When launching an opioid safety initiative, you may encounter technology challenges, resistance from colleagues, or regulatory and legal constraints. It is important to identify these barriers as soon as possible and work with your team to resolve them. In this section we provide both an assessment tool to determine your organization’s readiness to implement an opioid safety initiative, and resources to help you think about potential regulatory and legal barriers to sharing potentially sensitive information.
How to Do It
- Assess stakeholder readiness at each level of the organization (board, executive leadership, departmental leadership, etc.).
- Identify where process or technology/data issues will complicate implementation.
- Understand how regulatory and legal issues may act as constraints.
- Develop pragmatic strategies to address these obstacles.
Health Plan Stories
Blue Shield of California
At the start of the initiative, Blue Shield of California stakeholders were skeptical that anything could be done to address the opioid crisis.
Inland Empire Health Plan and the Inland Empire Opioid Crisis Coalition
The coalition hosts quarterly meetings to provide an opportunity for all workgroups to meet, celebrate successes, share information, and remove obstacles to goal achievement.
Maintaining a successful and meaningful coalition requires resources and leadership, which are both difficult to maintain. The coalition is constantly looking for new funding sources to support its work. The workgroups that have made the most progress include committed industry and community leaders who, in addition to their day jobs, invest their time and energy into the coalition and its efforts.
Kaiser Permanente Southern California
Some physicians were resistant to change.
Physicians were worried that their patient satisfaction scores would drop if they refused to prescribe opioids. In response, KPSC adjusted its survey practices so physicians no longer had to worry that safer prescribing practices would impact patient satisfaction scores.
Partnership HealthPlan of California
Partnership HealthPlan of California recognized that its physician network could not change its prescribing habits overnight.
Stakeholder Readiness Assessment Tool
Download the Stakeholder Readiness Assessment Tool (ZIP) — it offers a detailed and structured way to gauge how prepared your team is for change.
Understanding Legal and Regulatory Guardrails
Sharing potentially sensitive information is key to delivering and coordinating care that patients need. However, complex federal and state laws leave plans and providers unsure about what information can be safely shared.
Use these resources to learn more about how information may be safely shared to deliver services and coordinate care.
Download this tool: Resources for Understanding Legal and Regulatory Guardrails (PDF).