OFR Practitioner's Guide - Build | Overdose Fatality Review

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.

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.

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.

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.

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

5) Build a Recommendation Plan

Build a Recommendation Plan

Identify at least one recommendation at each review meeting

Identify recommendations through the review process

Identify local, state, and national recommendations

Track recommendations in the OFR Data System

Develop a workgroup and work plan to monitor the implementation of recommendations

Have a separate leadership group to support recommendations/initiative

Update the OFR team on the status of recommendations at each meeting

At least annually, draft a report to showcase progress, findings, and recommendations

Appendix

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

Online Resource - 10/28/2020

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The overall goal of the 2019 Cornerstone Project is to advance the scale-up of evidence-based services that reduce overdose risk during and upon release from incarceration in jail. The Project examines four evidence-based overdose prevention services in jails serving counties most affected by the opioid overdose crisis. These four services include screening for substance use disorder, overdose education and naloxone distribution, linkage to care upon release, and maintenance medication-assisted treatment (maintenance MAT). The report provides a sections regarding jails and staff, why overdose prevention services are needed in jails, training opportunities, lessons learned, and references.
Each year, the ORS undertakes a Cornerstone Project to answer a common question and address shared informational needs regarding the overdose crisis.

Sample: Recommendation Work Plan

Sample - 7/22/2020

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Sample table to develop a work plan for recommendations.
Sample: Recommendation Work Plan

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