id	sid	tid	token	lemma	pos
commonwealth-190	1	1	physician	physician	NOUN
commonwealth-190	1	2	responses	response	NOUN
commonwealth-190	1	3	to	to	ADP
commonwealth-190	1	4	the	the	DET
commonwealth-190	1	5	opioid	opioid	ADJ
commonwealth-190	1	6	epidemic	epidemic	NOUN
commonwealth-190	1	7	in	in	ADP
commonwealth-190	1	8	the	the	DET
commonwealth-190	1	9	context	context	NOUN
commonwealth-190	1	10	of	of	ADP
commonwealth-190	1	11	population	population	NOUN
commonwealth-190	1	12	-	-	PUNCT
commonwealth-190	1	13	based	base	VERB
commonwealth-190	1	14	pain	pain	NOUN
commonwealth-190	1	15	and	and	CCONJ
commonwealth-190	1	16	opioid	opioid	ADJ
commonwealth-190	1	17	care	care	PROPN
commonwealth-190	1	18	commonwealth	commonwealth	PROPN
commonwealth-190	1	19	,	,	PUNCT
commonwealth-190	1	20	volume	volume	NOUN
commonwealth-190	1	21	20	20	NUM
commonwealth-190	1	22	,	,	PUNCT
commonwealth-190	1	23	issue	issue	NOUN
commonwealth-190	1	24	1	1	NUM
commonwealth-190	1	25	(	(	PUNCT
commonwealth-190	1	26	2018	2018	NUM
commonwealth-190	1	27	)	)	PUNCT
commonwealth-190	1	28	.	.	PUNCT
commonwealth-190	2	1	©	©	PROPN
commonwealth-190	2	2	2018	2018	NUM
commonwealth-190	2	3	the	the	DET
commonwealth-190	2	4	pennsylvania	pennsylvania	PROPN
commonwealth-190	2	5	political	political	PROPN
commonwealth-190	2	6	science	science	PROPN
commonwealth-190	2	7	association	association	PROPN
commonwealth-190	2	8	.	.	PUNCT
commonwealth-190	3	1	issn	issn	PROPN
commonwealth-190	3	2	2469	2469	NUM
commonwealth-190	3	3	-	-	SYM
commonwealth-190	3	4	7672	7672	NUM
commonwealth-190	3	5	(	(	PUNCT
commonwealth-190	3	6	online	online	ADJ
commonwealth-190	3	7	)	)	PUNCT
commonwealth-190	3	8	.	.	PUNCT
commonwealth-190	4	1	http://dx.doi.org/10.15367/com.v20i2-3.190	http://dx.doi.org/10.15367/com.v20i2-3.190	VERB
commonwealth-190	4	2	.	.	PUNCT
commonwealth-190	5	1	all	all	DET
commonwealth-190	5	2	rights	right	NOUN
commonwealth-190	5	3	reserved	reserve	VERB
commonwealth-190	5	4	.	.	PUNCT
commonwealth-190	6	1	physician	physician	NOUN
commonwealth-190	6	2	responses	response	NOUN
commonwealth-190	6	3	to	to	ADP
commonwealth-190	6	4	the	the	DET
commonwealth-190	6	5	opioid	opioid	ADJ
commonwealth-190	6	6	epidemic	epidemic	NOUN
commonwealth-190	6	7	in	in	ADP
commonwealth-190	6	8	the	the	DET
commonwealth-190	6	9	context	context	NOUN
commonwealth-190	6	10	of	of	ADP
commonwealth-190	6	11	population	population	NOUN
commonwealth-190	6	12	-	-	PUNCT
commonwealth-190	6	13	b	b	NOUN
commonwealth-190	6	14	ased	ase	VERB
commonwealth-190	6	15	pain	pain	NOUN
commonwealth-190	6	16	and	and	CCONJ
commonwealth-190	6	17	opioid	opioid	ADJ
commonwealth-190	6	18	care	care	NOUN
commonwealth-190	6	19	ajay	ajay	PROPN
commonwealth-190	6	20	d.	d.	PROPN
commonwealth-190	6	21	wasan	wasan	PROPN
commonwealth-190	6	22	university	university	PROPN
commonwealth-190	6	23	of	of	ADP
commonwealth-190	6	24	pittsburgh	pittsburgh	PROPN
commonwealth-190	6	25	medical	medical	ADJ
commonwealth-190	6	26	center	center	NOUN
commonwealth-190	6	27	,	,	PUNCT
commonwealth-190	6	28	university	university	PROPN
commonwealth-190	6	29	of	of	ADP
commonwealth-190	6	30	pittsburgh	pittsburgh	PROPN
commonwealth-190	6	31	school	school	NOUN
commonwealth-190	6	32	of	of	ADP
commonwealth-190	6	33	medicine	medicine	NOUN
commonwealth-190	6	34	the	the	DET
commonwealth-190	6	35	opioid	opioid	ADJ
commonwealth-190	6	36	epidemic	epidemic	NOUN
commonwealth-190	6	37	is	be	AUX
commonwealth-190	6	38	a	a	DET
commonwealth-190	6	39	multifaceted	multifaceted	ADJ
commonwealth-190	6	40	phenomenon	phenomenon	NOUN
commonwealth-190	6	41	in	in	ADP
commonwealth-190	6	42	which	which	PRON
commonwealth-190	6	43	the	the	DET
commonwealth-190	6	44	prescription	prescription	NOUN
commonwealth-190	6	45	of	of	ADP
commonwealth-190	6	46	opioids	opioid	NOUN
commonwealth-190	6	47	for	for	ADP
commonwealth-190	6	48	pain	pain	NOUN
commonwealth-190	6	49	still	still	ADV
commonwealth-190	6	50	plays	play	VERB
commonwealth-190	6	51	a	a	DET
commonwealth-190	6	52	significant	significant	ADJ
commonwealth-190	6	53	role	role	NOUN
commonwealth-190	6	54	.	.	PUNCT
commonwealth-190	7	1	however	however	ADV
commonwealth-190	7	2	,	,	PUNCT
commonwealth-190	7	3	a	a	DET
commonwealth-190	7	4	plethora	plethora	NOUN
commonwealth-190	7	5	of	of	ADP
commonwealth-190	7	6	efforts	effort	NOUN
commonwealth-190	7	7	in	in	ADP
commonwealth-190	7	8	the	the	DET
commonwealth-190	7	9	physician	physician	NOUN
commonwealth-190	7	10	community	community	NOUN
commonwealth-190	7	11	following	follow	VERB
commonwealth-190	7	12	many	many	ADJ
commonwealth-190	7	13	years	year	NOUN
commonwealth-190	7	14	of	of	ADP
commonwealth-190	7	15	epidemiological	epidemiological	ADJ
commonwealth-190	7	16	research	research	NOUN
commonwealth-190	7	17	regarding	regard	VERB
commonwealth-190	7	18	patterns	pattern	NOUN
commonwealth-190	7	19	and	and	CCONJ
commonwealth-190	7	20	characteristics	characteristic	NOUN
commonwealth-190	7	21	of	of	ADP
commonwealth-190	7	22	prescription	prescription	NOUN
commonwealth-190	7	23	opioid	opioid	ADJ
commonwealth-190	7	24	misuse	misuse	NOUN
commonwealth-190	7	25	,	,	PUNCT
commonwealth-190	7	26	abuse	abuse	NOUN
commonwealth-190	7	27	,	,	PUNCT
commonwealth-190	7	28	and	and	CCONJ
commonwealth-190	7	29	addiction	addiction	NOUN
commonwealth-190	7	30	have	have	AUX
commonwealth-190	7	31	led	lead	VERB
commonwealth-190	7	32	to	to	PART
commonwealth-190	7	33	best	good	ADJ
commonwealth-190	7	34	practice	practice	NOUN
commonwealth-190	7	35	guidelines	guideline	NOUN
commonwealth-190	7	36	agreed	agree	VERB
commonwealth-190	7	37	upon	upon	SCONJ
commonwealth-190	7	38	widely	widely	ADV
commonwealth-190	7	39	.	.	PUNCT
commonwealth-190	8	1	adoption	adoption	NOUN
commonwealth-190	8	2	of	of	ADP
commonwealth-190	8	3	these	these	DET
commonwealth-190	8	4	guidelines	guideline	NOUN
commonwealth-190	8	5	and	and	CCONJ
commonwealth-190	8	6	specific	specific	ADJ
commonwealth-190	8	7	changes	change	NOUN
commonwealth-190	8	8	across	across	ADP
commonwealth-190	8	9	health	health	NOUN
commonwealth-190	8	10	care	care	NOUN
commonwealth-190	8	11	systems	system	NOUN
commonwealth-190	8	12	and	and	CCONJ
commonwealth-190	8	13	in	in	ADP
commonwealth-190	8	14	individual	individual	ADJ
commonwealth-190	8	15	provider	provider	NOUN
commonwealth-190	8	16	practices	practice	NOUN
commonwealth-190	8	17	have	have	AUX
commonwealth-190	8	18	resulted	result	VERB
commonwealth-190	8	19	in	in	ADP
commonwealth-190	8	20	improved	improved	ADJ
commonwealth-190	8	21	opioid	opioid	ADJ
commonwealth-190	8	22	prescribing	prescribing	NOUN
commonwealth-190	8	23	patterns	pattern	NOUN
commonwealth-190	8	24	,	,	PUNCT
commonwealth-190	8	25	which	which	PRON
commonwealth-190	8	26	are	be	AUX
commonwealth-190	8	27	safer	safe	ADJ
commonwealth-190	8	28	and	and	CCONJ
commonwealth-190	8	29	no	no	PRON
commonwealth-190	8	30	less	less	ADV
commonwealth-190	8	31	effective	effective	ADJ
commonwealth-190	8	32	in	in	ADP
commonwealth-190	8	33	addressing	address	VERB
commonwealth-190	8	34	pain	pain	NOUN
commonwealth-190	8	35	.	.	PUNCT
commonwealth-190	9	1	the	the	DET
commonwealth-190	9	2	experience	experience	NOUN
commonwealth-190	9	3	at	at	ADP
commonwealth-190	9	4	the	the	DET
commonwealth-190	9	5	university	university	PROPN
commonwealth-190	9	6	of	of	ADP
commonwealth-190	9	7	pittsburgh	pittsburgh	PROPN
commonwealth-190	9	8	and	and	CCONJ
commonwealth-190	9	9	the	the	DET
commonwealth-190	9	10	university	university	PROPN
commonwealth-190	9	11	of	of	ADP
commonwealth-190	9	12	pittsburgh	pittsburgh	PROPN
commonwealth-190	9	13	medical	medical	ADJ
commonwealth-190	9	14	center	center	NOUN
commonwealth-190	9	15	is	be	AUX
commonwealth-190	9	16	highlighted	highlight	VERB
commonwealth-190	9	17	as	as	ADP
commonwealth-190	9	18	an	an	DET
commonwealth-190	9	19	example	example	NOUN
commonwealth-190	9	20	of	of	ADP
commonwealth-190	9	21	progressive	progressive	ADJ
commonwealth-190	9	22	change	change	NOUN
commonwealth-190	9	23	to	to	PART
commonwealth-190	9	24	address	address	VERB
commonwealth-190	9	25	the	the	DET
commonwealth-190	9	26	simultaneous	simultaneous	ADJ
commonwealth-190	9	27	epidemics	epidemic	NOUN
commonwealth-190	9	28	of	of	ADP
commonwealth-190	9	29	poorly	poorly	ADV
commonwealth-190	9	30	controlled	control	VERB
commonwealth-190	9	31	chronic	chronic	ADJ
commonwealth-190	9	32	pain	pain	NOUN
commonwealth-190	9	33	affecting	affect	VERB
commonwealth-190	9	34	100	100	NUM
commonwealth-190	9	35	million	million	NUM
commonwealth-190	9	36	adults	adult	NOUN
commonwealth-190	9	37	in	in	ADP
commonwealth-190	9	38	this	this	DET
commonwealth-190	9	39	country	country	NOUN
commonwealth-190	9	40	and	and	CCONJ
commonwealth-190	9	41	prescription	prescription	NOUN
commonwealth-190	9	42	opioid	opioid	NOUN
commonwealth-190	9	43	use	use	VERB
commonwealth-190	9	44	disorders	disorder	NOUN
commonwealth-190	9	45	affecting	affect	VERB
commonwealth-190	9	46	2.2	2.2	NUM
commonwealth-190	9	47	million	million	NUM
commonwealth-190	9	48	adults	adult	NOUN
commonwealth-190	9	49	.	.	PUNCT
commonwealth-190	10	1	background	background	NOUN
commonwealth-190	10	2	in	in	ADP
commonwealth-190	10	3	the	the	DET
commonwealth-190	10	4	history	history	NOUN
commonwealth-190	10	5	of	of	ADP
commonwealth-190	10	6	medicine	medicine	NOUN
commonwealth-190	10	7	,	,	PUNCT
commonwealth-190	10	8	most	most	ADJ
commonwealth-190	10	9	epidemics	epidemic	NOUN
commonwealth-190	10	10	change	change	VERB
commonwealth-190	10	11	their	their	PRON
commonwealth-190	10	12	fundamental	fundamental	ADJ
commonwealth-190	10	13	nature	nature	NOUN
commonwealth-190	10	14	over	over	ADP
commonwealth-190	10	15	time	time	NOUN
commonwealth-190	10	16	.	.	PUNCT
commonwealth-190	11	1	for	for	ADP
commonwealth-190	11	2	example	example	NOUN
commonwealth-190	11	3	,	,	PUNCT
commonwealth-190	11	4	the	the	DET
commonwealth-190	11	5	hiv	hiv	PROPN
commonwealth-190	11	6	epidemic	epidemic	NOUN
commonwealth-190	11	7	in	in	ADP
commonwealth-190	11	8	the	the	DET
commonwealth-190	11	9	united	united	PROPN
commonwealth-190	11	10	states	states	PROPN
commonwealth-190	11	11	was	be	AUX
commonwealth-190	11	12	spread	spread	VERB
commonwealth-190	11	13	in	in	ADP
commonwealth-190	11	14	the	the	DET
commonwealth-190	11	15	1980s	1980	NOUN
commonwealth-190	11	16	through	through	ADP
commonwealth-190	11	17	unsafe	unsafe	ADJ
commonwealth-190	11	18	sexual	sexual	ADJ
commonwealth-190	11	19	practices	practice	NOUN
commonwealth-190	11	20	,	,	PUNCT
commonwealth-190	11	21	but	but	CCONJ
commonwealth-190	11	22	later	later	ADV
commonwealth-190	11	23	was	be	AUX
commonwealth-190	11	24	perpetuated	perpetuate	VERB
commonwealth-190	11	25	by	by	ADP
commonwealth-190	11	26	the	the	DET
commonwealth-190	11	27	sharing	sharing	NOUN
commonwealth-190	11	28	of	of	ADP
commonwealth-190	11	29	dirty	dirty	ADJ
commonwealth-190	11	30	needles	needle	NOUN
commonwealth-190	11	31	by	by	ADP
commonwealth-190	11	32	intravenous	intravenous	ADJ
commonwealth-190	11	33	drug	drug	NOUN
commonwealth-190	11	34	abusers	abuser	NOUN
commonwealth-190	11	35	.	.	PUNCT
commonwealth-190	12	1	the	the	DET
commonwealth-190	12	2	opioid	opioid	ADJ
commonwealth-190	12	3	epidemic	epidemic	NOUN
commonwealth-190	12	4	is	be	AUX
commonwealth-190	12	5	no	no	ADV
commonwealth-190	12	6	different	different	ADJ
commonwealth-190	12	7	—	—	PUNCT
commonwealth-190	12	8	initially	initially	ADV
commonwealth-190	12	9	lying	lie	VERB
commonwealth-190	12	10	within	within	ADP
commonwealth-190	12	11	the	the	DET
commonwealth-190	12	12	complex	complex	ADJ
commonwealth-190	12	13	interweaving	interweaving	NOUN
commonwealth-190	12	14	of	of	ADP
commonwealth-190	12	15	physician	physician	NOUN
commonwealth-190	12	16	responses	response	NOUN
commonwealth-190	12	17	to	to	ADP
commonwealth-190	12	18	the	the	DET
commonwealth-190	12	19	opioid	opioid	ADJ
commonwealth-190	12	20	epidemic	epidemic	NOUN
commonwealth-190	12	21	123	123	NUM
commonwealth-190	12	22	yettobe	yettobe	NOUN
commonwealth-190	12	23	-	-	PUNCT
commonwealth-190	12	24	f	f	NOUN
commonwealth-190	12	25	ullyunderstood	ullyunderstood	NOUN
commonwealth-190	12	26	sociocultural	sociocultural	ADJ
commonwealth-190	12	27	issues	issue	NOUN
commonwealth-190	12	28	(	(	PUNCT
commonwealth-190	12	29	quinones	quinone	NOUN
commonwealth-190	12	30	2015	2015	NUM
commonwealth-190	12	31	)	)	PUNCT
commonwealth-190	12	32	and	and	CCONJ
commonwealth-190	12	33	subsequently	subsequently	ADV
commonwealth-190	12	34	in	in	ADP
commonwealth-190	12	35	the	the	DET
commonwealth-190	12	36	overlay	overlay	NOUN
commonwealth-190	12	37	of	of	ADP
commonwealth-190	12	38	two	two	NUM
commonwealth-190	12	39	public	public	ADJ
commonwealth-190	12	40	health	health	NOUN
commonwealth-190	12	41	challenges	challenge	NOUN
commonwealth-190	12	42	:	:	PUNCT
commonwealth-190	12	43	the	the	DET
commonwealth-190	12	44	better	well	ADJ
commonwealth-190	12	45	treatment	treatment	NOUN
commonwealth-190	12	46	of	of	ADP
commonwealth-190	12	47	chronic	chronic	ADJ
commonwealth-190	12	48	pain	pain	NOUN
commonwealth-190	12	49	(	(	PUNCT
commonwealth-190	12	50	affecting	affect	VERB
commonwealth-190	12	51	100	100	NUM
commonwealth-190	12	52	million	million	NUM
commonwealth-190	12	53	us	us	PROPN
commonwealth-190	12	54	adults	adult	NOUN
commonwealth-190	12	55	,	,	PUNCT
commonwealth-190	12	56	an	an	DET
commonwealth-190	12	57	epidemic	epidemic	NOUN
commonwealth-190	12	58	in	in	ADP
commonwealth-190	12	59	itself	itself	PRON
commonwealth-190	12	60	)	)	PUNCT
commonwealth-190	12	61	and	and	CCONJ
commonwealth-190	12	62	the	the	DET
commonwealth-190	12	63	appropriate	appropriate	ADJ
commonwealth-190	12	64	prescribing	prescribing	NOUN
commonwealth-190	12	65	of	of	ADP
commonwealth-190	12	66	opioids	opioid	NOUN
commonwealth-190	12	67	for	for	ADP
commonwealth-190	12	68	pain	pain	NOUN
commonwealth-190	12	69	relief	relief	NOUN
commonwealth-190	12	70	(	(	PUNCT
commonwealth-190	12	71	national	national	ADJ
commonwealth-190	12	72	academies	academy	NOUN
commonwealth-190	12	73	of	of	ADP
commonwealth-190	12	74	sciences	science	NOUN
commonwealth-190	12	75	,	,	PUNCT
commonwealth-190	12	76	engineering	engineering	NOUN
commonwealth-190	12	77	,	,	PUNCT
commonwealth-190	12	78	and	and	CCONJ
commonwealth-190	12	79	medicine	medicine	NOUN
commonwealth-190	12	80	2017	2017	NUM
commonwealth-190	12	81	;	;	PUNCT
commonwealth-190	12	82	institute	institute	NOUN
commonwealth-190	12	83	of	of	ADP
commonwealth-190	12	84	medicine	medicine	NOUN
commonwealth-190	12	85	2011	2011	NUM
commonwealth-190	12	86	)	)	PUNCT
commonwealth-190	12	87	.	.	PUNCT
commonwealth-190	13	1	the	the	DET
commonwealth-190	13	2	opioid	opioid	ADJ
commonwealth-190	13	3	epidemic	epidemic	NOUN
commonwealth-190	13	4	of	of	ADP
commonwealth-190	13	5	the	the	DET
commonwealth-190	13	6	past	past	ADJ
commonwealth-190	13	7	10	10	NUM
commonwealth-190	13	8	years	year	NOUN
commonwealth-190	13	9	(	(	PUNCT
commonwealth-190	13	10	versus	versus	ADP
commonwealth-190	13	11	the	the	DET
commonwealth-190	13	12	earlier	early	ADJ
commonwealth-190	13	13	epidemic	epidemic	NOUN
commonwealth-190	13	14	of	of	ADP
commonwealth-190	13	15	heroin	heroin	NOUN
commonwealth-190	13	16	addiction	addiction	NOUN
commonwealth-190	13	17	in	in	ADP
commonwealth-190	13	18	the	the	DET
commonwealth-190	13	19	1970s	1970	NOUN
commonwealth-190	13	20	)	)	PUNCT
commonwealth-190	13	21	was	be	AUX
commonwealth-190	13	22	triggered	trigger	VERB
commonwealth-190	13	23	,	,	PUNCT
commonwealth-190	13	24	to	to	ADP
commonwealth-190	13	25	some	some	DET
commonwealth-190	13	26	considerable	considerable	ADJ
commonwealth-190	13	27	extent	extent	NOUN
commonwealth-190	13	28	,	,	PUNCT
commonwealth-190	13	29	by	by	ADP
commonwealth-190	13	30	the	the	DET
commonwealth-190	13	31	overprescribing	overprescribing	NOUN
commonwealth-190	13	32	of	of	ADP
commonwealth-190	13	33	prescription	prescription	NOUN
commonwealth-190	13	34	opioids	opioid	NOUN
commonwealth-190	13	35	for	for	ADP
commonwealth-190	13	36	pain	pain	NOUN
commonwealth-190	13	37	,	,	PUNCT
commonwealth-190	13	38	with	with	ADP
commonwealth-190	13	39	a	a	DET
commonwealth-190	13	40	subsequent	subsequent	ADJ
commonwealth-190	13	41	shift	shift	NOUN
commonwealth-190	13	42	to	to	ADP
commonwealth-190	13	43	heroin	heroin	NOUN
commonwealth-190	13	44	use	use	NOUN
commonwealth-190	13	45	by	by	ADP
commonwealth-190	13	46	people	people	NOUN
commonwealth-190	13	47	without	without	ADP
commonwealth-190	13	48	pain	pain	NOUN
commonwealth-190	13	49	(	(	PUNCT
commonwealth-190	13	50	national	national	ADJ
commonwealth-190	13	51	academies	academy	NOUN
commonwealth-190	13	52	of	of	ADP
commonwealth-190	13	53	sciences	science	NOUN
commonwealth-190	13	54	,	,	PUNCT
commonwealth-190	13	55	engineering	engineering	NOUN
commonwealth-190	13	56	,	,	PUNCT
commonwealth-190	13	57	and	and	CCONJ
commonwealth-190	13	58	medicine	medicine	NOUN
commonwealth-190	13	59	2017	2017	NUM
commonwealth-190	13	60	)	)	PUNCT
commonwealth-190	13	61	.	.	PUNCT
commonwealth-190	14	1	in	in	ADP
commonwealth-190	14	2	2015	2015	NUM
commonwealth-190	14	3	,	,	PUNCT
commonwealth-190	14	4	the	the	DET
commonwealth-190	14	5	number	number	NOUN
commonwealth-190	14	6	of	of	ADP
commonwealth-190	14	7	opioid	opioid	ADJ
commonwealth-190	14	8	deaths	death	NOUN
commonwealth-190	14	9	from	from	ADP
commonwealth-190	14	10	illicit	illicit	ADJ
commonwealth-190	14	11	opioids	opioid	NOUN
commonwealth-190	14	12	surpassed	surpass	VERB
commonwealth-190	14	13	those	those	PRON
commonwealth-190	14	14	from	from	ADP
commonwealth-190	14	15	prescription	prescription	NOUN
commonwealth-190	14	16	opioids	opioid	NOUN
commonwealth-190	14	17	.	.	PUNCT
commonwealth-190	15	1	approximately	approximately	ADV
commonwealth-190	15	2	2	2	NUM
commonwealth-190	15	3	million	million	NUM
commonwealth-190	15	4	people	people	NOUN
commonwealth-190	15	5	have	have	VERB
commonwealth-190	15	6	a	a	DET
commonwealth-190	15	7	prescription	prescription	NOUN
commonwealth-190	15	8	opioid	opioid	NOUN
commonwealth-190	15	9	use	use	VERB
commonwealth-190	15	10	disorder	disorder	NOUN
commonwealth-190	15	11	,	,	PUNCT
commonwealth-190	15	12	while	while	SCONJ
commonwealth-190	15	13	substantially	substantially	ADV
commonwealth-190	15	14	more	more	ADJ
commonwealth-190	15	15	use	use	VERB
commonwealth-190	15	16	heroin	heroin	NOUN
commonwealth-190	15	17	(	(	PUNCT
commonwealth-190	15	18	guy	guy	NOUN
commonwealth-190	15	19	et	et	PROPN
commonwealth-190	15	20	al	al	PROPN
commonwealth-190	15	21	.	.	PROPN
commonwealth-190	15	22	2017	2017	NUM
commonwealth-190	15	23	)	)	PUNCT
commonwealth-190	15	24	.	.	PUNCT
commonwealth-190	16	1	and	and	CCONJ
commonwealth-190	16	2	yet	yet	ADV
commonwealth-190	16	3	,	,	PUNCT
commonwealth-190	16	4	the	the	DET
commonwealth-190	16	5	epidemics	epidemic	NOUN
commonwealth-190	16	6	of	of	ADP
commonwealth-190	16	7	chronic	chronic	ADJ
commonwealth-190	16	8	pain	pain	NOUN
commonwealth-190	16	9	and	and	CCONJ
commonwealth-190	16	10	opioid	opioid	ADJ
commonwealth-190	16	11	use	use	NOUN
commonwealth-190	16	12	disorder	disorder	NOUN
commonwealth-190	16	13	continue	continue	VERB
commonwealth-190	16	14	to	to	PART
commonwealth-190	16	15	be	be	AUX
commonwealth-190	16	16	entwined	entwine	VERB
commonwealth-190	16	17	,	,	PUNCT
commonwealth-190	16	18	as	as	ADP
commonwealth-190	16	19	80	80	NUM
commonwealth-190	16	20	%	%	NOUN
commonwealth-190	16	21	of	of	ADP
commonwealth-190	16	22	heroin	heroin	NOUN
commonwealth-190	16	23	users	user	NOUN
commonwealth-190	16	24	report	report	NOUN
commonwealth-190	16	25	starting	start	VERB
commonwealth-190	16	26	with	with	ADP
commonwealth-190	16	27	prescription	prescription	NOUN
commonwealth-190	16	28	opioids	opioid	NOUN
commonwealth-190	16	29	,	,	PUNCT
commonwealth-190	16	30	and	and	CCONJ
commonwealth-190	16	31	50	50	NUM
commonwealth-190	16	32	%	%	NOUN
commonwealth-190	16	33	of	of	ADP
commonwealth-190	16	34	heroin	heroin	NOUN
commonwealth-190	16	35	users	user	NOUN
commonwealth-190	16	36	in	in	ADP
commonwealth-190	16	37	substance	substance	NOUN
commonwealth-190	16	38	use	use	NOUN
commonwealth-190	16	39	disorder	disorder	NOUN
commonwealth-190	16	40	(	(	PUNCT
commonwealth-190	16	41	sud	sud	NOUN
commonwealth-190	16	42	)	)	PUNCT
commonwealth-190	16	43	treatment	treatment	NOUN
commonwealth-190	16	44	report	report	NOUN
commonwealth-190	16	45	having	have	VERB
commonwealth-190	16	46	chronic	chronic	ADJ
commonwealth-190	16	47	pain	pain	NOUN
commonwealth-190	16	48	(	(	PUNCT
commonwealth-190	16	49	national	national	ADJ
commonwealth-190	16	50	academies	academy	NOUN
commonwealth-190	16	51	of	of	ADP
commonwealth-190	16	52	sciences	science	NOUN
commonwealth-190	16	53	,	,	PUNCT
commonwealth-190	16	54	engineering	engineering	NOUN
commonwealth-190	16	55	,	,	PUNCT
commonwealth-190	16	56	and	and	CCONJ
commonwealth-190	16	57	medicine	medicine	NOUN
commonwealth-190	16	58	2017	2017	NUM
commonwealth-190	16	59	)	)	PUNCT
commonwealth-190	16	60	.	.	PUNCT
commonwealth-190	17	1	provider	provider	NOUN
commonwealth-190	17	2	responses	response	NOUN
commonwealth-190	17	3	there	there	PRON
commonwealth-190	17	4	has	have	AUX
commonwealth-190	17	5	been	be	AUX
commonwealth-190	17	6	a	a	DET
commonwealth-190	17	7	range	range	NOUN
commonwealth-190	17	8	of	of	ADP
commonwealth-190	17	9	responses	response	NOUN
commonwealth-190	17	10	from	from	ADP
commonwealth-190	17	11	physicians	physician	NOUN
commonwealth-190	17	12	to	to	PART
commonwealth-190	17	13	combat	combat	VERB
commonwealth-190	17	14	the	the	DET
commonwealth-190	17	15	environmental	environmental	ADJ
commonwealth-190	17	16	supply	supply	NOUN
commonwealth-190	17	17	of	of	ADP
commonwealth-190	17	18	unnecessary	unnecessary	ADJ
commonwealth-190	17	19	opioids	opioid	NOUN
commonwealth-190	17	20	,	,	PUNCT
commonwealth-190	17	21	and	and	CCONJ
commonwealth-190	17	22	in	in	ADP
commonwealth-190	17	23	2011	2011	NUM
commonwealth-190	17	24	the	the	DET
commonwealth-190	17	25	rates	rate	NOUN
commonwealth-190	17	26	of	of	ADP
commonwealth-190	17	27	opioid	opioid	ADJ
commonwealth-190	17	28	prescribing	prescribing	NOUN
commonwealth-190	17	29	for	for	ADP
commonwealth-190	17	30	pain	pain	NOUN
commonwealth-190	17	31	began	begin	VERB
commonwealth-190	17	32	to	to	PART
commonwealth-190	17	33	decrease	decrease	VERB
commonwealth-190	17	34	,	,	PUNCT
commonwealth-190	17	35	after	after	ADP
commonwealth-190	17	36	increasing	increase	VERB
commonwealth-190	17	37	fourfold	fourfold	ADV
commonwealth-190	17	38	from	from	ADP
commonwealth-190	17	39	1999	1999	NUM
commonwealth-190	17	40	to	to	ADP
commonwealth-190	17	41	2011	2011	NUM
commonwealth-190	17	42	(	(	PUNCT
commonwealth-190	17	43	frenk	frenk	NOUN
commonwealth-190	17	44	,	,	PUNCT
commonwealth-190	17	45	porter	porter	NOUN
commonwealth-190	17	46	,	,	PUNCT
commonwealth-190	17	47	and	and	CCONJ
commonwealth-190	17	48	paulozzi	paulozzi	NOUN
commonwealth-190	17	49	2017	2017	NUM
commonwealth-190	17	50	)	)	PUNCT
commonwealth-190	17	51	.	.	PUNCT
commonwealth-190	18	1	this	this	DET
commonwealth-190	18	2	article	article	NOUN
commonwealth-190	18	3	will	will	AUX
commonwealth-190	18	4	summarize	summarize	VERB
commonwealth-190	18	5	the	the	DET
commonwealth-190	18	6	responses	response	NOUN
commonwealth-190	18	7	to	to	ADP
