COE Guiding Principles

January 15, 2025

Session participants will learn about the COE framework for care and the COE guiding principles, with strategies for enrolling those that are “hard to engage”, focusing on priority populations, and the rapid induction to medications for opioid use disorder (MOUD). Participants will also learn about the “hub and spoke” model, the role of community-based care coordination teams, and the integration of behavioral and physical health.

Agenda:

  1. Introduction
  2. Purpose
    1. Framework for Care
    2. Support the Vision
    3. Standardize COE Care
    4. Support Comprehensive Care
  3. COE Guiding Principles
    1. Enroll those that are “hard to engage”
    2. Focus on priority populations
    3. Rapid induction to medications for opioid use disorder (MOUD)
    4. Function as a “hub and spoke”
    5. Consist of community-based care coordination teams
    6. Integrate behavioral and physical health
  4. COE Vision
  5. Enrolling hard-to-engage individuals
  6. Factors Affecting Engagement
    1. Stigma and Discrimination
    2. Socioeconomic Factors
    3. Comorbid Mental Health Conditions
    4. Criminal Justice Involvement
    5. Lack of Awareness
  7. Treatment Outcomes
    1. Delayed Treatment Initiation
    2. Lower Retention Rates
    3. Increased Risk Behaviors
    4. Increased Overdose Risk
  8. Focusing on High-Risk Priority Populations
    1. Targets resources and tailored interventions to bridge care gaps and reduce disparities.
    2. Aims to improve overall health metrics for vulnerable groups.
    3. Fosters a compassionate, inclusive healthcare system.
    4. Similar barriers like social stigmas and limited access affect both hard-to-engage and high-risk groups.
    5. Marks high-risk populations as a priority for tailored SUD treatment.
    6. Focus on high-risk populations reflects a commitment to equitable, effective care.
  9. Pregnant People & Women with Children
    1. Risk of passing substances to unborn children, affecting their health.
    2. SUD treatment supports family stability and children's well-being.
  10. Persons Who Inject Drugs (PWID):
    1. Elevated risk of infectious diseases like HIV and hepatitis.
    2. High potential for fatal overdoses; harm reduction is crucial.
  11. Overdose Survivors:
    1. Immediate risk of a subsequent overdose.
    2. Need urgent treatment and support to prevent future incidents
  12. Veterans:
    1. Unique needs due to trauma and mental health issues from service.
    2. Specialized care recognizes their sacrifices.
  13. Individuals Post-Incarceration:
    1. Risk of SUD relapse and increased risk of overdose upon release.
    2. Barriers to care in the criminal justice system require tailored solutions.
  14. Expeditious Induction on MOUD
    1. Timely Treatment: Aims for immediate, effective recovery.
    2. Reduce Complications:
      1. Minimizes health risks with quick MOUD access.
      2. Harm Reduction: Lowers overdose risks.
      3. Behavioral Impact: Reduces risky behaviors tied to illegal opioids.
    3. Benefits of Rapid MOUD Induction
      1. Eases painful symptoms, encouraging continued treatment.
      2. Shortens gap between decision to seek treatment and actual treatment, reducing relapse risks.
      3. Increases adherence to treatment plans.
      4. Improves health, social reintegration, and lowers criminal activity
  15. Functioning as a Hub and Spoke Program
    1. Hub and Spoke Design
  16. Assertive Community-Based Care Coordination
    1. Offers care in the community to overcome logistical barriers like transportation
    2. Assertive engagement identifies and reaches out to those with mental health or substance use challenges
    3. Prioritizes sustained recovery with ongoing support, rather than just short-term interventions
  17. Integration of Behavioral and Physical Health
    1. Improved treatment outcomes
  18. Fidelity Guidelines Connection to the Guiding Principles
  19. 2025 topics
  20. Discussion/ Questions

Target Audience

  • Nurse
  • Physician
  • Social Worker

Learning Objectives

Discuss the significance of guiding principles in the context of Centers of Excellence (COEs) for individuals with Opioid Use Disorder (OUD).

Describe the relationship between guiding principles, compassionate care, and innovation in the context of COEs. 

