Evaluating the Impact of Changes in Opioid Prescribing Across Health Systems Implementing Zero Suicide

Henry Ford Health System, Kaiser Permanente Colorado, Kaiser Permanente Northern California, Kaiser Permanente Northwest, and Kaiser Permanente Southern California are implementing the National Zero Suicide Model (NZSM), and have received funding from the National Institute of Mental Health to evaluate fidelity and suicide outcomes. This presents a unique opportunity to study the NZSM within the context of large, diverse systems with defined patient populations, thus enabling measurement of suicide attempt and death outcomes. This mixed-methods project seeks to optimize metrics for measurement of specific care processes in each region using longitudinal electronic health records (EHRs) with discrete data fields that are easily extractable and generalizable to other systems. Parallel change in opioid prescribing across systems will be analyzed and its impact evaluated as a system-level means reduction approach within the context of NZSM implementation.

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