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This resource library supports clinics in implementing the Six Building Blocks program for improving opioid management in primary care. You’ll also find links to these resources in the implementation guides.

Implementation Guides

These guides are designed for clinics that want to independently implement effective, guideline-driven care for their patients with chronic pain who are using opioid therapy.

While anyone can use these materials, they are specifically written for quality improvement personnel and project managers to use in guiding improvement and care teams through the Six Building Blocks implementation process.

Resources by Topic

Leadership and Consensus


Building Consensus

Clinical Education for Staff and Clinicians

Policy, Patient Agreement and Workflow

Policy Revision

  • Model Opioid Prescribing Policy: Example opioid prescribing policy to use during the policy revision process. Developed using CDC guidelines and Washington state opioid prescribing rules.
  • Opioid Policies Checklist: Use when reviewing your policy to ensure it aligns with evidence-based guidelines.

Workflow Revision

Rollout and Training

  • Rollout and Training: Suggestions for how to roll out and train on new and revised policies, agreements, workflows and EHR templates.
Tracking and Monitoring Patient Care

Identifying Patients on Long-Term Opioid Therapy

Tracking and Monitoring Patient Care

Calculating Morphine Equivalency

Planned, Patient-Centered Visits

Patient Education

  • Education Resources for Patients With Chronic Pain: List of patient education materials relevant to patients with chronic pain, including resources about opioids, benzodiazepines, chronic pain, overdose, stigma and pain self-management.
  • Patient Letter: Example letter introducing patients to the clinic’s new approach to caring for patients on long-term opioid therapy.
  • Chronic Pain Care Plan: Tailored set of written steps and key information that a provider and patient agree will be used to manage the patient’s pain.


Empathic Communication for Difficult Conversations

Non-Opioid Treatments

Planning for Visits

For specific assessment tools, such as the Opioid Risk Tool, see the Suggested Opioid Management Assessment Schedule.

Caring for Patients with Complex Needs

Assessment and Treatment

Mental/Behavioral Health


Measuring Success

Measuring Success