Detroit Opioid Prevention Collaborative

We led a community partnership that equips professionals with the training and tools they need to reduce opioid abuse and save lives.

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Altarum managed the Detroit Opioid Prevention Collaborative, a community initiative in partnership with the University of Michigan and The Detroit Wayne Mental Health Authority, which trained and educated a broad cross-section of professionals in the community who are central to addressing the opioid crisis, from clinicians prescribing opioids to law enforcement officers administering life-saving naloxone.

Our Approach

Altarum managed and evaluated all aspects of the program from training law enforcement officers and community organizations on how to administer naloxone to enrolling and registering pharmacies in Michigan’s naloxone Standing Order program. In addition, we led the Collaborative’s work on responsible opioid prescribing. We conducted continuing healthcare education for providers on opioid prescribing and patient screening and referral for opioid misuse and abuse. Our continuing education offerings are nationally accredited and provide eligible clinicians 30 to 50 Performance Improvement AMA PRA Category 1™ credits and 20-25 MOC Part IV Improvement in Medical Practice credits.

We also helped physicians in the Detroit area use the Michigan Automated Prescription System to promote responsible prescribing and to identify patients at risk for opioid misuse.

Altarum quality improvement advisor Terri Walters with Tarek Hadla, MD, one of the providers who participated in our responsible opioid prescribing training.

Altarum quality improvement advisor Terri Walters with Tarek Hadla, MD, one of the providers who participated in our responsible opioid prescribing training.



We trained 124 providers in 21 practices in the greater Detroit area on responsible opioid prescribing, including identification of patient risk for opioid misuse or abuse, patient follow-up, and use of the Michigan Automated Prescription System. We also engaged 21 clinicians in discussions to encourage them to obtain buprenorphine waivers and to advise and assist with prescribing. And we provided naloxone kits and training to 81 law enforcement officers and 19 community organizations, representing 489 people in the community on the front lines of the opioid crisis.

After our training, the percentage of patients prescribed opioids who were assessed for risk of opioid misuse or abuse increased by 77 points. And the percent of patients on opioids for more than three months who received a follow-up evaluation increased by 17 points.

Frequency of risk assessment and follow-up evaluation over baseline at mid-way and final following Altarum's Advancing Responsible Opioid Prescribing training.

For further analysis, view the full Detroit Opioid Prevention Collaborative overview Reform Prescribing, Reduce Abuse, and Save Lives.


Detroit Opioid Prevention Collaborative Contact

Contact Us

Chantell Frazier

Chantell Frazier  - MA, PhD

Deputy Director, Behavioral Health

Areas of Expertise
  • Quantitative & Qualitative Research
  • Survey Design
  • Mental Health and Vulnerable Populations

Chantell Frazier is a medical sociologist and expert on women’s health; veteran and military health; patient experience; and health equity, particularly access and quality of care for women of color. In her evaluation work with the Veterans Health Administration, she developed metrics and criteria for measuring the effectiveness of suicide prevention and mental health services, including physician opioid prescribing practices. Her work has been published in Health Affairs, the Journal of Patient Experience, AIDS and Behavior, and numerous government reports. Chantell earned a doctorate degree in sociology from Syracuse University and a bachelor’s degree from DePaul University.

Gregory Makris

Gregory Makris  - MD

Medical Director and Deputy Director, Appropriate Care

Areas of Expertise
  • Continuing Medical Education
  • Electronic Health Record Integration
  • Quality Improvement & Clinical Decision Support

Greg Makris is Altarum’s medical director for the Great Lakes Practice Transformation Network—part of the Centers for Medicare & Medicaid Services’ Transforming Clinical Practices Initiative. He develops evidence-based guidelines and best practices for practitioners in clinical accuracy and EHR integration. He also administers Altarum's continuing medical education program. Greg holds a medical doctorate from the University of Michigan in Ann Arbor, and is a diplomate of the American Board of Internal Medicine.