Presenters
- Marcy Doyle, DNP, MHS, RN, CNL, Quality and Clinical Improvement Director, University of New Hampshire, Institute for Health Policy and Practice, Durham, NH
- Dayle Sharp, PhD, DNP, McPH, FNP-BC, APRN, Clinical Associate Professor, University of New Hampshire, Durham, NH
- Susan Nichols, PA, Community Practice Site, Lamprey Health Care Community Health Center
- Marguerite Corvini, MSW Partnership for Academic Clinical Telepractice, New Hampshire Citizens Health Initiative, Institute for Health Policy and Practice, University of New Hampshire, Durham, NH
- Kelsi West, BS, Project Director, Institute for Health Policy and Practice at the University of New Hampshire, Concord, NY
Summary
Opioid Use Disorder (OUD) has impacted New Hampshire (NH); in 2016, the overdose death rate was 35.8 per 100,000, almost three times higher than the national rate. The presentation will describe how the Institute for Health Policy and Practice, NH Citizens Health Initiative and the University of New Hampshire’s (UNH) Department of Nursing furthered the work of the NH Behavioral Health (BH) Integration Collaborative with the development of the Partnership for Academic Clinical Telepractice – Medications for Addiction Treatment (PACT-MAT). Eighteen community health care practices throughout NH and 64 students participated in the learning community; PACT-MAT demonstrated a 50% increase in patients’ treatment for OUD and increased provider knowledge and confidence. The presentation will describe “how”to use the project ECHO® model, to link interdisciplinary teams and students developing a reflective and adaptive learning community guided by a continuous improvement approach to identify both clinical practice and policy issues. The presentation will include a community practice site provider who will discuss how they utilized the knowledge and confidence gained through participation to increase access to treatment at their community health center. Building on the integrated care approach, PACT-MAT was the first in the world to incorporate nursing students into an ECHO. The presentation will discuss best practices for onboarding students into this type of teaching modality as well as discussing augmentations to the ECHO format. An integral component of the program was the use of a person-centered approach to care in order to reduce stigma and bias. In addition to didactics specifically addressing stigma and bias, ECHO staff focused on redirecting and modeling language in each part of the ECHO process. Over the course of the sessions, the community developed a culture that understands addiction as a chronic disease and is prepared and capable to address a range of issues, including clinical management, compassion fatigue, stigmatization, and mental health conditions that emerge during the process of treatment. The presentation will share evaluation results and tools used for PACT-MAT to provide a framework for others to build a learning community that advances access to OUD treatment.
Objectives
- Discuss how to build an integrated behavioral health telepractice learning community that reduces stigma and bias while increasing access to medications for addition treatment at community practice sites.
- Describe "how"to use the project ECHO® model, to link community-based sites, providers, peer support specialists, Nurse Practitioner students, and Project ECHO faculty experts to teach and spread best practices in opioid use disorder treatment
- Understand how to measure an increase in provider and student confidence and knowledge of medications for addiction treatment. 3. Increase the number of patients with opioid use disorder at community practice sites
