Hospital System Addictions Care CoP Resources

Webinar: Lessons Learned in the Emergency Department – A Nurse’s Perspective
August 17, 2023

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Kelsey Allard, RN, BS, GC-HCM is the ED Behavioral Health and Substance Use Nurse at Valley Regional Hospital in Claremont, NH. Kelsey has 10 years of experience in nursing practice and holds degrees in psychology, human services, and healthcare management and is pursuing her Psychiatric Mental Health Nurse Practitioner credential. Kelsey is deeply committed to improving patient outcomes for vulnerable populations, promoting the power of healing through the elimination of stigma and personal bias, and advocating for human dignity in healthcare.

This CoP helps hospital-based administrators, healthcare providers, and other practitioners implement systemic and effective approaches that address the substance use disorder needs of patients and enhance patient and hospital outcomes.

Webinar: Peer Recovery Support Systems: Making it Work in NH Hospitals
June 15, 2023

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This Community of Practice focuses on the benefits and challenges of implementing peer recovery support systems in hospitals.Panel of experts:
1. Monica Percy Edgar, APRN, MLADC, Director of Substance Use Services, Concord Hospital
2. Beau, Peer Recovery Support Worker, Concord Hospital
3. Corey E. Gately, MLADC, Director of Substance Use Services, Concord Hospital-Laconia and Franklin
4. Carol Furlong, MAC, LCMHC, MBA, Strategic Planning Consultant, Elliot Hospital, Southern NH Health
5. Cheri Bryer, Dartmouth Hitchcock Hospital

Webinar: The Substance Use Response Team Toolkit: Building Blocks for Organizational Change
April 20, 2023

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Featuring presenters:
Kellie Mueller, M.Ed., Assistant Vice President, Behavioral Health Services, Wentworth-Douglass Hospital
Peter Fifield, Ed.D., MLADC, LCMHC, Manager of Substance Use Disorder Program and Integrated Behavioral Health Program, Wentworth-Douglass Hospital

Learn about the development and implementation of a plan to change system culture regarding the care of patients with substance use disorder (SUD.)
Participants will gain an understanding of:
1.) The pathway that one hospital took to create a culture that supports treatment for SUDs.
2.) The components of the developmental program for team members to achieve various levels of expertise in SUD care.

Webinar: Making Inductions, Making Connections: How a Critical Access Hospital Implemented a Successful SUD Treatment Program
February 16, 2023

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Featuring presenters:
Brian Lombardo, M.D., Medical Director Primary Care Group
Karry L. Smardon (she/hers), M.Hlth.Comm., Social Worker, Recovery Coach, Primary Care Multi-Specialty Clinic
Colin Skinner, M.B.A., LSSBB, Director, Business Planning and Strategy, Multi-Specialty Clinic
Lauren M. Senn, Practice Director, Multi-Specialty Clinic
Shelley Friedman, RN, M.S.N., M.B.A., CNML, Clinical Manager, Primary Care, Women’s Care, Sleep Health & Integrative Medicine
Casey Kelly (she, her, hers), M.A., LCMHC, NCC, Behavioral Health Care Manager, Primary Care

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Tara Davis-Thompson M.S., LCMHC, MLADC, has worked in Integrated Behavioral Health Clinician at the Concord Hospital Family Health Center since 2016. During this time, she has provided SUD treatment to refugee patients who receive their primary care at FHC. She has also facilitated community education workshops for refugee community leaders and refugees about alcohol use disorders, with particular focus on culturally effective assessment and interventions. Tara learns from the patients she serves and from community leaders about the best ways to provide therapeutic support and education regarding SUDs and mental health. Tara adapts her approach as needed as she continues to serve populations who arrive from different parts of the world.

