... how likely are providers to ask another staff person Somewhat Neither likely Somewhat Q4e to check the Prescription Drug Monitoring data base for Very likely Very unlikely likely nor unlikely unlikely previous opioid prescriptions given to the patient? Neither In general, to what extent are you concerned about the abuse of Very Somewhat Somewhat Very concerned Q5 nor opioids in your patients? concerned concerned unconcerned unconcerned unconcerned If yes, please explain: Does your practice have a current policy or protocol for prescribing Q6 Yes No prescription pain killers to patients? In your opinion, how well do providers adhere to the policy or Strictly Mostly Sometimes Mostly do Do not Q7 protocol? adhere adhere adhere not adhere adhere at all In your opinion, how effective is the current policy or protocol at Very Mostly Sometimes Mostly Very Q8 your practice in protecting doctors from over prescribing Rx pain effective effective effective ineffective ineffective killers? In your opinion, how effective is the current policy or protocol at Very Mostly Sometimes Mostly Very Q9 your practice in preventing patients from abusing Rx pain killers? effective effective effective ineffective ineffective How likely are providers in your community to talk to patients Q10 about the following: Somewhat Neither likely Somewhat Proper disposal of unused/expired prescription Very likely Very unlikely Q10a likely nor unlikely unlikely medication Somewhat Neither likely Somewhat Very likely Very unlikely Q10b Safe storage of prescription drugs (especially opioids) likely nor unlikely unlikely Somewhat Neither likely Somewhat Dangers of mixing prescription drugs with alcohol and Very likely Very unlikely Q10c likely nor unlikely unlikely other drugs Somewhat Neither likely Somewhat Dangers of sharing prescriptions with other people to Very likely Very unlikely Q10d likely nor unlikely unlikely whom they are not prescribed
Q4e ... how likely are providers to ask another staff person to check the Prescription Drug Monitoring data base for previous opioid prescriptions given to the patient? Very likely Somewhat likely Neither likely nor unlikely Somewhat unlikely Very unlikely Q5 In general, to what extent are you concerned about the abuse of opioids in your patients? Very concerned Somewhat concerned Neither concerned nor unconcerned Somewhat unconcerned Very unconcerned Q6 Does your practice have a current policy or protocol for prescribing prescription pain killers to patients? Yes No If yes, please explain: Q7 In your opinion, how well do providers adhere to the policy or protocol? Strictly adhere Mostly adhere Sometimes adhere Mostly do not adhere Do not adhere at all Q8 In your opinion, how effective is the current policy or protocol at your practice in protecting doctors from over prescribing Rx pain killers? Very effective Mostly effective Sometimes effective Mostly ineffective Very ineffective Q9 In your opinion, how effective is the current policy or protocol at your practice in preventing patients from abusing Rx pain killers? Very effective Mostly effective Sometimes effective Mostly ineffective Very ineffective Q10 How likely are providers in your community to talk to patients about the following: Q10a Proper disposal of unused/expired prescription medication Very likely Somewhat likely Neither likely nor unlikely Somewhat unlikely Very unlikely Q10b Safe storage of prescription drugs (especially opioids) Very likely Somewhat likely Neither likely nor unlikely Somewhat unlikely Very unlikely Q10c Dangers of mixing prescription drugs with alcohol and other drugs Very likely Somewhat likely Neither likely nor unlikely Somewhat unlikely Very unlikely Q10d Dangers of sharing prescriptions with other people to whom they are not prescribed Very likely Somewhat likely Neither likely nor unlikely Somewhat unlikely Very unlikely