should be 80# gloss coated book

 

Implementation Resources:

 

Clinical Resources

Patient and Community Resources

Safe Medication Disposal

In 2012, Alameda County became the first jurisdiction in the country to pass a Safe Drug Disposal Ordinance, requiring pharmaceutical manufacturers to design, fund and implement a countywide take-back program for unwanted medications. The safe disposal of unwanted, unused, or expired medications is a critical tool in preventing misuse and abuse of opioids. Households with powerful narcotics left in medicine cabinets, especially those with children, are at much higher risk of diversion, accidental misuse, or even overdose. However, improper disposal of pharmaceuticals is harmful to the local environment. After facing resistance to the ordinance from pharmaceutical companies, the Supreme Court declined to hear the case in May 2015, ensuring that the ordinance would be implemented. Since then, 12 more Safe Disposal Ordinances have been passed throughout the United States, including in Contra Costa County in December of 2016.

Takeback Locations

Medication Assisted Treatment (MAT) Waiver Eligibility Trainings

The Providers Clinical Support System (PCSS) is dedicated to providing opportunities for medical professionals to earn their MAT x-waiver that allows them to prescribe buprenorphine to treat opioid use disorder. Physicians must participate in an 8-hour MAT training program to receive their Drug Enforcement Agency waiver. PCSS provides this training for free in two forms, one being a live 8-hour session (webinar available), and the other is a half-and-half format that entails 3.75 hours of online training and 4.25 hours of in-person training. The 8-hour format is also provided twice a month by a partner of PCSS, American Osteopathic Academy of Addiction Medicine, and is also accessible via webinar.

For more on how a physician can receive an x-waiver, click here.

For the PCSS training calendar, click here.

In an effort to increase local availability of MAT, the East Bay Safe Prescribing Coalition, with support from PCSS, SAMHSA, and the ACCMA, has been organizing the in-person half of the MAT Waiver Eligibility Trainings. In addition to completing half of the required training to acquire a MAT waiver, the ACCMA awards 4.0 Continuing Medical Education (CME)* credits. The ACCMA and East Bay Safe Prescribing Coalition are also offering periodic trainings on alternatives to opioids in pain management, naloxone in primary care and other topics related to our efforts to address the opioid crisis. Please click here to see planned events.

*Non-ACCME members who wish to claim CME credits for this program will be charged a $49 admin fee to help cover the costs of providing CME. ACCMA members will receive the CME free-of-charge as part of their membership benefits.

California Opioid Safety Network and California Opioid Overdose Surveillance Dashboard

California Opioid Safety Network

The California Opioid Safety Network, founded by the California Health Care Foundation and currently managed by the Center for Leadership and Practice at the Public Health Institute, is a community of opioid safety coalitions committed to combating the harmful effects of opioid misuse and abuse statewide. Due to the support of the California Health Care Foundation, and the tireless efforts of the members of each individual coalition, the California Opioid Safety Network has led to significant strides in the implementation of safe prescribing best practices, increasing access to naloxone, and expanding the use of medication-assisted treatment services for those seeking treatment for opioid use disorder.

To learn more about the California Opioid Safety Network, click here.

To find contact information for your local opioid safety coalition, click here.

California Opioid Overdose Surveillance Dashboard

The California Department of Public Health, the Office of Statewide Health Planning and Development, the Department of Justice, and the California Health Care Foundation have collaborated to create a database of opioid related statistics in California. The dashboard provides a detailed report on a variety of opioid statistics such as opioid-related prescriptions, emergency department visits, deaths, and hospitalizations. All dashboard data can be viewed at the statewide or individual county level. In addition to encouraging the exploration of the current data, the dashboard will continue to track opioid statistics in order to evaluate California’s progress in reducing opioid misuse and abuse.

Funders

We would like to thank our funders that without whom this effort would not be possible:

  • California Health Care Foundation
  • California Department of Public Health
  • ACCMA Members