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Inside a Massive, Successful Effort to Stop Prescribing So Many Opioids

According to the California Health Care Foundation, Kaiser Permanente Southern California physicians now receive reports comparing their prescribing rates with those of their peers, and they require a signoff from another doctor specializing in pain management, oncology, or palliative care to give high doses of opioids or brand-name pills.
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Safer and More Appropriate Opioid Prescribing: Kaiser Permanente’s Comprehensive Approach

Kaiser Permanente’s Safe and Appropriate Opioid Prescribing Program was implemented in 2010, and is among the organization’s most successful efforts to address the problem of opioid addiction, not only for members, but for the communities in which it operates. The program is the focus of a study recently published in the Journal of Evaluation in Clinical Practice. We interviewed study co-author, Michael H. Kanter, MD, medical director of quality and clinical analysis for the Southern California Permanente Medical Group, as well as executive vice president and chief quality officer, The Permanente Federation, about the program.

Enhanced Recovery After Surgery Program at Kaiser Permanente Significantly Improves Surgical Outcomes

A comprehensive Enhanced Recovery After Surgery program implemented in Kaiser Permanente’s 20 Northern California medical centers involved nearly 9,000 surgical patients and resulted in a one-third relative reduction in postoperative complication rates and a 21 percent reduction in opioid prescribing rates.