Project Lazarus Chronic Pain Initiative



The Chronic Pain Initiative is designed to improve the medical care received by patients with chronic pain and in the process, to reduce the misuse, abuse, and overdose of medications used to treat patients with chronic pain.


The goals of the initiative are:

  • to avert deaths from unintentional poisoning
  • address the rapidly rising problem of uncoordinated and excessive use of narcotics and
  • to change systems of care and prescribing patterns to promote quality and safe care for patients with chronic pain.



Tools, Support and Strategies to help you:

  • Improve the coordination of care for patients with chronic pain
  • Ensure appropriate use of prescription pain medications
  • Enhance collaboration with the local system of care to ensure safe and quality care for patients.
  • Lower the risk of unintended adverse effects and unintentional overdose
  • Lower health care costs associated with higher service utilization to treat chronic pain.


CCNC Opioid Safety


CPI PCP Toolkit - Toolkit designed for Primary Care Physicians


CPI ED Toolkit - Toolkit designed for Emergency Department Physicians


Naloxone Information


NC Harm Reduction

Safe Opioid Prescribing

CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016: This guideline provides recommendations for the prescribing of opioid pain medication by primary care clinicians for chronic pain (i.e., pain conditions that typically last >3 months or past the time of normal tissue healing) in outpatient settings outside of active cancer treatment, palliative care and end-of-life care.


Checklist for Prescribing Opioids for Chronic Pain: For primary care providers treating adults (18+) with chronic pain ≥ 3 months, excluding cancer, palliative and end-of-life care


NCMB: Safe Opioid Prescribing Initiative: NC Medical Board's official guidance document for licensees who prescribe controlled substances for the treatment of pain.



Referral Form

For questions about Chronic Pain Referrals, contact the Chronic Pain Coordinator, Deanna Glennon -

Click here for more information on the Chronic Pain Initiative.