OFR Practitioner's Guide Menu

Build A Recommendation Plan

This section summarizes the types of recommendations that may be developed through the overdose fatality review (OFR) process; provides an overview of the recommendation process, from developing to sustaining recommendations; and offers a method to track, monitor, and assess the implementation of recommendations.

Identifying recommendations during the OFR

The OFR process is driven by an action-oriented partnership. Successful OFRs rely on active engagement by members beyond the detailed case discussions, including formation, implementation, assessment, and continuation of prevention strategies. It is important that the OFR facilitator reinforce that recommendations can be identified and implemented through the OFR’s collaborative, data-driven, problem-solving process.

Plan Meeting

Form a subcommittee to develop recommendation

Creating subcommittees to focus and implement specific recommendations can maintain momentum by building sustained internal and external support for the strategy.

Plan Meeting

Implement recommendation

Once the subcommittee has developed a recommendation, it needs to be implemented. It is important to do so strategically. The subcommittee is responsible for developing a work plan.

Plan Meeting

Assess recommendation

The subcommittee lead will check regularly with subcommittee members on the status of assigned tasks and implementation. The subcommittee lead will likely provide a verbal progress report during OFR case review meetings.

Plan Meeting

Monitor recommendation

The OFR coordinator will work with the OFR data manager to ensure the status of the recommendation is tracked in the OFR Data System.

Self-Assessment Checklist

Build a Recommendation Plan


  • Online Resource

    The 2019 Overdose Response Strategy (ORS) Cornerstone Report: Overdose Prevention Services in Jails

    Online Resource - 10/28/2020

  • Sample

    Sample: Recommendation Work Plan

    Sample - 7/22/2020

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