As a part of Health Share of Oregon, one of the largest Coordinated Care Organizations (CCO) in Oregon, Tuality Health Alliance (THA) is expected to participate in a statewide Performance Improvement Project (PIP). The current 2015-2017 statewide PIP topic is: Oregon Statewide Performance Improvement Project on Opioid Safety: Reducing Prescribing of High Morphine Equivalent Doses (MED’s). Quarterly, THA reports back to Health Share of Oregon regarding THA members’ opioid usage as well as what THA is doing to attempt to reduce the prevalence of high MED’s.