commonwealth-190	18	8	the	the	DET
commonwealth-190	18	9	opioid	opioid	ADJ
commonwealth-190	18	10	epidemic	epidemic	NOUN
commonwealth-190	18	11	from	from	ADP
commonwealth-190	18	12	those	those	PRON
commonwealth-190	18	13	who	who	PRON
commonwealth-190	18	14	prescribe	prescribe	VERB
commonwealth-190	18	15	opioids	opioid	NOUN
commonwealth-190	18	16	.	.	PUNCT
commonwealth-190	19	1	this	this	PRON
commonwealth-190	19	2	is	be	AUX
commonwealth-190	19	3	referred	refer	VERB
commonwealth-190	19	4	to	to	ADP
commonwealth-190	19	5	as	as	ADP
commonwealth-190	19	6	the	the	DET
commonwealth-190	19	7	point	point	NOUN
commonwealth-190	19	8	of	of	ADP
commonwealth-190	19	9	care	care	NOUN
commonwealth-190	19	10	of	of	ADP
commonwealth-190	19	11	opioid	opioid	ADJ
commonwealth-190	19	12	prescribing	prescribing	NOUN
commonwealth-190	19	13	,	,	PUNCT
commonwealth-190	19	14	which	which	PRON
commonwealth-190	19	15	is	be	AUX
commonwealth-190	19	16	the	the	DET
commonwealth-190	19	17	most	most	ADV
commonwealth-190	19	18	upstream	upstream	ADJ
commonwealth-190	19	19	part	part	NOUN
commonwealth-190	19	20	in	in	ADP
commonwealth-190	19	21	the	the	DET
commonwealth-190	19	22	cascade	cascade	NOUN
commonwealth-190	19	23	of	of	ADP
commonwealth-190	19	24	opioid	opioid	ADJ
commonwealth-190	19	25	addiction	addiction	NOUN
commonwealth-190	19	26	among	among	ADP
commonwealth-190	19	27	patients	patient	NOUN
commonwealth-190	19	28	with	with	ADP
commonwealth-190	19	29	pain	pain	NOUN
commonwealth-190	19	30	.	.	PUNCT
commonwealth-190	20	1	the	the	DET
commonwealth-190	20	2	origins	origin	NOUN
commonwealth-190	20	3	and	and	CCONJ
commonwealth-190	20	4	sustaining	sustain	VERB
commonwealth-190	20	5	factors	factor	NOUN
commonwealth-190	20	6	of	of	ADP
commonwealth-190	20	7	the	the	DET
commonwealth-190	20	8	epidemic	epidemic	NOUN
commonwealth-190	20	9	are	be	AUX
commonwealth-190	20	10	discussed	discuss	VERB
commonwealth-190	20	11	in	in	ADP
commonwealth-190	20	12	detail	detail	NOUN
commonwealth-190	20	13	elsewhere	elsewhere	ADV
commonwealth-190	20	14	in	in	ADP
commonwealth-190	20	15	this	this	DET
commonwealth-190	20	16	issue	issue	NOUN
commonwealth-190	20	17	of	of	ADP
commonwealth-190	20	18	commonwealth	commonwealth	PROPN
commonwealth-190	20	19	.	.	PUNCT
commonwealth-190	21	1	the	the	DET
commonwealth-190	21	2	problems	problem	NOUN
commonwealth-190	21	3	associated	associate	VERB
commonwealth-190	21	4	with	with	ADP
commonwealth-190	21	5	the	the	DET
commonwealth-190	21	6	overprescribing	overprescribing	NOUN
commonwealth-190	21	7	of	of	ADP
commonwealth-190	21	8	prescription	prescription	NOUN
commonwealth-190	21	9	opioids	opioid	NOUN
commonwealth-190	21	10	,	,	PUNCT
commonwealth-190	21	11	primarily	primarily	ADV
commonwealth-190	21	12	for	for	ADP
commonwealth-190	21	13	chronic	chronic	ADJ
commonwealth-190	21	14	noncancer	noncancer	NOUN
commonwealth-190	21	15	pain	pain	NOUN
commonwealth-190	21	16	,	,	PUNCT
commonwealth-190	21	17	have	have	AUX
commonwealth-190	21	18	been	be	AUX
commonwealth-190	21	19	described	describe	VERB
commonwealth-190	21	20	in	in	ADP
commonwealth-190	21	21	the	the	DET
commonwealth-190	21	22	medical	medical	ADJ
commonwealth-190	21	23	literature	literature	NOUN
commonwealth-190	21	24	for	for	ADP
commonwealth-190	21	25	over	over	ADP
commonwealth-190	21	26	a	a	PRON
commonwealth-190	21	27	decade	decade	NOUN
commonwealth-190	21	28	through	through	ADP
commonwealth-190	21	29	scores	score	NOUN
commonwealth-190	21	30	of	of	ADP
commonwealth-190	21	31	reviews	review	NOUN
commonwealth-190	21	32	and	and	CCONJ
commonwealth-190	21	33	research	research	NOUN
commonwealth-190	21	34	publications	publication	NOUN
commonwealth-190	21	35	.	.	PUNCT
commonwealth-190	22	1	there	there	PRON
commonwealth-190	22	2	is	be	VERB
commonwealth-190	22	3	a	a	DET
commonwealth-190	22	4	fundamental	fundamental	ADJ
commonwealth-190	22	5	distinction	distinction	NOUN
commonwealth-190	22	6	between	between	ADP
commonwealth-190	22	7	pain	pain	NOUN
commonwealth-190	22	8	due	due	ADP
commonwealth-190	22	9	to	to	ADP
commonwealth-190	22	10	cancer	cancer	NOUN
commonwealth-190	22	11	(	(	PUNCT
commonwealth-190	22	12	which	which	PRON
commonwealth-190	22	13	is	be	AUX
commonwealth-190	22	14	known	know	VERB
commonwealth-190	22	15	to	to	PART
commonwealth-190	22	16	respond	respond	VERB
commonwealth-190	22	17	very	very	ADV
commonwealth-190	22	18	well	well	ADV
commonwealth-190	22	19	to	to	ADP
commonwealth-190	22	20	opioids	opioid	NOUN
commonwealth-190	22	21	)	)	PUNCT
commonwealth-190	22	22	and	and	CCONJ
commonwealth-190	22	23	pain	pain	NOUN
commonwealth-190	22	24	not	not	PART
commonwealth-190	22	25	due	due	ADJ
commonwealth-190	22	26	to	to	ADP
commonwealth-190	22	27	cancer	cancer	NOUN
commonwealth-190	22	28	,	,	PUNCT
commonwealth-190	22	29	such	such	ADJ
commonwealth-190	22	30	as	as	ADP
commonwealth-190	22	31	chronic	chronic	ADJ
commonwealth-190	22	32	low	low	ADJ
commonwealth-190	22	33	back	back	ADJ
commonwealth-190	22	34	pain	pain	NOUN
commonwealth-190	22	35	or	or	CCONJ
commonwealth-190	22	36	pain	pain	NOUN
commonwealth-190	22	37	from	from	ADP
commonwealth-190	22	38	nerve	nerve	NOUN
commonwealth-190	22	39	injury	injury	NOUN
commonwealth-190	22	40	(	(	PUNCT
commonwealth-190	22	41	neuropathic	neuropathic	ADJ
commonwealth-190	22	42	pain	pain	NOUN
commonwealth-190	22	43	)	)	PUNCT
commonwealth-190	22	44	.	.	PUNCT
commonwealth-190	23	1	one	one	NUM
commonwealth-190	23	2	of	of	ADP
commonwealth-190	23	3	the	the	DET
commonwealth-190	23	4	most	most	ADV
commonwealth-190	23	5	influential	influential	ADJ
commonwealth-190	23	6	reports	report	NOUN
commonwealth-190	23	7	was	be	AUX
commonwealth-190	23	8	a	a	DET
commonwealth-190	23	9	review	review	NOUN
commonwealth-190	23	10	in	in	ADP
commonwealth-190	23	11	the	the	DET
commonwealth-190	23	12	new	new	PROPN
commonwealth-190	23	13	england	england	PROPN
commonwealth-190	23	14	journal	journal	PROPN
commonwealth-190	23	15	of	of	ADP
commonwealth-190	23	16	medicine	medicine	NOUN
commonwealth-190	23	17	in	in	ADP
commonwealth-190	23	18	2003	2003	NUM
commonwealth-190	23	19	by	by	ADP
commonwealth-190	23	20	ballantyne	ballantyne	PROPN
commonwealth-190	23	21	and	and	CCONJ
commonwealth-190	23	22	mao	mao	PROPN
commonwealth-190	23	23	who	who	PRON
commonwealth-190	23	24	described	describe	VERB
commonwealth-190	23	25	many	many	ADJ
commonwealth-190	23	26	of	of	ADP
commonwealth-190	23	27	the	the	DET
commonwealth-190	23	28	fundamental	fundamental	ADJ
commonwealth-190	23	29	uncertainties	uncertainty	NOUN
commonwealth-190	23	30	regarding	regard	VERB
commonwealth-190	23	31	opioid	opioid	NOUN
commonwealth-190	23	32	therapy	therapy	NOUN
commonwealth-190	23	33	for	for	ADP
commonwealth-190	23	34	chronic	chronic	ADJ
commonwealth-190	23	35	noncancer	noncancer	NOUN
commonwealth-190	23	36	pain	pain	NOUN
commonwealth-190	23	37	,	,	PUNCT
commonwealth-190	23	38	such	such	ADJ
commonwealth-190	23	39	as	as	ADP
commonwealth-190	23	40	the	the	DET
commonwealth-190	23	41	unknown	unknown	ADJ
commonwealth-190	23	42	degree	degree	NOUN
commonwealth-190	23	43	of	of	ADP
commonwealth-190	23	44	efficacy	efficacy	NOUN
commonwealth-190	23	45	,	,	PUNCT
commonwealth-190	23	46	the	the	DET
commonwealth-190	23	47	development	development	NOUN
commonwealth-190	23	48	of	of	ADP
commonwealth-190	23	49	tolerance	tolerance	NOUN
commonwealth-190	23	50	(	(	PUNCT
commonwealth-190	23	51	which	which	PRON
commonwealth-190	23	52	means	mean	VERB
commonwealth-190	23	53	less	less	ADJ
commonwealth-190	23	54	painrelieving	painrelieving	NOUN
commonwealth-190	23	55	effects	effect	NOUN
commonwealth-190	23	56	of	of	ADP
commonwealth-190	23	57	the	the	DET
commonwealth-190	23	58	opioid	opioid	NOUN
commonwealth-190	23	59	over	over	ADP
commonwealth-190	23	60	time	time	NOUN
commonwealth-190	23	61	)	)	PUNCT
commonwealth-190	23	62	,	,	PUNCT
commonwealth-190	23	63	and	and	CCONJ
commonwealth-190	23	64	the	the	DET
commonwealth-190	23	65	124	124	NUM
commonwealth-190	23	66	ajay	ajay	PROPN
commonwealth-190	23	67	d.	d.	PROPN
commonwealth-190	23	68	wasan	wasan	NOUN
commonwealth-190	23	69	emerging	emerge	VERB
commonwealth-190	23	70	rates	rate	NOUN
commonwealth-190	23	71	of	of	ADP
commonwealth-190	23	72	addiction	addiction	NOUN
commonwealth-190	23	73	(	(	PUNCT
commonwealth-190	23	74	ballantyne	ballantyne	NOUN
commonwealth-190	23	75	and	and	CCONJ
commonwealth-190	23	76	mao	mao	NOUN
commonwealth-190	23	77	2003	2003	NUM
commonwealth-190	23	78	)	)	PUNCT
commonwealth-190	23	79	.	.	PUNCT
commonwealth-190	24	1	concurrently	concurrently	ADV
commonwealth-190	24	2	,	,	PUNCT
commonwealth-190	24	3	with	with	ADP
commonwealth-190	24	4	fda	fda	PROPN
commonwealth-190	24	5	approval	approval	NOUN
commonwealth-190	24	6	in	in	ADP
commonwealth-190	24	7	1996	1996	NUM
commonwealth-190	24	8	of	of	ADP
commonwealth-190	24	9	purdue	purdue	PROPN
commonwealth-190	24	10	pharma	pharma	PROPN
commonwealth-190	24	11	’s	’s	PART
commonwealth-190	24	12	oxycontin	oxycontin	NOUN
commonwealth-190	24	13	for	for	ADP
commonwealth-190	24	14	pain	pain	NOUN
commonwealth-190	24	15	,	,	PUNCT
commonwealth-190	24	16	prescriptions	prescription	NOUN
commonwealth-190	24	17	of	of	ADP
commonwealth-190	24	18	oxycodone	oxycodone	NOUN
commonwealth-190	24	19	increased	increase	VERB
commonwealth-190	24	20	for	for	ADP
commonwealth-190	24	21	noncancer	noncancer	NOUN
commonwealth-190	24	22	pain	pain	NOUN
commonwealth-190	24	23	,	,	PUNCT
commonwealth-190	24	24	which	which	PRON
commonwealth-190	24	25	became	become	VERB
commonwealth-190	24	26	a	a	DET
commonwealth-190	24	27	widespread	widespread	ADJ
commonwealth-190	24	28	practice	practice	NOUN
commonwealth-190	24	29	in	in	ADP
commonwealth-190	24	30	certain	certain	ADJ
commonwealth-190	24	31	parts	part	NOUN
commonwealth-190	24	32	of	of	ADP
commonwealth-190	24	33	the	the	DET
commonwealth-190	24	34	country	country	NOUN
commonwealth-190	24	35	,	,	PUNCT
commonwealth-190	24	36	such	such	ADJ
commonwealth-190	24	37	as	as	ADP
commonwealth-190	24	38	appalachia	appalachia	PROPN
commonwealth-190	24	39	.	.	PUNCT
commonwealth-190	25	1	subsequently	subsequently	ADV
commonwealth-190	25	2	,	,	PUNCT
commonwealth-190	25	3	reports	report	NOUN
commonwealth-190	25	4	of	of	ADP
commonwealth-190	25	5	addiction	addiction	NOUN
commonwealth-190	25	6	to	to	ADP
commonwealth-190	25	7	oxycontin	oxycontin	NOUN
commonwealth-190	25	8	and	and	CCONJ
commonwealth-190	25	9	diversion	diversion	NOUN
commonwealth-190	25	10	,	,	PUNCT
commonwealth-190	25	11	from	from	ADP
commonwealth-190	25	12	states	state	NOUN
commonwealth-190	25	13	such	such	ADJ
commonwealth-190	25	14	as	as	ADP
commonwealth-190	25	15	west	west	PROPN
commonwealth-190	25	16	virginia	virginia	PROPN
commonwealth-190	25	17	,	,	PUNCT
commonwealth-190	25	18	frequently	frequently	ADV
commonwealth-190	25	19	appeared	appear	VERB
commonwealth-190	25	20	in	in	ADP
commonwealth-190	25	21	newspapers	newspaper	NOUN
commonwealth-190	25	22	and	and	CCONJ
commonwealth-190	25	23	magazines	magazine	NOUN
commonwealth-190	25	24	and	and	CCONJ
commonwealth-190	25	25	on	on	ADP
commonwealth-190	25	26	television	television	NOUN
commonwealth-190	25	27	.	.	PUNCT
commonwealth-190	26	1	the	the	DET
commonwealth-190	26	2	medical	medical	ADJ
commonwealth-190	26	3	research	research	NOUN
commonwealth-190	26	4	community	community	NOUN
commonwealth-190	26	5	took	take	VERB
commonwealth-190	26	6	note	note	NOUN
commonwealth-190	26	7	of	of	ADP
commonwealth-190	26	8	these	these	DET
commonwealth-190	26	9	issues	issue	NOUN
commonwealth-190	26	10	and	and	CCONJ
commonwealth-190	26	11	began	begin	VERB
commonwealth-190	26	12	studying	study	VERB
commonwealth-190	26	13	patients	patient	NOUN
commonwealth-190	26	14	who	who	PRON
commonwealth-190	26	15	were	be	AUX
commonwealth-190	26	16	prescribed	prescribe	VERB
commonwealth-190	26	17	opioids	opioid	NOUN
commonwealth-190	26	18	for	for	ADP
commonwealth-190	26	19	noncancer	noncancer	NOUN
commonwealth-190	26	20	pain	pain	NOUN
commonwealth-190	26	21	and	and	CCONJ
commonwealth-190	26	22	examining	examine	VERB
commonwealth-190	26	23	who	who	PRON
commonwealth-190	26	24	was	be	AUX
commonwealth-190	26	25	more	more	ADV
commonwealth-190	26	26	likely	likely	ADJ
commonwealth-190	26	27	to	to	PART
commonwealth-190	26	28	misuse	misuse	VERB
commonwealth-190	26	29	opioids	opioid	NOUN
commonwealth-190	26	30	(	(	PUNCT
commonwealth-190	26	31	such	such	ADJ
commonwealth-190	26	32	as	as	ADP
commonwealth-190	26	33	selfmedicating	selfmedicate	VERB
commonwealth-190	26	34	by	by	ADP
commonwealth-190	26	35	taking	take	VERB
commonwealth-190	26	36	extra	extra	ADJ
commonwealth-190	26	37	for	for	ADP
commonwealth-190	26	38	pain	pain	NOUN
commonwealth-190	26	39	or	or	CCONJ
commonwealth-190	26	40	concurrent	concurrent	ADJ
commonwealth-190	26	41	use	use	NOUN
commonwealth-190	26	42	of	of	ADP
commonwealth-190	26	43	illegal	illegal	ADJ
commonwealth-190	26	44	drugs	drug	NOUN
commonwealth-190	26	45	)	)	PUNCT
commonwealth-190	26	46	,	,	PUNCT
commonwealth-190	26	47	abuse	abuse	VERB
commonwealth-190	26	48	them	they	PRON
commonwealth-190	26	49	(	(	PUNCT
commonwealth-190	26	50	such	such	ADJ
commonwealth-190	26	51	as	as	ADP
commonwealth-190	26	52	mixing	mix	VERB
commonwealth-190	26	53	them	they	PRON
commonwealth-190	26	54	with	with	ADP
commonwealth-190	26	55	alcohol	alcohol	NOUN
commonwealth-190	26	56	to	to	PART
commonwealth-190	26	57	become	become	VERB
commonwealth-190	26	58	intoxicated	intoxicated	ADJ
commonwealth-190	26	59	)	)	PUNCT
commonwealth-190	26	60	,	,	PUNCT
commonwealth-190	26	61	or	or	CCONJ
commonwealth-190	26	62	become	become	VERB
commonwealth-190	26	63	addicted	addicted	ADJ
commonwealth-190	26	64	(	(	PUNCT
commonwealth-190	26	65	a	a	DET
commonwealth-190	26	66	total	total	ADJ
commonwealth-190	26	67	loss	loss	NOUN
commonwealth-190	26	68	of	of	ADP
commonwealth-190	26	69	control	control	NOUN
commonwealth-190	26	70	in	in	ADP
commonwealth-190	26	71	taking	take	VERB
commonwealth-190	26	72	opioids	opioid	NOUN
commonwealth-190	26	73	and	and	CCONJ
commonwealth-190	26	74	an	an	DET
commonwealth-190	26	75	incessant	incessant	ADJ
commonwealth-190	26	76	drive	drive	NOUN
commonwealth-190	26	77	to	to	PART
commonwealth-190	26	78	obtain	obtain	VERB
commonwealth-190	26	79	more	more	ADJ
commonwealth-190	26	80	,	,	PUNCT
commonwealth-190	26	81	regardless	regardless	ADV
commonwealth-190	26	82	of	of	ADP
commonwealth-190	26	83	the	the	DET
commonwealth-190	26	84	negative	negative	ADJ
commonwealth-190	26	85	consequences	consequence	NOUN
commonwealth-190	26	86	)	)	PUNCT
commonwealth-190	26	87	.	.	PUNCT
commonwealth-190	27	1	misuse	misuse	NOUN
commonwealth-190	27	2	,	,	PUNCT
commonwealth-190	27	3	abuse	abuse	NOUN
commonwealth-190	27	4	,	,	PUNCT
commonwealth-190	27	5	and	and	CCONJ
commonwealth-190	27	6	addiction	addiction	NOUN
commonwealth-190	27	7	lie	lie	VERB
commonwealth-190	27	8	on	on	ADP
commonwealth-190	27	9	a	a	DET
commonwealth-190	27	10	continuum	continuum	NOUN
commonwealth-190	27	11	of	of	ADP
commonwealth-190	27	12	severity	severity	NOUN
commonwealth-190	27	13	and	and	CCONJ
commonwealth-190	27	14	are	be	AUX
commonwealth-190	27	15	labeled	label	VERB
commonwealth-190	27	16	opioid	opioid	ADJ
commonwealth-190	27	17	use	use	NOUN
commonwealth-190	27	18	disorders	disorder	NOUN
commonwealth-190	27	19	.	.	PUNCT
commonwealth-190	28	1	misuse	misuse	NOUN
commonwealth-190	28	2	can	can	AUX
commonwealth-190	28	3	lead	lead	VERB
commonwealth-190	28	4	to	to	ADP
commonwealth-190	28	5	addiction	addiction	NOUN
commonwealth-190	28	6	,	,	PUNCT
commonwealth-190	28	7	although	although	SCONJ
commonwealth-190	28	8	the	the	DET
commonwealth-190	28	9	rate	rate	NOUN
commonwealth-190	28	10	of	of	ADP
commonwealth-190	28	11	progression	progression	NOUN
commonwealth-190	28	12	and	and	CCONJ
commonwealth-190	28	13	the	the	DET
commonwealth-190	28	14	incidence	incidence	NOUN
commonwealth-190	28	15	of	of	ADP
commonwealth-190	28	16	progression	progression	NOUN
commonwealth-190	28	17	still	still	ADV
commonwealth-190	28	18	remain	remain	VERB
commonwealth-190	28	19	unknown	unknown	ADJ
commonwealth-190	28	20	.	.	PUNCT
commonwealth-190	29	1	generally	generally	ADV
commonwealth-190	29	2	speaking	speak	VERB
commonwealth-190	29	3	,	,	PUNCT
commonwealth-190	29	4	40	40	NUM
commonwealth-190	29	5	%	%	NOUN
commonwealth-190	29	6	of	of	ADP
commonwealth-190	29	7	those	those	PRON
commonwealth-190	29	8	who	who	PRON
commonwealth-190	29	9	are	be	AUX
commonwealth-190	29	10	prescribed	prescribe	VERB
commonwealth-190	29	11	opioids	opioid	NOUN
commonwealth-190	29	12	chronically	chronically	ADV
commonwealth-190	29	13	for	for	ADP
commonwealth-190	29	14	noncancer	noncancer	NOUN
commonwealth-190	29	15	pain	pain	NOUN
commonwealth-190	29	16	will	will	AUX
commonwealth-190	29	17	misuse	misuse	VERB
commonwealth-190	29	18	them	they	PRON
commonwealth-190	29	19	,	,	PUNCT
commonwealth-190	29	20	and	and	CCONJ
commonwealth-190	29	21	5%–15	5%–15	NUM
commonwealth-190	29	22	%	%	NOUN
commonwealth-190	29	23	will	will	AUX
commonwealth-190	29	24	become	become	VERB
commonwealth-190	29	25	addicted	addicted	ADJ
commonwealth-190	29	26	(	(	PUNCT
commonwealth-190	29	27	vowles	vowle	NOUN
commonwealth-190	29	28	et	et	PROPN
commonwealth-190	29	29	al	al	PROPN
commonwealth-190	29	30	.	.	PROPN
commonwealth-190	29	31	2015	2015	NUM
commonwealth-190	29	32	)	)	PUNCT
commonwealth-190	29	33	.	.	PUNCT
commonwealth-190	30	1	to	to	PART
commonwealth-190	30	2	provide	provide	VERB
commonwealth-190	30	3	some	some	DET
commonwealth-190	30	4	context	context	NOUN
commonwealth-190	30	5	,	,	PUNCT
commonwealth-190	30	6	the	the	DET
commonwealth-190	30	7	rate	rate	NOUN
commonwealth-190	30	8	of	of	ADP
commonwealth-190	30	9	nonadherence	nonadherence	NOUN
commonwealth-190	30	10	to	to	ADP
commonwealth-190	30	11	medications	medication	NOUN
commonwealth-190	30	12	for	for	ADP
commonwealth-190	30	13	other	other	ADJ
commonwealth-190	30	14	chronic	chronic	ADJ
commonwealth-190	30	15	diseases	disease	NOUN
commonwealth-190	30	16	,	,	PUNCT
commonwealth-190	30	17	such	such	ADJ
commonwealth-190	30	18	as	as	ADP
commonwealth-190	30	19	diabetes	diabetes	NOUN
commonwealth-190	30	20	or	or	CCONJ
commonwealth-190	30	21	congestive	congestive	ADJ
commonwealth-190	30	22	heart	heart	NOUN
commonwealth-190	30	23	failure	failure	NOUN
commonwealth-190	30	24	,	,	PUNCT
commonwealth-190	30	25	is	be	AUX
commonwealth-190	30	26	also	also	ADV
commonwealth-190	30	27	40	40	NUM
commonwealth-190	30	28	%	%	NOUN
commonwealth-190	30	29	.	.	PUNCT
commonwealth-190	31	1	for	for	ADP
commonwealth-190	31	2	chronic	chronic	ADJ
commonwealth-190	31	3	pain	pain	NOUN
commonwealth-190	31	4	and	and	CCONJ
commonwealth-190	31	5	opioids	opioid	NOUN
commonwealth-190	31	6	,	,	PUNCT
commonwealth-190	31	7	the	the	DET
commonwealth-190	31	8	problem	problem	NOUN
commonwealth-190	31	9	is	be	AUX
commonwealth-190	31	10	taking	take	VERB
commonwealth-190	31	11	too	too	ADV
commonwealth-190	31	12	much	much	ADJ
commonwealth-190	31	13	of	of	ADP
commonwealth-190	31	14	the	the	DET
commonwealth-190	31	15	medication	medication	NOUN
commonwealth-190	31	16	,	,	PUNCT
commonwealth-190	31	17	and	and	CCONJ
commonwealth-190	31	18	for	for	ADP
commonwealth-190	31	19	the	the	DET
commonwealth-190	31	20	latter	latter	ADJ
commonwealth-190	31	21	diseases	disease	NOUN
commonwealth-190	31	22	,	,	PUNCT
commonwealth-190	31	23	the	the	DET
commonwealth-190	31	24	problem	problem	NOUN
commonwealth-190	31	25	is	be	AUX
commonwealth-190	31	26	not	not	PART
commonwealth-190	31	27	taking	take	VERB
commonwealth-190	31	28	the	the	DET
commonwealth-190	31	29	appropriate	appropriate	ADJ
commonwealth-190	31	30	medications	medication	NOUN
commonwealth-190	31	31	in	in	ADP
commonwealth-190	31	32	the	the	DET
commonwealth-190	31	33	amounts	amount	NOUN
commonwealth-190	31	34	and	and	CCONJ
commonwealth-190	31	35	frequency	frequency	NOUN
commonwealth-190	31	36	prescribed	prescribe	VERB
commonwealth-190	31	37	.	.	PUNCT
commonwealth-190	32	1	thus	thus	ADV
commonwealth-190	32	2	,	,	PUNCT
commonwealth-190	32	3	one	one	PRON
commonwealth-190	32	4	should	should	AUX
commonwealth-190	32	5	not	not	PART
commonwealth-190	32	6	be	be	AUX
commonwealth-190	32	7	surprised	surprise	VERB
commonwealth-190	32	8	at	at	ADP
commonwealth-190	32	9	the	the	DET
commonwealth-190	32	10	high	high	ADJ
commonwealth-190	32	11	rates	rate	NOUN
commonwealth-190	32	12	of	of	ADP
commonwealth-190	32	13	medication	medication	NOUN
commonwealth-190	32	14	nonadherence	nonadherence	NOUN
commonwealth-190	32	15	in	in	ADP
commonwealth-190	32	16	the	the	DET
commonwealth-190	32	17	treatment	treatment	NOUN
commonwealth-190	32	18	of	of	ADP
commonwealth-190	32	19	chronic	chronic	ADJ
commonwealth-190	32	20	pain	pain	NOUN
commonwealth-190	32	21	.	.	PUNCT
commonwealth-190	33	1	the	the	DET
commonwealth-190	33	2	focus	focus	NOUN
commonwealth-190	33	3	on	on	ADP
commonwealth-190	33	4	identifying	identify	VERB
commonwealth-190	33	5	the	the	DET
commonwealth-190	33	6	characteristics	characteristic	NOUN
commonwealth-190	33	7	of	of	ADP
commonwealth-190	33	8	patients	patient	NOUN
commonwealth-190	33	9	who	who	PRON
commonwealth-190	33	10	misuse	misuse	VERB
commonwealth-190	33	11	or	or	CCONJ
commonwealth-190	33	12	become	become	VERB
commonwealth-190	33	13	addicted	addicted	ADJ
commonwealth-190	33	14	to	to	ADP
commonwealth-190	33	15	prescription	prescription	NOUN
commonwealth-190	33	16	opioids	opioid	NOUN
commonwealth-190	33	17	resulted	result	VERB
commonwealth-190	33	18	in	in	ADP
commonwealth-190	33	19	the	the	DET
commonwealth-190	33	20	identification	identification	NOUN
commonwealth-190	33	21	of	of	ADP
commonwealth-190	33	22	several	several	ADJ
commonwealth-190	33	23	risk	risk	NOUN
commonwealth-190	33	24	factors	factor	NOUN
commonwealth-190	33	25	that	that	PRON
commonwealth-190	33	26	predicted	predict	VERB
commonwealth-190	33	27	opioid	opioid	ADJ
commonwealth-190	33	28	misuse	misuse	NOUN
commonwealth-190	33	29	:	:	PUNCT
commonwealth-190	33	30	a	a	DET
commonwealth-190	33	31	prior	prior	ADJ
commonwealth-190	33	32	history	history	NOUN
commonwealth-190	33	33	of	of	ADP
commonwealth-190	33	34	abuse	abuse	NOUN
commonwealth-190	33	35	or	or	CCONJ
commonwealth-190	33	36	addiction	addiction	NOUN
commonwealth-190	33	37	to	to	ADP
commonwealth-190	33	38	controlled	control	VERB
commonwealth-190	33	39	substances	substance	NOUN
commonwealth-190	33	40	,	,	PUNCT
commonwealth-190	33	41	concurrent	concurrent	ADJ
commonwealth-190	33	42	use	use	NOUN
commonwealth-190	33	43	of	of	ADP
commonwealth-190	33	44	illegal	illegal	ADJ
commonwealth-190	33	45	drugs	drug	NOUN
commonwealth-190	33	46	,	,	PUNCT
commonwealth-190	33	47	a	a	DET
commonwealth-190	33	48	family	family	NOUN
commonwealth-190	33	49	history	history	NOUN
commonwealth-190	33	50	of	of	ADP
commonwealth-190	33	51	addictive	addictive	ADJ
commonwealth-190	33	52	disorders	disorder	NOUN
commonwealth-190	33	53	,	,	PUNCT
commonwealth-190	33	54	a	a	DET
commonwealth-190	33	55	history	history	NOUN
commonwealth-190	33	56	of	of	ADP
commonwealth-190	33	57	illegal	illegal	ADJ
commonwealth-190	33	58	activity	activity	NOUN
commonwealth-190	33	59	,	,	PUNCT
commonwealth-190	33	60	and	and	CCONJ
