Dr. Kali Gartner

Family Physician, Saskatoon

Project: Improving Care for People with Opioid Use Disorder in a Primary Care Clinic

Best practice guidelines for opioid use disorder (OUD) suggest opioid agonist therapy (OAT) is effective at reducing morbidly and mortality.1 Primary care models with integrated medical, social and addiction services are ideal settings to provide low barrier holistic care for OUD. A key component of successful treatment is engagement in care.  Our first PDSA cycle was to address missed OAT appointments. Approximately 40% of scheduled OAT appointment are missed with potential for treatment interruption. Proactive prescription management practices that promote retention and reduce treatment interruptions reduce all cause and overdose mortality.2,3 We measured the administrative “tasks” our addiction counsellor completed for “missed appointments” as well as interactions for counselling/treatment. Our baseline data showed about 27% of the workload was managing missed appointments. We have implemented our new process May 2022 and will review our measures and patient/staff feedback in June 2022 aiming to reduce the “missed appointment” administrative workload for the counsellor.

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