{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:52:54Z","timestamp":1785772374565,"version":"3.56.0"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T00:00:00Z","timestamp":1652140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000886","name":"Duke Endowment","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000886","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>As opioid\u2010related hospitalizations rise, hospitals must be prepared to evaluate and treat patients with opioid use disorder (OUD). We implemented a hospitalist\u2010led program, Project Caring for patients with Opioid Misuse through Evidence\u2010based Treatment (COMET) to address gaps in care for hospitalized patients with OUD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Implement evidence\u2010based treatment for inpatients with OUD and refer to postdischarge care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, Setting, and Participants<\/jats:title><jats:p>Project COMET launched in July 2019 at Duke University Hospital (DUH), an academic medical center in Durham, NC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention, Main Outcomes, and Measures<\/jats:title><jats:p>We engaged key stakeholders, performed a needs assessment, and secured health system funding. We developed protocols to standardize OUD treatment and employed a social worker to facilitate postdischarge care. Electronic health records were utilized for data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>COMET evaluated 512 patients for OUD during their index hospitalization from July 1, 2019 through June 30, 2021. Seventy\u2010one percent of patients received medication for OUD (MOUD) during admission. Of those who received buprenorphine during admission, 64% received a discharge prescription. Of those who received methadone during admission, 83% of eligible patients were connected to a methadone clinic. Among all patients at DUH with OUD, MOUD use during hospitalization and at discharge increased in the post\u2010COMET period compared to the pre\u2010COMET period (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001 for both).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our program is one of the first to demonstrate successful implementation of a hospitalist\u2010led, comprehensive approach to caring for hospitalized patients with OUD and can serve as an example to other institutions seeking to implement life\u2010saving, evidence\u2010based treatment in this population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.12837","type":"journal-article","created":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T04:25:47Z","timestamp":1652156747000},"page":"427-436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Implementation of a comprehensive hospitalist\u2010led initiative to improve care for patients with opioid use disorder"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6984-1279","authenticated-orcid":false,"given":"Dana","family":"Clifton","sequence":"first","affiliation":[{"name":"Department of Medicine Division of General Internal Medicine, Duke University School of Medicine  Durham North Carolina USA"},{"name":"Department of Pediatrics Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel","family":"Ivey","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of General Internal Medicine, Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Poley","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute,\u00a0Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"O'Regan","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8659-189X","authenticated-orcid":false,"given":"Sudha R.","family":"Raman","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Frascino","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shavone","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Clinical Social Work,\u00a0Duke University Hospital  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noppon","family":"Setji","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of General Internal Medicine, Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","unstructured":"HedegaardH Mini\u00f1oAM SpencerMR WarnerM.Drug Overdose Deaths in the United States 1999\u20132020. 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