commonwealth-190	33	61	untreated	untreated	ADJ
commonwealth-190	33	62	depression	depression	NOUN
commonwealth-190	33	63	and	and	CCONJ
commonwealth-190	33	64	anxiety	anxiety	NOUN
commonwealth-190	33	65	disorders	disorder	NOUN
commonwealth-190	33	66	(	(	PUNCT
commonwealth-190	33	67	affective	affective	ADJ
commonwealth-190	33	68	disorders	disorder	NOUN
commonwealth-190	33	69	)	)	PUNCT
commonwealth-190	33	70	(	(	PUNCT
commonwealth-190	33	71	butler	butler	PROPN
commonwealth-190	33	72	et	et	PROPN
commonwealth-190	33	73	al	al	PROPN
commonwealth-190	33	74	.	.	PROPN
commonwealth-190	33	75	2004	2004	NUM
commonwealth-190	33	76	)	)	PUNCT
commonwealth-190	33	77	.	.	PUNCT
commonwealth-190	34	1	three	three	NUM
commonwealth-190	34	2	pillars	pillar	NOUN
commonwealth-190	34	3	of	of	ADP
commonwealth-190	34	4	assessment	assessment	NOUN
commonwealth-190	34	5	for	for	ADP
commonwealth-190	34	6	opioid	opioid	ADJ
commonwealth-190	34	7	adherence	adherence	NOUN
commonwealth-190	34	8	(	(	PUNCT
commonwealth-190	34	9	argoff	argoff	NOUN
commonwealth-190	34	10	et	et	PROPN
commonwealth-190	34	11	al	al	PROPN
commonwealth-190	34	12	.	.	PROPN
commonwealth-190	34	13	2017	2017	NUM
commonwealth-190	34	14	)	)	PUNCT
commonwealth-190	34	15	1	1	NUM
commonwealth-190	34	16	.	.	PUNCT
commonwealth-190	34	17	patient	patient	ADJ
commonwealth-190	34	18	selfreport	selfreport	NOUN
commonwealth-190	34	19	standardized	standardize	VERB
commonwealth-190	34	20	scales	scale	NOUN
commonwealth-190	34	21	were	be	AUX
commonwealth-190	34	22	developed	develop	VERB
commonwealth-190	34	23	that	that	PRON
commonwealth-190	34	24	determined	determine	VERB
commonwealth-190	34	25	the	the	DET
commonwealth-190	34	26	likelihood	likelihood	NOUN
commonwealth-190	34	27	of	of	ADP
commonwealth-190	34	28	opioid	opioid	ADJ
commonwealth-190	34	29	misuse	misuse	NOUN
commonwealth-190	34	30	(	(	PUNCT
commonwealth-190	34	31	such	such	ADJ
commonwealth-190	34	32	as	as	ADP
commonwealth-190	34	33	the	the	DET
commonwealth-190	34	34	current	current	ADJ
commonwealth-190	34	35	opioid	opioid	ADJ
commonwealth-190	34	36	misuse	misuse	NOUN
commonwealth-190	34	37	measure	measure	NOUN
commonwealth-190	34	38	)	)	PUNCT
commonwealth-190	34	39	.	.	PUNCT
commonwealth-190	35	1	these	these	PRON
commonwealth-190	35	2	are	be	AUX
commonwealth-190	35	3	patient	patient	ADJ
commonwealth-190	35	4	self	self	NOUN
commonwealth-190	35	5	report	report	NOUN
commonwealth-190	35	6	checklists	checklist	NOUN
commonwealth-190	35	7	of	of	ADP
commonwealth-190	35	8	problematic	problematic	ADJ
commonwealth-190	35	9	behaviors	behavior	NOUN
commonwealth-190	35	10	,	,	PUNCT
commonwealth-190	35	11	such	such	ADJ
commonwealth-190	35	12	as	as	ADP
commonwealth-190	35	13	taking	take	VERB
commonwealth-190	35	14	more	more	ADJ
commonwealth-190	35	15	opioids	opioid	NOUN
commonwealth-190	35	16	than	than	ADP
commonwealth-190	35	17	physician	physician	NOUN
commonwealth-190	35	18	responses	response	NOUN
commonwealth-190	35	19	to	to	ADP
commonwealth-190	35	20	the	the	DET
commonwealth-190	35	21	opioid	opioid	ADJ
commonwealth-190	35	22	epidemic	epidemic	NOUN
commonwealth-190	35	23	125	125	NUM
commonwealth-190	35	24	prescribed	prescribe	VERB
commonwealth-190	35	25	or	or	CCONJ
commonwealth-190	35	26	borrowing	borrowing	NOUN
commonwealth-190	35	27	medication	medication	NOUN
commonwealth-190	35	28	from	from	ADP
commonwealth-190	35	29	others	other	NOUN
commonwealth-190	35	30	(	(	PUNCT
commonwealth-190	35	31	butler	butler	PROPN
commonwealth-190	35	32	et	et	PROPN
commonwealth-190	35	33	al	al	PROPN
commonwealth-190	35	34	.	.	PROPN
commonwealth-190	35	35	2007	2007	NUM
commonwealth-190	35	36	)	)	PUNCT
commonwealth-190	35	37	.	.	PUNCT
commonwealth-190	36	1	scores	score	NOUN
commonwealth-190	36	2	on	on	ADP
commonwealth-190	36	3	these	these	DET
commonwealth-190	36	4	measures	measure	NOUN
commonwealth-190	36	5	have	have	AUX
commonwealth-190	36	6	provided	provide	VERB
commonwealth-190	36	7	the	the	DET
commonwealth-190	36	8	clinician	clinician	NOUN
commonwealth-190	36	9	with	with	ADP
commonwealth-190	36	10	a	a	DET
commonwealth-190	36	11	probability	probability	NOUN
commonwealth-190	36	12	that	that	SCONJ
commonwealth-190	36	13	a	a	DET
commonwealth-190	36	14	patient	patient	NOUN
commonwealth-190	36	15	who	who	PRON
commonwealth-190	36	16	has	have	AUX
commonwealth-190	36	17	been	be	AUX
commonwealth-190	36	18	prescribed	prescribe	VERB
commonwealth-190	36	19	opioids	opioid	NOUN
commonwealth-190	36	20	will	will	AUX
commonwealth-190	36	21	misuse	misuse	VERB
commonwealth-190	36	22	or	or	CCONJ
commonwealth-190	36	23	already	already	ADV
commonwealth-190	36	24	is	be	AUX
commonwealth-190	36	25	misusing	misuse	VERB
commonwealth-190	36	26	them	they	PRON
commonwealth-190	36	27	.	.	PUNCT
commonwealth-190	37	1	the	the	DET
commonwealth-190	37	2	scales	scale	NOUN
commonwealth-190	37	3	were	be	AUX
commonwealth-190	37	4	a	a	DET
commonwealth-190	37	5	significant	significant	ADJ
commonwealth-190	37	6	advance	advance	NOUN
commonwealth-190	37	7	in	in	ADP
commonwealth-190	37	8	tracking	track	VERB
commonwealth-190	37	9	medication	medication	NOUN
commonwealth-190	37	10	adherence	adherence	NOUN
commonwealth-190	37	11	,	,	PUNCT
commonwealth-190	37	12	but	but	CCONJ
commonwealth-190	37	13	still	still	ADV
commonwealth-190	37	14	only	only	ADV
commonwealth-190	37	15	generated	generate	VERB
commonwealth-190	37	16	an	an	DET
commonwealth-190	37	17	accurate	accurate	ADJ
commonwealth-190	37	18	prediction	prediction	NOUN
commonwealth-190	37	19	roughly	roughly	ADV
commonwealth-190	37	20	66	66	NUM
commonwealth-190	37	21	%	%	NOUN
commonwealth-190	37	22	of	of	ADP
commonwealth-190	37	23	the	the	DET
commonwealth-190	37	24	time	time	NOUN
commonwealth-190	37	25	.	.	PUNCT
commonwealth-190	38	1	nevertheless	nevertheless	ADV
commonwealth-190	38	2	,	,	PUNCT
commonwealth-190	38	3	patient	patient	ADJ
commonwealth-190	38	4	selfreporting	selfreporting	NOUN
commonwealth-190	38	5	of	of	ADP
commonwealth-190	38	6	medication	medication	NOUN
commonwealth-190	38	7	-	-	PUNCT
commonwealth-190	38	8	t	t	NOUN
commonwealth-190	38	9	aking	ake	VERB
commonwealth-190	38	10	behaviors	behavior	NOUN
commonwealth-190	38	11	is	be	AUX
commonwealth-190	38	12	an	an	DET
commonwealth-190	38	13	important	important	ADJ
commonwealth-190	38	14	pillar	pillar	NOUN
commonwealth-190	38	15	of	of	ADP
commonwealth-190	38	16	the	the	DET
commonwealth-190	38	17	physician	physician	NOUN
commonwealth-190	38	18	assessment	assessment	NOUN
commonwealth-190	38	19	of	of	ADP
commonwealth-190	38	20	medication	medication	NOUN
commonwealth-190	38	21	adherence	adherence	NOUN
commonwealth-190	38	22	(	(	PUNCT
commonwealth-190	38	23	i.e.	i.e.	X
commonwealth-190	38	24	,	,	PUNCT
commonwealth-190	38	25	is	be	AUX
commonwealth-190	38	26	a	a	DET
commonwealth-190	38	27	patient	patient	NOUN
commonwealth-190	38	28	taking	take	VERB
commonwealth-190	38	29	the	the	DET
commonwealth-190	38	30	medication	medication	NOUN
commonwealth-190	38	31	the	the	DET
commonwealth-190	38	32	way	way	NOUN
commonwealth-190	38	33	it	it	PRON
commonwealth-190	38	34	has	have	AUX
commonwealth-190	38	35	been	be	AUX
commonwealth-190	38	36	prescribed	prescribe	VERB
commonwealth-190	38	37	,	,	PUNCT
commonwealth-190	38	38	and	and	CCONJ
commonwealth-190	38	39	if	if	SCONJ
commonwealth-190	38	40	not	not	PART
commonwealth-190	38	41	,	,	PUNCT
commonwealth-190	38	42	is	be	AUX
commonwealth-190	38	43	he	he	PRON
commonwealth-190	38	44	or	or	CCONJ
commonwealth-190	38	45	she	she	PRON
commonwealth-190	38	46	addicted	addict	VERB
commonwealth-190	38	47	?	?	PUNCT
commonwealth-190	38	48	)	)	PUNCT
commonwealth-190	38	49	.	.	PUNCT
commonwealth-190	39	1	the	the	DET
commonwealth-190	39	2	selfreport	selfreport	NOUN
commonwealth-190	39	3	scales	scale	NOUN
commonwealth-190	39	4	are	be	AUX
commonwealth-190	39	5	just	just	ADV
commonwealth-190	39	6	one	one	NUM
commonwealth-190	39	7	method	method	NOUN
commonwealth-190	39	8	of	of	ADP
commonwealth-190	39	9	gathering	gather	VERB
commonwealth-190	39	10	adherence	adherence	NOUN
commonwealth-190	39	11	information	information	NOUN
commonwealth-190	39	12	from	from	ADP
commonwealth-190	39	13	the	the	DET
commonwealth-190	39	14	patient	patient	NOUN
commonwealth-190	39	15	,	,	PUNCT
commonwealth-190	39	16	and	and	CCONJ
commonwealth-190	39	17	a	a	DET
commonwealth-190	39	18	detailed	detailed	ADJ
commonwealth-190	39	19	clinical	clinical	ADJ
commonwealth-190	39	20	interview	interview	NOUN
commonwealth-190	39	21	will	will	AUX
commonwealth-190	39	22	achieve	achieve	VERB
commonwealth-190	39	23	the	the	DET
commonwealth-190	39	24	same	same	ADJ
commonwealth-190	39	25	results	result	NOUN
commonwealth-190	39	26	.	.	PUNCT
commonwealth-190	40	1	2	2	X
commonwealth-190	40	2	.	.	X
commonwealth-190	40	3	urine	urine	NOUN
commonwealth-190	40	4	drug	drug	NOUN
commonwealth-190	40	5	testing	testing	NOUN
commonwealth-190	40	6	the	the	DET
commonwealth-190	40	7	second	second	ADJ
commonwealth-190	40	8	pillar	pillar	NOUN
commonwealth-190	40	9	in	in	ADP
commonwealth-190	40	10	assessing	assess	VERB
commonwealth-190	40	11	the	the	DET
commonwealth-190	40	12	likelihood	likelihood	NOUN
commonwealth-190	40	13	that	that	SCONJ
commonwealth-190	40	14	patients	patient	NOUN
commonwealth-190	40	15	prescribed	prescribe	VERB
commonwealth-190	40	16	opioids	opioid	NOUN
commonwealth-190	40	17	will	will	AUX
commonwealth-190	40	18	misuse	misuse	VERB
commonwealth-190	40	19	them	they	PRON
commonwealth-190	40	20	,	,	PUNCT
commonwealth-190	40	21	or	or	CCONJ
commonwealth-190	40	22	in	in	ADP
commonwealth-190	40	23	monitoring	monitoring	NOUN
commonwealth-190	40	24	adherence	adherence	NOUN
commonwealth-190	40	25	,	,	PUNCT
commonwealth-190	40	26	is	be	AUX
commonwealth-190	40	27	urine	urine	NOUN
commonwealth-190	40	28	drug	drug	NOUN
commonwealth-190	40	29	screening	screening	NOUN
commonwealth-190	40	30	or	or	CCONJ
commonwealth-190	40	31	urine	urine	NOUN
commonwealth-190	40	32	drug	drug	NOUN
commonwealth-190	40	33	testing	testing	NOUN
commonwealth-190	40	34	(	(	PUNCT
commonwealth-190	40	35	udt	udt	PROPN
commonwealth-190	40	36	)	)	PUNCT
commonwealth-190	40	37	.	.	PUNCT
commonwealth-190	41	1	drug	drug	NOUN
commonwealth-190	41	2	toxicology	toxicology	NOUN
commonwealth-190	41	3	technology	technology	NOUN
commonwealth-190	41	4	advanced	advance	VERB
commonwealth-190	41	5	in	in	ADP
commonwealth-190	41	6	the	the	DET
commonwealth-190	41	7	1990s	1990s	NUM
commonwealth-190	41	8	to	to	PART
commonwealth-190	41	9	give	give	VERB
commonwealth-190	41	10	rise	rise	NOUN
commonwealth-190	41	11	to	to	ADP
commonwealth-190	41	12	commercially	commercially	ADV
commonwealth-190	41	13	available	available	ADJ
commonwealth-190	41	14	quantitative	quantitative	ADJ
commonwealth-190	41	15	urine	urine	NOUN
commonwealth-190	41	16	drugtesting	drugtesting	NOUN
commonwealth-190	41	17	platforms	platform	NOUN
commonwealth-190	41	18	,	,	PUNCT
commonwealth-190	41	19	first	first	ADV
commonwealth-190	41	20	known	know	VERB
commonwealth-190	41	21	as	as	ADP
commonwealth-190	41	22	the	the	DET
commonwealth-190	41	23	gas	gas	NOUN
commonwealth-190	41	24	chromatography	chromatography	NOUN
commonwealth-190	41	25	–	–	PUNCT
commonwealth-190	41	26	mass	mass	NOUN
commonwealth-190	41	27	spectroscopy	spectroscopy	NOUN
commonwealth-190	41	28	method	method	NOUN
commonwealth-190	41	29	(	(	PUNCT
commonwealth-190	41	30	gcms	gcms	NOUN
commonwealth-190	41	31	)	)	PUNCT
commonwealth-190	41	32	.	.	PUNCT
commonwealth-190	42	1	gcms	gcms	NOUN
commonwealth-190	42	2	allowed	allow	VERB
commonwealth-190	42	3	measurement	measurement	NOUN
commonwealth-190	42	4	of	of	ADP
commonwealth-190	42	5	each	each	DET
commonwealth-190	42	6	type	type	NOUN
commonwealth-190	42	7	of	of	ADP
commonwealth-190	42	8	illegal	illegal	ADJ
commonwealth-190	42	9	drug	drug	NOUN
commonwealth-190	42	10	and	and	CCONJ
commonwealth-190	42	11	prescription	prescription	NOUN
commonwealth-190	42	12	opioid	opioid	NOUN
commonwealth-190	42	13	and	and	CCONJ
commonwealth-190	42	14	other	other	ADJ
commonwealth-190	42	15	prescription	prescription	NOUN
commonwealth-190	42	16	medications	medication	NOUN
commonwealth-190	42	17	in	in	ADP
commonwealth-190	42	18	the	the	DET
commonwealth-190	42	19	urine	urine	NOUN
commonwealth-190	42	20	with	with	ADP
commonwealth-190	42	21	a	a	DET
commonwealth-190	42	22	high	high	ADJ
commonwealth-190	42	23	degree	degree	NOUN
commonwealth-190	42	24	of	of	ADP
commonwealth-190	42	25	accuracy	accuracy	NOUN
commonwealth-190	42	26	,	,	PUNCT
commonwealth-190	42	27	being	be	AUX
commonwealth-190	42	28	able	able	ADJ
commonwealth-190	42	29	to	to	PART
commonwealth-190	42	30	quantify	quantify	VERB
commonwealth-190	42	31	an	an	DET
commonwealth-190	42	32	amount	amount	NOUN
commonwealth-190	42	33	as	as	ADV
commonwealth-190	42	34	low	low	ADJ
commonwealth-190	42	35	as	as	ADP
commonwealth-190	42	36	nanograms	nanogram	NOUN
commonwealth-190	42	37	per	per	ADP
commonwealth-190	42	38	milliliter	milliliter	NOUN
commonwealth-190	42	39	for	for	ADP
commonwealth-190	42	40	substances	substance	NOUN
commonwealth-190	42	41	such	such	ADJ
commonwealth-190	42	42	as	as	ADP
commonwealth-190	42	43	cocaine	cocaine	NOUN
commonwealth-190	42	44	,	,	PUNCT
commonwealth-190	42	45	oxycodone	oxycodone	NOUN
commonwealth-190	42	46	,	,	PUNCT
commonwealth-190	42	47	morphine	morphine	NOUN
commonwealth-190	42	48	,	,	PUNCT
commonwealth-190	42	49	and	and	CCONJ
commonwealth-190	42	50	even	even	ADV
commonwealth-190	42	51	gabapentin	gabapentin	X
commonwealth-190	42	52	(	(	PUNCT
commonwealth-190	42	53	a	a	DET
commonwealth-190	42	54	common	common	ADJ
commonwealth-190	42	55	nonopioid	nonopioid	NOUN
commonwealth-190	42	56	pain	pain	NOUN
commonwealth-190	42	57	medication	medication	NOUN
commonwealth-190	42	58	)	)	PUNCT
commonwealth-190	42	59	.	.	PUNCT
commonwealth-190	43	1	udts	udts	ADJ
commonwealth-190	43	2	using	use	VERB
commonwealth-190	43	3	gcms	gcms	NOUN
commonwealth-190	43	4	technology	technology	NOUN
commonwealth-190	43	5	revolutionized	revolutionize	VERB
commonwealth-190	43	6	the	the	DET
commonwealth-190	43	7	field	field	NOUN
commonwealth-190	43	8	of	of	ADP
commonwealth-190	43	9	medication	medication	NOUN
commonwealth-190	43	10	adherence	adherence	NOUN
commonwealth-190	43	11	monitoring	monitoring	NOUN
commonwealth-190	43	12	in	in	ADP
commonwealth-190	43	13	patients	patient	NOUN
commonwealth-190	43	14	with	with	ADP
commonwealth-190	43	15	pain	pain	NOUN
commonwealth-190	43	16	.	.	PUNCT
commonwealth-190	44	1	in	in	ADP
commonwealth-190	44	2	2007	2007	NUM
commonwealth-190	44	3	,	,	PUNCT
commonwealth-190	44	4	wasan	wasan	NOUN
commonwealth-190	44	5	and	and	CCONJ
commonwealth-190	44	6	colleagues	colleague	NOUN
commonwealth-190	44	7	reported	report	VERB
commonwealth-190	44	8	the	the	DET
commonwealth-190	44	9	largest	large	ADJ
commonwealth-190	44	10	series	series	NOUN
commonwealth-190	44	11	to	to	ADP
commonwealth-190	44	12	date	date	NOUN
commonwealth-190	44	13	using	use	VERB
commonwealth-190	44	14	udts	udts	NOUN
commonwealth-190	44	15	to	to	PART
commonwealth-190	44	16	monitor	monitor	VERB
commonwealth-190	44	17	prescription	prescription	NOUN
commonwealth-190	44	18	opioid	opioid	ADJ
commonwealth-190	44	19	adherence	adherence	NOUN
commonwealth-190	44	20	in	in	ADP
commonwealth-190	44	21	550	550	NUM
commonwealth-190	44	22	patients	patient	NOUN
commonwealth-190	44	23	with	with	ADP
commonwealth-190	44	24	chronic	chronic	ADJ
commonwealth-190	44	25	pain	pain	NOUN
commonwealth-190	44	26	(	(	PUNCT
commonwealth-190	44	27	michna	michna	NOUN
commonwealth-190	44	28	et	et	NOUN
commonwealth-190	44	29	al	al	PROPN
commonwealth-190	44	30	.	.	PROPN
commonwealth-190	44	31	2007	2007	NUM
commonwealth-190	44	32	)	)	PUNCT
commonwealth-190	44	33	.	.	PUNCT
commonwealth-190	45	1	they	they	PRON
commonwealth-190	45	2	confirmed	confirm	VERB
commonwealth-190	45	3	the	the	DET
commonwealth-190	45	4	results	result	NOUN
commonwealth-190	45	5	from	from	ADP
commonwealth-190	45	6	earlier	early	ADJ
commonwealth-190	45	7	patient	patient	ADJ
commonwealth-190	45	8	selfreport	selfreport	NOUN
commonwealth-190	45	9	studies	study	NOUN
commonwealth-190	45	10	and	and	CCONJ
commonwealth-190	45	11	also	also	ADV
commonwealth-190	45	12	found	find	VERB
commonwealth-190	45	13	a	a	DET
commonwealth-190	45	14	40	40	NUM
commonwealth-190	45	15	%	%	NOUN
commonwealth-190	45	16	incidence	incidence	NOUN
commonwealth-190	45	17	of	of	ADP
commonwealth-190	45	18	opioid	opioid	ADJ
commonwealth-190	45	19	misuse	misuse	NOUN
commonwealth-190	45	20	.	.	PUNCT
commonwealth-190	46	1	this	this	DET
commonwealth-190	46	2	study	study	NOUN
commonwealth-190	46	3	,	,	PUNCT
commonwealth-190	46	4	among	among	ADP
commonwealth-190	46	5	others	other	NOUN
commonwealth-190	46	6	,	,	PUNCT
commonwealth-190	46	7	led	lead	VERB
commonwealth-190	46	8	to	to	ADP
commonwealth-190	46	9	the	the	DET
commonwealth-190	46	10	rapid	rapid	ADJ
commonwealth-190	46	11	and	and	CCONJ
commonwealth-190	46	12	widespread	widespread	ADJ
commonwealth-190	46	13	adoption	adoption	NOUN
commonwealth-190	46	14	of	of	ADP
commonwealth-190	46	15	udts	udts	NOUN
commonwealth-190	46	16	as	as	ADP
commonwealth-190	46	17	a	a	DET
commonwealth-190	46	18	standard	standard	NOUN
commonwealth-190	46	19	of	of	ADP
commonwealth-190	46	20	care	care	NOUN
commonwealth-190	46	21	in	in	ADP
commonwealth-190	46	22	opioid	opioid	ADJ
commonwealth-190	46	23	adherence	adherence	NOUN
commonwealth-190	46	24	monitoring	monitoring	NOUN
commonwealth-190	46	25	.	.	PUNCT
commonwealth-190	47	1	3	3	X
commonwealth-190	47	2	.	.	X
commonwealth-190	47	3	provider	provider	NOUN
commonwealth-190	47	4	evaluation	evaluation	NOUN
commonwealth-190	47	5	the	the	DET
commonwealth-190	47	6	third	third	ADJ
commonwealth-190	47	7	pillar	pillar	NOUN
commonwealth-190	47	8	of	of	ADP
commonwealth-190	47	9	the	the	DET
commonwealth-190	47	10	threelegged	threelegge	VERB
commonwealth-190	47	11	platform	platform	NOUN
commonwealth-190	47	12	for	for	ADP
commonwealth-190	47	13	assessing	assess	VERB
commonwealth-190	47	14	opioid	opioid	ADJ
commonwealth-190	47	15	adherence	adherence	NOUN
commonwealth-190	47	16	is	be	AUX
commonwealth-190	47	17	the	the	DET
commonwealth-190	47	18	global	global	ADJ
commonwealth-190	47	19	assessment	assessment	NOUN
commonwealth-190	47	20	of	of	ADP
commonwealth-190	47	21	the	the	DET
commonwealth-190	47	22	provider	provider	NOUN
commonwealth-190	47	23	—	—	PUNCT
commonwealth-190	47	24	namely	namely	ADV
commonwealth-190	47	25	,	,	PUNCT
commonwealth-190	47	26	is	be	AUX
commonwealth-190	47	27	the	the	DET
commonwealth-190	47	28	patient	patient	NOUN
commonwealth-190	47	29	taking	take	VERB
commonwealth-190	47	30	the	the	DET
commonwealth-190	47	31	medication	medication	NOUN
commonwealth-190	47	32	properly	properly	ADV
commonwealth-190	47	33	?	?	PUNCT
commonwealth-190	48	1	this	this	PRON
commonwealth-190	48	2	may	may	AUX
commonwealth-190	48	3	be	be	AUX
commonwealth-190	48	4	information	information	NOUN
commonwealth-190	48	5	gathered	gather	VERB
commonwealth-190	48	6	from	from	ADP
commonwealth-190	48	7	other	other	ADJ
commonwealth-190	48	8	providers	provider	NOUN
commonwealth-190	48	9	of	of	ADP
commonwealth-190	48	10	the	the	DET
commonwealth-190	48	11	patient	patient	NOUN
commonwealth-190	48	12	(	(	PUNCT
commonwealth-190	48	13	such	such	ADJ
commonwealth-190	48	14	as	as	ADP
commonwealth-190	48	15	in	in	ADP
commonwealth-190	48	16	the	the	DET
commonwealth-190	48	17	electronic	electronic	ADJ
commonwealth-190	48	18	medical	medical	ADJ
commonwealth-190	48	19	record	record	NOUN
commonwealth-190	48	20	)	)	PUNCT
commonwealth-190	48	21	,	,	PUNCT
commonwealth-190	48	22	reports	report	VERB
commonwealth-190	48	23	from	from	ADP
commonwealth-190	48	24	the	the	DET
commonwealth-190	48	25	family	family	NOUN
commonwealth-190	48	26	,	,	PUNCT
commonwealth-190	48	27	inconsistencies	inconsistency	NOUN
commonwealth-190	48	28	observed	observe	VERB
commonwealth-190	48	29	in	in	ADP
commonwealth-190	48	30	the	the	DET
commonwealth-190	48	31	patient	patient	NOUN
commonwealth-190	48	32	(	(	PUNCT
commonwealth-190	48	33	such	such	ADJ
commonwealth-190	48	34	as	as	ADP
commonwealth-190	48	35	requesting	request	VERB
commonwealth-190	48	36	early	early	ADJ
commonwealth-190	48	37	refills	refill	NOUN
commonwealth-190	48	38	)	)	PUNCT
commonwealth-190	48	39	,	,	PUNCT
commonwealth-190	48	40	lost	lose	VERB
commonwealth-190	48	41	126	126	NUM
commonwealth-190	48	42	ajay	ajay	PROPN
commonwealth-190	48	43	d.	d.	PROPN
commonwealth-190	48	44	wasan	wasan	PROPN
commonwealth-190	48	45	or	or	CCONJ
commonwealth-190	48	46	stolen	steal	VERB
commonwealth-190	48	47	prescriptions	prescription	NOUN
commonwealth-190	48	48	,	,	PUNCT
commonwealth-190	48	49	and	and	CCONJ
commonwealth-190	48	50	observed	observed	ADJ
commonwealth-190	48	51	behaviors	behavior	NOUN
commonwealth-190	48	52	during	during	ADP
commonwealth-190	48	53	the	the	DET
commonwealth-190	48	54	visit	visit	NOUN
commonwealth-190	48	55	(	(	PUNCT
commonwealth-190	48	56	such	such	ADJ
commonwealth-190	48	57	as	as	ADP
commonwealth-190	48	58	sedation	sedation	NOUN
commonwealth-190	48	59	,	,	PUNCT
commonwealth-190	48	60	confusion	confusion	NOUN
commonwealth-190	48	61	,	,	PUNCT
commonwealth-190	48	62	or	or	CCONJ
commonwealth-190	48	63	intoxication	intoxication	NOUN
commonwealth-190	48	64	)	)	PUNCT
commonwealth-190	48	65	.	.	PUNCT
commonwealth-190	49	1	provider	provider	NOUN
commonwealth-190	49	2	assessment	assessment	NOUN
commonwealth-190	49	3	was	be	AUX
commonwealth-190	49	4	given	give	VERB
commonwealth-190	49	5	a	a	DET
commonwealth-190	49	6	significant	significant	ADJ
commonwealth-190	49	7	boost	boost	NOUN
commonwealth-190	49	8	with	with	ADP
commonwealth-190	49	9	the	the	DET
commonwealth-190	49	10	creation	creation	NOUN
commonwealth-190	49	11	of	of	ADP
commonwealth-190	49	12	prescription	prescription	NOUN
commonwealth-190	49	13	drug	drug	NOUN
commonwealth-190	49	14	monitoring	monitoring	NOUN
commonwealth-190	49	15	programs	program	NOUN
commonwealth-190	49	16	(	(	PUNCT
commonwealth-190	49	17	pdmps	pdmp	NOUN
commonwealth-190	49	18	)	)	PUNCT
commonwealth-190	49	19	.	.	PUNCT
commonwealth-190	50	1	these	these	PRON
commonwealth-190	50	2	are	be	AUX
commonwealth-190	50	3	staterun	staterun	ADJ
commonwealth-190	50	4	databases	database	NOUN
commonwealth-190	50	5	of	of	ADP
commonwealth-190	50	6	prescriptions	prescription	NOUN
commonwealth-190	50	7	of	of	ADP
commonwealth-190	50	8	controlled	control	VERB
commonwealth-190	50	9	substances	substance	NOUN
commonwealth-190	50	10	entered	enter	VERB
commonwealth-190	50	11	by	by	ADP
commonwealth-190	50	12	each	each	DET
commonwealth-190	50	13	pharmacy	pharmacy	NOUN
commonwealth-190	50	14	when	when	SCONJ
commonwealth-190	50	15	a	a	DET
commonwealth-190	50	16	medication	medication	NOUN
commonwealth-190	50	17	is	be	AUX
commonwealth-190	50	18	dispensed	dispense	VERB
commonwealth-190	50	19	.	.	PUNCT
commonwealth-190	51	1	when	when	SCONJ
commonwealth-190	51	2	a	a	DET
commonwealth-190	51	3	provider	provider	NOUN
commonwealth-190	51	4	checks	check	VERB
commonwealth-190	51	5	the	the	DET
commonwealth-190	51	6	pdmp	pdmp	NOUN
commonwealth-190	51	7	they	they	PRON
