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Indicators & Change Ideas

Are you looking to improve the issues facing today’s health care system?

 

Explore the quality indicators being tracked by health care organizations in Ontario through Quality Improvement Plans (QIPs), and evidence-based change ideas to help improve them. Connect with others to share your experiences and ideas of your own.

Click here to learn more about QIPs.

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Percentage of non-palliative care patients newly dispensed an opioid

The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain and Health Quality Ontario’s quality standards both recommend against prescribing opioids for chronic non-cancer pain until non-opioid pharmacotherapy and/or nonpharmacological therapies have been attempted. Avoiding new starts of opioids can help to prevent long-term use, which can lead to significant harm.

This indicator is consistent with that presented in Health Quality Ontario’s MyPractice Reports.

Click here to visit Health Quality Ontario’s Indicator Library to view how to measure the percentage of non-palliative care patients newly dispensed an opioid.

Key resources

Change Ideas

  • Ensure systems, processes, and resources are in place to allow clinicians to perform comprehensive assessments for people with pain
    Process measure: Percentage of people with pain prescribed an opioid who received a documented comprehensive assessment prior to being prescribed opioid therapy
    Management of Chronic Non-Cancer Pain Tool by the Centre for Effective Practice
  • Ensure health care providers have the knowledge and skills to appropriately assess and treat pain using a multimodal approach and appropriately prescribe, monitor, taper, and discontinue opioids
    Process measure: Percent of health care providers who have received education on pain management
    Ontario Pain Management Resources by Health Quality Ontario
  • Provide patients with information on the benefits and harms associated with opioid use
    Process measure: Percentage of people with pain prescribed an opioid with documentation of receiving information about the potential benefits and harms of opioid therapy at the time an opioid is prescribed
    Opioids – When you need them and when you don’t by Choosing Wisely Canada
    Patient reference guides for opioid prescribing for chronic pain and acute pain by Health Quality Ontario

Percentage of non-palliative care patients newly dispensed an opioid

The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain and Health Quality Ontario’s quality standards both recommend against prescribing opioids for chronic non-cancer pain until non-opioid pharmacotherapy and/or nonpharmacological therapies have been attempted. Avoiding new starts of opioids can help to prevent long-term use, which can lead to significant harm.

This indicator is consistent with that presented in Health Quality Ontario’s MyPractice Reports.

Click here to visit Health Quality Ontario’s Indicator Library to view how to measure the percentage of non-palliative care patients newly dispensed an opioid.

Key resources

Change Ideas

  • Ensure systems, processes, and resources are in place to allow clinicians to perform comprehensive assessments for people with pain
    Process measure: Percentage of people with pain prescribed an opioid who received a documented comprehensive assessment prior to being prescribed opioid therapy
    Management of Chronic Non-Cancer Pain Tool by the Centre for Effective Practice
  • Ensure health care providers have the knowledge and skills to appropriately assess and treat pain using a multimodal approach and appropriately prescribe, monitor, taper, and discontinue opioids
    Process measure: Percent of health care providers who have received education on pain management
    Ontario Pain Management Resources by Health Quality Ontario
  • Provide patients with information on the benefits and harms associated with opioid use
    Process measure: Percentage of people with pain prescribed an opioid with documentation of receiving information about the potential benefits and harms of opioid therapy at the time an opioid is prescribed
    Opioids – When you need them and when you don’t by Choosing Wisely Canada
    Patient reference guides for opioid prescribing for chronic pain and acute pain by Health Quality Ontario