Community-Based Primary Care Chinazo Cunningham, MD, MS Associate - - PowerPoint PPT Presentation

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Apr 03, 2023 130 likes •193 views

Buprenorphine Treatment in Community-Based Primary Care Chinazo Cunningham, MD, MS Associate Chief, General Internal Medicine Professor of Medicine Establishing the Buprenorphine Treatment Program HRSA funding 2004 Care Team - 5 years, $1.9

SLIDE 1

Buprenorphine Treatment in Community-Based Primary Care

Chinazo Cunningham, MD, MS Associate Chief, General Internal Medicine Professor of Medicine

SLIDE 2

Establishing the Buprenorphine Treatment Program

HRSA funding 2004

5 years, $1.9 million
Integration of bupe & HIV treatment

Care Team 1 site = CHCC 3 MDs 1 PharmD = Bupe Coordinator

SLIDE 3

Buprenorphine Treatment Program – 10 years >900 patients, >25 prescribers

100 200 300 400 500 600 700 800 900 1000 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Patients receiving buprenorphine treatment

SLIDE 4

Expansion of the Buprenorphine Treatment Program

Clinic CHCC CFCC FCC FHC Williamsbridge Bupe Champion

C. Cunningham
T. Lu
L. Khalid
M. Gbur
J. Bumol

Bupe Coordinator

A. Giovanniello

PharmD

D. Rodriguez

RN D Rodriguez RN

J. Margolis

LMSW

J. Margolis

LMSW Community

utreach
Y. Holguin
Y. Holguin
Y. Holguin
Y. Holguin
Y. Holguin

Bupe Prescribers

M. Bachhuber
C. Beaudoin
R. Beil
O. Blackstock
A. Fox
G. Fung-Chow
E. Goss
M. Gover
S. Iyer
M. Kladney
S. Mallik
B. Norton
A. Patel
V. Patel
K. Schaefle
M. Yao-Cohen
M. Akiyama
E. Harris
K. Cartmill
J. Starrels
S. Roth
L. Shapiro
J. Pan
J. Kang
S. Donabonna
E. Tattleman
V. Gorski
D. O’Connol
P. Gross
L. Baron
M. Polisar

SLIDE 5

Buprenorphine Treatment Strategies

Home induction tool kit (initiation of treatment)

ASAM National Practice Guideline 2015; Sohler 2009; Cunningham 2011

SLIDE 6

Buprenorphine Treatment Strategies

Delivery of buprenorphine treatment

– Model of care – Home induction – Group-based treatment – Induction at syringe exchange programs

“Appropriate” patient population

– Polysubstance use – Chronic pain

Integrating buprenorphine treatment with other illnesses

– HIV – Hepatitis C viral infection – Smoking

Cunningham 2008, 2013; Fox 2012, 2015, 2016; Altice 2011; Fiellin 2011; Sullivan 2011; Norton 2017; Shah 2017; Nahvi 2014; Doorley 2017.