Opioid Resources

Welcome to the MSSIC Opioid Resource toolkit. It contains resources to support the MSSIC Opioid Prescribing Guidelines performance measures and resources from Michigan OPEN and publication articles.  The opioid epidemic continues to represent a significant public health crisis in the U.S.  Prescription opioid use has been recognized as a key contributor to this epidemic and surgeons play an important role in this epidemic.  Opioids prescribed after surgery are associated with a well-documented risk of chronic opioid dependence, especially in opioid-naïve patients.  In recent years, MSSIC has collaborated with the BCBSM CQI, Michigan-OPEN , whose mission is to support providers in combating opioid misuse and to develop prescribing guidelines for various surgical specialties.  Studies have demonstrated that for opioid naïve patients, post-discharge pill counts reveal that patients do not necessarily use all the opioids they are discharged with.

What does the literature and MSSIC data show?  MSSIC data and literature (including a study out of Mayo Clinic) support the judicious use of opiates as beneficial.  There is no evidence of decreased satisfaction or increased healthcare utilization with less prescribing.  Patients with < 225 MME are less likely to be on opioids 90 days after surgery. There is a great deal of MSSIC site variability in opioid prescribing patterns – we have an opportunity to make positive changes in discharge prescribing for opioid naïve patients.

MSSIC Prescribing Guidelines at Discharge Resources

MSSIC Opioid Prescribing Guidelines at Discharge Tool
Example Email Verbiage, 2023 MSSIC Opioid Prescribing Guidelines at Discharge
Food For Thought_MSSIC Opioid Prescribing Guidelines
MSSIC Opioid Prescribing Guidelines At Discharge_Opioid Naive
MSSIC-Discharge Opioid Pocket Cards_Oct2022
MSSIC-Discharge Opioid Badge Cards_Oct2022

Michigan OPEN Resources

The Michigan Opioid Prescribing Engagement Network (Michigan OPEN) launched with support from the Michigan Department of Health and Human Services, Blue Cross Blue Shield of Michigan (BCBSM) Value Partnerships, and the Institute for Healthcare Policy and Innovation (IHPI) at the University of Michigan. Michigan OPEN was founded in an effort to develop a preventive approach to the opioid epidemic in the state of Michigan by tailoring postoperative and acute care opioid prescribing. MSSIC is proud to partner with M-OPEN in an effort to prevent chronic opioid use and opioid-related harms.  The attached tools have been developed by M-OPEN and customized materials, with your organization’s logo, are available by request, free of charge. Materials will be sent as a PDF for you to print using your preferred method. Just go to their website at Michigan-open.org and click on “Education” at the top of the website. Complete the request form and a member of the Michigan OPEN team will be in contact with you to confirm your request.

M-OPEN – Opioids and Pain Management (Patient)
Patient MAPS Poster – 22×28
Storage Disposal-101119-MOPEN
Surgery Best Practices – Opioids -MOPEN
Managing Pain After Surgery .pdf


ACS, Patient Satisfaction – Opioid Sparing Postop Pathways
Mayo Clinic Neurosurgery – Opioid prescribing Guidelines-compressed
Pain in the Opioid Tolerant Patient, Dr. Paul Hilliard, University of Michigan
Prevention of Opioid-related Harm – Guidelines – ANAE 15262
Use of Opioids Before After Lumbar Fusion Pain – March 2018 Deyo et al – highlighted

MSSIC Presentations and Resources

MSSIC – Opioid Presentation, Aleem
Opioid Prescribing At Discharge, Schwalb
MSSIC Opioid Reduction_Dr. Zarina Ali-August 2, 2019 – compressed
Pain Management, A. Issawi, St. Joseph Mercy Ann Arbor, August 27, 2021
Prevention of Opioid-Related Harm, Schwalb, August 27, 2021

Shared Site Resources

Ascension Macomb – Pain Medication Opioid Screening Risk Assessment
HFHS Opioid Agreement
HFHS Opioid Risk Assessment Protocol
HFHS Opioid Risk Assessment, Condensed Version
HFHS Preop Opioid Risk Assessment Flowchart
MPOP Education – Managing Pain Without Opioids