Developing a MAT Order Set for a Multidisciplinary Care Team at UC San Diego Health

Join us in this insightful episode as we delve into the groundbreaking Medication for Addiction Treatment (MAT) Order Set developed by UC San Diego Health. Due to this innovative initiative, in 2024 they were one of ten health systems to be awarded CHIME's prestigious Level 10 “Digital Health Most Wired” status. Learn about the interdisciplinary approach behind the creation and implementation of the MAT Order Set, and how it has improved outcomes for patients with Opioid Use Disorder (OUD), reduced hospital readmissions, and increased buprenorphine usage. This episode offers valuable insights into the challenges faced, lessons learned, and educational impacts of transforming addiction treatment in hospital settings.

What You'll Learn:

• The motivation behind the creation of UC San Diego's MAT Order Set.
• How interdisciplinary collaboration led to a comprehensive care model.
• Implementation details and integration of additional screenings.
• Data demonstrating reduced hospital readmissions and increased buprenorphine usage.
• Challenges and lessons learned during the implementation process.
• Educational impacts on medical resident training and future directions.
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MODERATOR: Gregory R. Polston, MD

Clinical informaticist, Associate Medical Director, Center for Pain Medicine, UC San Diego Health

Section Chief of the pain service, VA Medical Center La Joll

Bio: Dr. Polston is a board-certified anesthesiologist with added qualifications in pain medicine. He is also a clinical informaticist at UC San Diego Health and serves as the Associate Medical Director of UC San Diego Health’s Center for Pain Medicine and is Section Chief of the pain service at the VA Medical Center La Jolla. He has expertise in the use of opioids, risk evaluation and monitoring during use for both acute and chronic pain. This includes perspective from a patient, institution, third party payer and or regulatory agency. Dr. Polston believes in a comprehensive and open approach to pain management, which emphasizes patient involvement and the application of different therapeutic approaches, including medications, procedures, and integrative medicine. His research interests include chronic opioid therapy for non-cancer pain, placebos and electronic medical records.

GUEST: Laura Bamford, MD, MSCE

Clinical Professor of Medicine

Division of Infectious Diseases and Global Public Health

Clinical Professor of Medicine

Medical Director Owen Clinic

Co-Director Clinical Investigations Core San Diego Center for AIDS Research

Division of Infectious Diseases and Global Public Health

University of California, San Diego

Bio: Laura completed her Internal Medicine residency at Columbia University Medical Center and Infectious Diseases fellowship at the Hospital of the University of Pennsylvania where she also received a Master of Science in Clinical Epidemiology. She's a Clinical Professor of Medicine in the Division of Infectious Diseases and Global Public Health and Medical Director of the HIV Medicine Owen Clinic. Her clinical and research interests include HIV and HCV treatment and prevention in people who use drugs. She's passionate about delivering patient-centered care and research with a low barrier and harm reduction approach. With funding from the Ryan White HIV/AIDS Program Part F Special Projects of National Significance, she founded a HIV primary care clinic in 2013 within Philadelphia’s syringe service program. She was selected as a member of the Mayor’s Task Force to Combat the Opioid Epidemic in Philadelphia in 2017 and testified in federal court in 2019 as a fact witness on behalf of Safehouse, Philadelphia’s proposed opioid overdose prevention site. She currently provides substance use disorder treatment integrated into HIV primary care at Owen Clinic and is a member of the UCSD Addiction Medicine/Pain Medicine Committee and the UCSD Opioid Use Disorder Task Force. She also serves as the coordinator of the newly mandated substance use disorder rotation at UCSD for all Internal Medicine residents and was recently appointed to the Board of Directors at Stepping Stone San Diego which specializes in substance use treatment in the LGBTQ+ community.

GUEST: Carla Marienfeld, MD, DFAPA, FASAM

Clinical Professor, University of California, San Diego

Bio: Carla Marienfeld, MD, DFAPA, FASAM, Clinical Professor at UC San Diego, Medical Director Substance Treatment and Recovery (STAR) Program, Program Director UC San Diego Addiction Psychiatry Fellowship is board-certified in psychiatry, addiction psychiatry, and addiction medicine. She has authored over four dozen publications and edited four addiction treatment related books.