Additional Information

AttachmentSize
File Audience Disclosure slides (1.25).pptx50.71 KB
File Guiding_Principles_COE_Objectives_Questions_References .docx44.85 KB
PDF icon Guiding_Principles_COE_v0.pdf1.42 MB
Course summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.25 ASWB
  • 1.25 Attendance
Course opens: 
01/15/2025
Course expires: 
03/31/2025
Event starts: 
01/15/2025 - 12:00pm EST
Event ends: 
01/15/2025 - 1:30pm EST
Add to calendar: 

Session participants will learn about the COE framework for care and the COE guiding principles, with strategies for enrolling those that are “hard to engage”, focusing on priority populations, and the rapid induction to medications for opioid use disorder (MOUD). Participants will also learn about the “hub and spoke” model, the role of community-based care coordination teams, and the integration of behavioral and physical health.

Agenda:

  1. Introduction
  2. Purpose
    1. Framework for Care
    2. Support the Vision
    3. Standardize COE Care
    4. Support Comprehensive Care
  3. COE Guiding Principles
    1. Enroll those that are “hard to engage”
    2. Focus on priority populations
    3. Rapid induction to medications for opioid use disorder (MOUD)
    4. Function as a “hub and spoke”
    5. Consist of community-based care coordination teams
    6. Integrate behavioral and physical health
  4. COE Vision
  5. Enrolling hard-to-engage individuals
  6. Factors Affecting Engagement
    1. Stigma and Discrimination
    2. Socioeconomic Factors
    3. Comorbid Mental Health Conditions
    4. Criminal Justice Involvement
    5. Lack of Awareness
  7. Treatment Outcomes
    1. Delayed Treatment Initiation
    2. Lower Retention Rates
    3. Increased Risk Behaviors
    4. Increased Overdose Risk
  8. Focusing on High-Risk Priority Populations
    1. Targets resources and tailored interventions to bridge care gaps and reduce disparities.
    2. Aims to improve overall health metrics for vulnerable groups.
    3. Fosters a compassionate, inclusive healthcare system.
    4. Similar barriers like social stigmas and limited access affect both hard-to-engage and high-risk groups.
    5. Marks high-risk populations as a priority for tailored SUD treatment.
    6. Focus on high-risk populations reflects a commitment to equitable, effective care.
  9. Pregnant People & Women with Children
    1. Risk of passing substances to unborn children, affecting their health.
    2. SUD treatment supports family stability and children's well-being.
  10. Persons Who Inject Drugs (PWID):
    1. Elevated risk of infectious diseases like HIV and hepatitis.
    2. High potential for fatal overdoses; harm reduction is crucial.
  11. Overdose Survivors:
    1. Immediate risk of a subsequent overdose.
    2. Need urgent treatment and support to prevent future incidents
  12. Veterans:
    1. Unique needs due to trauma and mental health issues from service.
    2. Specialized care recognizes their sacrifices.
  13. Individuals Post-Incarceration:
    1. Risk of SUD relapse and increased risk of overdose upon release.
    2. Barriers to care in the criminal justice system require tailored solutions.
  14. Expeditious Induction on MOUD
    1. Timely Treatment: Aims for immediate, effective recovery.
    2. Reduce Complications:
      1. Minimizes health risks with quick MOUD access.
      2. Harm Reduction: Lowers overdose risks.
      3. Behavioral Impact: Reduces risky behaviors tied to illegal opioids.
    3. Benefits of Rapid MOUD Induction
      1. Eases painful symptoms, encouraging continued treatment.
      2. Shortens gap between decision to seek treatment and actual treatment, reducing relapse risks.
      3. Increases adherence to treatment plans.
      4. Improves health, social reintegration, and lowers criminal activity
  15. Functioning as a Hub and Spoke Program
    1. Hub and Spoke Design
  16. Assertive Community-Based Care Coordination
    1. Offers care in the community to overcome logistical barriers like transportation
    2. Assertive engagement identifies and reaches out to those with mental health or substance use challenges
    3. Prioritizes sustained recovery with ongoing support, rather than just short-term interventions
  17. Integration of Behavioral and Physical Health
    1. Improved treatment outcomes
  18. Fidelity Guidelines Connection to the Guiding Principles
  19. 2025 topics
  20. Discussion/ Questions

 

Zoom Meeting
Pittsburgh, PA
United States

Julie Brewer, MSW, Pitt-PERU

Samantha Mears, MHA, Pitt-PERU

In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 1.25 continuing education credits.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.25 contact hours.

Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 1.25 contact hours.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Available Credit

  • 1.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 1.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.25 ASWB
  • 1.25 Attendance
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