I recently viewed TJC's presentation around the Safe Use of Opioids presentation. My hospital is engaged in this initiative, and I am reaching out to see if you might be willing to share any current ideas or best practices you've seen around this measure. The primary challenge we see at my institution is that the vast majority of dual opioids/benzo combinations are patients coming in from the community. Since we are an acute care facility, the majority of providers on the inpatient side do not have the ability to begin weaning these medications without abruptly discontinuing them, which could cause withdrawal and patient harm. While we focus on new starts, I'd love to better understand why home medications are counted in the numerator and what other institutions may be doing to address this challenge. Appreciate any thoughts. Thank you