Emily Bogle, B.S.N., has worked as a nurse for over 20 years. She has worked in a variety of settings including inner city hospitals, small rural hospitals, and community health. She spent 6 years working as a community health nurse in rural Uganda and East Africa. Emily has been the Refugee Nurse Care Coordinator at the Concord Hospital Family Health Center for the past 3 years. She is passionate about her work and a huge asset to the Family Health Center working with the refugee community.
Webinar slides

Webinar: Motivational Interviewing: Tips and Tools for Talking Change with Patients
November 17, 2022
Peter Fifield, Ed.D., MLADC, LCMHC is the Manager of the Substance Use Disorder and Integrated Behavioral Health Services at Wentworth-Douglass Hospital in Dover, NH and an adjunct faculty member at the University of New England. He has a doctoral degree from the University of New England and is dual licensed in NH as a clinical mental health counselor and a master licensed alcohol and drug counselor. Peter has been a member of the Motivational Interviewing Network of Trainers since 2011 and specializes in training for mental health and medical providers. He finds great satisfaction working with groups who are seeking to provide more supportive, equitable and effective care to clients. For over twenty years he has been working in the field of trauma informed integrated behavioral health and the treatment of co-occurring mental health and substance use disorders.
Webinar Recording
Webinar slides

Webinar: The New Hampshire Harm Reduction Coalition: Saving Lives, Supporting Recovery
October 20, 2022
Lauren McGinley, Executive Director of the New Hampshire Harm Reduction Coalition presented on the effectiveness of harm reduction practies and services in New Hampshire, how these services can support recovery efforts for hospital patients and how NHHRC’s work can support SUD patients.
Webinar recording
Webinar slides

Webinar: Levels of Care: Getting our Patients with SUD to the Right Place
September 15, 2022
Carol Furlong, M.B.A., LCMHC, MAC, Substance Use Disorder Services, with Elliot Hospital presented about the levels of care and how patients are triaged to the appropriate level of care for the most effective treatment.
Webinar recording
Webinar slides

Webinar: Eradicating Stigma: Perspectives from the Front Lines
June 14, 2022
Elliot Hospital is changing its culture to support those with a substance use disorder (SUD) and address stigmatizing language, beliefs, and behaviors that prevent those with an SUD from seeking hospital care. Participants exchanged ideas on the strategies they are using within their own hospitals to reduce and prevent stigma.
Webinar recording
Webinar slides
Words Matter

Webinar: The Treatment of Alcohol Use Disorder
April 21, 2022
John Brooklyn, MD,  Associate Clinical Professor of Family Medicine, Medicine and Psychiatry, UVM Larner College of Medicine presented on the many facets of risky alcohol use and its treatment.  Alcohol use claims approximately 95,000 lives annually in the United States and New Hampshire has a very high rate of alcohol sales, making this a major public health problem.  Dr. Brooklyn answered questions following his presentation and participants were encouraged to share their own experiences with persons with an alcohol use disorder.
Webinar Recording

Healthcare professionals may be challenged when caring for patients struggling with the chronic disease addiction who are not yet focused on recovery. Embracing harm reduction as a positive step toward recovery, can assist the practitioner in feeling more successful in caring for their patient. Kerry Nolte, PhD, FNP-C explores how harm reduction principles can be applied to patient centered care and presents insights into what is entailed in “successful” patient care.  Participants engaged in discussion with peers about how to support patients with a substance use disorder in their own pathway to wellness.
Webinar Recording
Presentation Slides

Webinar: Champions for Change: Shifting Hospital Culture
October 21, 2021
Participants learned how Kellie Mueller and Peter Fifield developed an interdisciplinary Substance Use Resource Team (SURT) of “Champions” across Wentworth-Douglass hospital system that has improved nursing confidence in caring for patients with an substance use disorder. 
Webinar Recording

Webinar: Addictions Care in Action
August 19, 2021
Participants learned how New Hampshire hospitals are implementing systemic and effective approaches that address the substance use disorder (SUD) needs of patients and enhance patient and hospital outcomes. Featured presenters provided an overview of their approach including key partners they’ve engaged, what’s worked, and lessons learned in creating a hospital culture that is supportive of those struggling with the chronic disease of addiction.

Webinar Recording
Resource: Guidance Document on Best Practices: Key Components for Delivering Community-Based MAT Services for Opioid Use Disorders in New Hampshire – Second Edition

Webinar: Through the Eyes of the Patient
June 17, 2021
Individuals who have struggled with the chronic disease of addiction talk about their affirming – as well as less positive – hospital experiences. Understand the needs and realities of those who walk through your hospital doors. Learn how to apply the insights gained and tools used during this meeting to enhance hospital-based addictions care.

