Avoiding high opioid doses may reduce @entity4784 ( @entity4784 ) risks, but the feasibility of reducing opioid doses in community practice is unknown. Washington State and a health plan's group practice implemented initiatives to reduce high-dose @entity4784 prescribing. The group practice physicians were exposed to both initiatives, whereas contracted physicians were exposed only to statewide changes. Using interrupted time series analyses, we assessed whether these initiatives reduced opioid doses among @entity4784 @entity1 in group practice (n  =  16,653) and contracted care settings (n  =  5,552). From 2006 to June 2014, the percentage of @entity4784 @entity1 receiving >= 120 mg @entity1286 equivalent dose declined from 16.8% to 6.3% in the group practice versus 20.6 to 13.6% among @entity4784 @entity1 of contracted physicians. The proportion receiving excess opioid days supplied declined from 24.0 to 10.4% among group practice @entity4784 @entity1 and from 20.1 to 14.7% among @entity4784 @entity1 of contracted physicians. Reductions in prescribing of high opioid dose and excess opioid days supplied followed state and health plan initiatives to change opioid prescribing. Reductions were substantially greater in the group practice setting that implemented additional initiatives to alter shared physician expectations regarding appropriate @entity4784 prescribing, compared with the contracted physicians' @entity1 . PERSPECTIVE: Washington State and a health plan's group practice implemented initiatives to reduce high-dose @entity4784 prescribing. Group practice physicians were exposed to both initiatives, whereas the health plan's contracted physicians were exposed to only the statewide changes. Reductions in prescribing of high opioid dose, average daily dose, and excess opioid days supplied followed state and health plan initiatives to change opioid prescribing. Reductions were substantially greater in the group practice setting that implemented additional initiatives to alter shared physician expectations regarding appropriate @entity4784 prescribing, compared with the contracted physicians' @entity1 .

The Impact of Opioid Risk Reduction Initiatives on High-Dose Opioid Prescribing for XXXX on Chronic Opioid Therapy.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4784 :: ('MESH:D009293', 'Disease') :: ['chronic opioid therapy', 'COT'] @entity1286 :: ('MESH:D009020', 'Chemical') :: ['morphine']
@entity1 :: (9606,Species) :: ['Patients']
