Foundation Program Sites

Long-Term Opioid Prescribing

(Adopted May 2020)

The Washington State Agency Medical Directors Group (AMDG) developed a comprehensive Guideline on Prescribing Opioids for Pain in June 2015. The Guidelines were subsequently adopted by the Bree Collaborative at the July 2015 meeting. This workgroup will design and carry out strategies to implement the Guidelines. This workgroup met from December 2015 to April 2020.

Previous Meeting Materials

Date Materials
April 29 Agenda April 29
Minutes February 26
Minutes April 29
Draft Recommendations
Public Comments
Public Comments Summary
February 26 Agenda
Minutes January 29
Draft Recommendations
January 29 Agenda January 29
Minutes December 11
Draft Recommendations
December 11 Agenda December 11
Minutes November 13
Draft Recommendations
November 13 Agenda November 13
Minutes September 16
Draft Guidelines
October 16 Agenda October 16
Minutes September 25
Chronic Opioid Therapy Assessment Draft
September 25 Agenda September 25
Minutes August 28
Draft Chronic Opioid Management Patient Engagement
 August 28 Agenda August 28
Minutes June 26
Draft Opioid Recommendations
June 26 Agenda June 26
Minutes May 22
Draft Chronic Opioid Management Recommendations
May 22 Agenda May 22
Minutes April 24
Murphy: Guidance on opioid tapering
Berna: Tapering long-term opioid therapy
Opioid Prescribing: Chronic Opioid Therapy Draft
April 24 Agenda April 24
Minutes March 27
Weighing Risks Benefits Chronic Opioid Therapy Lembke
FDA Safety Announcement
March 27 Agenda March 27
Minutes February 27
February 27 Agenda February 27
Minutes December 5
Tapering Guidance Tools
Presentation: Oregon Tapering Update
December 5 Agenda December 5
Minutes October 10
Presentation slides
October 10 Agenda October 10
Minutes June 27
AMDG Tapering Guidance

Supporting Materials

Letter from the Health Care Authority Accepting the Postoperative Prescribing Guidelines
Letter from the HCA Accepting Dental Prescribing Guidelines
Letter from Health Care Authority Accepting Opioid Prescribing Metrics
Opioid Guideline Implementation Charter
Agency Medical Directors Group Interagency Guideline on Prescribing Opioids for Pain
AMDG Guideline Summary

Workgroup Members

Name Title Organization
Gary Franklin, MD, MPH (Co-Chair) Medical Director Washington State Department of Labor and Industries
Charissa Fotinos, MD (Co-Chair) Deputy Chief Medical Officer Washington State Health Care Authority
Andrew Saxon, MD (Co-Chair) Director, Center of Excellence in Substance Abuse Treatment and Education (CESATE) VA Puget Sound Health Care System
Rose Bigham and Cyndi Hoenhous (Co-Chairs) Patient Advocates Washington Patients in Intractable Pain
Pamela Stitzlein Davies, MS, ARNP, FAANP Nurse Practitioner Departments of Neurology & Nursing, University of Washington
Andrew Friedman, MD Physical Medicine and Rehabilitation Virginia Mason Medical Center
Kelly Golob, DC Chiropractor Tumwater Chiropractic Center
Dan Kent, MD Chief Medical Officer UnitedHealthcare
Kathy Lofy, MD Chief Science Officer Washington State Department of Health
Jaymie Mai, PharmD Pharmacy Manager Washington State Department of Labor and Industries
Mark Murphy, MD Addiction Medicine and Pain Management MultiCare Health System
Anne Blake-Nickels Patient Advocate
Gregory Rudolph, MD Addiction Medicine Swedish Pain Services
Jennifer Davies-Sandler Patient Advocate
Mark Stephens President Change Management Consulting
Mark Sullivan, MD, PhD Psychiatrist University of Washington
David Tauben, MD Chief of Pain Medicine University of Washington Medical Center
Gregory Terman MD, PhD Professor Department of Anesthesiology and Pain Medicine and the Graduate Program in Neurobiology and Behavior, University of Washington
John Vassall, MD, FACP Physician Executive for Quality and Safety Comagine Health
Michael Von Korff, ScD Senior Investigator Kaiser Permanente Washington Research Institute
Mia Wise, DO Medical Director, Collaborative Healthcare Solutions Premera Blue Cross