Assessment and Templates to Support Complex Care - Opioids

Recommended tools and templates

Opioid Risk Tool
Administered to patients prior to initiating opioid therapy. The Opioid Risk tool is a segment of the larger and more comprehensive Opioid Manager Risk Tool.

Prescription Opioid Misuse Index (POMI) Tool
Screening tool for Opioid Use Disorder diagnosis.

Care Planning Template
Used to support care planning by the team with patient involvement.

Other commonly used tools and templates

Provider Patient Conversation Checklist - Opioid
This is a conversation tool to clarify roles & responsibilities for patients and physicians when using opioids.

Brief Pain Inventory (BPI) 
Used to assess the severity of pain and the impact of pain on daily functions.

Clinical Opiate Withdrawal Scale (COWS) 
Administered by clinicians to determine the stage or severity of opioid withdrawal.

Subjective Opiate Withdrawal Scale (SOWS) 
A self-administered scale for grading opioid withdrawal symptoms.

Opioid Manager Risk Tool
A point of care tool for providers to support patients taking an opioid. This tool has been created as a template for Accuro, Healthquest and PS Suite.