This course is for all physicians, medical residents, NPs, and PAs who are required to have such training related to opioid education.


  • Stefany Shimada, Drug Education Coordinator, Kaiser Permanente, San Jose Medical Center


  • Sarala Raja, MD, Hospital Based Medicine, Kaiser Permanente, San Jose Medical Center
  • Mayura Suryanrayan, MD, Opioid Champion, Adult and Family Medicine, Kaiser Permanente, San Jose Medical Center
  • Lisa Yu, MD, Physician Communication Consultant, Kaiser Permanente, San Jose Medical Center

Current Situation
Currently, there is clinical variation in the prescribing of opioids in the management of patients with chronic pain. The regional goal is to actively manage and minimize the number of patients on opioids with morphine milligram equivalents (MME)>100. Although our number of such patients has decreased from 104 in 2015 to 40 in 2018, safe prescribing and management continues to be a concern due to the national epidemic of opioid overdoses and deaths. Based on data from February 2018 of those patients on chronic opioids with MME >100 and not actively managed by a PharmD case manager, only 88% of these patients in AFM (N=40) had indications of all five metrics (Opioid Medication Agreement, visit with primary care physician (PCP), urine drug screen, Adult Outcome Questionnaire (AOQ), and Screener and Opioid Assessment for Patients (SOAP) being met for recommended management.

Desired Practice
The goal is to decrease variation in clinician practice regarding opioid prescribing and management by ensuring that 95% of all Kaiser members who are on chronic opioids (>3 months) have an opioid medication agreement in Kaiser Permanente Health Connect (KPHC), office visits with the PCP at least every six months for re-assessment, random urine drug screens and the regular use of AOQ, SOAP-5, and Controlled Substance Utilization Review and Evaluation System (CURES) as tools in overall management.


The speakers and planning committee have no financial relationships to disclose. 

Credit Statement:

**Kaiser Permanente San Jose Medical Center is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.   
Kaiser Permanente San Jose takes responsibility for the content, quality and scientific integrity of this CME activity.                
**Kaiser Permanente San Jose Medical Center designates this Live Course for a maximum of 3.0 AMA PRA Category 1 Credit™        
Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Session date: 
Tuesday, September 8, 2020 - 8:30am to 11:00am
  • 3.00 AMA PRA Category 1 Credit(s)™
  • 3.00 Attendance
  • 3.00 Other
  • 3.00 Pain/EOL

Please login or register to take this course.
CME Office: 
San Jose Medical Center
Conference room: 
Microsoft TEAMS