Prisma Health-Upstate’s Project ED-ALT will develop and implement alternatives to opioids for pain management in Emergency Department (ED) settings while still providing adequate pain management in the ED. The project will adapt previously published protocols that have successfully utilized multiple strategies to reduce opiate use in the ED. The program builds on these by providing training and real-time support of ED physicians to better assess patients and deliver the entire breadth of these proven opiate-free therapies for pain management in the ED.
This project will serve a minimum of 5,000 patients a year, and 15,000 over 3 years.
Project objectives are to 1) Provide training for opiate free pain management strategies; 2) Initiate “Opiate-Free Days” in the ED; 3) Track opiate use and follow-up care/drug testing, and 4) Disseminate results of these best practice interventions.
The project will utilize multiple medication and procedural based EBPs as adapted for use in the ED, including Medication Protocols, Regional Anesthesia, Transcutaneous Electrical Nerve Stimulation (TENS), and Acupuncture.
This project is designed to become self-sustaining and enroll patients on a rolling basis. It will create a sustainable program that will rely less on the consult services as the ED physicians become comfortable with the various non-opiate medication and procedure protocols. As such, local practices will begin to establish these as standard first line therapy and the system will operationalize these multidisciplinary teams organically as the system understands the benefits.