commonwealth-190	51	8	can	can	AUX
commonwealth-190	51	9	see	see	VERB
commonwealth-190	51	10	when	when	SCONJ
commonwealth-190	51	11	the	the	DET
commonwealth-190	51	12	last	last	ADJ
commonwealth-190	51	13	prescription	prescription	NOUN
commonwealth-190	51	14	(	(	PUNCT
commonwealth-190	51	15	if	if	SCONJ
commonwealth-190	51	16	any	any	PRON
commonwealth-190	51	17	)	)	PUNCT
commonwealth-190	51	18	for	for	ADP
commonwealth-190	51	19	an	an	DET
commonwealth-190	51	20	opioid	opioid	NOUN
commonwealth-190	51	21	was	be	AUX
commonwealth-190	51	22	written	write	VERB
commonwealth-190	51	23	by	by	ADP
commonwealth-190	51	24	any	any	DET
commonwealth-190	51	25	provider	provider	NOUN
commonwealth-190	51	26	in	in	ADP
commonwealth-190	51	27	that	that	DET
commonwealth-190	51	28	state	state	NOUN
commonwealth-190	51	29	.	.	PUNCT
commonwealth-190	52	1	patients	patient	NOUN
commonwealth-190	52	2	who	who	PRON
commonwealth-190	52	3	are	be	AUX
commonwealth-190	52	4	“	"	PUNCT
commonwealth-190	52	5	doctor	doctor	NOUN
commonwealth-190	52	6	shopping	shopping	NOUN
commonwealth-190	52	7	”	"	PUNCT
commonwealth-190	52	8	by	by	ADP
commonwealth-190	52	9	going	go	VERB
commonwealth-190	52	10	to	to	ADP
commonwealth-190	52	11	multiple	multiple	ADJ
commonwealth-190	52	12	providers	provider	NOUN
commonwealth-190	52	13	to	to	PART
commonwealth-190	52	14	obtain	obtain	VERB
commonwealth-190	52	15	opioids	opioid	NOUN
commonwealth-190	52	16	can	can	AUX
commonwealth-190	52	17	be	be	AUX
commonwealth-190	52	18	readily	readily	ADV
commonwealth-190	52	19	identified	identify	VERB
commonwealth-190	52	20	.	.	PUNCT
commonwealth-190	53	1	there	there	PRON
commonwealth-190	53	2	has	have	AUX
commonwealth-190	53	3	been	be	AUX
commonwealth-190	53	4	a	a	DET
commonwealth-190	53	5	30	30	NUM
commonwealth-190	53	6	%	%	NOUN
commonwealth-190	53	7	reduction	reduction	NOUN
commonwealth-190	53	8	in	in	ADP
commonwealth-190	53	9	opioids	opioid	NOUN
commonwealth-190	53	10	prescribed	prescribe	VERB
commonwealth-190	53	11	for	for	ADP
commonwealth-190	53	12	pain	pain	NOUN
commonwealth-190	53	13	in	in	ADP
commonwealth-190	53	14	the	the	DET
commonwealth-190	53	15	states	state	NOUN
commonwealth-190	53	16	with	with	ADP
commonwealth-190	53	17	robust	robust	ADJ
commonwealth-190	53	18	pdmp	pdmp	NOUN
commonwealth-190	53	19	programs	program	NOUN
commonwealth-190	53	20	(	(	PUNCT
commonwealth-190	53	21	finley	finley	PROPN
commonwealth-190	53	22	et	et	PROPN
commonwealth-190	53	23	al	al	PROPN
commonwealth-190	53	24	.	.	PROPN
commonwealth-190	53	25	2017	2017	NUM
commonwealth-190	53	26	)	)	PUNCT
commonwealth-190	53	27	.	.	PUNCT
commonwealth-190	54	1	attempts	attempt	NOUN
commonwealth-190	54	2	to	to	PART
commonwealth-190	54	3	nationalize	nationalize	VERB
commonwealth-190	54	4	a	a	DET
commonwealth-190	54	5	pdmp	pdmp	NOUN
commonwealth-190	54	6	program	program	NOUN
commonwealth-190	54	7	were	be	AUX
commonwealth-190	54	8	thwarted	thwart	VERB
commonwealth-190	54	9	by	by	ADP
commonwealth-190	54	10	a	a	DET
commonwealth-190	54	11	lack	lack	NOUN
commonwealth-190	54	12	of	of	ADP
commonwealth-190	54	13	financial	financial	ADJ
commonwealth-190	54	14	support	support	NOUN
commonwealth-190	54	15	from	from	ADP
commonwealth-190	54	16	congress	congress	PROPN
commonwealth-190	54	17	.	.	PUNCT
commonwealth-190	55	1	subsequently	subsequently	ADV
commonwealth-190	55	2	,	,	PUNCT
commonwealth-190	55	3	several	several	ADJ
commonwealth-190	55	4	states	state	NOUN
commonwealth-190	55	5	have	have	AUX
commonwealth-190	55	6	agreed	agree	VERB
commonwealth-190	55	7	to	to	PART
commonwealth-190	55	8	share	share	VERB
commonwealth-190	55	9	their	their	PRON
commonwealth-190	55	10	pdmp	pdmp	NOUN
commonwealth-190	55	11	data	datum	NOUN
commonwealth-190	55	12	,	,	PUNCT
commonwealth-190	55	13	so	so	SCONJ
commonwealth-190	55	14	that	that	SCONJ
commonwealth-190	55	15	a	a	DET
commonwealth-190	55	16	provider	provider	NOUN
commonwealth-190	55	17	can	can	AUX
commonwealth-190	55	18	check	check	VERB
commonwealth-190	55	19	if	if	SCONJ
commonwealth-190	55	20	prescriptions	prescription	NOUN
commonwealth-190	55	21	were	be	AUX
commonwealth-190	55	22	filled	fill	VERB
commonwealth-190	55	23	in	in	ADP
commonwealth-190	55	24	adjacent	adjacent	ADJ
commonwealth-190	55	25	states	state	NOUN
commonwealth-190	55	26	.	.	PUNCT
commonwealth-190	56	1	in	in	ADP
commonwealth-190	56	2	2016	2016	NUM
commonwealth-190	56	3	,	,	PUNCT
commonwealth-190	56	4	pennsylvania	pennsylvania	PROPN
commonwealth-190	56	5	became	become	VERB
commonwealth-190	56	6	the	the	DET
commonwealth-190	56	7	49th	49th	ADJ
commonwealth-190	56	8	state	state	NOUN
commonwealth-190	56	9	with	with	ADP
commonwealth-190	56	10	a	a	DET
commonwealth-190	56	11	pdmp	pdmp	NOUN
commonwealth-190	56	12	,	,	PUNCT
commonwealth-190	56	13	leaving	leave	VERB
commonwealth-190	56	14	missouri	missouri	PROPN
commonwealth-190	56	15	as	as	ADP
commonwealth-190	56	16	the	the	DET
commonwealth-190	56	17	only	only	ADJ
commonwealth-190	56	18	state	state	NOUN
commonwealth-190	56	19	without	without	ADP
commonwealth-190	56	20	a	a	DET
commonwealth-190	56	21	program	program	NOUN
commonwealth-190	56	22	.	.	PUNCT
commonwealth-190	57	1	in	in	ADP
commonwealth-190	57	2	july	july	PROPN
commonwealth-190	57	3	2017	2017	NUM
commonwealth-190	57	4	,	,	PUNCT
commonwealth-190	57	5	the	the	DET
commonwealth-190	57	6	missouri	missouri	PROPN
commonwealth-190	57	7	governor	governor	NOUN
commonwealth-190	57	8	issued	issue	VERB
commonwealth-190	57	9	an	an	DET
commonwealth-190	57	10	executive	executive	ADJ
commonwealth-190	57	11	order	order	NOUN
commonwealth-190	57	12	establishing	establish	VERB
commonwealth-190	57	13	a	a	DET
commonwealth-190	57	14	state	state	NOUN
commonwealth-190	57	15	pdmp	pdmp	NOUN
commonwealth-190	57	16	,	,	PUNCT
commonwealth-190	57	17	but	but	CCONJ
commonwealth-190	57	18	it	it	PRON
commonwealth-190	57	19	has	have	AUX
commonwealth-190	57	20	not	not	PART
commonwealth-190	57	21	yet	yet	ADV
commonwealth-190	57	22	been	be	AUX
commonwealth-190	57	23	implemented	implement	VERB
commonwealth-190	57	24	.	.	PUNCT
commonwealth-190	58	1	many	many	ADJ
commonwealth-190	58	2	states	state	NOUN
commonwealth-190	58	3	,	,	PUNCT
commonwealth-190	58	4	such	such	ADJ
commonwealth-190	58	5	as	as	ADP
commonwealth-190	58	6	pennsylvania	pennsylvania	PROPN
commonwealth-190	58	7	and	and	CCONJ
commonwealth-190	58	8	new	new	PROPN
commonwealth-190	58	9	york	york	PROPN
commonwealth-190	58	10	,	,	PUNCT
commonwealth-190	58	11	require	require	VERB
commonwealth-190	58	12	that	that	SCONJ
commonwealth-190	58	13	providers	provider	NOUN
commonwealth-190	58	14	check	check	VERB
commonwealth-190	58	15	the	the	DET
commonwealth-190	58	16	pdmp	pdmp	NOUN
commonwealth-190	58	17	prior	prior	ADV
commonwealth-190	58	18	to	to	ADP
commonwealth-190	58	19	the	the	DET
commonwealth-190	58	20	prescription	prescription	NOUN
commonwealth-190	58	21	of	of	ADP
commonwealth-190	58	22	opioids	opioid	NOUN
commonwealth-190	58	23	.	.	PUNCT
commonwealth-190	59	1	for	for	ADP
commonwealth-190	59	2	more	more	ADJ
commonwealth-190	59	3	information	information	NOUN
commonwealth-190	59	4	on	on	ADP
commonwealth-190	59	5	pdmps	pdmp	NOUN
commonwealth-190	59	6	in	in	ADP
commonwealth-190	59	7	pennsylvania	pennsylvania	PROPN
commonwealth-190	59	8	,	,	PUNCT
commonwealth-190	59	9	see	see	VERB
commonwealth-190	59	10	mirigian	mirigian	PROPN
commonwealth-190	59	11	et	et	PROPN
commonwealth-190	59	12	al	al	PROPN
commonwealth-190	59	13	.	.	PROPN
commonwealth-190	59	14	2018	2018	NUM
commonwealth-190	59	15	,	,	PUNCT
commonwealth-190	59	16	in	in	ADP
commonwealth-190	59	17	this	this	DET
commonwealth-190	59	18	issue	issue	NOUN
commonwealth-190	59	19	.	.	PUNCT
commonwealth-190	60	1	patient	patient	ADJ
commonwealth-190	60	2	selfreports	selfreport	NOUN
commonwealth-190	60	3	,	,	PUNCT
commonwealth-190	60	4	udt	udt	ADJ
commonwealth-190	60	5	results	result	NOUN
commonwealth-190	60	6	,	,	PUNCT
commonwealth-190	60	7	and	and	CCONJ
commonwealth-190	60	8	provider	provider	NOUN
commonwealth-190	60	9	assessment	assessment	NOUN
commonwealth-190	60	10	are	be	AUX
commonwealth-190	60	11	the	the	DET
commonwealth-190	60	12	three	three	NUM
commonwealth-190	60	13	fundamental	fundamental	ADJ
commonwealth-190	60	14	components	component	NOUN
commonwealth-190	60	15	of	of	ADP
commonwealth-190	60	16	assessing	assess	VERB
commonwealth-190	60	17	adherence	adherence	NOUN
commonwealth-190	60	18	to	to	ADP
commonwealth-190	60	19	prescription	prescription	NOUN
commonwealth-190	60	20	opioids	opioid	NOUN
commonwealth-190	60	21	in	in	ADP
commonwealth-190	60	22	a	a	DET
commonwealth-190	60	23	comprehensive	comprehensive	ADJ
commonwealth-190	60	24	fashion	fashion	NOUN
commonwealth-190	60	25	.	.	PUNCT
commonwealth-190	61	1	an	an	DET
commonwealth-190	61	2	abnormality	abnormality	NOUN
commonwealth-190	61	3	in	in	ADP
commonwealth-190	61	4	any	any	PRON
commonwealth-190	61	5	of	of	ADP
commonwealth-190	61	6	these	these	DET
commonwealth-190	61	7	domains	domain	NOUN
commonwealth-190	61	8	indicates	indicate	VERB
commonwealth-190	61	9	that	that	SCONJ
commonwealth-190	61	10	the	the	DET
commonwealth-190	61	11	patient	patient	NOUN
commonwealth-190	61	12	is	be	AUX
commonwealth-190	61	13	misusing	misuse	VERB
commonwealth-190	61	14	opioids	opioid	NOUN
commonwealth-190	61	15	,	,	PUNCT
commonwealth-190	61	16	at	at	ADP
commonwealth-190	61	17	the	the	DET
commonwealth-190	61	18	very	very	ADV
commonwealth-190	61	19	least	least	ADJ
commonwealth-190	61	20	,	,	PUNCT
commonwealth-190	61	21	and	and	CCONJ
commonwealth-190	61	22	may	may	AUX
commonwealth-190	61	23	possibly	possibly	ADV
commonwealth-190	61	24	be	be	AUX
commonwealth-190	61	25	addicted	addict	VERB
commonwealth-190	61	26	.	.	PUNCT
commonwealth-190	62	1	wasan	wasan	NOUN
commonwealth-190	62	2	and	and	CCONJ
commonwealth-190	62	3	colleagues	colleague	NOUN
commonwealth-190	62	4	developed	develop	VERB
commonwealth-190	62	5	the	the	DET
commonwealth-190	62	6	most	most	ADV
commonwealth-190	62	7	widely	widely	ADV
commonwealth-190	62	8	used	use	VERB
commonwealth-190	62	9	research	research	NOUN
commonwealth-190	62	10	criteria	criterion	NOUN
commonwealth-190	62	11	for	for	ADP
commonwealth-190	62	12	identifying	identify	VERB
commonwealth-190	62	13	prescription	prescription	NOUN
commonwealth-190	62	14	opioid	opioid	ADJ
commonwealth-190	62	15	misuse	misuse	NOUN
commonwealth-190	62	16	,	,	PUNCT
commonwealth-190	62	17	known	know	VERB
commonwealth-190	62	18	as	as	ADP
commonwealth-190	62	19	the	the	DET
commonwealth-190	62	20	drug	drug	NOUN
commonwealth-190	62	21	misuse	misuse	NOUN
commonwealth-190	62	22	index	index	NOUN
commonwealth-190	62	23	(	(	PUNCT
commonwealth-190	62	24	jamison	jamison	PROPN
commonwealth-190	62	25	et	et	PROPN
commonwealth-190	62	26	al	al	PROPN
commonwealth-190	62	27	.	.	PROPN
commonwealth-190	62	28	2010	2010	NUM
commonwealth-190	62	29	)	)	PUNCT
commonwealth-190	62	30	.	.	PUNCT
commonwealth-190	63	1	the	the	DET
commonwealth-190	63	2	drug	drug	NOUN
commonwealth-190	63	3	misuse	misuse	NOUN
commonwealth-190	63	4	index	index	NOUN
commonwealth-190	63	5	triangulates	triangulate	VERB
commonwealth-190	63	6	these	these	DET
commonwealth-190	63	7	three	three	NUM
commonwealth-190	63	8	streams	stream	NOUN
commonwealth-190	63	9	of	of	ADP
commonwealth-190	63	10	data	datum	NOUN
commonwealth-190	63	11	to	to	PART
commonwealth-190	63	12	make	make	VERB
commonwealth-190	63	13	an	an	DET
commonwealth-190	63	14	overall	overall	ADJ
commonwealth-190	63	15	determination	determination	NOUN
commonwealth-190	63	16	of	of	ADP
commonwealth-190	63	17	adherence	adherence	NOUN
commonwealth-190	63	18	versus	versus	ADP
commonwealth-190	63	19	misuse	misuse	NOUN
commonwealth-190	63	20	.	.	PUNCT
commonwealth-190	64	1	it	it	PRON
commonwealth-190	64	2	has	have	AUX
commonwealth-190	64	3	been	be	AUX
commonwealth-190	64	4	used	use	VERB
commonwealth-190	64	5	in	in	ADP
commonwealth-190	64	6	multiple	multiple	ADJ
commonwealth-190	64	7	studies	study	NOUN
commonwealth-190	64	8	and	and	CCONJ
commonwealth-190	64	9	is	be	AUX
commonwealth-190	64	10	considered	consider	VERB
commonwealth-190	64	11	the	the	DET
commonwealth-190	64	12	leading	lead	VERB
commonwealth-190	64	13	approach	approach	NOUN
commonwealth-190	64	14	for	for	ADP
commonwealth-190	64	15	opioid	opioid	ADJ
commonwealth-190	64	16	medication	medication	NOUN
commonwealth-190	64	17	adherence	adherence	NOUN
commonwealth-190	64	18	monitoring	monitoring	NOUN
commonwealth-190	64	19	(	(	PUNCT
commonwealth-190	64	20	smith	smith	PROPN
commonwealth-190	64	21	et	et	PROPN
commonwealth-190	64	22	al	al	PROPN
commonwealth-190	64	23	.	.	PROPN
commonwealth-190	64	24	2015	2015	NUM
commonwealth-190	64	25	)	)	PUNCT
commonwealth-190	64	26	.	.	PUNCT
commonwealth-190	65	1	the	the	DET
commonwealth-190	65	2	dose	dose	NOUN
commonwealth-190	65	3	of	of	ADP
commonwealth-190	65	4	opioid	opioid	NOUN
commonwealth-190	65	5	prescribed	prescribe	VERB
commonwealth-190	65	6	was	be	AUX
commonwealth-190	65	7	also	also	ADV
commonwealth-190	65	8	found	find	VERB
commonwealth-190	65	9	to	to	PART
commonwealth-190	65	10	be	be	AUX
commonwealth-190	65	11	an	an	DET
commonwealth-190	65	12	important	important	ADJ
commonwealth-190	65	13	predictor	predictor	NOUN
commonwealth-190	65	14	of	of	ADP
commonwealth-190	65	15	complications	complication	NOUN
commonwealth-190	65	16	from	from	ADP
commonwealth-190	65	17	prescription	prescription	NOUN
commonwealth-190	65	18	opioid	opioid	NOUN
commonwealth-190	65	19	therapy	therapy	NOUN
commonwealth-190	65	20	,	,	PUNCT
commonwealth-190	65	21	such	such	ADJ
commonwealth-190	65	22	as	as	ADP
commonwealth-190	65	23	overdose	overdose	NOUN
commonwealth-190	65	24	,	,	PUNCT
commonwealth-190	65	25	addiction	addiction	NOUN
commonwealth-190	65	26	,	,	PUNCT
commonwealth-190	65	27	and	and	CCONJ
commonwealth-190	65	28	death	death	NOUN
commonwealth-190	65	29	(	(	PUNCT
commonwealth-190	65	30	edlund	edlund	PROPN
commonwealth-190	65	31	et	et	PROPN
commonwealth-190	65	32	al	al	PROPN
commonwealth-190	65	33	.	.	PROPN
commonwealth-190	65	34	2010	2010	NUM
commonwealth-190	65	35	)	)	PUNCT
commonwealth-190	65	36	.	.	PUNCT
commonwealth-190	66	1	since	since	SCONJ
commonwealth-190	66	2	there	there	PRON
commonwealth-190	66	3	are	be	VERB
commonwealth-190	66	4	many	many	ADJ
commonwealth-190	66	5	different	different	ADJ
commonwealth-190	66	6	prescription	prescription	NOUN
commonwealth-190	66	7	opioid	opioid	NOUN
commonwealth-190	66	8	compounds	compound	NOUN
commonwealth-190	66	9	of	of	ADP
commonwealth-190	66	10	various	various	ADJ
commonwealth-190	66	11	strengths	strength	NOUN
commonwealth-190	66	12	(	(	PUNCT
commonwealth-190	66	13	e.g.	e.g.	ADV
commonwealth-190	66	14	,	,	PUNCT
commonwealth-190	66	15	oxycodone	oxycodone	NOUN
commonwealth-190	66	16	,	,	PUNCT
commonwealth-190	66	17	morphine	morphine	NOUN
commonwealth-190	66	18	,	,	PUNCT
commonwealth-190	66	19	fentanyl	fentanyl	NOUN
commonwealth-190	66	20	)	)	PUNCT
commonwealth-190	66	21	,	,	PUNCT
commonwealth-190	66	22	in	in	ADP
commonwealth-190	66	23	comparing	compare	VERB
commonwealth-190	66	24	doses	dose	NOUN
commonwealth-190	66	25	,	,	PUNCT
commonwealth-190	66	26	conversion	conversion	NOUN
commonwealth-190	66	27	is	be	AUX
commonwealth-190	66	28	made	make	VERB
commonwealth-190	66	29	to	to	ADP
commonwealth-190	66	30	each	each	DET
commonwealth-190	66	31	compound	compound	NOUN
commonwealth-190	66	32	’s	’s	PART
commonwealth-190	66	33	strength	strength	NOUN
commonwealth-190	66	34	relative	relative	ADJ
commonwealth-190	66	35	to	to	ADP
commonwealth-190	66	36	morphine	morphine	NOUN
commonwealth-190	66	37	,	,	PUNCT
commonwealth-190	66	38	the	the	DET
commonwealth-190	66	39	first	first	ADJ
commonwealth-190	66	40	prescription	prescription	NOUN
commonwealth-190	66	41	opioid	opioid	NOUN
commonwealth-190	66	42	.	.	PUNCT
commonwealth-190	67	1	this	this	PRON
commonwealth-190	67	2	is	be	AUX
commonwealth-190	67	3	expressed	express	VERB
commonwealth-190	67	4	as	as	ADP
commonwealth-190	67	5	morphine	morphine	NOUN
commonwealth-190	67	6	equivalent	equivalent	ADJ
commonwealth-190	67	7	dosing	dose	VERB
commonwealth-190	67	8	.	.	PUNCT
commonwealth-190	68	1	doses	dose	NOUN
commonwealth-190	68	2	greater	great	ADJ
commonwealth-190	68	3	than	than	ADP
commonwealth-190	68	4	200	200	NUM
commonwealth-190	68	5	mg	mg	NOUN
commonwealth-190	68	6	per	per	ADP
commonwealth-190	68	7	day	day	NOUN
commonwealth-190	68	8	of	of	ADP
commonwealth-190	68	9	morphine	morphine	NOUN
commonwealth-190	68	10	equivalents	equivalent	NOUN
commonwealth-190	68	11	were	be	AUX
commonwealth-190	68	12	found	find	VERB
commonwealth-190	68	13	to	to	PART
commonwealth-190	68	14	independently	independently	ADV
commonwealth-190	68	15	predict	predict	VERB
commonwealth-190	68	16	increased	increase	VERB
commonwealth-190	68	17	rates	rate	NOUN
commonwealth-190	68	18	of	of	ADP
commonwealth-190	68	19	overdose	overdose	NOUN
commonwealth-190	68	20	,	,	PUNCT
commonwealth-190	68	21	addiction	addiction	NOUN
commonwealth-190	68	22	,	,	PUNCT
commonwealth-190	68	23	and	and	CCONJ
commonwealth-190	68	24	death	death	NOUN
commonwealth-190	68	25	related	relate	VERB
commonwealth-190	68	26	to	to	ADP
commonwealth-190	68	27	opioids	opioid	NOUN
commonwealth-190	68	28	.	.	PUNCT
commonwealth-190	69	1	subsequent	subsequent	ADJ
commonwealth-190	69	2	work	work	NOUN
commonwealth-190	69	3	found	find	VERB
commonwealth-190	69	4	that	that	SCONJ
commonwealth-190	69	5	doses	dose	NOUN
commonwealth-190	69	6	as	as	ADP
commonwealth-190	69	7	physician	physician	NOUN
commonwealth-190	69	8	responses	response	NOUN
commonwealth-190	69	9	to	to	ADP
commonwealth-190	69	10	the	the	DET
commonwealth-190	69	11	opioid	opioid	ADJ
commonwealth-190	69	12	epidemic	epidemic	NOUN
commonwealth-190	69	13	127	127	NUM
commonwealth-190	69	14	low	low	ADJ
commonwealth-190	69	15	as	as	ADP
commonwealth-190	69	16	90	90	NUM
commonwealth-190	69	17	mg	mg	NOUN
commonwealth-190	69	18	per	per	ADP
commonwealth-190	69	19	day	day	NOUN
commonwealth-190	69	20	were	be	AUX
commonwealth-190	69	21	just	just	ADV
commonwealth-190	69	22	as	as	ADV
commonwealth-190	69	23	predictive	predictive	ADJ
commonwealth-190	69	24	,	,	PUNCT
commonwealth-190	69	25	and	and	CCONJ
commonwealth-190	69	26	90	90	NUM
commonwealth-190	69	27	mg	mg	NOUN
commonwealth-190	69	28	became	become	VERB
commonwealth-190	69	29	an	an	DET
commonwealth-190	69	30	important	important	ADJ
commonwealth-190	69	31	benchmark	benchmark	NOUN
commonwealth-190	69	32	in	in	ADP
commonwealth-190	69	33	determining	determine	VERB
commonwealth-190	69	34	what	what	PRON
commonwealth-190	69	35	is	be	AUX
commonwealth-190	69	36	a	a	DET
commonwealth-190	69	37	“	"	PUNCT
commonwealth-190	69	38	high	high	ADJ
commonwealth-190	69	39	dose	dose	NOUN
commonwealth-190	69	40	”	"	PUNCT
commonwealth-190	69	41	of	of	ADP
commonwealth-190	69	42	opioids	opioid	NOUN
commonwealth-190	69	43	.	.	PUNCT
commonwealth-190	70	1	however	however	ADV
commonwealth-190	70	2	,	,	PUNCT
commonwealth-190	70	3	these	these	DET
commonwealth-190	70	4	studies	study	NOUN
commonwealth-190	70	5	suffered	suffer	VERB
commonwealth-190	70	6	from	from	ADP
commonwealth-190	70	7	an	an	DET
commonwealth-190	70	8	important	important	ADJ
commonwealth-190	70	9	confounder	confounder	NOUN
commonwealth-190	70	10	,	,	PUNCT
commonwealth-190	70	11	in	in	SCONJ
commonwealth-190	70	12	that	that	SCONJ
commonwealth-190	70	13	many	many	ADJ
commonwealth-190	70	14	of	of	ADP
commonwealth-190	70	15	the	the	DET
commonwealth-190	70	16	patients	patient	NOUN
commonwealth-190	70	17	who	who	PRON
commonwealth-190	70	18	had	have	VERB
commonwealth-190	70	19	complications	complication	NOUN
commonwealth-190	70	20	from	from	ADP
commonwealth-190	70	21	opioids	opioid	NOUN
commonwealth-190	70	22	were	be	AUX
commonwealth-190	70	23	also	also	ADV
commonwealth-190	70	24	coprescribed	coprescribe	VERB
commonwealth-190	70	25	benzodiazepines	benzodiazepine	NOUN
commonwealth-190	70	26	,	,	PUNCT
commonwealth-190	70	27	which	which	PRON
commonwealth-190	70	28	are	be	AUX
commonwealth-190	70	29	medications	medication	NOUN
commonwealth-190	70	30	such	such	ADJ
commonwealth-190	70	31	as	as	ADP
commonwealth-190	70	32	valium	valium	NOUN
commonwealth-190	70	33	,	,	PUNCT
commonwealth-190	70	34	ativan	ativan	NOUN
commonwealth-190	70	35	,	,	PUNCT
commonwealth-190	70	36	or	or	CCONJ
commonwealth-190	70	37	xanax	xanax	PROPN
commonwealth-190	70	38	that	that	PRON
commonwealth-190	70	39	negatively	negatively	ADV
commonwealth-190	70	40	interact	interact	VERB
commonwealth-190	70	41	with	with	ADP
commonwealth-190	70	42	opioids	opioid	NOUN
commonwealth-190	70	43	.	.	PUNCT
commonwealth-190	71	1	these	these	DET
commonwealth-190	71	2	“	"	PUNCT
commonwealth-190	71	3	tranquilizers	tranquilizer	NOUN
commonwealth-190	71	4	”	"	PUNCT
commonwealth-190	71	5	magnify	magnify	VERB
commonwealth-190	71	6	the	the	DET
commonwealth-190	71	7	side	side	NOUN
commonwealth-190	71	8	effects	effect	NOUN
commonwealth-190	71	9	of	of	ADP
commonwealth-190	71	10	opioids	opioid	NOUN
commonwealth-190	71	11	,	,	PUNCT
commonwealth-190	71	12	such	such	ADJ
commonwealth-190	71	13	as	as	ADP
commonwealth-190	71	14	sedation	sedation	NOUN
commonwealth-190	71	15	,	,	PUNCT
commonwealth-190	71	16	confusion	confusion	NOUN
commonwealth-190	71	17	,	,	PUNCT
commonwealth-190	71	18	and	and	CCONJ
commonwealth-190	71	19	difficulty	difficulty	NOUN
commonwealth-190	71	20	breathing	breathe	VERB
commonwealth-190	71	21	.	.	PUNCT
commonwealth-190	72	1	when	when	SCONJ
commonwealth-190	72	2	additional	additional	ADJ
commonwealth-190	72	3	studies	study	NOUN
commonwealth-190	72	4	controlled	control	VERB
commonwealth-190	72	5	for	for	ADP
commonwealth-190	72	6	the	the	DET
commonwealth-190	72	7	concurrent	concurrent	ADJ
commonwealth-190	72	8	prescribing	prescribing	NOUN
commonwealth-190	72	9	of	of	ADP
commonwealth-190	72	10	benzodiazepines	benzodiazepine	NOUN
commonwealth-190	72	11	,	,	PUNCT
commonwealth-190	72	12	the	the	DET
commonwealth-190	72	13	association	association	NOUN
commonwealth-190	72	14	between	between	ADP
commonwealth-190	72	15	90	90	NUM
commonwealth-190	72	16	mg	mg	NOUN
commonwealth-190	72	17	per	per	ADP
commonwealth-190	72	18	day	day	NOUN
commonwealth-190	72	19	of	of	ADP
commonwealth-190	72	20	morphine	morphine	NOUN
commonwealth-190	72	21	equivalents	equivalent	NOUN
commonwealth-190	72	22	and	and	CCONJ
commonwealth-190	72	23	increased	increase	VERB
commonwealth-190	72	24	opioid	opioid	ADJ
commonwealth-190	72	25	complications	complication	NOUN
commonwealth-190	72	26	disappeared	disappear	VERB
commonwealth-190	72	27	.	.	PUNCT
commonwealth-190	73	1	nevertheless	nevertheless	ADV
commonwealth-190	73	2	,	,	PUNCT
commonwealth-190	73	3	the	the	DET
commonwealth-190	73	4	90mgper	90mgper	NOUN
commonwealth-190	73	5	-	-	PUNCT
commonwealth-190	73	6	d	d	NOUN
commonwealth-190	73	7	ay	ay	NOUN
commonwealth-190	73	8	benchmark	benchmark	NOUN
commonwealth-190	73	9	has	have	AUX
commonwealth-190	73	10	been	be	AUX
commonwealth-190	73	11	retained	retain	VERB
commonwealth-190	73	12	in	in	ADP
commonwealth-190	73	13	many	many	ADJ
commonwealth-190	73	14	state	state	NOUN
commonwealth-190	73	15	and	and	CCONJ
