July 19, 2022

The Opioid Initiative

Since 2018, the Opioid Initiative has engaged over 800 EDs and 5,400 clinicians in applying evidence-based quality improvement interventions to reduce opioid-associated harm. The program’s reach and engagement expanded from 189 EDs participating in year 1 to nearly 400 EDs currently. To date, participants have demonstrated a 35% decrease in opioid prescribing and a 23% increase in prescribing of non-opioid alternatives.

Our aims for this initiative include helping EDs to:

  • Improve opioid prescribing safety
  • Adopt harm reduction strategies such as naloxone prescribing and initiate treatment of opioid use disorder (OUD) with buprenorphine
  • Implement alternatives to opioids (ALTO)

Benefits of participation:

  • Earn Improvement Activity (IA) for Merit-based Incentive Payment System (MIPS)
  • Real-Time Benchmarking
  • Showcase your ED's QI effort
  • Free Toolkits Library
  • Free eCME Library
  • Earn ABEM MOC credit


Blue = Rural Sites
Red = Urban Sites

 **Locations of EDs currently involved with the E-QUAL Opioid initiative.