Welcome to the Hospital System Addictions Care Community of Practice!

CoPs provide a forum for you to share your perspectives, explore solutions, connect with your peers, and take away insights to improve your practice.
The Hospital System Addictions Care CoP promotes the development of interdisciplinary hospital systems that identify, engage, treat, and coordinate services for people with a substance use disorder (SUD) to improve patient and hospital outcomes. This approach uses any “reachable moment” to enhance patient-centered care and hospital outcomes by providing medication assisted treatment and other interventions and linking patients to SUD care and harm reduction support after discharge.
Meeting Schedule:
CoP Meetings are on the third Thursday from 1:00pm-2:30pm every other month.
Due to COVID-19 imposed restrictions, all meetings will be held virtually until further notice.
Resources that support hospital-based addictions care:
- 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
- Tools to Support Hospital-based Addiction Care: Commentary
- Tools to Support Hospital-based Addiction Care: Core Components, Values and Activities of the Improving Addictions Care Team
- At the Cusp – Re-imagining Infective Endocarditis Care amid the Opioid Epidemic
- Legal Action Center Report – Emergency: Hospitals are Violating Federal Law by Denying Required Care for Substance Use Disorders in Emergency Departments
- Legal Action Center Report – Be Empow(ER)d! Know Your Rights to Addiction Care for Drug & Alcohol-Related ER Visits
Past CoP webinar recordings and other resources and tools
Webinars 2023
Webinar: The Substance Use Response Team Toolkit: Building Blocks for Organizational Change
April 20, 2023
Click on the image to view the video
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
Click on the image to view video
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
Webinars 2022
Webinar: Treating SUD in Patients who are New Americans
December 15, 2022
Learn more about the care and treatment of persons with SUD who have lived experience as immigrants or refugees.
Click on the image to view video
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
Webinars 2021
Webinar: Redefining Success in Patient Care
December 16, 2021
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
MAT Meeting Resources
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
Webinars 2020
- 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
Webinars 2019
- 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
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
Webinars 2018
- 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:
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
Webinars 2017
- 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
Learning Session: MAT in NH: Implementation of Best Practices – June 15, 2017