Health Quality Ontario’s Opioid Use Disorder Quality Standard provides guidance on the care for people 16 years of age and older who have or are suspected of having opioid use disorder. The quality standard applies to all services and care settings.
The quality standard includes 11 quality statements and one emerging practice statement addressing areas that have high potential for improving the quality of care in Ontario for people with opioid use disorder.
Below is a sample of tools that may help you with the implementation of the quality statements into practice, organized according to purpose. Many of these tools will help to support multiple quality statements.
This list is not exhaustive. Are there other tools or resources you use? Do you have experience implementing these tools? If so, please use the comments section below to share!
Comprehensive resources related to opioid use disorder
Tools to support clinical practice
- The Methadone and Buprenorphine/Naloxone Toolkit by the Ontario Pharmacists Association can support those wishing to initiate a methadone or buprenorphine/naloxone program in their pharmacy setting
- Sample protocols can support the prescription of buprenorphine/naloxone for use in several care settings:
- The Clinical Opiate Withdrawal Scale is an 11-item scale to rate common signs and symptoms of opiate withdrawal and can be used to monitor these symptoms over time, while the Subjective Opiate Withdrawal Scale is a self-administered scale for grading opioid withdrawal symptoms
- Both of these scales can be used to address Quality Statement 7: Treatment of opioid withdrawal symptoms
Educational opportunities for health care professionals
The Ontario Pain Management Resources website by Health Quality Ontario includes an up-to-date list of educational resources for health care professionals.
Additional educational resources specific to opioid use disorder include:
- The Opioid Dependence Treatment (ODT) Certificate Program from the Centre for Addiction and Mental Health is intended to prepare physicians, pharmacists, nurses and counsellors to provide a comprehensive range of services for people with opioid dependence
- The Methadone Program from the College of Physicians and Surgeons of Ontario outlines the expectations for physicians who will be prescribing methadone
- Project ECHO Ontario Mental Health hosts weekly CME-accredited videoconferencing sessions to build capacity in the treatment and management of mental health and addictions
Resources for patients and families
These resources support Statement 4: Information to participate in care and Statement 5: Opioid agonist therapy as first-line therapy in this quality standard.
Access to local programs and supports
Comment below to describe your experience with these tools or share any others you have found useful!
This post is part of a series about how quality standards can be used to support quality improvement together, and provides a forum for people who are working on adopting the quality standards to share ideas and experiences. The introductory post can be found here.