commonwealth-190	73	16	national	national	ADJ
commonwealth-190	73	17	“	"	PUNCT
commonwealth-190	73	18	best	good	ADJ
commonwealth-190	73	19	practices	practice	NOUN
commonwealth-190	73	20	”	"	PUNCT
commonwealth-190	73	21	recommendations	recommendation	NOUN
commonwealth-190	73	22	.	.	PUNCT
commonwealth-190	74	1	over	over	ADP
commonwealth-190	74	2	the	the	DET
commonwealth-190	74	3	past	past	ADJ
commonwealth-190	74	4	15	15	NUM
commonwealth-190	74	5	years	year	NOUN
commonwealth-190	74	6	,	,	PUNCT
commonwealth-190	74	7	research	research	NOUN
commonwealth-190	74	8	has	have	AUX
commonwealth-190	74	9	continued	continue	VERB
commonwealth-190	74	10	to	to	PART
commonwealth-190	74	11	investigate	investigate	VERB
commonwealth-190	74	12	the	the	DET
commonwealth-190	74	13	importance	importance	NOUN
commonwealth-190	74	14	of	of	ADP
commonwealth-190	74	15	risk	risk	NOUN
commonwealth-190	74	16	factors	factor	NOUN
commonwealth-190	74	17	for	for	ADP
commonwealth-190	74	18	prescription	prescription	NOUN
commonwealth-190	74	19	misuse	misuse	NOUN
commonwealth-190	74	20	,	,	PUNCT
commonwealth-190	74	21	abuse	abuse	NOUN
commonwealth-190	74	22	,	,	PUNCT
commonwealth-190	74	23	and	and	CCONJ
commonwealth-190	74	24	addiction	addiction	NOUN
commonwealth-190	74	25	.	.	PUNCT
commonwealth-190	75	1	of	of	ADP
commonwealth-190	75	2	the	the	DET
commonwealth-190	75	3	identified	identify	VERB
commonwealth-190	75	4	factors	factor	NOUN
commonwealth-190	75	5	,	,	PUNCT
commonwealth-190	75	6	a	a	DET
commonwealth-190	75	7	previous	previous	ADJ
commonwealth-190	75	8	or	or	CCONJ
commonwealth-190	75	9	current	current	ADJ
commonwealth-190	75	10	history	history	NOUN
commonwealth-190	75	11	of	of	ADP
commonwealth-190	75	12	an	an	DET
commonwealth-190	75	13	addictive	addictive	ADJ
commonwealth-190	75	14	disorder	disorder	NOUN
commonwealth-190	75	15	is	be	AUX
commonwealth-190	75	16	the	the	DET
commonwealth-190	75	17	most	most	ADV
commonwealth-190	75	18	powerful	powerful	ADJ
commonwealth-190	75	19	risk	risk	NOUN
commonwealth-190	75	20	factor	factor	NOUN
commonwealth-190	75	21	in	in	ADP
commonwealth-190	75	22	predicting	predict	VERB
commonwealth-190	75	23	opioid	opioid	ADJ
commonwealth-190	75	24	use	use	NOUN
commonwealth-190	75	25	disorders	disorder	NOUN
commonwealth-190	75	26	.	.	PUNCT
commonwealth-190	76	1	however	however	ADV
commonwealth-190	76	2	,	,	PUNCT
commonwealth-190	76	3	affective	affective	ADJ
commonwealth-190	76	4	disorders	disorder	NOUN
commonwealth-190	76	5	(	(	PUNCT
commonwealth-190	76	6	such	such	ADJ
commonwealth-190	76	7	as	as	ADP
commonwealth-190	76	8	major	major	ADJ
commonwealth-190	76	9	depression	depression	NOUN
commonwealth-190	76	10	,	,	PUNCT
commonwealth-190	76	11	generalized	generalize	VERB
commonwealth-190	76	12	anxiety	anxiety	NOUN
commonwealth-190	76	13	disorder	disorder	NOUN
commonwealth-190	76	14	,	,	PUNCT
commonwealth-190	76	15	or	or	CCONJ
commonwealth-190	76	16	the	the	DET
commonwealth-190	76	17	frequent	frequent	ADJ
commonwealth-190	76	18	combination	combination	NOUN
commonwealth-190	76	19	of	of	ADP
commonwealth-190	76	20	both	both	DET
commonwealth-190	76	21	—	—	PUNCT
commonwealth-190	76	22	major	major	ADJ
commonwealth-190	76	23	depression	depression	NOUN
commonwealth-190	76	24	with	with	ADP
commonwealth-190	76	25	anxious	anxious	ADJ
commonwealth-190	76	26	features	feature	NOUN
commonwealth-190	76	27	)	)	PUNCT
commonwealth-190	76	28	are	be	AUX
commonwealth-190	76	29	most	most	ADV
commonwealth-190	76	30	prevalent	prevalent	ADJ
commonwealth-190	76	31	in	in	ADP
commonwealth-190	76	32	patients	patient	NOUN
commonwealth-190	76	33	with	with	ADP
commonwealth-190	76	34	chronic	chronic	ADJ
commonwealth-190	76	35	pain	pain	NOUN
commonwealth-190	76	36	,	,	PUNCT
commonwealth-190	76	37	afflicting	afflict	VERB
commonwealth-190	76	38	at	at	ADV
commonwealth-190	76	39	least	least	ADV
commonwealth-190	76	40	30	30	NUM
commonwealth-190	76	41	%	%	NOUN
commonwealth-190	76	42	of	of	ADP
commonwealth-190	76	43	the	the	DET
commonwealth-190	76	44	100	100	NUM
commonwealth-190	76	45	million	million	NUM
commonwealth-190	76	46	adults	adult	NOUN
commonwealth-190	76	47	in	in	ADP
commonwealth-190	76	48	this	this	DET
commonwealth-190	76	49	country	country	NOUN
commonwealth-190	76	50	with	with	ADP
commonwealth-190	76	51	chronic	chronic	ADJ
commonwealth-190	76	52	pain	pain	NOUN
commonwealth-190	76	53	.	.	PUNCT
commonwealth-190	77	1	among	among	ADP
commonwealth-190	77	2	those	those	DET
commonwealth-190	77	3	patients	patient	NOUN
commonwealth-190	77	4	seeking	seek	VERB
commonwealth-190	77	5	care	care	NOUN
commonwealth-190	77	6	for	for	ADP
commonwealth-190	77	7	chronic	chronic	ADJ
commonwealth-190	77	8	pain	pain	NOUN
commonwealth-190	77	9	,	,	PUNCT
commonwealth-190	77	10	40%–50	40%–50	NOUN
commonwealth-190	77	11	%	%	NOUN
commonwealth-190	77	12	have	have	VERB
commonwealth-190	77	13	an	an	DET
commonwealth-190	77	14	untreated	untreated	ADJ
commonwealth-190	77	15	or	or	CCONJ
commonwealth-190	77	16	undertreated	undertreate	VERB
commonwealth-190	77	17	negative	negative	ADJ
commonwealth-190	77	18	affective	affective	ADJ
commonwealth-190	77	19	disorder	disorder	NOUN
commonwealth-190	77	20	(	(	PUNCT
commonwealth-190	77	21	dersh	dersh	NOUN
commonwealth-190	77	22	et	et	PROPN
commonwealth-190	77	23	al	al	PROPN
commonwealth-190	77	24	.	.	PROPN
commonwealth-190	77	25	2006	2006	NUM
commonwealth-190	77	26	)	)	PUNCT
commonwealth-190	77	27	.	.	PUNCT
commonwealth-190	78	1	this	this	DET
commonwealth-190	78	2	subgroup	subgroup	NOUN
commonwealth-190	78	3	with	with	ADP
commonwealth-190	78	4	psychiatric	psychiatric	ADJ
commonwealth-190	78	5	comorbidity	comorbidity	NOUN
commonwealth-190	78	6	is	be	AUX
commonwealth-190	78	7	also	also	ADV
commonwealth-190	78	8	prescribed	prescribed	ADJ
commonwealth-190	78	9	opioids	opioid	NOUN
commonwealth-190	78	10	for	for	ADP
commonwealth-190	78	11	chronic	chronic	ADJ
commonwealth-190	78	12	pain	pain	NOUN
commonwealth-190	78	13	at	at	ADP
commonwealth-190	78	14	much	much	ADV
commonwealth-190	78	15	greater	great	ADJ
commonwealth-190	78	16	rates	rate	NOUN
commonwealth-190	78	17	,	,	PUNCT
commonwealth-190	78	18	likely	likely	ADJ
commonwealth-190	78	19	due	due	ADP
commonwealth-190	78	20	to	to	ADP
commonwealth-190	78	21	worse	bad	ADJ
commonwealth-190	78	22	levels	level	NOUN
commonwealth-190	78	23	of	of	ADP
commonwealth-190	78	24	reported	report	VERB
commonwealth-190	78	25	pain	pain	NOUN
commonwealth-190	78	26	,	,	PUNCT
commonwealth-190	78	27	disability	disability	NOUN
commonwealth-190	78	28	,	,	PUNCT
commonwealth-190	78	29	and	and	CCONJ
commonwealth-190	78	30	distress	distress	NOUN
commonwealth-190	78	31	.	.	PUNCT
commonwealth-190	79	1	wasan	wasan	NOUN
commonwealth-190	79	2	and	and	CCONJ
commonwealth-190	79	3	others	other	NOUN
commonwealth-190	79	4	across	across	ADP
commonwealth-190	79	5	the	the	DET
commonwealth-190	79	6	country	country	NOUN
commonwealth-190	79	7	have	have	AUX
commonwealth-190	79	8	studied	study	VERB
commonwealth-190	79	9	the	the	DET
commonwealth-190	79	10	trajectories	trajectory	NOUN
commonwealth-190	79	11	of	of	ADP
commonwealth-190	79	12	opioid	opioid	ADJ
commonwealth-190	79	13	therapy	therapy	NOUN
commonwealth-190	79	14	in	in	ADP
commonwealth-190	79	15	the	the	DET
commonwealth-190	79	16	subgroup	subgroup	NOUN
commonwealth-190	79	17	of	of	ADP
commonwealth-190	79	18	chronic	chronic	ADJ
commonwealth-190	79	19	low	low	ADJ
commonwealth-190	79	20	back	back	NOUN
commonwealth-190	79	21	pain	pain	NOUN
commonwealth-190	79	22	patients	patient	NOUN
commonwealth-190	79	23	with	with	ADP
commonwealth-190	79	24	negative	negative	ADJ
commonwealth-190	79	25	affective	affective	ADJ
commonwealth-190	79	26	disorders	disorder	NOUN
commonwealth-190	79	27	(	(	PUNCT
commonwealth-190	79	28	braden	braden	PROPN
commonwealth-190	79	29	et	et	PROPN
commonwealth-190	79	30	al	al	PROPN
commonwealth-190	79	31	.	.	PROPN
commonwealth-190	79	32	2009	2009	NUM
commonwealth-190	79	33	;	;	PUNCT
commonwealth-190	79	34	wasan	wasan	PROPN
commonwealth-190	79	35	et	et	PROPN
commonwealth-190	79	36	al	al	PROPN
commonwealth-190	79	37	.	.	PROPN
commonwealth-190	79	38	2015	2015	NUM
commonwealth-190	79	39	)	)	PUNCT
commonwealth-190	79	40	.	.	PUNCT
commonwealth-190	80	1	in	in	ADP
commonwealth-190	80	2	sum	sum	NOUN
commonwealth-190	80	3	,	,	PUNCT
commonwealth-190	80	4	they	they	PRON
commonwealth-190	80	5	have	have	AUX
commonwealth-190	80	6	found	find	VERB
commonwealth-190	80	7	that	that	SCONJ
commonwealth-190	80	8	the	the	DET
commonwealth-190	80	9	back	back	ADJ
commonwealth-190	80	10	pain	pain	NOUN
commonwealth-190	80	11	patients	patient	NOUN
commonwealth-190	80	12	with	with	ADP
commonwealth-190	80	13	high	high	ADJ
commonwealth-190	80	14	levels	level	NOUN
commonwealth-190	80	15	of	of	ADP
commonwealth-190	80	16	negative	negative	ADJ
commonwealth-190	80	17	affective	affective	ADJ
commonwealth-190	80	18	symptoms	symptom	NOUN
commonwealth-190	80	19	have	have	VERB
commonwealth-190	80	20	50	50	NUM
commonwealth-190	80	21	%	%	NOUN
commonwealth-190	80	22	less	less	ADJ
commonwealth-190	80	23	pain	pain	NOUN
commonwealth-190	80	24	relief	relief	NOUN
commonwealth-190	80	25	with	with	ADP
commonwealth-190	80	26	opioids	opioid	NOUN
commonwealth-190	80	27	,	,	PUNCT
commonwealth-190	80	28	and	and	CCONJ
commonwealth-190	80	29	a	a	DET
commonwealth-190	80	30	50	50	NUM
commonwealth-190	80	31	%	%	NOUN
commonwealth-190	80	32	rate	rate	NOUN
commonwealth-190	80	33	of	of	ADP
commonwealth-190	80	34	opioid	opioid	ADJ
commonwealth-190	80	35	misuse	misuse	NOUN
commonwealth-190	80	36	.	.	PUNCT
commonwealth-190	81	1	in	in	ADP
commonwealth-190	81	2	this	this	DET
commonwealth-190	81	3	group	group	NOUN
commonwealth-190	81	4	of	of	ADP
commonwealth-190	81	5	patients	patient	NOUN
commonwealth-190	81	6	,	,	PUNCT
commonwealth-190	81	7	the	the	DET
commonwealth-190	81	8	misuse	misuse	NOUN
commonwealth-190	81	9	phenomenon	phenomenon	NOUN
commonwealth-190	81	10	begins	begin	VERB
commonwealth-190	81	11	with	with	ADP
commonwealth-190	81	12	urges	urge	NOUN
commonwealth-190	81	13	to	to	PART
commonwealth-190	81	14	take	take	VERB
commonwealth-190	81	15	more	more	ADJ
commonwealth-190	81	16	medication	medication	NOUN
commonwealth-190	81	17	than	than	SCONJ
commonwealth-190	81	18	prescribed	prescribe	VERB
commonwealth-190	81	19	between	between	ADP
commonwealth-190	81	20	doses	dose	NOUN
commonwealth-190	81	21	,	,	PUNCT
commonwealth-190	81	22	a	a	DET
commonwealth-190	81	23	preoccupation	preoccupation	NOUN
commonwealth-190	81	24	with	with	ADP
commonwealth-190	81	25	the	the	DET
commonwealth-190	81	26	next	next	ADJ
commonwealth-190	81	27	dose	dose	NOUN
commonwealth-190	81	28	,	,	PUNCT
commonwealth-190	81	29	and	and	CCONJ
commonwealth-190	81	30	craving	crave	VERB
commonwealth-190	81	31	for	for	ADP
commonwealth-190	81	32	more	more	ADJ
commonwealth-190	81	33	medication	medication	NOUN
commonwealth-190	81	34	.	.	PUNCT
commonwealth-190	82	1	patients	patient	NOUN
commonwealth-190	82	2	with	with	ADP
commonwealth-190	82	3	high	high	ADJ
commonwealth-190	82	4	negative	negative	ADJ
commonwealth-190	82	5	affect	affect	NOUN
commonwealth-190	82	6	also	also	ADV
commonwealth-190	82	7	tend	tend	VERB
commonwealth-190	82	8	to	to	PART
commonwealth-190	82	9	selfmedicate	selfmedicate	VERB
commonwealth-190	82	10	for	for	ADP
commonwealth-190	82	11	anxious	anxious	ADJ
commonwealth-190	82	12	and	and	CCONJ
commonwealth-190	82	13	depressive	depressive	ADJ
commonwealth-190	82	14	feelings	feeling	NOUN
commonwealth-190	82	15	or	or	CCONJ
commonwealth-190	82	16	insomnia	insomnia	NOUN
commonwealth-190	82	17	through	through	ADP
commonwealth-190	82	18	taking	take	VERB
commonwealth-190	82	19	extra	extra	ADJ
commonwealth-190	82	20	opioids	opioid	NOUN
commonwealth-190	82	21	(	(	PUNCT
commonwealth-190	82	22	martel	martel	NOUN
commonwealth-190	82	23	et	et	PROPN
commonwealth-190	82	24	al	al	PROPN
commonwealth-190	82	25	.	.	PROPN
commonwealth-190	82	26	2014	2014	NUM
commonwealth-190	82	27	)	)	PUNCT
commonwealth-190	82	28	.	.	PUNCT
commonwealth-190	83	1	while	while	SCONJ
commonwealth-190	83	2	perhaps	perhaps	ADV
commonwealth-190	83	3	understandable	understandable	ADJ
commonwealth-190	83	4	,	,	PUNCT
commonwealth-190	83	5	this	this	PRON
commonwealth-190	83	6	is	be	AUX
commonwealth-190	83	7	considered	consider	VERB
commonwealth-190	83	8	nonadherence	nonadherence	NOUN
commonwealth-190	83	9	to	to	PART
commonwealth-190	83	10	opioid	opioid	VERB
commonwealth-190	83	11	therapy	therapy	NOUN
commonwealth-190	83	12	,	,	PUNCT
commonwealth-190	83	13	and	and	CCONJ
commonwealth-190	83	14	overtaking	overtake	VERB
commonwealth-190	83	15	opioids	opioid	NOUN
commonwealth-190	83	16	is	be	AUX
commonwealth-190	83	17	the	the	DET
commonwealth-190	83	18	most	most	ADV
commonwealth-190	83	19	frequent	frequent	ADJ
commonwealth-190	83	20	presentation	presentation	NOUN
commonwealth-190	83	21	of	of	ADP
commonwealth-190	83	22	opioid	opioid	ADJ
commonwealth-190	83	23	misuse	misuse	NOUN
commonwealth-190	83	24	.	.	PUNCT
commonwealth-190	84	1	these	these	DET
commonwealth-190	84	2	clinical	clinical	ADJ
commonwealth-190	84	3	studies	study	NOUN
commonwealth-190	84	4	and	and	CCONJ
commonwealth-190	84	5	continued	continued	ADJ
commonwealth-190	84	6	observations	observation	NOUN
commonwealth-190	84	7	of	of	ADP
commonwealth-190	84	8	problematic	problematic	ADJ
commonwealth-190	84	9	opioid	opioid	NOUN
commonwealth-190	84	10	prescribing	prescribing	NOUN
commonwealth-190	84	11	involving	involve	VERB
commonwealth-190	84	12	high	high	ADJ
commonwealth-190	84	13	doses	dose	NOUN
commonwealth-190	84	14	to	to	ADP
commonwealth-190	84	15	patients	patient	NOUN
commonwealth-190	84	16	with	with	ADP
commonwealth-190	84	17	risk	risk	NOUN
commonwealth-190	84	18	factors	factor	NOUN
commonwealth-190	84	19	for	for	ADP
commonwealth-190	84	20	opioid	opioid	ADJ
commonwealth-190	84	21	complications	complication	NOUN
commonwealth-190	84	22	led	lead	VERB
commonwealth-190	84	23	state	state	NOUN
commonwealth-190	84	24	and	and	CCONJ
commonwealth-190	84	25	federal	federal	ADJ
commonwealth-190	84	26	authorities	authority	NOUN
commonwealth-190	84	27	as	as	ADV
commonwealth-190	84	28	well	well	ADV
commonwealth-190	84	29	as	as	ADP
commonwealth-190	84	30	medical	medical	ADJ
commonwealth-190	84	31	professional	professional	ADJ
commonwealth-190	84	32	128	128	NUM
commonwealth-190	84	33	ajay	ajay	PROPN
commonwealth-190	84	34	d.	d.	PROPN
commonwealth-190	84	35	wasan	wasan	PROPN
commonwealth-190	84	36	societies	society	NOUN
commonwealth-190	84	37	to	to	PART
commonwealth-190	84	38	draft	draft	VERB
commonwealth-190	84	39	best	good	ADJ
commonwealth-190	84	40	practice	practice	NOUN
commonwealth-190	84	41	guidelines	guideline	NOUN
commonwealth-190	84	42	for	for	ADP
commonwealth-190	84	43	opioid	opioid	ADJ
commonwealth-190	84	44	therapy	therapy	NOUN
commonwealth-190	84	45	for	for	ADP
commonwealth-190	84	46	chronic	chronic	ADJ
commonwealth-190	84	47	pain	pain	NOUN
commonwealth-190	84	48	.	.	PUNCT
commonwealth-190	85	1	by	by	ADP
commonwealth-190	85	2	and	and	CCONJ
commonwealth-190	85	3	large	large	ADJ
commonwealth-190	85	4	,	,	PUNCT
commonwealth-190	85	5	over	over	ADP
commonwealth-190	85	6	a	a	DET
commonwealth-190	85	7	period	period	NOUN
commonwealth-190	85	8	of	of	ADP
commonwealth-190	85	9	several	several	ADJ
commonwealth-190	85	10	years	year	NOUN
commonwealth-190	85	11	,	,	PUNCT
commonwealth-190	85	12	these	these	DET
commonwealth-190	85	13	various	various	ADJ
commonwealth-190	85	14	guidelines	guideline	NOUN
commonwealth-190	85	15	are	be	AUX
commonwealth-190	85	16	quite	quite	ADV
commonwealth-190	85	17	consistent	consistent	ADJ
commonwealth-190	85	18	,	,	PUNCT
commonwealth-190	85	19	beginning	begin	VERB
commonwealth-190	85	20	with	with	ADP
commonwealth-190	85	21	the	the	DET
commonwealth-190	85	22	american	american	PROPN
commonwealth-190	85	23	pain	pain	PROPN
commonwealth-190	85	24	society	society	PROPN
commonwealth-190	85	25	–	–	PUNCT
commonwealth-190	85	26	american	american	PROPN
commonwealth-190	85	27	academy	academy	PROPN
commonwealth-190	85	28	of	of	ADP
commonwealth-190	85	29	pain	pain	NOUN
commonwealth-190	85	30	medicine	medicine	NOUN
commonwealth-190	85	31	(	(	PUNCT
commonwealth-190	85	32	aps	aps	PROPN
commonwealth-190	85	33	/	/	SYM
commonwealth-190	85	34	aapm	aapm	NOUN
commonwealth-190	85	35	)	)	PUNCT
commonwealth-190	85	36	guidelines	guideline	NOUN
commonwealth-190	85	37	in	in	ADP
commonwealth-190	85	38	2009	2009	NUM
commonwealth-190	85	39	,	,	PUNCT
commonwealth-190	85	40	and	and	CCONJ
commonwealth-190	85	41	most	most	ADV
commonwealth-190	85	42	recently	recently	ADV
commonwealth-190	85	43	,	,	PUNCT
commonwealth-190	85	44	the	the	DET
commonwealth-190	85	45	2016	2016	NUM
commonwealth-190	85	46	primary	primary	ADJ
commonwealth-190	85	47	care	care	NOUN
commonwealth-190	85	48	opioid	opioid	NOUN
commonwealth-190	85	49	prescribing	prescribing	NOUN
commonwealth-190	85	50	guidelines	guideline	NOUN
commonwealth-190	85	51	for	for	ADP
commonwealth-190	85	52	chronic	chronic	ADJ
commonwealth-190	85	53	pain	pain	NOUN
commonwealth-190	85	54	released	release	VERB
commonwealth-190	85	55	by	by	ADP
commonwealth-190	85	56	the	the	DET
commonwealth-190	85	57	centers	center	NOUN
commonwealth-190	85	58	for	for	ADP
commonwealth-190	85	59	disease	disease	NOUN
commonwealth-190	85	60	control	control	NOUN
commonwealth-190	85	61	and	and	CCONJ
commonwealth-190	85	62	prevention	prevention	NOUN
commonwealth-190	85	63	(	(	PUNCT
commonwealth-190	85	64	cdc	cdc	PROPN
commonwealth-190	85	65	)	)	PUNCT
commonwealth-190	85	66	(	(	PUNCT
commonwealth-190	85	67	chou	chou	PROPN
commonwealth-190	85	68	et	et	PROPN
commonwealth-190	85	69	al	al	PROPN
commonwealth-190	85	70	.	.	PROPN
commonwealth-190	85	71	2009	2009	NUM
commonwealth-190	85	72	;	;	PUNCT
commonwealth-190	85	73	dowell	dowell	PROPN
commonwealth-190	85	74	,	,	PUNCT
commonwealth-190	85	75	haegerich	haegerich	NOUN
commonwealth-190	85	76	,	,	PUNCT
commonwealth-190	85	77	and	and	CCONJ
commonwealth-190	85	78	chou	chou	PROPN
commonwealth-190	85	79	2016	2016	NUM
commonwealth-190	85	80	)	)	PUNCT
commonwealth-190	85	81	.	.	PUNCT
commonwealth-190	86	1	despite	despite	SCONJ
commonwealth-190	86	2	having	have	VERB
commonwealth-190	86	3	many	many	ADJ
commonwealth-190	86	4	of	of	ADP
commonwealth-190	86	5	the	the	DET
commonwealth-190	86	6	same	same	ADJ
commonwealth-190	86	7	authors	author	NOUN
commonwealth-190	86	8	,	,	PUNCT
commonwealth-190	86	9	including	include	VERB
commonwealth-190	86	10	the	the	DET
commonwealth-190	86	11	same	same	ADJ
commonwealth-190	86	12	lead	lead	NOUN
commonwealth-190	86	13	,	,	PUNCT
commonwealth-190	86	14	one	one	NUM
commonwealth-190	86	15	remarkable	remarkable	ADJ
commonwealth-190	86	16	difference	difference	NOUN
commonwealth-190	86	17	between	between	ADP
commonwealth-190	86	18	the	the	DET
commonwealth-190	86	19	aps	ap	NOUN
commonwealth-190	86	20	/	/	SYM
commonwealth-190	86	21	aapm	aapm	NOUN
commonwealth-190	86	22	and	and	CCONJ
commonwealth-190	86	23	cdc	cdc	PROPN
commonwealth-190	86	24	guidelines	guideline	NOUN
commonwealth-190	86	25	is	be	AUX
commonwealth-190	86	26	that	that	SCONJ
commonwealth-190	86	27	the	the	DET
commonwealth-190	86	28	bar	bar	NOUN
commonwealth-190	86	29	for	for	ADP
commonwealth-190	86	30	acceptable	acceptable	ADJ
commonwealth-190	86	31	evidence	evidence	NOUN
commonwealth-190	86	32	regarding	regard	VERB
commonwealth-190	86	33	opioid	opioid	ADJ
commonwealth-190	86	34	prescribing	prescribing	NOUN
commonwealth-190	86	35	was	be	AUX
commonwealth-190	86	36	changed	change	VERB
commonwealth-190	86	37	(	(	PUNCT
commonwealth-190	86	38	busse	busse	NOUN
commonwealth-190	86	39	,	,	PUNCT
commonwealth-190	86	40	juurlink	juurlink	NOUN
commonwealth-190	86	41	,	,	PUNCT
commonwealth-190	86	42	and	and	CCONJ
commonwealth-190	86	43	guyatt	guyatt	NOUN
commonwealth-190	86	44	2016	2016	NUM
commonwealth-190	86	45	;	;	PUNCT
commonwealth-190	86	46	tayeb	tayeb	PROPN
commonwealth-190	86	47	et	et	PROPN
commonwealth-190	86	48	al	al	PROPN
commonwealth-190	86	49	.	.	PROPN
commonwealth-190	86	50	2016	2016	NUM
commonwealth-190	86	51	)	)	PUNCT
commonwealth-190	86	52	.	.	PUNCT
commonwealth-190	87	1	in	in	ADP
commonwealth-190	87	2	the	the	DET
commonwealth-190	87	3	aps	aps	PROPN
commonwealth-190	87	4	/	/	SYM
commonwealth-190	87	5	aapm	aapm	NOUN
commonwealth-190	87	6	guidelines	guideline	NOUN
commonwealth-190	87	7	,	,	PUNCT
commonwealth-190	87	8	studies	study	NOUN
commonwealth-190	87	9	of	of	ADP
commonwealth-190	87	10	patients	patient	NOUN
commonwealth-190	87	11	who	who	PRON
commonwealth-190	87	12	were	be	AUX
commonwealth-190	87	13	prescribed	prescribe	VERB
commonwealth-190	87	14	opioid	opioid	ADJ
commonwealth-190	87	15	therapy	therapy	NOUN
commonwealth-190	87	16	for	for	ADP
commonwealth-190	87	17	at	at	ADV
commonwealth-190	87	18	least	least	ADV
commonwealth-190	87	19	three	three	NUM
commonwealth-190	87	20	months	month	NOUN
commonwealth-190	87	21	were	be	AUX
commonwealth-190	87	22	considered	consider	VERB
commonwealth-190	87	23	,	,	PUNCT
commonwealth-190	87	24	and	and	CCONJ
commonwealth-190	87	25	this	this	PRON
commonwealth-190	87	26	led	lead	VERB
commonwealth-190	87	27	to	to	ADP
commonwealth-190	87	28	the	the	DET
commonwealth-190	87	29	conclusion	conclusion	NOUN
commonwealth-190	87	30	that	that	SCONJ
commonwealth-190	87	31	,	,	PUNCT
commonwealth-190	87	32	for	for	ADP
commonwealth-190	87	33	chronic	chronic	ADJ
commonwealth-190	87	34	pain	pain	NOUN
commonwealth-190	87	35	,	,	PUNCT
commonwealth-190	87	36	there	there	PRON
commonwealth-190	87	37	is	be	VERB
commonwealth-190	87	38	moderate	moderate	ADJ
commonwealth-190	87	39	evidence	evidence	NOUN
commonwealth-190	87	40	that	that	SCONJ
commonwealth-190	87	41	opioids	opioid	NOUN
commonwealth-190	87	42	can	can	AUX
commonwealth-190	87	43	be	be	AUX
commonwealth-190	87	44	effective	effective	ADJ
commonwealth-190	87	45	.	.	PUNCT
commonwealth-190	88	1	in	in	ADP
commonwealth-190	88	2	the	the	DET
commonwealth-190	88	3	cdc	cdc	PROPN
commonwealth-190	88	4	guidelines	guideline	NOUN
commonwealth-190	88	5	,	,	PUNCT
commonwealth-190	88	6	only	only	ADV
commonwealth-190	88	7	studies	study	NOUN
commonwealth-190	88	8	that	that	PRON
commonwealth-190	88	9	tracked	track	VERB
commonwealth-190	88	10	patients	patient	NOUN
commonwealth-190	88	11	after	after	ADP
commonwealth-190	88	12	one	one	NUM
commonwealth-190	88	13	year	year	NOUN
commonwealth-190	88	14	of	of	ADP
commonwealth-190	88	15	treatment	treatment	NOUN
commonwealth-190	88	16	were	be	AUX
commonwealth-190	88	17	considered	consider	VERB
commonwealth-190	88	18	acceptable	acceptable	ADJ
commonwealth-190	88	19	,	,	PUNCT
commonwealth-190	88	20	none	none	NOUN
commonwealth-190	88	21	of	of	ADP
commonwealth-190	88	22	which	which	PRON
commonwealth-190	88	23	exist	exist	VERB
commonwealth-190	88	24	.	.	PUNCT
commonwealth-190	89	1	this	this	PRON
commonwealth-190	89	2	led	lead	VERB
commonwealth-190	89	3	the	the	DET
commonwealth-190	89	4	cdc	cdc	PROPN
commonwealth-190	89	5	report	report	NOUN
commonwealth-190	89	6	to	to	PART
commonwealth-190	89	7	conclude	conclude	VERB
commonwealth-190	89	8	that	that	SCONJ
