LAUSR

Key Points Question Does implementation facilitation (IF) increase adoption of emergency department (ED)–initiated buprenorphine and patient engagement in opioid use disorder treatment compared with grand rounds? Findings In this nonrandomized hybrid type 3 effectiveness implementation trial conducted in 4 urban, academic EDs comparing 394 patients enrolled during a baseline evaluation period after grand rounds and 362 patients enrolled during an IF evaluation period, rates of ED-initiated buprenorphine and engagement in OUD treatment at 30 days were higher during the IF period. Meaning These findings suggest that IF was associated with greater rates of ED-initiated buprenorphine and patient engagement in treatment at 30 days compared with grand rounds.