Development of a Low-Barrier, Reimbursable Take-Home Naloxone Program at a Regional Health System.
Introduction: Take-home naloxone (THN) programs in emergency departments (ED) can reduce opioid overdose deaths by providing naloxone directly to at-risk patients before discharge. However, sustainable models that integrate reimbursement and workflow alignment remain limited. Methods: A reimbursable...
| Publicado en: | Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 26; no. 6; pp. 1605 - 1611 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Nov2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190425290&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190425290 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1936900X 8B61 jtl: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health issn: 1936900X maglogo: N pubinfo: dt: Nov2025 vid: 26 iid: 6 pid: 29816 pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health place: Orange, California artinfo: ui: 190425290 190425290 190425290 10.5811/westjem.47387 190425290 ppf: 1605 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Development of a Low-Barrier, Reimbursable Take-Home Naloxone Program at a Regional Health System. aug: au: London, Kory S. Patel, Sejal Lockstein, Drew Rashid, Jamal Goodstein, Dennis Pacitti, Richard Warrick-Stone, TaReva Randolph, Frederick Cherney, Alan Alexander, Karen Reed, Megan affil: Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania sug: subj: Naloxone Economics Insurance, Health, Reimbursement Program Development Overdose Drug Therapy Substance Use Disorders Drug Therapy Naloxone Therapeutic Use Emergency Service Administration Health Services Administration Naloxone Administration and Dosage Human Pennsylvania Male Female Workflow Health Care Delivery, Integrated Personnel Staffing and Scheduling Patient Education Decision Support Techniques Social Determinants of Health Health Inequities Stigma Drug Delivery Systems Implementation Science Retrospective Design Record Review Nonexperimental Studies Pilot Studies Multidisciplinary Care Team Descriptive Statistics Data Analysis Software Naloxone Supply and Distribution Health Personnel Education Health Services Accessibility Male Female ab: Introduction: Take-home naloxone (THN) programs in emergency departments (ED) can reduce opioid overdose deaths by providing naloxone directly to at-risk patients before discharge. However, sustainable models that integrate reimbursement and workflow alignment remain limited. Methods: A reimbursable ED-led THN program was developed across a large regional health system. The program used electronic health record (EHR)-integrated ordering, on-site kit dispensing, and third-party insurance billing when available. Kits were stocked in automated medication dispensing systems and supplemented by city-provided stock for uninsured patients. Pilot outcomes included kits dispensed and reimbursement rates across eight participating EDs. Results: A total of 2,520 naloxone kits were dispensed across eight EDs between January 2019-December 2024, with a total of 6,551 encounters with decision support prompting naloxone ordering (31.6% of eligible). The proportion of kits reimbursed by insurance rose from 46% in 2019 to 95% by 2025. In total, 89.9% of kits were reimbursed either by insurance or public supply (the rest paid by the hospital system). Kit distribution grew from 99 in 2019 to 702 in 2024, reflecting expanded site participation, improved workflows, and greater staff engagement. Conclusion: A reimbursable ED-led naloxone program can increase access to life-saving medication for patients at risk of opioid overdose. Integrating take-home naloxone distribution into EHR workflows, leveraging insurance billing, and partnering with public health agencies offers a sustainable, low-barrier model that other health systems can adopt. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|