commonwealth-190	89	9	opioids	opioid	NOUN
commonwealth-190	89	10	are	be	AUX
commonwealth-190	89	11	not	not	PART
commonwealth-190	89	12	effective	effective	ADJ
commonwealth-190	89	13	for	for	ADP
commonwealth-190	89	14	chronic	chronic	ADJ
commonwealth-190	89	15	pain	pain	NOUN
commonwealth-190	89	16	,	,	PUNCT
commonwealth-190	89	17	and	and	CCONJ
commonwealth-190	89	18	this	this	DET
commonwealth-190	89	19	conclusion	conclusion	NOUN
commonwealth-190	89	20	has	have	AUX
commonwealth-190	89	21	dramatically	dramatically	ADV
commonwealth-190	89	22	affected	affect	VERB
commonwealth-190	89	23	practice	practice	NOUN
commonwealth-190	89	24	across	across	ADP
commonwealth-190	89	25	the	the	DET
commonwealth-190	89	26	country	country	NOUN
commonwealth-190	89	27	,	,	PUNCT
commonwealth-190	89	28	leading	lead	VERB
commonwealth-190	89	29	many	many	ADJ
commonwealth-190	89	30	primary	primary	ADJ
commonwealth-190	89	31	care	care	NOUN
commonwealth-190	89	32	physicians	physician	NOUN
commonwealth-190	89	33	to	to	PART
commonwealth-190	89	34	reduce	reduce	VERB
commonwealth-190	89	35	or	or	CCONJ
commonwealth-190	89	36	eliminate	eliminate	VERB
commonwealth-190	89	37	opioid	opioid	ADJ
commonwealth-190	89	38	prescribing	prescribing	NOUN
commonwealth-190	89	39	for	for	ADP
commonwealth-190	89	40	chronic	chronic	ADJ
commonwealth-190	89	41	noncancer	noncancer	NOUN
commonwealth-190	89	42	pain	pain	NOUN
commonwealth-190	89	43	.	.	PUNCT
commonwealth-190	90	1	while	while	SCONJ
commonwealth-190	90	2	in	in	ADP
commonwealth-190	90	3	the	the	DET
commonwealth-190	90	4	treatment	treatment	NOUN
commonwealth-190	90	5	of	of	ADP
commonwealth-190	90	6	chronic	chronic	ADJ
commonwealth-190	90	7	disease	disease	NOUN
commonwealth-190	90	8	,	,	PUNCT
commonwealth-190	90	9	studies	study	NOUN
commonwealth-190	90	10	of	of	ADP
commonwealth-190	90	11	longer	long	ADJ
commonwealth-190	90	12	than	than	SCONJ
commonwealth-190	90	13	oneyear	oneyear	PROPN
commonwealth-190	90	14	duration	duration	NOUN
commonwealth-190	90	15	would	would	AUX
commonwealth-190	90	16	seem	seem	VERB
commonwealth-190	90	17	the	the	DET
commonwealth-190	90	18	most	most	ADV
commonwealth-190	90	19	prudent	prudent	ADJ
commonwealth-190	90	20	to	to	PART
commonwealth-190	90	21	include	include	VERB
commonwealth-190	90	22	for	for	ADP
commonwealth-190	90	23	consideration	consideration	NOUN
commonwealth-190	90	24	,	,	PUNCT
commonwealth-190	90	25	there	there	PRON
commonwealth-190	90	26	are	be	VERB
commonwealth-190	90	27	scarcely	scarcely	ADV
commonwealth-190	90	28	any	any	DET
commonwealth-190	90	29	studies	study	NOUN
commonwealth-190	90	30	of	of	ADP
commonwealth-190	90	31	any	any	DET
commonwealth-190	90	32	pain	pain	NOUN
commonwealth-190	90	33	medication	medication	NOUN
commonwealth-190	90	34	(	(	PUNCT
commonwealth-190	90	35	e.g.	e.g.	ADV
commonwealth-190	90	36	,	,	PUNCT
commonwealth-190	90	37	antiinflammatory	antiinflammatory	NOUN
commonwealth-190	90	38	agents	agent	NOUN
commonwealth-190	90	39	such	such	ADJ
commonwealth-190	90	40	as	as	ADP
commonwealth-190	90	41	naproxen	naproxen	NOUN
commonwealth-190	90	42	)	)	PUNCT
commonwealth-190	90	43	that	that	PRON
commonwealth-190	90	44	are	be	AUX
commonwealth-190	90	45	more	more	ADJ
commonwealth-190	90	46	than	than	ADP
commonwealth-190	90	47	a	a	PRON
commonwealth-190	90	48	year	year	NOUN
commonwealth-190	90	49	long	long	ADV
commonwealth-190	90	50	,	,	PUNCT
commonwealth-190	90	51	and	and	CCONJ
commonwealth-190	90	52	the	the	DET
commonwealth-190	90	53	vast	vast	ADJ
commonwealth-190	90	54	majority	majority	NOUN
commonwealth-190	90	55	are	be	AUX
commonwealth-190	90	56	less	less	ADJ
commonwealth-190	90	57	than	than	ADP
commonwealth-190	90	58	six	six	NUM
commonwealth-190	90	59	months	month	NOUN
commonwealth-190	90	60	in	in	ADP
commonwealth-190	90	61	duration	duration	NOUN
commonwealth-190	90	62	(	(	PUNCT
commonwealth-190	90	63	tayeb	tayeb	PROPN
commonwealth-190	90	64	et	et	PROPN
commonwealth-190	90	65	al	al	PROPN
commonwealth-190	90	66	.	.	PROPN
commonwealth-190	90	67	2016	2016	NUM
commonwealth-190	90	68	)	)	PUNCT
commonwealth-190	90	69	.	.	PUNCT
commonwealth-190	91	1	if	if	SCONJ
commonwealth-190	91	2	one	one	NUM
commonwealth-190	91	3	were	be	AUX
commonwealth-190	91	4	to	to	PART
commonwealth-190	91	5	apply	apply	VERB
commonwealth-190	91	6	to	to	ADP
commonwealth-190	91	7	all	all	DET
commonwealth-190	91	8	pain	pain	NOUN
commonwealth-190	91	9	medications	medication	NOUN
commonwealth-190	91	10	the	the	DET
commonwealth-190	91	11	same	same	ADJ
commonwealth-190	91	12	standard	standard	NOUN
commonwealth-190	91	13	of	of	ADP
commonwealth-190	91	14	yearlong	yearlong	ADJ
commonwealth-190	91	15	followup	followup	NOUN
commonwealth-190	91	16	for	for	ADP
commonwealth-190	91	17	inclusion	inclusion	NOUN
commonwealth-190	91	18	as	as	ADP
commonwealth-190	91	19	acceptable	acceptable	ADJ
commonwealth-190	91	20	studies	study	NOUN
commonwealth-190	91	21	in	in	ADP
commonwealth-190	91	22	evidencebased	evidencebase	VERB
commonwealth-190	91	23	guidelines	guideline	NOUN
commonwealth-190	91	24	,	,	PUNCT
commonwealth-190	91	25	at	at	ADP
commonwealth-190	91	26	least	least	ADV
commonwealth-190	91	27	75	75	NUM
commonwealth-190	91	28	%	%	NOUN
commonwealth-190	91	29	of	of	ADP
commonwealth-190	91	30	the	the	DET
commonwealth-190	91	31	existing	exist	VERB
commonwealth-190	91	32	medication	medication	NOUN
commonwealth-190	91	33	guidelines	guideline	NOUN
commonwealth-190	91	34	for	for	ADP
commonwealth-190	91	35	pain	pain	NOUN
commonwealth-190	91	36	management	management	NOUN
commonwealth-190	91	37	would	would	AUX
commonwealth-190	91	38	be	be	AUX
commonwealth-190	91	39	dismissed	dismiss	VERB
commonwealth-190	91	40	.	.	PUNCT
commonwealth-190	92	1	thus	thus	ADV
commonwealth-190	92	2	,	,	PUNCT
commonwealth-190	92	3	applying	apply	VERB
commonwealth-190	92	4	a	a	DET
commonwealth-190	92	5	standard	standard	NOUN
commonwealth-190	92	6	for	for	ADP
commonwealth-190	92	7	acceptable	acceptable	ADJ
commonwealth-190	92	8	evidence	evidence	NOUN
commonwealth-190	92	9	that	that	PRON
commonwealth-190	92	10	is	be	AUX
commonwealth-190	92	11	far	far	ADV
commonwealth-190	92	12	beyond	beyond	ADP
commonwealth-190	92	13	what	what	PRON
commonwealth-190	92	14	the	the	DET
commonwealth-190	92	15	field	field	NOUN
commonwealth-190	92	16	of	of	ADP
commonwealth-190	92	17	pain	pain	NOUN
commonwealth-190	92	18	management	management	NOUN
commonwealth-190	92	19	considers	consider	VERB
commonwealth-190	92	20	acceptable	acceptable	ADJ
commonwealth-190	92	21	is	be	AUX
commonwealth-190	92	22	far	far	ADV
commonwealth-190	92	23	outside	outside	ADP
commonwealth-190	92	24	the	the	DET
commonwealth-190	92	25	norm	norm	NOUN
commonwealth-190	92	26	for	for	ADP
commonwealth-190	92	27	evidencebased	evidencebased	ADJ
commonwealth-190	92	28	guidelines	guideline	NOUN
commonwealth-190	92	29	for	for	ADP
commonwealth-190	92	30	any	any	DET
commonwealth-190	92	31	treatment	treatment	NOUN
commonwealth-190	92	32	for	for	ADP
commonwealth-190	92	33	pain	pain	NOUN
commonwealth-190	92	34	.	.	PUNCT
commonwealth-190	93	1	this	this	DET
commonwealth-190	93	2	issue	issue	NOUN
commonwealth-190	93	3	of	of	ADP
commonwealth-190	93	4	standards	standard	NOUN
commonwealth-190	93	5	for	for	ADP
commonwealth-190	93	6	evidence	evidence	NOUN
commonwealth-190	93	7	inclusion	inclusion	NOUN
commonwealth-190	93	8	is	be	AUX
commonwealth-190	93	9	the	the	DET
commonwealth-190	93	10	most	most	ADV
commonwealth-190	93	11	controversial	controversial	ADJ
commonwealth-190	93	12	in	in	ADP
commonwealth-190	93	13	the	the	DET
commonwealth-190	93	14	cdc	cdc	PROPN
commonwealth-190	93	15	guidelines	guideline	NOUN
commonwealth-190	93	16	,	,	PUNCT
commonwealth-190	93	17	but	but	CCONJ
commonwealth-190	93	18	the	the	DET
commonwealth-190	93	19	recommendations	recommendation	NOUN
commonwealth-190	93	20	for	for	ADP
commonwealth-190	93	21	dose	dose	NOUN
commonwealth-190	93	22	limits	limit	NOUN
commonwealth-190	93	23	also	also	ADV
commonwealth-190	93	24	were	be	AUX
commonwealth-190	93	25	quite	quite	ADV
commonwealth-190	93	26	provocative	provocative	ADJ
commonwealth-190	93	27	(	(	PUNCT
commonwealth-190	93	28	busse	busse	NOUN
commonwealth-190	93	29	,	,	PUNCT
commonwealth-190	93	30	juurlink	juurlink	NOUN
commonwealth-190	93	31	,	,	PUNCT
commonwealth-190	93	32	and	and	CCONJ
commonwealth-190	93	33	guyatt	guyatt	NOUN
commonwealth-190	93	34	2016	2016	NUM
commonwealth-190	93	35	)	)	PUNCT
commonwealth-190	93	36	.	.	PUNCT
commonwealth-190	94	1	the	the	DET
commonwealth-190	94	2	cdc	cdc	PROPN
commonwealth-190	94	3	guidelines	guideline	NOUN
commonwealth-190	94	4	suggested	suggest	VERB
commonwealth-190	94	5	that	that	SCONJ
commonwealth-190	94	6	there	there	PRON
commonwealth-190	94	7	is	be	VERB
commonwealth-190	94	8	no	no	DET
commonwealth-190	94	9	evidence	evidence	NOUN
commonwealth-190	94	10	that	that	SCONJ
commonwealth-190	94	11	doses	dose	VERB
commonwealth-190	94	12	greater	great	ADJ
commonwealth-190	94	13	than	than	ADP
commonwealth-190	94	14	90	90	NUM
commonwealth-190	94	15	mg	mg	NOUN
commonwealth-190	94	16	of	of	ADP
commonwealth-190	94	17	morphine	morphine	NOUN
commonwealth-190	94	18	equivalents	equivalent	NOUN
commonwealth-190	94	19	per	per	ADP
commonwealth-190	94	20	day	day	NOUN
commonwealth-190	94	21	are	be	AUX
commonwealth-190	94	22	more	more	ADV
commonwealth-190	94	23	effective	effective	ADJ
commonwealth-190	94	24	for	for	ADP
commonwealth-190	94	25	chronic	chronic	ADJ
commonwealth-190	94	26	pain	pain	NOUN
commonwealth-190	94	27	,	,	PUNCT
commonwealth-190	94	28	and	and	CCONJ
commonwealth-190	94	29	that	that	SCONJ
commonwealth-190	94	30	these	these	DET
commonwealth-190	94	31	doses	dose	NOUN
commonwealth-190	94	32	are	be	AUX
commonwealth-190	94	33	associated	associate	VERB
commonwealth-190	94	34	with	with	ADP
commonwealth-190	94	35	greater	great	ADJ
commonwealth-190	94	36	complications	complication	NOUN
commonwealth-190	94	37	.	.	PUNCT
commonwealth-190	95	1	as	as	SCONJ
commonwealth-190	95	2	noted	note	VERB
commonwealth-190	95	3	,	,	PUNCT
commonwealth-190	95	4	this	this	DET
commonwealth-190	95	5	supposition	supposition	NOUN
commonwealth-190	95	6	has	have	VERB
commonwealth-190	95	7	weak	weak	ADJ
commonwealth-190	95	8	supporting	support	VERB
commonwealth-190	95	9	evidence	evidence	NOUN
commonwealth-190	95	10	;	;	PUNCT
commonwealth-190	95	11	nevertheless	nevertheless	ADV
commonwealth-190	95	12	,	,	PUNCT
commonwealth-190	95	13	it	it	PRON
commonwealth-190	95	14	has	have	AUX
commonwealth-190	95	15	sparked	spark	VERB
commonwealth-190	95	16	many	many	ADJ
commonwealth-190	95	17	insurance	insurance	NOUN
commonwealth-190	95	18	companies	company	NOUN
commonwealth-190	95	19	to	to	PART
commonwealth-190	95	20	deny	deny	VERB
commonwealth-190	95	21	authorization	authorization	NOUN
commonwealth-190	95	22	for	for	ADP
commonwealth-190	95	23	total	total	ADJ
commonwealth-190	95	24	daily	daily	ADJ
commonwealth-190	95	25	doses	dose	NOUN
commonwealth-190	95	26	greater	great	ADJ
commonwealth-190	95	27	than	than	ADP
commonwealth-190	95	28	90	90	NUM
commonwealth-190	95	29	mgs	mgs	NOUN
commonwealth-190	95	30	,	,	PUNCT
commonwealth-190	95	31	even	even	ADV
commonwealth-190	95	32	in	in	ADP
commonwealth-190	95	33	patients	patient	NOUN
commonwealth-190	95	34	who	who	PRON
commonwealth-190	95	35	have	have	AUX
commonwealth-190	95	36	been	be	AUX
commonwealth-190	95	37	on	on	ADP
commonwealth-190	95	38	higher	high	ADJ
commonwealth-190	95	39	doses	dose	NOUN
commonwealth-190	95	40	for	for	ADP
commonwealth-190	95	41	long	long	ADJ
commonwealth-190	95	42	periods	period	NOUN
commonwealth-190	95	43	of	of	ADP
commonwealth-190	95	44	time	time	NOUN
commonwealth-190	95	45	with	with	ADP
commonwealth-190	95	46	evidence	evidence	NOUN
commonwealth-190	95	47	of	of	ADP
commonwealth-190	95	48	improved	improved	ADJ
commonwealth-190	95	49	pain	pain	NOUN
commonwealth-190	95	50	and	and	CCONJ
commonwealth-190	95	51	function	function	NOUN
commonwealth-190	95	52	,	,	PUNCT
commonwealth-190	95	53	and	and	CCONJ
commonwealth-190	95	54	no	no	DET
commonwealth-190	95	55	misuse	misuse	NOUN
commonwealth-190	95	56	.	.	PUNCT
commonwealth-190	96	1	physician	physician	NOUN
commonwealth-190	96	2	responses	response	NOUN
commonwealth-190	96	3	to	to	ADP
commonwealth-190	96	4	the	the	DET
commonwealth-190	96	5	opioid	opioid	ADJ
commonwealth-190	96	6	epidemic	epidemic	NOUN
commonwealth-190	96	7	129	129	NUM
commonwealth-190	97	1	the	the	DET
commonwealth-190	97	2	majority	majority	NOUN
commonwealth-190	97	3	of	of	ADP
commonwealth-190	97	4	recommendations	recommendation	NOUN
commonwealth-190	97	5	were	be	AUX
commonwealth-190	97	6	well	well	ADV
commonwealth-190	97	7	received	receive	VERB
commonwealth-190	97	8	,	,	PUNCT
commonwealth-190	97	9	however	however	ADV
commonwealth-190	97	10	,	,	PUNCT
commonwealth-190	97	11	being	be	AUX
commonwealth-190	97	12	mainstream	mainstream	ADJ
commonwealth-190	97	13	and	and	CCONJ
commonwealth-190	97	14	consistent	consistent	ADJ
commonwealth-190	97	15	with	with	ADP
commonwealth-190	97	16	other	other	ADJ
commonwealth-190	97	17	guidelines	guideline	NOUN
commonwealth-190	97	18	.	.	PUNCT
commonwealth-190	98	1	the	the	DET
commonwealth-190	98	2	common	common	ADJ
commonwealth-190	98	3	elements	element	NOUN
commonwealth-190	98	4	among	among	ADP
commonwealth-190	98	5	many	many	ADJ
commonwealth-190	98	6	of	of	ADP
commonwealth-190	98	7	these	these	DET
commonwealth-190	98	8	guidelines	guideline	NOUN
commonwealth-190	98	9	are	be	AUX
commonwealth-190	98	10	that	that	SCONJ
commonwealth-190	98	11	patients	patient	NOUN
commonwealth-190	98	12	should	should	AUX
commonwealth-190	98	13	be	be	AUX
commonwealth-190	98	14	considered	consider	VERB
commonwealth-190	98	15	for	for	ADP
commonwealth-190	98	16	opioids	opioid	NOUN
commonwealth-190	98	17	for	for	ADP
commonwealth-190	98	18	chronic	chronic	ADJ
commonwealth-190	98	19	pain	pain	NOUN
commonwealth-190	98	20	only	only	ADV
commonwealth-190	98	21	after	after	SCONJ
commonwealth-190	98	22	a	a	DET
commonwealth-190	98	23	diagnosis	diagnosis	NOUN
commonwealth-190	98	24	has	have	AUX
commonwealth-190	98	25	been	be	AUX
commonwealth-190	98	26	made	make	VERB
commonwealth-190	98	27	through	through	ADP
commonwealth-190	98	28	a	a	DET
commonwealth-190	98	29	medical	medical	ADJ
commonwealth-190	98	30	evaluation	evaluation	NOUN
commonwealth-190	98	31	,	,	PUNCT
commonwealth-190	98	32	including	include	VERB
commonwealth-190	98	33	a	a	DET
commonwealth-190	98	34	detailed	detailed	ADJ
commonwealth-190	98	35	history	history	NOUN
commonwealth-190	98	36	,	,	PUNCT
commonwealth-190	98	37	physical	physical	ADJ
commonwealth-190	98	38	exam	exam	NOUN
commonwealth-190	98	39	,	,	PUNCT
commonwealth-190	98	40	and	and	CCONJ
commonwealth-190	98	41	review	review	NOUN
commonwealth-190	98	42	of	of	ADP
commonwealth-190	98	43	pertinent	pertinent	ADJ
commonwealth-190	98	44	studies	study	NOUN
commonwealth-190	98	45	;	;	PUNCT
commonwealth-190	98	46	merely	merely	ADV
commonwealth-190	98	47	describing	describe	VERB
commonwealth-190	98	48	a	a	DET
commonwealth-190	98	49	patient	patient	NOUN
commonwealth-190	98	50	having	have	VERB
commonwealth-190	98	51	pain	pain	NOUN
commonwealth-190	98	52	in	in	ADP
commonwealth-190	98	53	the	the	DET
commonwealth-190	98	54	right	right	ADJ
commonwealth-190	98	55	leg	leg	NOUN
commonwealth-190	98	56	,	,	PUNCT
commonwealth-190	98	57	for	for	ADP
commonwealth-190	98	58	instance	instance	NOUN
commonwealth-190	98	59	,	,	PUNCT
commonwealth-190	98	60	is	be	AUX
commonwealth-190	98	61	not	not	PART
commonwealth-190	98	62	a	a	DET
commonwealth-190	98	63	diagnosis	diagnosis	NOUN
commonwealth-190	98	64	.	.	PUNCT
commonwealth-190	99	1	opioids	opioid	NOUN
commonwealth-190	99	2	should	should	AUX
commonwealth-190	99	3	only	only	ADV
commonwealth-190	99	4	be	be	AUX
commonwealth-190	99	5	considered	consider	VERB
commonwealth-190	99	6	after	after	SCONJ
commonwealth-190	99	7	several	several	ADJ
commonwealth-190	99	8	nonopioid	nonopioid	NOUN
commonwealth-190	99	9	options	option	NOUN
commonwealth-190	99	10	have	have	AUX
commonwealth-190	99	11	failed	fail	VERB
commonwealth-190	99	12	,	,	PUNCT
commonwealth-190	99	13	such	such	ADJ
commonwealth-190	99	14	as	as	ADP
commonwealth-190	99	15	antiinflammatory	antiinflammatory	NOUN
commonwealth-190	99	16	agents	agent	NOUN
commonwealth-190	99	17	or	or	CCONJ
commonwealth-190	99	18	physical	physical	ADJ
commonwealth-190	99	19	therapy	therapy	NOUN
commonwealth-190	99	20	.	.	PUNCT
commonwealth-190	100	1	indeed	indeed	ADV
commonwealth-190	100	2	,	,	PUNCT
commonwealth-190	100	3	it	it	PRON
commonwealth-190	100	4	is	be	AUX
commonwealth-190	100	5	frequently	frequently	ADV
commonwealth-190	100	6	pointed	point	VERB
commonwealth-190	100	7	out	out	ADP
commonwealth-190	100	8	that	that	SCONJ
commonwealth-190	100	9	many	many	ADJ
commonwealth-190	100	10	patients	patient	NOUN
commonwealth-190	100	11	with	with	ADP
commonwealth-190	100	12	musculoskeletal	musculoskeletal	ADJ
commonwealth-190	100	13	pain	pain	NOUN
commonwealth-190	100	14	are	be	AUX
commonwealth-190	100	15	prescribed	prescribe	VERB
commonwealth-190	100	16	an	an	DET
commonwealth-190	100	17	opioid	opioid	NOUN
commonwealth-190	100	18	even	even	ADV
commonwealth-190	100	19	before	before	SCONJ
commonwealth-190	100	20	physical	physical	ADJ
commonwealth-190	100	21	therapy	therapy	NOUN
commonwealth-190	100	22	is	be	AUX
commonwealth-190	100	23	ordered	order	VERB
commonwealth-190	100	24	.	.	PUNCT
commonwealth-190	101	1	opioids	opioid	NOUN
commonwealth-190	101	2	should	should	AUX
commonwealth-190	101	3	be	be	AUX
commonwealth-190	101	4	considered	consider	VERB
commonwealth-190	101	5	a	a	DET
commonwealth-190	101	6	trial	trial	NOUN
commonwealth-190	101	7	in	in	ADP
commonwealth-190	101	8	which	which	PRON
commonwealth-190	101	9	the	the	DET
commonwealth-190	101	10	patient	patient	NOUN
commonwealth-190	101	11	and	and	CCONJ
commonwealth-190	101	12	provider	provider	NOUN
commonwealth-190	101	13	mutually	mutually	ADV
commonwealth-190	101	14	agree	agree	VERB
commonwealth-190	101	15	on	on	ADP
commonwealth-190	101	16	benchmarks	benchmark	NOUN
commonwealth-190	101	17	for	for	ADP
commonwealth-190	101	18	success	success	NOUN
commonwealth-190	101	19	,	,	PUNCT
commonwealth-190	101	20	such	such	ADJ
commonwealth-190	101	21	as	as	ADP
commonwealth-190	101	22	improvements	improvement	NOUN
commonwealth-190	101	23	in	in	ADP
commonwealth-190	101	24	pain	pain	NOUN
commonwealth-190	101	25	and/or	and/or	CCONJ
commonwealth-190	101	26	function	function	NOUN
commonwealth-190	101	27	,	,	PUNCT
commonwealth-190	101	28	with	with	ADP
commonwealth-190	101	29	no	no	DET
commonwealth-190	101	30	issues	issue	NOUN
commonwealth-190	101	31	of	of	ADP
commonwealth-190	101	32	misuse	misuse	NOUN
commonwealth-190	101	33	.	.	PUNCT
commonwealth-190	102	1	opioid	opioid	ADJ
commonwealth-190	102	2	treatment	treatment	NOUN
commonwealth-190	102	3	agreements	agreement	NOUN
commonwealth-190	102	4	are	be	AUX
commonwealth-190	102	5	recommended	recommend	VERB
commonwealth-190	102	6	to	to	PART
commonwealth-190	102	7	facilitate	facilitate	VERB
commonwealth-190	102	8	this	this	DET
commonwealth-190	102	9	communication	communication	NOUN
commonwealth-190	102	10	and	and	CCONJ
commonwealth-190	102	11	mutual	mutual	ADJ
commonwealth-190	102	12	expectations	expectation	NOUN
commonwealth-190	102	13	.	.	PUNCT
commonwealth-190	103	1	ideally	ideally	ADV
commonwealth-190	103	2	,	,	PUNCT
commonwealth-190	103	3	any	any	DET
commonwealth-190	103	4	successful	successful	ADJ
commonwealth-190	103	5	treatment	treatment	NOUN
commonwealth-190	103	6	for	for	ADP
commonwealth-190	103	7	chronic	chronic	ADJ
commonwealth-190	103	8	pain	pain	NOUN
commonwealth-190	103	9	should	should	AUX
commonwealth-190	103	10	improve	improve	VERB
commonwealth-190	103	11	pain	pain	NOUN
commonwealth-190	103	12	and	and	CCONJ
commonwealth-190	103	13	function	function	VERB
commonwealth-190	103	14	together	together	ADV
commonwealth-190	103	15	.	.	PUNCT
commonwealth-190	104	1	however	however	ADV
commonwealth-190	104	2	,	,	PUNCT
commonwealth-190	104	3	it	it	PRON
commonwealth-190	104	4	is	be	AUX
commonwealth-190	104	5	quite	quite	ADV
commonwealth-190	104	6	common	common	ADJ
commonwealth-190	104	7	for	for	SCONJ
commonwealth-190	104	8	patients	patient	NOUN
commonwealth-190	104	9	to	to	PART
commonwealth-190	104	10	say	say	VERB
commonwealth-190	104	11	that	that	SCONJ
commonwealth-190	104	12	a	a	DET
commonwealth-190	104	13	treatment	treatment	NOUN
commonwealth-190	104	14	has	have	AUX
commonwealth-190	104	15	indeed	indeed	ADV
commonwealth-190	104	16	helped	help	VERB
commonwealth-190	104	17	them	they	PRON
commonwealth-190	104	18	and	and	CCONJ
commonwealth-190	104	19	improved	improve	VERB
commonwealth-190	104	20	their	their	PRON
commonwealth-190	104	21	quality	quality	NOUN
commonwealth-190	104	22	of	of	ADP
commonwealth-190	104	23	life	life	NOUN
commonwealth-190	104	24	through	through	ADP
commonwealth-190	104	25	being	be	AUX
commonwealth-190	104	26	able	able	ADJ
commonwealth-190	104	27	to	to	PART
commonwealth-190	104	28	increase	increase	VERB
commonwealth-190	104	29	their	their	PRON
commonwealth-190	104	30	activity	activity	NOUN
commonwealth-190	104	31	,	,	PUNCT
commonwealth-190	104	32	while	while	SCONJ
commonwealth-190	104	33	their	their	PRON
commonwealth-190	104	34	level	level	NOUN
commonwealth-190	104	35	of	of	ADP
commonwealth-190	104	36	pain	pain	NOUN
commonwealth-190	104	37	(	(	PUNCT
commonwealth-190	104	38	most	most	ADV
commonwealth-190	104	39	commonly	commonly	ADV
commonwealth-190	104	40	rated	rate	VERB
commonwealth-190	104	41	on	on	ADP
commonwealth-190	104	42	a	a	DET
commonwealth-190	104	43	0–10	0–10	NOUN
commonwealth-190	104	44	scale	scale	NOUN
commonwealth-190	104	45	,	,	PUNCT
commonwealth-190	104	46	with	with	ADP
commonwealth-190	104	47	10	10	NUM
commonwealth-190	104	48	being	be	AUX
commonwealth-190	104	49	the	the	DET
commonwealth-190	104	50	most	most	ADV
commonwealth-190	104	51	severe	severe	ADJ
commonwealth-190	104	52	)	)	PUNCT
commonwealth-190	104	53	has	have	AUX
commonwealth-190	104	54	not	not	PART
commonwealth-190	104	55	changed	change	VERB
commonwealth-190	104	56	.	.	PUNCT
commonwealth-190	105	1	hence	hence	ADV
commonwealth-190	105	2	,	,	PUNCT
commonwealth-190	105	3	changes	change	NOUN
commonwealth-190	105	4	in	in	ADP
commonwealth-190	105	5	pain	pain	NOUN
commonwealth-190	105	6	and	and	CCONJ
commonwealth-190	105	7	changes	change	NOUN
commonwealth-190	105	8	in	in	ADP
commonwealth-190	105	9	function	function	NOUN
commonwealth-190	105	10	are	be	AUX
commonwealth-190	105	11	not	not	PART
commonwealth-190	105	12	always	always	ADV
commonwealth-190	105	13	linked	link	VERB
commonwealth-190	105	14	,	,	PUNCT
commonwealth-190	105	15	which	which	PRON
commonwealth-190	105	16	is	be	AUX
commonwealth-190	105	17	a	a	DET
commonwealth-190	105	18	crucial	crucial	ADJ
commonwealth-190	105	19	consideration	consideration	NOUN
commonwealth-190	105	20	in	in	ADP
commonwealth-190	105	21	evaluating	evaluate	VERB
commonwealth-190	105	22	the	the	DET
commonwealth-190	105	23	success	success	NOUN
commonwealth-190	105	24	or	or	CCONJ
