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.

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.

PCSS MAT Waiver Training Programs

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.

Safe Prescribing Toolkit

The East Bay Safe Prescribing Coalition has developed two “Best Practices Toolkits” to aid prescribers in providing safe and effective treatment for patients experiencing acute and chronic pain. These documents are a collection of clinical tools, resources, and best practices for pain management and are the result of deep collaboration among a broad group of stakeholders including physicians, nurse practitioners, pharmacists, and others within the medical community. Please be aware that neither of these documents represent clinical guidelines and that clinicians should always follow their best clinical judgement while being aware of local laws and regulations on opioid prescribing.

Acute Pain

The Acute Pain Toolkit contains key messages for prescribers to be aware of when treating patients for short term acute pain, as well as resources to assist in the safe and effective treatment of acute pain.

Print version of the Acute Pain Toolkit

Expanded online version of the Acute Pain Toolkit

Chronic Pain

The Chronic Pain Toolkit offers key messages and resources for treatment of chronic pain for patients that may fall into one of three categories: opioid naïve patients who have not yet begun opioid therapy, patients who are continuing opioid therapy, and patients who have been diagnosed with, or are suspected to have, Opioid Use Disorder.

Print version of Chronic Pain Management Toolkit

Expanded online version of Chronic Pain Management Toolkit

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. New locations have been added to the Alameda County list as of February 2018.

Alameda County drug disposal sites

Contra Costa County drug disposal sites

All 20 East Bay Emergency Departments Adopt Safe Opioid Prescribing Guidelines

A major focus of the East Bay Safe Prescribing Coalition has been to promote safe prescribing guidelines safe in hospital emergency departments and urgent care facilities. The guidelines were developed by California emergency physicians and have been endorsed by numerous statewide medical organizations. All 20 Emergency Departments in Alameda and Contra Costa counties that provide care to adult patients have adopted these guidelines (see News Release). Here are the facilities who have committed to implementing the guidelines: 

  • 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

Implementation Resources

Electronic Copies of the Safe Prescribing 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:

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 pint 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

Clinical Resources

Patient and Community Resources