Webinar Recording
Presentation Slides
What is Empathy Mapping?
Webinar Empathy Map

Webinar: HSAC CoP Kick Off Meeting: Improving Patient and Hospital Outcomes through Hospital-based Systems of Care – February 11, 2021

The Improving Addiction Care Team (IMPACT) program at Oregon Health & Science University is an interprofessional hospital-based addictions team that addresses the whole-person needs of patients with SUD who present with medical and surgical complications of addiction. Studies show this nationally-recognized program is associated with improved patient and provider experience, improved post-hospital SUD treatment engagement, and decreased healthcare costs. Dr. Englander, IMPACT Director, provided an overview of the program, highlighted evaluation findings, answered questions, and discussed with attendees how hospital-based addiction care can improve patient and hospital outcomes in New Hampshire.

Webinar recording
Presentation Slides
Meeting Slides

Resources:

• OPTIONS DC Discharge Conference
  
• Journal of Hospital Medicine: Planning and designing the Improve Addiction Care Team (IMPACT) for hospitalized patients with substance use disorder
• Overview of Project IMPACT
• Lessons Learned from using ECHO to support addictions care in rural and community hospitals

Training and technical assistance is provided by experienced MAT providers.

Interested? Fill out the enrollment application. (there are a limited number of spaces available)

Questions? Email: unh.projectecho@unh.edu

• Medication Assisted Treatment Crosswalk: This crosswalk was created by the UNH Institute for Health Policy and Practice, Citizens Health Initiative and the NH Center for Excellence to identify similarities and differences in medication assisted treatment (MAT) best practice recommendations through cross reference of the NH MAT Guidance Document and the Substance Abuse and Mental Health Services Administration (SAMHSA) Treatment Improvement Protocol (TIP) 63.Other Resources & Tools
  • New Hampshire MAT Resources
  • MAT Procedures: Sample Intake Checklist
  • Diversion Control: Diversion Control Protocol Template
  • Patient Agreements: Sample Patient/Provider Treatment Agreement; Contingency Contract for Buprenorphine Program
  • Drug Testing: Urine Drug Testing in Clinical Practice; Appropriate Use of Drug Testing in Clinical Addiction Medicine
  • MAT Tool: MAT Quality Planning Tool
  • Opioid-Specific Tools: Assessing Benefits and Harms of Opioid Therapy; Opioid Crisis by the Numbers; Non-Opioid Treatments for Chronic Pain; Prescribing Opioids for Chronic Pain; Warning Signs: Recognizing When Someone is in Danger; CDC Guidelines for Prescribing Opioids for Chronic Pain

• Webinar recording
• Handouts: MAT Overview; MAT Services Tip Sheet; Well Sense MAT Services; AmeriHealthCaritas

Presentation & Discussion: Taking Stock: Planning for Continued Recovery – June 11, 2020

• Presentation Slides
  • Framing the Conversation: History and Perspective (Dan Andrus, Foundation for Healthy Communities)
• Webinar Recording (password: 8v&80*@M)   Disclaimer: First 40 minutes of session was not recorded.
• Handouts: Case 1; Case 2; Case 3
• Follow-up Questions & Answers

Presentation & Discussion: Navigating COVID-19 for NH MAT Practices – April 9, 2020

• Presentation Slides
  • Emergency Regulations: COVID 19 & SUD (Dr. Molly Rossignol; James Potter, NH Medical Society; Dr. Jacob Crothers, Groups Recover Together; Dr. David De Gisjel, Better Life Partners)
• Webinar Recording
• Follow-up Questions & Answers

Presentation & Discussion: Shared Care Planning for MAT Providers – February 13, 2020

• Presentation Slides
  • Shared Care Planning (Ann Branen, RN, CARN)
  • Practice Perspective: Case Discussion (Dana O’Shea, Kristin Makara, Annmarie Parmenter – Center for Recovery Management at Nashua; Jennifer Hagan – Weeks Medical Center)
• Webinar Recording
• Follow-up Questions & Answers

• Presentation Slides
  • ASAM Levels of Care (Lindy Keller, MLADC, NH Bureau of Drug & Alcohol Services)
• Webinar Recording
• Follow-up Questions & Answers

Presentation & Discussion: Discovery, Recovery, Relapse Prevention: Treatment Planning for MAT Care Models – October 10, 2019