commonwealth-190	105	25	failure	failure	NOUN
commonwealth-190	105	26	of	of	ADP
commonwealth-190	105	27	treatments	treatment	NOUN
commonwealth-190	105	28	for	for	ADP
commonwealth-190	105	29	chronic	chronic	ADJ
commonwealth-190	105	30	pain	pain	NOUN
commonwealth-190	105	31	.	.	PUNCT
commonwealth-190	106	1	when	when	SCONJ
commonwealth-190	106	2	starting	start	VERB
commonwealth-190	106	3	opioids	opioid	NOUN
commonwealth-190	106	4	,	,	PUNCT
commonwealth-190	106	5	it	it	PRON
commonwealth-190	106	6	is	be	AUX
commonwealth-190	106	7	important	important	ADJ
commonwealth-190	106	8	to	to	PART
commonwealth-190	106	9	start	start	VERB
commonwealth-190	106	10	with	with	ADP
commonwealth-190	106	11	low	low	ADJ
commonwealth-190	106	12	doses	dose	NOUN
commonwealth-190	106	13	of	of	ADP
commonwealth-190	106	14	short	short	ADJ
commonwealth-190	106	15	acting	act	VERB
commonwealth-190	106	16	opioids	opioid	NOUN
commonwealth-190	106	17	,	,	PUNCT
commonwealth-190	106	18	which	which	PRON
commonwealth-190	106	19	typically	typically	ADV
commonwealth-190	106	20	last	last	ADJ
commonwealth-190	106	21	3–6	3–6	NUM
commonwealth-190	106	22	hours	hour	NOUN
commonwealth-190	106	23	.	.	PUNCT
commonwealth-190	107	1	this	this	DET
commonwealth-190	107	2	strategy	strategy	NOUN
commonwealth-190	107	3	avoids	avoid	VERB
commonwealth-190	107	4	the	the	DET
commonwealth-190	107	5	complications	complication	NOUN
commonwealth-190	107	6	of	of	ADP
commonwealth-190	107	7	higher	high	ADJ
commonwealth-190	107	8	doses	dose	NOUN
commonwealth-190	107	9	,	,	PUNCT
commonwealth-190	107	10	particularly	particularly	ADV
commonwealth-190	107	11	in	in	ADP
commonwealth-190	107	12	the	the	DET
commonwealth-190	107	13	elderly	elderly	ADJ
commonwealth-190	107	14	,	,	PUNCT
commonwealth-190	107	15	and	and	CCONJ
commonwealth-190	107	16	allows	allow	VERB
commonwealth-190	107	17	a	a	DET
commonwealth-190	107	18	window	window	NOUN
commonwealth-190	107	19	to	to	PART
commonwealth-190	107	20	evaluate	evaluate	VERB
commonwealth-190	107	21	their	their	PRON
commonwealth-190	107	22	effectiveness	effectiveness	NOUN
commonwealth-190	107	23	and	and	CCONJ
commonwealth-190	107	24	tolerability	tolerability	NOUN
commonwealth-190	107	25	.	.	PUNCT
commonwealth-190	108	1	if	if	SCONJ
commonwealth-190	108	2	opioids	opioid	NOUN
commonwealth-190	108	3	are	be	AUX
commonwealth-190	108	4	deemed	deem	VERB
commonwealth-190	108	5	effective	effective	ADJ
commonwealth-190	108	6	,	,	PUNCT
commonwealth-190	108	7	then	then	ADV
commonwealth-190	108	8	either	either	CCONJ
commonwealth-190	108	9	switching	switch	VERB
commonwealth-190	108	10	the	the	DET
commonwealth-190	108	11	short	short	ADJ
commonwealth-190	108	12	-	-	PUNCT
commonwealth-190	108	13	a	a	DET
commonwealth-190	108	14	cting	cte	VERB
commonwealth-190	108	15	opioids	opioid	NOUN
commonwealth-190	108	16	to	to	ADP
commonwealth-190	108	17	longeracting	longeracte	VERB
commonwealth-190	108	18	formulations	formulation	NOUN
commonwealth-190	108	19	or	or	CCONJ
commonwealth-190	108	20	adding	add	VERB
commonwealth-190	108	21	longacting	longacte	VERB
commonwealth-190	108	22	opioids	opioid	NOUN
commonwealth-190	108	23	to	to	ADP
commonwealth-190	108	24	shortacting	shortacte	VERB
commonwealth-190	108	25	opioids	opioid	NOUN
commonwealth-190	108	26	is	be	AUX
commonwealth-190	108	27	frequently	frequently	ADV
commonwealth-190	108	28	recommended	recommend	VERB
commonwealth-190	108	29	.	.	PUNCT
commonwealth-190	109	1	this	this	DET
commonwealth-190	109	2	approach	approach	NOUN
commonwealth-190	109	3	avoids	avoid	VERB
commonwealth-190	109	4	the	the	DET
commonwealth-190	109	5	peaks	peak	NOUN
commonwealth-190	109	6	and	and	CCONJ
commonwealth-190	109	7	valleys	valley	NOUN
commonwealth-190	109	8	in	in	ADP
commonwealth-190	109	9	blood	blood	NOUN
commonwealth-190	109	10	levels	level	NOUN
commonwealth-190	109	11	of	of	ADP
commonwealth-190	109	12	medication	medication	NOUN
commonwealth-190	109	13	and	and	CCONJ
commonwealth-190	109	14	levels	level	NOUN
commonwealth-190	109	15	of	of	ADP
commonwealth-190	109	16	pain	pain	NOUN
commonwealth-190	109	17	related	relate	VERB
commonwealth-190	109	18	to	to	ADP
commonwealth-190	109	19	the	the	DET
commonwealth-190	109	20	dosing	dosing	NOUN
commonwealth-190	109	21	of	of	ADP
commonwealth-190	109	22	shortacting	shortacte	VERB
commonwealth-190	109	23	opioids	opioid	NOUN
commonwealth-190	109	24	only	only	ADV
commonwealth-190	109	25	.	.	PUNCT
commonwealth-190	110	1	a	a	DET
commonwealth-190	110	2	core	core	NOUN
commonwealth-190	110	3	principle	principle	NOUN
commonwealth-190	110	4	of	of	ADP
commonwealth-190	110	5	managing	manage	VERB
commonwealth-190	110	6	chronic	chronic	ADJ
commonwealth-190	110	7	pain	pain	NOUN
commonwealth-190	110	8	is	be	AUX
commonwealth-190	110	9	using	use	VERB
commonwealth-190	110	10	treatments	treatment	NOUN
commonwealth-190	110	11	that	that	PRON
commonwealth-190	110	12	minimize	minimize	VERB
commonwealth-190	110	13	the	the	DET
commonwealth-190	110	14	possible	possible	ADJ
commonwealth-190	110	15	spikes	spike	NOUN
commonwealth-190	110	16	in	in	ADP
commonwealth-190	110	17	pain	pain	NOUN
commonwealth-190	110	18	levels	level	NOUN
commonwealth-190	110	19	that	that	PRON
commonwealth-190	110	20	occur	occur	VERB
commonwealth-190	110	21	frequently	frequently	ADV
commonwealth-190	110	22	during	during	ADP
commonwealth-190	110	23	the	the	DET
commonwealth-190	110	24	day	day	NOUN
commonwealth-190	110	25	related	relate	VERB
commonwealth-190	110	26	to	to	ADP
commonwealth-190	110	27	activity	activity	NOUN
commonwealth-190	110	28	,	,	PUNCT
commonwealth-190	110	29	or	or	CCONJ
commonwealth-190	110	30	that	that	PRON
commonwealth-190	110	31	occur	occur	VERB
commonwealth-190	110	32	spontaneously	spontaneously	ADV
commonwealth-190	110	33	at	at	ADP
commonwealth-190	110	34	night	night	NOUN
commonwealth-190	110	35	.	.	PUNCT
commonwealth-190	111	1	in	in	ADP
commonwealth-190	111	2	terms	term	NOUN
commonwealth-190	111	3	of	of	ADP
commonwealth-190	111	4	monitoring	monitor	VERB
commonwealth-190	111	5	adherence	adherence	NOUN
commonwealth-190	111	6	,	,	PUNCT
commonwealth-190	111	7	the	the	DET
commonwealth-190	111	8	guidelines	guideline	NOUN
commonwealth-190	111	9	are	be	AUX
commonwealth-190	111	10	very	very	ADV
commonwealth-190	111	11	consistent	consistent	ADJ
commonwealth-190	111	12	in	in	ADP
commonwealth-190	111	13	recommending	recommend	VERB
commonwealth-190	111	14	the	the	DET
commonwealth-190	111	15	three	three	NUM
commonwealth-190	111	16	pillars	pillar	NOUN
commonwealth-190	111	17	of	of	ADP
commonwealth-190	111	18	assessment	assessment	NOUN
commonwealth-190	111	19	:	:	PUNCT
commonwealth-190	111	20	patient	patient	ADJ
commonwealth-190	111	21	selfreport	selfreport	NOUN
commonwealth-190	111	22	,	,	PUNCT
commonwealth-190	111	23	udts	udts	VERB
commonwealth-190	111	24	,	,	PUNCT
commonwealth-190	111	25	and	and	CCONJ
commonwealth-190	111	26	provider	provider	NOUN
commonwealth-190	111	27	evaluation	evaluation	NOUN
commonwealth-190	111	28	.	.	PUNCT
commonwealth-190	112	1	there	there	PRON
commonwealth-190	112	2	are	be	VERB
commonwealth-190	112	3	no	no	DET
commonwealth-190	112	4	agreedupon	agreedupon	NOUN
commonwealth-190	112	5	intervals	interval	NOUN
commonwealth-190	112	6	to	to	PART
commonwealth-190	112	7	do	do	VERB
commonwealth-190	112	8	each	each	PRON
commonwealth-190	112	9	of	of	ADP
commonwealth-190	112	10	these	these	DET
commonwealth-190	112	11	things	thing	NOUN
commonwealth-190	112	12	(	(	PUNCT
commonwealth-190	112	13	which	which	PRON
commonwealth-190	112	14	will	will	AUX
commonwealth-190	112	15	vary	vary	VERB
commonwealth-190	112	16	from	from	ADP
commonwealth-190	112	17	patient	patient	ADJ
commonwealth-190	112	18	to	to	ADP
commonwealth-190	112	19	patient	patient	VERB
commonwealth-190	112	20	,	,	PUNCT
commonwealth-190	112	21	ideally	ideally	ADV
commonwealth-190	112	22	based	base	VERB
commonwealth-190	112	23	on	on	ADP
commonwealth-190	112	24	their	their	PRON
commonwealth-190	112	25	risks	risk	NOUN
commonwealth-190	112	26	of	of	ADP
commonwealth-190	112	27	opioid	opioid	ADJ
commonwealth-190	112	28	misuse	misuse	NOUN
commonwealth-190	112	29	)	)	PUNCT
commonwealth-190	112	30	,	,	PUNCT
commonwealth-190	112	31	but	but	CCONJ
commonwealth-190	112	32	generally	generally	ADV
commonwealth-190	112	33	when	when	SCONJ
commonwealth-190	112	34	starting	start	VERB
commonwealth-190	112	35	opioids	opioid	NOUN
commonwealth-190	112	36	,	,	PUNCT
commonwealth-190	112	37	patients	patient	NOUN
commonwealth-190	112	38	are	be	AUX
commonwealth-190	112	39	seen	see	VERB
commonwealth-190	112	40	within	within	ADP
commonwealth-190	112	41	the	the	DET
commonwealth-190	112	42	first	first	ADJ
commonwealth-190	112	43	2–4	2–4	NUM
commonwealth-190	112	44	weeks	week	NOUN
commonwealth-190	112	45	.	.	PUNCT
commonwealth-190	113	1	when	when	SCONJ
commonwealth-190	113	2	stable	stable	ADJ
commonwealth-190	113	3	doses	dose	NOUN
commonwealth-190	113	4	have	have	AUX
commonwealth-190	113	5	been	be	AUX
commonwealth-190	113	6	achieved	achieve	VERB
commonwealth-190	113	7	with	with	ADP
commonwealth-190	113	8	documentation	documentation	NOUN
commonwealth-190	113	9	of	of	ADP
commonwealth-190	113	10	good	good	ADJ
commonwealth-190	113	11	adherence	adherence	NOUN
commonwealth-190	113	12	,	,	PUNCT
commonwealth-190	113	13	patients	patient	NOUN
commonwealth-190	113	14	are	be	AUX
commonwealth-190	113	15	often	often	ADV
commonwealth-190	113	16	seen	see	VERB
commonwealth-190	113	17	for	for	ADP
commonwealth-190	113	18	reevaluation	reevaluation	NOUN
commonwealth-190	113	19	every	every	DET
commonwealth-190	113	20	3–6	3–6	NUM
commonwealth-190	113	21	months	month	NOUN
commonwealth-190	113	22	.	.	PUNCT
commonwealth-190	114	1	if	if	SCONJ
commonwealth-190	114	2	opioids	opioid	NOUN
commonwealth-190	114	3	are	be	AUX
commonwealth-190	114	4	discontinued	discontinue	VERB
commonwealth-190	114	5	,	,	PUNCT
commonwealth-190	114	6	it	it	PRON
commonwealth-190	114	7	is	be	AUX
commonwealth-190	114	8	recommended	recommend	VERB
commonwealth-190	114	9	that	that	SCONJ
commonwealth-190	114	10	they	they	PRON
commonwealth-190	114	11	are	be	AUX
commonwealth-190	114	12	tapered	taper	VERB
commonwealth-190	114	13	130	130	NUM
commonwealth-190	114	14	ajay	ajay	PROPN
commonwealth-190	114	15	d.	d.	PROPN
commonwealth-190	114	16	wasan	wasan	PROPN
commonwealth-190	114	17	slowly	slowly	ADV
commonwealth-190	114	18	,	,	PUNCT
commonwealth-190	114	19	such	such	ADJ
commonwealth-190	114	20	as	as	ADP
commonwealth-190	114	21	a	a	DET
commonwealth-190	114	22	10%–20	10%–20	NUM
commonwealth-190	114	23	%	%	NOUN
commonwealth-190	114	24	reduction	reduction	NOUN
commonwealth-190	114	25	every	every	DET
commonwealth-190	114	26	month	month	NOUN
commonwealth-190	114	27	in	in	ADP
commonwealth-190	114	28	total	total	ADJ
commonwealth-190	114	29	daily	daily	ADJ
commonwealth-190	114	30	dose	dose	NOUN
commonwealth-190	114	31	,	,	PUNCT
commonwealth-190	114	32	except	except	SCONJ
commonwealth-190	114	33	for	for	ADP
commonwealth-190	114	34	the	the	DET
commonwealth-190	114	35	scenarios	scenario	NOUN
commonwealth-190	114	36	of	of	ADP
commonwealth-190	114	37	addiction	addiction	NOUN
commonwealth-190	114	38	to	to	ADP
commonwealth-190	114	39	opioids	opioid	NOUN
commonwealth-190	114	40	or	or	CCONJ
commonwealth-190	114	41	diversion	diversion	NOUN
commonwealth-190	114	42	.	.	PUNCT
commonwealth-190	115	1	as	as	ADP
commonwealth-190	115	2	an	an	DET
commonwealth-190	115	3	illustration	illustration	NOUN
commonwealth-190	115	4	of	of	ADP
commonwealth-190	115	5	opioid	opioid	ADJ
commonwealth-190	115	6	guideline	guideline	NOUN
commonwealth-190	115	7	implementation	implementation	NOUN
commonwealth-190	115	8	,	,	PUNCT
commonwealth-190	115	9	in	in	ADP
commonwealth-190	115	10	2015	2015	NUM
commonwealth-190	115	11	the	the	DET
commonwealth-190	115	12	university	university	PROPN
commonwealth-190	115	13	of	of	ADP
commonwealth-190	115	14	pittsburgh	pittsburgh	PROPN
commonwealth-190	115	15	medical	medical	ADJ
commonwealth-190	115	16	center	center	PROPN
commonwealth-190	115	17	(	(	PUNCT
commonwealth-190	115	18	upmc	upmc	NOUN
commonwealth-190	115	19	)	)	PUNCT
commonwealth-190	115	20	began	begin	VERB
commonwealth-190	115	21	operationalizing	operationalize	VERB
commonwealth-190	115	22	good	good	ADJ
commonwealth-190	115	23	opioid	opioid	ADJ
commonwealth-190	115	24	care	care	NOUN
commonwealth-190	115	25	practices	practice	NOUN
commonwealth-190	115	26	across	across	ADP
commonwealth-190	115	27	its	its	PRON
commonwealth-190	115	28	integrated	integrate	VERB
commonwealth-190	115	29	delivery	delivery	NOUN
commonwealth-190	115	30	network	network	NOUN
commonwealth-190	115	31	of	of	ADP
commonwealth-190	115	32	25	25	NUM
commonwealth-190	115	33	hospitals	hospital	NOUN
commonwealth-190	115	34	,	,	PUNCT
commonwealth-190	115	35	400	400	NUM
commonwealth-190	115	36	outpatient	outpatient	NOUN
commonwealth-190	115	37	clinics	clinic	NOUN
commonwealth-190	115	38	,	,	PUNCT
commonwealth-190	115	39	and	and	CCONJ
commonwealth-190	115	40	a	a	DET
commonwealth-190	115	41	health	health	NOUN
commonwealth-190	115	42	insurance	insurance	NOUN
commonwealth-190	115	43	plan	plan	NOUN
commonwealth-190	115	44	with	with	ADP
commonwealth-190	115	45	1.8	1.8	NUM
commonwealth-190	115	46	million	million	NUM
commonwealth-190	115	47	members	member	NOUN
commonwealth-190	115	48	.	.	PUNCT
commonwealth-190	116	1	this	this	PRON
commonwealth-190	116	2	was	be	AUX
commonwealth-190	116	3	most	most	ADV
commonwealth-190	116	4	salient	salient	ADJ
commonwealth-190	116	5	in	in	ADP
commonwealth-190	116	6	a	a	DET
commonwealth-190	116	7	metropolitan	metropolitan	ADJ
commonwealth-190	116	8	region	region	NOUN
commonwealth-190	116	9	noted	note	VERB
commonwealth-190	116	10	by	by	ADP
commonwealth-190	116	11	the	the	DET
commonwealth-190	116	12	cdc	cdc	PROPN
commonwealth-190	116	13	to	to	PART
commonwealth-190	116	14	be	be	AUX
commonwealth-190	116	15	in	in	ADP
commonwealth-190	116	16	the	the	DET
commonwealth-190	116	17	upper	upper	ADJ
commonwealth-190	116	18	25	25	NUM
commonwealth-190	116	19	%	%	NOUN
commonwealth-190	116	20	in	in	ADP
commonwealth-190	116	21	the	the	DET
commonwealth-190	116	22	country	country	NOUN
commonwealth-190	116	23	of	of	ADP
commonwealth-190	116	24	rates	rate	NOUN
commonwealth-190	116	25	of	of	ADP
commonwealth-190	116	26	opioid	opioid	ADJ
commonwealth-190	116	27	prescribing	prescribing	NOUN
commonwealth-190	116	28	and	and	CCONJ
commonwealth-190	116	29	overdose	overdose	ADJ
commonwealth-190	116	30	deaths	death	NOUN
commonwealth-190	116	31	related	relate	VERB
commonwealth-190	116	32	to	to	ADP
commonwealth-190	116	33	opioids	opioid	NOUN
commonwealth-190	116	34	.	.	PUNCT
commonwealth-190	117	1	upmc	upmc	PROPN
commonwealth-190	117	2	is	be	AUX
commonwealth-190	117	3	the	the	DET
commonwealth-190	117	4	largest	large	ADJ
commonwealth-190	117	5	academic	academic	ADJ
commonwealth-190	117	6	integrated	integrate	VERB
commonwealth-190	117	7	delivery	delivery	NOUN
commonwealth-190	117	8	network	network	NOUN
commonwealth-190	117	9	in	in	ADP
commonwealth-190	117	10	the	the	DET
commonwealth-190	117	11	nation	nation	NOUN
commonwealth-190	117	12	,	,	PUNCT
commonwealth-190	117	13	and	and	CCONJ
commonwealth-190	117	14	approximately	approximately	ADV
commonwealth-190	117	15	50	50	NUM
commonwealth-190	117	16	%	%	NOUN
commonwealth-190	117	17	of	of	ADP
commonwealth-190	117	18	people	people	NOUN
commonwealth-190	117	19	in	in	ADP
commonwealth-190	117	20	the	the	DET
commonwealth-190	117	21	pittsburgh	pittsburgh	PROPN
commonwealth-190	117	22	metropolitan	metropolitan	PROPN
commonwealth-190	117	23	area	area	NOUN
commonwealth-190	117	24	of	of	ADP
commonwealth-190	117	25	2.2	2.2	NUM
commonwealth-190	117	26	million	million	NUM
commonwealth-190	117	27	people	people	NOUN
commonwealth-190	117	28	receive	receive	VERB
commonwealth-190	117	29	at	at	ADP
commonwealth-190	117	30	least	least	ADJ
commonwealth-190	117	31	some	some	PRON
commonwealth-190	117	32	medical	medical	ADJ
commonwealth-190	117	33	care	care	NOUN
commonwealth-190	117	34	through	through	ADP
commonwealth-190	117	35	upmc	upmc	PROPN
commonwealth-190	117	36	.	.	PUNCT
commonwealth-190	118	1	thus	thus	ADV
commonwealth-190	118	2	,	,	PUNCT
commonwealth-190	118	3	the	the	DET
commonwealth-190	118	4	opioid	opioid	ADJ
commonwealth-190	118	5	epidemic	epidemic	NOUN
commonwealth-190	118	6	was	be	AUX
commonwealth-190	118	7	also	also	ADV
commonwealth-190	118	8	an	an	DET
commonwealth-190	118	9	opportunity	opportunity	NOUN
commonwealth-190	118	10	to	to	PART
commonwealth-190	118	11	do	do	AUX
commonwealth-190	118	12	effective	effective	ADJ
commonwealth-190	118	13	populationbased	populationbase	VERB
commonwealth-190	118	14	pain	pain	NOUN
commonwealth-190	118	15	care	care	NOUN
commonwealth-190	118	16	to	to	PART
commonwealth-190	118	17	target	target	VERB
commonwealth-190	118	18	this	this	DET
commonwealth-190	118	19	intersection	intersection	NOUN
commonwealth-190	118	20	of	of	ADP
commonwealth-190	118	21	pain	pain	NOUN
commonwealth-190	118	22	and	and	CCONJ
commonwealth-190	118	23	opioid	opioid	ADJ
commonwealth-190	118	24	use	use	NOUN
commonwealth-190	118	25	.	.	PUNCT
commonwealth-190	119	1	a	a	DET
commonwealth-190	119	2	multipronged	multipronge	VERB
commonwealth-190	119	3	approach	approach	NOUN
commonwealth-190	119	4	was	be	AUX
commonwealth-190	119	5	taken	take	VERB
commonwealth-190	119	6	to	to	PART
commonwealth-190	119	7	improve	improve	VERB
commonwealth-190	119	8	opioid	opioid	ADJ
commonwealth-190	119	9	care	care	NOUN
commonwealth-190	119	10	by	by	ADP
commonwealth-190	119	11	following	follow	VERB
commonwealth-190	119	12	the	the	DET
commonwealth-190	119	13	2009	2009	NUM
commonwealth-190	119	14	aps	ap	NOUN
commonwealth-190	119	15	/	/	SYM
commonwealth-190	119	16	aapm	aapm	NOUN
commonwealth-190	119	17	prescribing	prescribing	NOUN
commonwealth-190	119	18	guidelines	guideline	NOUN
commonwealth-190	119	19	for	for	ADP
commonwealth-190	119	20	chronic	chronic	ADJ
commonwealth-190	119	21	pain	pain	NOUN
commonwealth-190	119	22	,	,	PUNCT
commonwealth-190	119	23	and	and	CCONJ
commonwealth-190	119	24	scaling	scale	VERB
commonwealth-190	119	25	up/	up/	NOUN
commonwealth-190	119	26	translating	translate	VERB
commonwealth-190	119	27	the	the	DET
commonwealth-190	119	28	clinical	clinical	ADJ
commonwealth-190	119	29	implications	implication	NOUN
commonwealth-190	119	30	of	of	ADP
commonwealth-190	119	31	much	much	ADJ
commonwealth-190	119	32	of	of	ADP
commonwealth-190	119	33	the	the	DET
commonwealth-190	119	34	published	publish	VERB
commonwealth-190	119	35	opioid	opioid	ADJ
commonwealth-190	119	36	research	research	NOUN
commonwealth-190	119	37	,	,	PUNCT
commonwealth-190	119	38	such	such	ADJ
commonwealth-190	119	39	as	as	ADP
commonwealth-190	119	40	that	that	PRON
commonwealth-190	119	41	of	of	ADP
commonwealth-190	119	42	dr	dr	PROPN
commonwealth-190	119	43	.	.	PROPN
commonwealth-190	119	44	wasan	wasan	PROPN
commonwealth-190	119	45	,	,	PUNCT
commonwealth-190	119	46	who	who	PRON
commonwealth-190	119	47	was	be	AUX
commonwealth-190	119	48	leading	lead	VERB
commonwealth-190	119	49	these	these	DET
commonwealth-190	119	50	populationbased	populationbase	VERB
commonwealth-190	119	51	research	research	NOUN
commonwealth-190	119	52	efforts	effort	NOUN
commonwealth-190	119	53	at	at	ADP
commonwealth-190	119	54	the	the	DET
commonwealth-190	119	55	university	university	PROPN
commonwealth-190	119	56	of	of	ADP
commonwealth-190	119	57	pittsburgh	pittsburgh	PROPN
commonwealth-190	119	58	.	.	PUNCT
commonwealth-190	120	1	first	first	ADV
commonwealth-190	120	2	,	,	PUNCT
commonwealth-190	120	3	a	a	DET
commonwealth-190	120	4	systemwide	systemwide	ADJ
commonwealth-190	120	5	advisory	advisory	ADJ
commonwealth-190	120	6	committee	committee	NOUN
commonwealth-190	120	7	(	(	PUNCT
commonwealth-190	120	8	the	the	DET
commonwealth-190	120	9	pain	pain	NOUN
commonwealth-190	120	10	steering	steering	NOUN
commonwealth-190	120	11	committee	committee	NOUN
commonwealth-190	120	12	)	)	PUNCT
commonwealth-190	120	13	was	be	AUX
commonwealth-190	120	14	formed	form	VERB
commonwealth-190	120	15	,	,	PUNCT
commonwealth-190	120	16	consisting	consist	VERB
commonwealth-190	120	17	of	of	ADP
commonwealth-190	120	18	leaders	leader	NOUN
commonwealth-190	120	19	across	across	ADP
commonwealth-190	120	20	upmc	upmc	PROPN
commonwealth-190	120	21	,	,	PUNCT
commonwealth-190	120	22	including	include	VERB
commonwealth-190	120	23	several	several	ADJ
commonwealth-190	120	24	physician	physician	NOUN
commonwealth-190	120	25	specialties	specialty	NOUN
commonwealth-190	120	26	(	(	PUNCT
commonwealth-190	120	27	pain	pain	NOUN
commonwealth-190	120	28	medicine	medicine	NOUN
commonwealth-190	120	29	,	,	PUNCT
commonwealth-190	120	30	physiatry	physiatry	NOUN
commonwealth-190	120	31	,	,	PUNCT
commonwealth-190	120	32	psychiatry	psychiatry	NOUN
commonwealth-190	120	33	,	,	PUNCT
commonwealth-190	120	34	primary	primary	ADJ
commonwealth-190	120	35	care	care	NOUN
commonwealth-190	120	36	,	,	PUNCT
commonwealth-190	120	37	and	and	CCONJ
commonwealth-190	120	38	emergency	emergency	NOUN
commonwealth-190	120	39	medicine	medicine	NOUN
commonwealth-190	120	40	)	)	PUNCT
commonwealth-190	120	41	,	,	PUNCT
commonwealth-190	120	42	nursing	nursing	NOUN
commonwealth-190	120	43	executives	executive	NOUN
commonwealth-190	120	44	,	,	PUNCT
commonwealth-190	120	45	hospital	hospital	NOUN
commonwealth-190	120	46	leaders	leader	NOUN
commonwealth-190	120	47	,	,	PUNCT
commonwealth-190	120	48	quality	quality	NOUN
commonwealth-190	120	49	improvement	improvement	NOUN
commonwealth-190	120	50	specialists	specialist	NOUN
commonwealth-190	120	51	,	,	PUNCT
commonwealth-190	120	52	finance	finance	NOUN
commonwealth-190	120	53	administrators	administrator	NOUN
commonwealth-190	120	54	,	,	PUNCT
commonwealth-190	120	55	and	and	CCONJ
commonwealth-190	120	56	executives	executive	NOUN
commonwealth-190	120	57	from	from	ADP
commonwealth-190	120	58	the	the	DET
commonwealth-190	120	59	health	health	NOUN
commonwealth-190	120	60	insurance	insurance	NOUN
commonwealth-190	120	61	plan	plan	NOUN
commonwealth-190	120	62	.	.	PUNCT
commonwealth-190	121	1	the	the	DET
commonwealth-190	121	2	committee	committee	NOUN
commonwealth-190	121	3	quickly	quickly	ADV
commonwealth-190	121	4	achieved	achieve	VERB
commonwealth-190	121	5	consensus	consensus	NOUN
commonwealth-190	121	6	that	that	SCONJ
commonwealth-190	121	7	we	we	PRON
commonwealth-190	121	8	must	must	AUX
commonwealth-190	121	9	target	target	VERB
commonwealth-190	121	10	the	the	DET
commonwealth-190	121	11	intersection	intersection	NOUN
commonwealth-190	121	12	between	between	ADP
commonwealth-190	121	13	good	good	ADJ
commonwealth-190	121	14	pain	pain	NOUN
commonwealth-190	121	15	care	care	NOUN
commonwealth-190	121	16	and	and	CCONJ
commonwealth-190	121	17	opioid	opioid	NOUN
commonwealth-190	121	18	prescribing	prescribe	VERB
commonwealth-190	121	19	through	through	ADP
commonwealth-190	121	20	improving	improve	VERB
commonwealth-190	121	21	pain	pain	NOUN
commonwealth-190	121	22	care	care	NOUN
commonwealth-190	121	23	overall	overall	ADV
commonwealth-190	121	24	,	,	PUNCT
