Medical Director Overmountain Recovery Gray, Tennessee
Presentation Summary: A high rate of discharge against medical advice, patient-directed discharge, is seen in hospitalized patients with opioid use disorder. Despite being associated with a lower risk of patient-directed discharges, initiating opioid use disorder treatment amongst hospitalized patients with opioid use disorder has been shown to be underutilized and underdosed. Presented here is a case report utilizing telemedicine to link inpatient methadone initiation with dose adjustment guided by an Opioid Treatment Program provider to outpatient methadone maintenance therapy.
Learning Objectives:
At the completion of this activity, participants will:
Identify methods of implementing telemedicine to enhance methadone initiation in the hospital setting.
Understand the association between initiation of opioid maintenance therapy and patient-directed discharges
Discuss strategies to enhance methadone dosing in the hospitalized patient