• Presentation Slides
  • Treatment Planning Based on Stages of Change (Paul Kiernan, LADC, NH Center for Excellence)
  • Introduction to Care Models (Peter Mason, MD)
• Webinar Recording
• Follow-up Questions & Answers

Presentation & Discussion: Application of ASAM Criteria for MAT Practices – August 8, 2019

• Presentation Slides
  • Care Planning to Address Patient Needs (Molly Rossignol, DO)
  • Understanding ASAM Criteria (Paul Kiernan, LADC, NH Center for Excellence)
• Webinar Recording
• Handouts: Risk Rating Criteria; Case Practice 1; Case Practice 2
• Follow-up Questions & Answers

Presentation & Discussion: Polysubstance Use: Utilizing A Harm Reduction Lens – June 13, 2019

• Presentations Slides
• Follow-up Questions & Answers

Presentation & Discussion: MAT in Primary Care: Expanding Access – April 11, 2019

• Presentation Slides: (Presented by Alice Peck Day Hospital)
• Follow-up Questions & Answers

Presentation & Discussion: Individualizing Patient Care: Harm Reduction, Diversion, and Policy Considerations – February 14, 2019

• Presentation Slides
  • Update of Hepatitis A in New Hampshire (NH Bureau of Drug & Alcohol Services)
  • MAT: Striving for Quality (NH Center for Excellence)
  • Treatment Planning: Individualizing Care (Catholic Medical Center)
• Follow-up Questions & Answers

• Presentation Slides:
  • Academic Detailing in Manchester (Elliot Hospital)
  • Designing and Implementing Addiction & Recovery Training in a Hospital Setting (Lakes Region General Hospital/Navigating Recovery)
• Additional Resource: Elliot Hospital Emergency Department / MLADC Grant Charter
• Follow-up Questions & Answers

Presentation & Discussion: Medication Assisted Treatment – November 8, 2018

• Presentation Slides:
  • MAT in a Hospital-Based Setting (Frisbie Memorial Hospital)
  • Applying Microsystem Methods to Develop Successful MAT Services (Citizens Health Initiative)

Presentation & Discussion: Inducting Patients onto Buprenorphine – June 21, 2018

• Presentation Slides: Induction: It’s Not Just About Having a Baby Anymore! (Concord Hospital)
• Handouts: Patient Cases, Example 1: Home Induction, Example 2: Home Induction
• Follow-up Questions & Answers

Presentation & Discussion: Methadone & Naltrexone to Treat Opioid Use Disorder – April 19, 2018

• Presentation Slides:
  • Update on MAT in New Hampshire (Molly Rossignol, DO, FAAFP, FASAM)
  • Overview of Methadone & Naltrexone (Discovery House CTC Northern Rhode Island)
  • MAT in a Hospital-Based Setting (Weeks Medical Center)
• Handouts: MAT Clinical Flowchart, MAT Program Flowchart, MAT Mental Health Flowchart
• Follow-up Questions & Answers

Presentation & Discussion: Substance Use Disorder Treatment & Recovery Support Services – February 15, 2018

• Presentation Slides:
  • Overview of SUD Treatment & Recovery Support Services (Bureau of Drug & Alcohol Services)
  • MAT in a Hospital-Based Setting (Alice Peck Day Memorial Hospital)
  • MAT in a Hospital-Based Setting (LRGHealthcare)
  • MAT in a FQHC Setting (Goodwin Community Health Center)
• Follow-up Questions & Answers

• Presentation Slides:
  • Drug Testing in Addiction Care (Concord Hospital)
  • MAT in a Health Center Setting (Manchester Community Health Center)
• Case Studies
• Follow-up Questions & Answers

Presentation & Discussion: Delivering MAT Through a Team-Based Approach – October 19, 2017

• Presentation Slides: Team-Based Care (Mt. Ascutney Hospital/Connecticut Valley Recovery Services)
• Case Studies

Learning Session: Medication Assisted Treatment – June 29, 2017

• Presentation Slides
• Follow-up Questions & Answers

Learning Session:  MAT in NH: Implementation of Best Practices – June 15, 2017

• Presentation Slides
• Follow-up Questions & Answers