Decrease Diversion in Oahu Community correctional Center

Aim Statement:Decrease diversion of medication for Opioid Use Disorder from a baseline of 24% to a goal of less than 10% by June 2024

Location:Oahu Community Correctional Center

Start Date:03/01/2024

End Date:06/01/2024

Name of coalition or program:Oahu Community Correctional Center

What customer population are you trying to help?inmates in jail

Executive Sponsor:Warden - John Schell

Change Leader:Lisa Oyama APRN

Change Team:

Mark Pedri DO
Micah David APRN
Lee H Grammer APRN
Wendy Bartolome RN
Natalya Spotkeaff HSP

How will you collect data to measure the impact of change? Who will collect it?

There will be a review of all patients with medication for opioid use disorder as provided by the pharmacy. Data was collected from Nov 2023 to Feb 202, and patients with a recorded incident that violates the signed contract for medication-assisted treatment of opioid use disorder were recorded. The percentage of patients with recorded diversion in their chart from Nov 2023 to Feb 2024 was 24%. We will intact the change from March 1 to June 1, 2024, and then repeat the data collection. The change is a transition from Suboxone to Sublocade for all eligible patients as the warden and clinical evidence recommended.

What is the expected impact of this change project? How will the Executive Sponsor know?

The risk of bad outcomes due to the diversion of medication for opioid use disorder will be reduced. The patients will be on the best evidence-based treatment for the successful cessation of illicit opioids.