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United StatesHealthcare and life sciences2018 – ongoing

Veterans Health Administration

STORM opioid-risk clinical decision support

STORM-guided mandatory case reviews were associated with 22% lower odds of death among high-risk veterans prescribed opioids

WorkingIndependent studyOfficial ↗

Problem

Veterans prescribed opioids or with opioid use disorder faced overdose and suicide risks.

Approach

VA mandated interdisciplinary case reviews for high-risk patients prescribed opioids in 2018. STORM identified patients and showed clinicians risk factors to guide treatment reviews. A randomized rollout across VA medical centers evaluated the case-review mandate.

Results

22%lower odds of all-cause mortality among high-risk patients assigned to mandatory case review relative to controlsIndependent study[1]

Takeaway

The reported mortality association did not establish that STORM alone caused the reduction.

Categories

Business function
Production and quality
Innovation type
Process innovation
Evidence
Independent study

Sources

Source summaries

[1]U.S. Department of Veterans Affairs2022

VA summarized a randomized evaluation of mandatory case reviews guided by STORM across its medical centers during 2018-2020. High-risk patients assigned to mandatory review had 22% lower odds of all-cause mortality than controls.

Full details are in the original sources.

Added 1 Nov 2026 · Updated 1 Nov 2026
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