Piloting a statewide emergency department take-home naloxone program: Improving the quality of care for patients at risk of opioid overdose.

Background: Emergency department (ED) patients with nonfatal opioid overdose are at high risk for subsequent fatal overdose, yet ED programs aimed at reducing harm from opioid use remain underdeveloped.

Objectives: The objective was to pilot a statewide ED take-home naloxone program and improve the care of patients with opioid use disorder (OUD) and risky drug use through training and interprofessional network building.

Methods: Nine hospital EDs with pharmacy, nurse, and physician champions were recruited, surveyed, and trained.

Statewide Prehabilitation Program and Episode Payment in Medicare Beneficiaries.

Background: Prehabilitation has been shown to improve postoperative outcomes in a variety of patient populations undergoing major operations. The feasibility, generalizability, and value of broad implementation of prehabilitation outside the research environment are unknown.

Methods: Medicare claims data from 2014 to 2017 were used to conduct a multicenter (21 Michigan hospitals) pragmatic cohort study.