title: Redesigning delivery of opioids to optimize pain management, improve outcomes, and contain costs.
abstract: BACKGROUND
  Chronic pain is a public health concern, and in the last decade, there has been a dramatic increase in the use and abuse of prescription opioids for chronic non-cancer pain.
  
  
  METHODS
  We present an overview of a five-component model of pain management implemented at the University of Washington Division of Pain Medicine designed to facilitate recent state guidelines to reduce the risks associated with long-term use of prescription opioids.
  
  
  RESULTS
  Central to the model described are guidelines for best clinical practice, a collaborative care approach, telehealth solutions, comprehensive prescription-monitoring, and measurement-based care.
  
  
  CONCLUSIONS
  The model presented is a patient-centered, efficient, and cost-effective approach to the management of chronic pain.
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Cahana
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Dansie
authors.forename: Brian R
authors.initials: BR
authors.lastname: Theodore
authors.forename: Hilary D
authors.initials: HD
authors.lastname: Wilson
authors.forename: Dennis C
authors.initials: DC
authors.lastname: Turk
mesh_terms: D000701:Analgesics, Opioid / Q000191:economics* / Q000627:therapeutic use*; D003363:Cost Control / Q000379:methods; D017048:Health Care Costs / Q000706:statistics & numerical data; D006801:Humans; D059408:Pain Management / Q000191:economics* / Q000379:methods*; D010348:Patient Care Team / Q000191:economics / Q000458:organization & administration*; D058996:Quality Improvement / Q000191:economics / Q000458:organization & administration*; D014861:Washington
chemical_list: D000701:Analgesics, Opioid