Concurrent Sessions

CD1 – Working together: A multi-organizational partnership to support pain management and opioid prescribing in primary care teams

Theme 1. Mental health and addictions

Presentation Details

  • Date: Thursday October 25, 2018
  • Concurrent Session C & D
  • Time: 8:45-10:30am
  • Room: Pier 5
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations

Learning Objectives

  • Providers, IHPs and administrators will become familiar with several partnered supports for pain and opioid prescription management in primary care teams, including data from HQO’s myPractice reports, EMR queries developed by AFHTO volunteers, and CAMH’s opioid de-implementation program.
  • Providers, IHPs and administrators will understand how new and advanced tools function together to create a network of resources aimed at helping providers to better support their patients who are living with pain.
  • Participants will appreciate how these tools were used together in the context of an AFHTO-member team and will assess and apply these tools in their own team setting.


This will be a four-member panel including representatives from Health Quality Ontario (HQO), Algorithm Project (AP) Team (AFHTO member volunteers), the Centre for Addictions and Mental Health (CAMH), and an AFHTO FHT. Together, they will illustrate how these tools are part of a continuum of resources to help providers support their patients “who are living with pain” or “to better manage pain. Together, they will illustrate how these tools form a system of supports for providers who deal with pain management: After a team has assessed their own opioid-prescribing practices by reviewing their myPractice report from HQO, they can use the queries developed by the AP team to identify individual patients who might benefit from discontinuing or reducing their use of opioids. Once they have done this, thy can access computer-assisted clinical pathways to treat patients based on evidence and best practice recommendations, through CAMH’s opioid de-implementation project. This project also provides educational support for providers.

After being introduced to these tools, participants will hear from a member of a primary care team that has joined the opioid de-implementation project. They will share their team’s experience in using these tools, describe how they were able to adapt them for their setting and incorporated into the interprofessional team’s workflow, and share how their patients are benefitting from these supports. Finally, we will present qualitative and quantitative data (where available) about the overall effectiveness of the program.


  • David Kaplan, Provincial Clinical Lead, Primary Care, Health Quality Ontario
  • Charles Bruntz, MSc, QIDSS, Timmins FHT
  • Sarwar Hussain, CAMH
  • Dr. Darren Larsen, Chief Medical Officer, Ontario MD
  • Zoe Wong, Pharmacist, Southlake Academic Family Health Team

Authors & Contributors

  • Maria Krahn
  • Sarwar Hussain
  • Catherine MacDonald
  • Sara Dalo