Prescription Monitoring Systems

• Develop a measurement plan to identify patients who have been prescribed a new opioid and by whom in a timely manner.
  Getting Started with an Opioid Use Registry by the Association of Family Health Teams of Ontario, a community of practice that shares EMR queries related to opioids to identify prescriptions within your practice
  The Digital Health Drug Repository, a source of up-to-date patient-level data that includes prescriptions from any provider in the health care system

Resources for Health Care Professionals

• Ensure systems, processes, and resources are in place to allow clinicians to perform comprehensive assessments for people with pain
  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 in which opioids are not a first-line treatment option
  Ontario Pain Management Resources
• Ensure health care providers have the knowledge and skills to appropriately prescribe, monitor, taper, and discontinue opioids
  OntarioMD Pain Management Resources
  Opioid Manager, by the Centre for Effective Practice
  MacHealth Safer Managing Chronic Pain

Patient Information on Benefits and Harms of Opioid Use and Shared Decision-Making

• Provide patients with information on the harms and benefits associated with opioid use
  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