commonwealth-190	121	25	and	and	CCONJ
commonwealth-190	121	26	opioid	opioid	NOUN
commonwealth-190	121	27	care	care	NOUN
commonwealth-190	121	28	specifically	specifically	ADV
commonwealth-190	121	29	.	.	PUNCT
commonwealth-190	122	1	we	we	PRON
commonwealth-190	122	2	also	also	ADV
commonwealth-190	122	3	agreed	agree	VERB
commonwealth-190	122	4	to	to	PART
commonwealth-190	122	5	focus	focus	VERB
commonwealth-190	122	6	on	on	ADP
commonwealth-190	122	7	process	process	NOUN
commonwealth-190	122	8	improvements	improvement	NOUN
commonwealth-190	122	9	,	,	PUNCT
commonwealth-190	122	10	since	since	ADV
commonwealth-190	122	11	,	,	PUNCT
commonwealth-190	122	12	like	like	ADP
commonwealth-190	122	13	many	many	ADJ
commonwealth-190	122	14	health	health	NOUN
commonwealth-190	122	15	care	care	NOUN
commonwealth-190	122	16	systems	system	NOUN
commonwealth-190	122	17	across	across	ADP
commonwealth-190	122	18	the	the	DET
commonwealth-190	122	19	country	country	NOUN
commonwealth-190	122	20	,	,	PUNCT
commonwealth-190	122	21	highquality	highquality	NOUN
commonwealth-190	122	22	outcomes	outcome	NOUN
commonwealth-190	122	23	data	datum	NOUN
commonwealth-190	122	24	are	be	AUX
commonwealth-190	122	25	still	still	ADV
commonwealth-190	122	26	not	not	PART
commonwealth-190	122	27	widely	widely	ADV
commonwealth-190	122	28	available	available	ADJ
commonwealth-190	122	29	or	or	CCONJ
commonwealth-190	122	30	able	able	ADJ
commonwealth-190	122	31	to	to	PART
commonwealth-190	122	32	be	be	AUX
commonwealth-190	122	33	tracked	track	VERB
commonwealth-190	122	34	sufficiently	sufficiently	ADV
commonwealth-190	122	35	when	when	SCONJ
commonwealth-190	122	36	changes	change	NOUN
commonwealth-190	122	37	to	to	PART
commonwealth-190	122	38	care	care	NOUN
commonwealth-190	122	39	are	be	AUX
commonwealth-190	122	40	made	make	VERB
commonwealth-190	122	41	.	.	PUNCT
commonwealth-190	123	1	the	the	DET
commonwealth-190	123	2	field	field	NOUN
commonwealth-190	123	3	of	of	ADP
commonwealth-190	123	4	medical	medical	ADJ
commonwealth-190	123	5	informatics	informatic	NOUN
commonwealth-190	123	6	is	be	AUX
commonwealth-190	123	7	still	still	ADV
commonwealth-190	123	8	evolving	evolve	VERB
commonwealth-190	123	9	toward	toward	ADP
commonwealth-190	123	10	this	this	DET
commonwealth-190	123	11	goal	goal	NOUN
commonwealth-190	123	12	to	to	PART
commonwealth-190	123	13	enable	enable	VERB
commonwealth-190	123	14	better	well	ADJ
commonwealth-190	123	15	assessment	assessment	NOUN
commonwealth-190	123	16	and	and	CCONJ
commonwealth-190	123	17	delivery	delivery	NOUN
commonwealth-190	123	18	of	of	ADP
commonwealth-190	123	19	valuebased	valuebase	VERB
commonwealth-190	123	20	health	health	NOUN
commonwealth-190	123	21	care	care	NOUN
commonwealth-190	123	22	.	.	PUNCT
commonwealth-190	124	1	we	we	PRON
commonwealth-190	124	2	conducted	conduct	VERB
commonwealth-190	124	3	a	a	DET
commonwealth-190	124	4	needs	need	NOUN
commonwealth-190	124	5	assessment	assessment	NOUN
commonwealth-190	124	6	in	in	ADP
commonwealth-190	124	7	multiple	multiple	ADJ
commonwealth-190	124	8	medical	medical	ADJ
commonwealth-190	124	9	specialties	specialty	NOUN
commonwealth-190	124	10	regarding	regard	VERB
commonwealth-190	124	11	pain	pain	NOUN
commonwealth-190	124	12	care	care	NOUN
commonwealth-190	124	13	.	.	PUNCT
commonwealth-190	125	1	with	with	ADP
commonwealth-190	125	2	the	the	DET
commonwealth-190	125	3	resources	resource	NOUN
commonwealth-190	125	4	allotted	allot	VERB
commonwealth-190	125	5	to	to	ADP
commonwealth-190	125	6	our	our	PRON
commonwealth-190	125	7	committee	committee	NOUN
commonwealth-190	125	8	by	by	ADP
commonwealth-190	125	9	upmc	upmc	PROPN
commonwealth-190	125	10	,	,	PUNCT
commonwealth-190	125	11	we	we	PRON
commonwealth-190	125	12	improved	improve	VERB
commonwealth-190	125	13	opioid	opioid	ADJ
commonwealth-190	125	14	care	care	NOUN
commonwealth-190	125	15	delivery	delivery	NOUN
commonwealth-190	125	16	in	in	ADP
commonwealth-190	125	17	the	the	DET
commonwealth-190	125	18	following	follow	VERB
commonwealth-190	125	19	nine	nine	NUM
commonwealth-190	125	20	ways	way	NOUN
commonwealth-190	125	21	,	,	PUNCT
commonwealth-190	125	22	as	as	SCONJ
commonwealth-190	125	23	summarized	summarize	VERB
commonwealth-190	125	24	in	in	ADP
commonwealth-190	125	25	table	table	NOUN
commonwealth-190	125	26	1	1	NUM
commonwealth-190	125	27	.	.	PUNCT
commonwealth-190	126	1	below	below	ADV
commonwealth-190	126	2	is	be	AUX
commonwealth-190	126	3	more	more	ADJ
commonwealth-190	126	4	detail	detail	NOUN
commonwealth-190	126	5	on	on	ADP
commonwealth-190	126	6	some	some	PRON
commonwealth-190	126	7	of	of	ADP
commonwealth-190	126	8	these	these	DET
commonwealth-190	126	9	improvements	improvement	NOUN
commonwealth-190	126	10	.	.	PUNCT
commonwealth-190	127	1	1	1	X
commonwealth-190	127	2	.	.	X
commonwealth-190	127	3	widely	widely	ADV
commonwealth-190	127	4	disseminating	disseminate	VERB
commonwealth-190	127	5	the	the	DET
commonwealth-190	127	6	pennsylvania	pennsylvania	NOUN
commonwealth-190	127	7	and	and	CCONJ
commonwealth-190	127	8	2016	2016	NUM
commonwealth-190	127	9	cdc	cdc	PROPN
commonwealth-190	127	10	guidelines	guideline	NOUN
commonwealth-190	127	11	.	.	PUNCT
commonwealth-190	128	1	2	2	X
commonwealth-190	128	2	.	.	X
commonwealth-190	128	3	mandating	mandate	VERB
commonwealth-190	128	4	online	online	ADJ
commonwealth-190	128	5	continuing	continue	VERB
commonwealth-190	128	6	education	education	NOUN
commonwealth-190	128	7	in	in	ADP
commonwealth-190	128	8	pain	pain	NOUN
commonwealth-190	128	9	and	and	CCONJ
commonwealth-190	128	10	opioid	opioid	ADJ
commonwealth-190	128	11	care	care	NOUN
commonwealth-190	128	12	for	for	ADP
commonwealth-190	128	13	500	500	NUM
commonwealth-190	128	14	primary	primary	ADJ
commonwealth-190	128	15	care	care	NOUN
commonwealth-190	128	16	and	and	CCONJ
commonwealth-190	128	17	specialty	specialty	NOUN
commonwealth-190	128	18	physicians	physician	NOUN
commonwealth-190	128	19	along	along	ADP
commonwealth-190	128	20	with	with	ADP
commonwealth-190	128	21	2,000	2,000	NUM
commonwealth-190	128	22	nurse	nurse	NOUN
commonwealth-190	128	23	practitioners	practitioner	NOUN
commonwealth-190	128	24	and	and	CCONJ
commonwealth-190	128	25	physician	physician	NOUN
commonwealth-190	128	26	assistants	assistant	NOUN
commonwealth-190	128	27	.	.	PUNCT
commonwealth-190	129	1	physician	physician	NOUN
commonwealth-190	129	2	responses	response	NOUN
commonwealth-190	129	3	to	to	ADP
commonwealth-190	129	4	the	the	DET
commonwealth-190	129	5	opioid	opioid	ADJ
commonwealth-190	129	6	epidemic	epidemic	NOUN
commonwealth-190	129	7	131	131	NUM
commonwealth-190	129	8	3	3	NUM
commonwealth-190	129	9	.	.	PUNCT
commonwealth-190	129	10	identifying	identify	VERB
commonwealth-190	129	11	those	those	DET
commonwealth-190	129	12	providers	provider	NOUN
commonwealth-190	129	13	who	who	PRON
commonwealth-190	129	14	prescribed	prescribe	VERB
commonwealth-190	129	15	highdose	highdose	ADJ
commonwealth-190	129	16	opioids	opioid	NOUN
commonwealth-190	129	17	for	for	ADP
commonwealth-190	129	18	chronic	chronic	ADJ
commonwealth-190	129	19	pain	pain	NOUN
commonwealth-190	129	20	to	to	ADP
commonwealth-190	129	21	many	many	ADJ
commonwealth-190	129	22	patients	patient	NOUN
commonwealth-190	129	23	using	use	VERB
commonwealth-190	129	24	upmc	upmc	PROPN
commonwealth-190	129	25	health	health	NOUN
commonwealth-190	129	26	plan	plan	NOUN
commonwealth-190	129	27	data	datum	NOUN
commonwealth-190	129	28	(	(	PUNCT
commonwealth-190	129	29	>	>	SYM
commonwealth-190	129	30	90	90	NUM
commonwealth-190	129	31	mg	mg	NOUN
commonwealth-190	129	32	of	of	ADP
commonwealth-190	129	33	morphine	morphine	NOUN
commonwealth-190	129	34	equivalents	equivalent	NOUN
commonwealth-190	129	35	for	for	ADP
commonwealth-190	129	36	>	>	PROPN
commonwealth-190	129	37	90	90	NUM
commonwealth-190	129	38	consecutive	consecutive	ADJ
commonwealth-190	129	39	days	day	NOUN
commonwealth-190	129	40	)	)	PUNCT
commonwealth-190	129	41	,	,	PUNCT
commonwealth-190	129	42	and	and	CCONJ
commonwealth-190	129	43	then	then	ADV
commonwealth-190	129	44	conducting	conduct	VERB
commonwealth-190	129	45	an	an	DET
commonwealth-190	129	46	intervention	intervention	NOUN
commonwealth-190	129	47	in	in	ADP
commonwealth-190	129	48	a	a	DET
commonwealth-190	129	49	select	select	ADJ
commonwealth-190	129	50	group	group	NOUN
commonwealth-190	129	51	of	of	ADP
commonwealth-190	129	52	primary	primary	ADJ
commonwealth-190	129	53	care	care	NOUN
commonwealth-190	129	54	physicians	physician	NOUN
commonwealth-190	129	55	.	.	PUNCT
commonwealth-190	130	1	this	this	DET
commonwealth-190	130	2	intervention	intervention	NOUN
commonwealth-190	130	3	(	(	PUNCT
commonwealth-190	130	4	the	the	DET
commonwealth-190	130	5	9090	9090	NUM
commonwealth-190	130	6	program	program	NOUN
commonwealth-190	130	7	)	)	PUNCT
commonwealth-190	130	8	individually	individually	ADV
commonwealth-190	130	9	mentored	mentor	VERB
commonwealth-190	130	10	physicians	physician	NOUN
commonwealth-190	130	11	on	on	ADP
commonwealth-190	130	12	individual	individual	ADJ
commonwealth-190	130	13	patient	patient	ADJ
commonwealth-190	130	14	cases	case	NOUN
commonwealth-190	130	15	of	of	ADP
commonwealth-190	130	16	their	their	PRON
commonwealth-190	130	17	own	own	ADJ
commonwealth-190	130	18	to	to	PART
commonwealth-190	130	19	improve	improve	VERB
commonwealth-190	130	20	opioid	opioid	ADJ
commonwealth-190	130	21	care	care	NOUN
commonwealth-190	130	22	by	by	ADP
commonwealth-190	130	23	slowly	slowly	ADV
commonwealth-190	130	24	reducing	reduce	VERB
commonwealth-190	130	25	the	the	DET
commonwealth-190	130	26	dose	dose	NOUN
commonwealth-190	130	27	,	,	PUNCT
commonwealth-190	130	28	adding	add	VERB
commonwealth-190	130	29	nonopioid	nonopioid	NOUN
commonwealth-190	130	30	medications	medication	NOUN
commonwealth-190	130	31	and	and	CCONJ
commonwealth-190	130	32	physical	physical	ADJ
commonwealth-190	130	33	therapy	therapy	NOUN
commonwealth-190	130	34	,	,	PUNCT
commonwealth-190	130	35	and	and	CCONJ
commonwealth-190	130	36	more	more	ADV
commonwealth-190	130	37	tightly	tightly	ADV
commonwealth-190	130	38	doing	do	VERB
commonwealth-190	130	39	adherence	adherence	NOUN
commonwealth-190	130	40	monitoring	monitoring	NOUN
commonwealth-190	130	41	.	.	PUNCT
commonwealth-190	131	1	this	this	DET
commonwealth-190	131	2	process	process	NOUN
commonwealth-190	131	3	is	be	AUX
commonwealth-190	131	4	known	know	VERB
commonwealth-190	131	5	as	as	ADP
commonwealth-190	131	6	academic	academic	ADJ
commonwealth-190	131	7	detailing	detailing	NOUN
commonwealth-190	131	8	,	,	PUNCT
commonwealth-190	131	9	with	with	ADP
commonwealth-190	131	10	studies	study	NOUN
commonwealth-190	131	11	supporting	support	VERB
commonwealth-190	131	12	its	its	PRON
commonwealth-190	131	13	effectiveness	effectiveness	NOUN
commonwealth-190	131	14	in	in	ADP
commonwealth-190	131	15	pain	pain	NOUN
commonwealth-190	131	16	care	care	NOUN
commonwealth-190	131	17	specifically	specifically	ADV
commonwealth-190	131	18	(	(	PUNCT
commonwealth-190	131	19	liebschutz	liebschutz	VERB
commonwealth-190	131	20	et	et	PROPN
commonwealth-190	131	21	al	al	PROPN
commonwealth-190	131	22	.	.	PROPN
commonwealth-190	131	23	2017	2017	NUM
commonwealth-190	131	24	)	)	PUNCT
commonwealth-190	131	25	.	.	PUNCT
commonwealth-190	132	1	compared	compare	VERB
commonwealth-190	132	2	to	to	ADP
commonwealth-190	132	3	a	a	DET
commonwealth-190	132	4	control	control	NOUN
commonwealth-190	132	5	group	group	NOUN
commonwealth-190	132	6	of	of	ADP
commonwealth-190	132	7	9090	9090	NUM
commonwealth-190	132	8	physicians	physician	NOUN
commonwealth-190	132	9	who	who	PRON
commonwealth-190	132	10	received	receive	VERB
commonwealth-190	132	11	the	the	DET
commonwealth-190	132	12	guidelines	guideline	NOUN
commonwealth-190	132	13	but	but	CCONJ
commonwealth-190	132	14	no	no	DET
commonwealth-190	132	15	individual	individual	ADJ
commonwealth-190	132	16	mentorship	mentorship	NOUN
commonwealth-190	132	17	,	,	PUNCT
commonwealth-190	132	18	prescribed	prescribe	VERB
commonwealth-190	132	19	opioid	opioid	ADJ
commonwealth-190	132	20	doses	dose	NOUN
commonwealth-190	132	21	were	be	AUX
commonwealth-190	132	22	reduced	reduce	VERB
commonwealth-190	132	23	by	by	ADP
commonwealth-190	132	24	an	an	DET
commonwealth-190	132	25	average	average	NOUN
commonwealth-190	132	26	of	of	ADP
commonwealth-190	132	27	30	30	NUM
commonwealth-190	132	28	%	%	NOUN
commonwealth-190	132	29	over	over	ADP
commonwealth-190	132	30	a	a	DET
commonwealth-190	132	31	oneyear	oneyear	ADJ
commonwealth-190	132	32	period	period	NOUN
commonwealth-190	132	33	in	in	ADP
commonwealth-190	132	34	the	the	DET
commonwealth-190	132	35	intervention	intervention	NOUN
commonwealth-190	132	36	group	group	NOUN
commonwealth-190	132	37	.	.	PUNCT
commonwealth-190	133	1	4	4	X
commonwealth-190	133	2	.	.	X
commonwealth-190	133	3	providing	provide	VERB
commonwealth-190	133	4	a	a	DET
commonwealth-190	133	5	range	range	NOUN
commonwealth-190	133	6	of	of	ADP
commonwealth-190	133	7	clinical	clinical	ADJ
commonwealth-190	133	8	tools	tool	NOUN
commonwealth-190	133	9	in	in	ADP
commonwealth-190	133	10	the	the	DET
commonwealth-190	133	11	outpatient	outpatient	NOUN
commonwealth-190	133	12	and	and	CCONJ
commonwealth-190	133	13	inpatient	inpatient	NOUN
commonwealth-190	133	14	electronic	electronic	ADJ
commonwealth-190	133	15	medical	medical	ADJ
commonwealth-190	133	16	records	record	NOUN
commonwealth-190	133	17	to	to	PART
commonwealth-190	133	18	improve	improve	VERB
commonwealth-190	133	19	pain	pain	NOUN
commonwealth-190	133	20	and	and	CCONJ
commonwealth-190	133	21	opioid	opioid	ADJ
commonwealth-190	133	22	care	care	NOUN
commonwealth-190	133	23	,	,	PUNCT
commonwealth-190	133	24	such	such	ADJ
commonwealth-190	133	25	as	as	ADP
commonwealth-190	133	26	posting	post	VERB
commonwealth-190	133	27	of	of	ADP
commonwealth-190	133	28	opioid	opioid	ADJ
commonwealth-190	133	29	guidelines	guideline	NOUN
commonwealth-190	133	30	,	,	PUNCT
commonwealth-190	133	31	dose	dose	NOUN
commonwealth-190	133	32	conversion	conversion	NOUN
commonwealth-190	133	33	tables	table	NOUN
commonwealth-190	133	34	,	,	PUNCT
commonwealth-190	133	35	a	a	DET
commonwealth-190	133	36	resource	resource	NOUN
commonwealth-190	133	37	list	list	NOUN
commonwealth-190	133	38	facilitating	facilitate	VERB
commonwealth-190	133	39	referral	referral	NOUN
commonwealth-190	133	40	to	to	ADP
commonwealth-190	133	41	pain	pain	NOUN
commonwealth-190	133	42	or	or	CCONJ
commonwealth-190	133	43	addiction	addiction	NOUN
commonwealth-190	133	44	medicine	medicine	NOUN
commonwealth-190	133	45	specialists	specialist	NOUN
commonwealth-190	133	46	,	,	PUNCT
commonwealth-190	133	47	prescribing	prescribing	NOUN
commonwealth-190	133	48	intranasal	intranasal	NOUN
commonwealth-190	133	49	naloxone	naloxone	NOUN
commonwealth-190	133	50	to	to	ADP
commonwealth-190	133	51	patients	patient	NOUN
commonwealth-190	133	52	who	who	PRON
commonwealth-190	133	53	have	have	AUX
commonwealth-190	133	54	overdosed	overdose	VERB
commonwealth-190	133	55	or	or	CCONJ
commonwealth-190	133	56	who	who	PRON
commonwealth-190	133	57	are	be	AUX
commonwealth-190	133	58	prescribed	prescribe	VERB
commonwealth-190	133	59	opioids	opioid	NOUN
commonwealth-190	133	60	and	and	CCONJ
commonwealth-190	133	61	are	be	AUX
commonwealth-190	133	62	at	at	ADP
commonwealth-190	133	63	a	a	DET
commonwealth-190	133	64	higher	high	ADJ
commonwealth-190	133	65	risk	risk	NOUN
commonwealth-190	133	66	of	of	ADP
commonwealth-190	133	67	overdose	overdose	NOUN
commonwealth-190	133	68	,	,	PUNCT
commonwealth-190	133	69	and	and	CCONJ
commonwealth-190	133	70	an	an	DET
commonwealth-190	133	71	individual	individual	ADJ
commonwealth-190	133	72	physician	physician	NOUN
commonwealth-190	133	73	“	"	PUNCT
commonwealth-190	133	74	opioid	opioid	ADJ
commonwealth-190	133	75	dashboard	dashboard	NOUN
commonwealth-190	133	76	”	"	PUNCT
commonwealth-190	133	77	enabling	enable	VERB
commonwealth-190	133	78	each	each	DET
commonwealth-190	133	79	physician	physician	NOUN
commonwealth-190	133	80	to	to	PART
commonwealth-190	133	81	track	track	VERB
commonwealth-190	133	82	across	across	ADP
commonwealth-190	133	83	their	their	PRON
commonwealth-190	133	84	patient	patient	ADJ
commonwealth-190	133	85	panel	panel	NOUN
commonwealth-190	133	86	as	as	ADP
commonwealth-190	133	87	a	a	DET
commonwealth-190	133	88	whole	whole	NOUN
commonwealth-190	133	89	,	,	PUNCT
commonwealth-190	133	90	and	and	CCONJ
commonwealth-190	133	91	for	for	ADP
commonwealth-190	133	92	patients	patient	NOUN
commonwealth-190	133	93	,	,	PUNCT
commonwealth-190	133	94	individual	individual	ADJ
commonwealth-190	133	95	opioid	opioid	NOUN
commonwealth-190	133	96	care	care	NOUN
commonwealth-190	133	97	metrics	metric	NOUN
commonwealth-190	133	98	(	(	PUNCT
commonwealth-190	133	99	such	such	ADJ
commonwealth-190	133	100	as	as	ADP
commonwealth-190	133	101	opioid	opioid	ADJ
commonwealth-190	133	102	doses	dose	NOUN
commonwealth-190	133	103	,	,	PUNCT
commonwealth-190	133	104	opioid	opioid	ADJ
commonwealth-190	133	105	use	use	VERB
commonwealth-190	133	106	agreements	agreement	NOUN
commonwealth-190	133	107	,	,	PUNCT
commonwealth-190	133	108	udts	udts	ADJ
commonwealth-190	133	109	,	,	PUNCT
commonwealth-190	133	110	and	and	CCONJ
commonwealth-190	133	111	compliance	compliance	NOUN
commonwealth-190	133	112	checklists	checklist	NOUN
commonwealth-190	133	113	)	)	PUNCT
commonwealth-190	133	114	.	.	PUNCT
commonwealth-190	134	1	5	5	X
commonwealth-190	134	2	.	.	X
commonwealth-190	134	3	promoting	promote	VERB
commonwealth-190	134	4	continuing	continue	VERB
commonwealth-190	134	5	medical	medical	ADJ
commonwealth-190	134	6	education	education	NOUN
commonwealth-190	134	7	opportunities	opportunity	NOUN
commonwealth-190	134	8	to	to	PART
commonwealth-190	134	9	satisfy	satisfy	VERB
commonwealth-190	134	10	maintenance	maintenance	NOUN
commonwealth-190	134	11	of	of	ADP
commonwealth-190	134	12	certification	certification	NOUN
commonwealth-190	134	13	requirements	requirement	NOUN
commonwealth-190	134	14	for	for	ADP
commonwealth-190	134	15	internists	internist	NOUN
commonwealth-190	134	16	through	through	ADP
commonwealth-190	134	17	a	a	DET
commonwealth-190	134	18	monthlong	monthlong	ADJ
commonwealth-190	134	19	project	project	NOUN
commonwealth-190	134	20	to	to	PART
commonwealth-190	134	21	track	track	VERB
commonwealth-190	134	22	opioid	opioid	ADJ
commonwealth-190	134	23	doses	dose	NOUN
commonwealth-190	134	24	and	and	CCONJ
commonwealth-190	134	25	use	use	NOUN
commonwealth-190	134	26	of	of	ADP
commonwealth-190	134	27	opioid	opioid	ADJ
commonwealth-190	134	28	table	table	NOUN
commonwealth-190	134	29	1	1	NUM
commonwealth-190	134	30	.	.	X
commonwealth-190	134	31	nine	nine	NUM
commonwealth-190	134	32	improvements	improvement	NOUN
commonwealth-190	134	33	to	to	PART
commonwealth-190	134	34	opioid	opioid	VERB
commonwealth-190	134	35	care	care	NOUN
commonwealth-190	134	36	delivery	delivery	NOUN
commonwealth-190	134	37	from	from	ADP
commonwealth-190	134	38	upmc	upmc	PROPN
commonwealth-190	134	39	1	1	NUM
commonwealth-190	134	40	.	.	PUNCT
commonwealth-190	134	41	disseminate	disseminate	VERB
commonwealth-190	134	42	pennsylvania	pennsylvania	PROPN
commonwealth-190	134	43	and	and	CCONJ
commonwealth-190	134	44	2016	2016	NUM
commonwealth-190	134	45	cdc	cdc	PROPN
commonwealth-190	134	46	guidelines	guideline	VERB
commonwealth-190	134	47	widely	widely	ADV
commonwealth-190	134	48	2	2	NUM
commonwealth-190	134	49	.	.	X
commonwealth-190	134	50	mandate	mandate	VERB
commonwealth-190	134	51	online	online	ADJ
commonwealth-190	134	52	continuing	continue	VERB
commonwealth-190	134	53	education	education	NOUN
commonwealth-190	134	54	for	for	ADP
commonwealth-190	134	55	health	health	NOUN
commonwealth-190	134	56	care	care	NOUN
commonwealth-190	134	57	professionals	professional	NOUN
commonwealth-190	134	58	3	3	NUM
commonwealth-190	134	59	.	.	NOUN
commonwealth-190	134	60	conduct	conduct	NOUN
commonwealth-190	134	61	intervention	intervention	NOUN
commonwealth-190	134	62	(	(	PUNCT
commonwealth-190	134	63	90	90	NUM
commonwealth-190	134	64	-	-	SYM
commonwealth-190	134	65	90	90	NUM
commonwealth-190	134	66	program	program	NOUN
commonwealth-190	134	67	)	)	PUNCT
commonwealth-190	134	68	in	in	ADP
commonwealth-190	134	69	select	select	ADJ
commonwealth-190	134	70	group	group	NOUN
commonwealth-190	134	71	of	of	ADP
commonwealth-190	134	72	physicians	physician	NOUN
commonwealth-190	134	73	4	4	NUM
commonwealth-190	134	74	.	.	PUNCT
commonwealth-190	135	1	provide	provide	VERB
commonwealth-190	135	2	clinical	clinical	ADJ
commonwealth-190	135	3	tools	tool	NOUN
commonwealth-190	135	4	in	in	ADP
commonwealth-190	135	5	electronic	electronic	ADJ
commonwealth-190	135	6	medical	medical	ADJ
commonwealth-190	135	7	records	record	NOUN
commonwealth-190	135	8	5	5	NUM
commonwealth-190	135	9	.	.	PUNCT
commonwealth-190	136	1	promote	promote	VERB
commonwealth-190	136	2	continuing	continue	VERB
commonwealth-190	136	3	medical	medical	ADJ
commonwealth-190	136	4	education	education	NOUN
commonwealth-190	136	5	opportunities	opportunity	NOUN
commonwealth-190	136	6	6	6	NUM
commonwealth-190	136	7	.	.	PUNCT
commonwealth-190	136	8	create	create	VERB
commonwealth-190	136	9	pathway	pathway	NOUN
commonwealth-190	136	10	in	in	ADP
commonwealth-190	136	11	emergency	emergency	NOUN
commonwealth-190	136	12	departments	department	NOUN
commonwealth-190	136	13	for	for	ADP
commonwealth-190	136	14	mat	mat	NOUN
commonwealth-190	136	15	/	/	SYM
commonwealth-190	136	16	suboxone	suboxone	NOUN
commonwealth-190	136	17	7	7	NUM
commonwealth-190	136	18	.	.	PUNCT
commonwealth-190	136	19	embed	embed	VERB
commonwealth-190	136	20	social	social	ADJ
commonwealth-190	136	21	workers	worker	NOUN
commonwealth-190	136	22	in	in	ADP
commonwealth-190	136	23	clinics	clinic	NOUN
commonwealth-190	136	24	to	to	PART
commonwealth-190	136	25	comanage	comanage	VERB
commonwealth-190	136	26	suboxone	suboxone	NOUN
commonwealth-190	136	27	prescribing	prescribing	NOUN
commonwealth-190	136	28	with	with	ADP
commonwealth-190	136	29	mds	mds	PROPN
commonwealth-190	136	30	8	8	NUM
commonwealth-190	136	31	.	.	PUNCT
commonwealth-190	137	1	collaborate	collaborate	VERB
commonwealth-190	137	2	and	and	CCONJ
commonwealth-190	137	3	coordinate	coordinate	VERB
commonwealth-190	137	4	care	care	NOUN
commonwealth-190	137	5	via	via	ADP
commonwealth-190	137	6	university	university	PROPN
commonwealth-190	137	7	of	of	ADP
commonwealth-190	137	8	pittsburgh	pittsburgh	PROPN
commonwealth-190	137	9	opioid	opioid	PROPN
commonwealth-190	137	10	task	task	PROPN
commonwealth-190	137	11	force	force	NOUN
commonwealth-190	137	12	9	9	NUM
commonwealth-190	137	13	.	.	PUNCT
commonwealth-190	138	1	expand	expand	VERB
commonwealth-190	138	2	multidisciplinary	multidisciplinary	ADJ
commonwealth-190	138	3	pain	pain	NOUN
commonwealth-190	138	4	treatment	treatment	NOUN
commonwealth-190	138	5	resources	resource	NOUN
commonwealth-190	138	6	in	in	ADP
commonwealth-190	138	7	pain	pain	NOUN
commonwealth-190	138	8	clinics	clinic	NOUN
commonwealth-190	138	9	132	132	NUM
commonwealth-190	138	10	ajay	ajay	PROPN
commonwealth-190	138	11	d.	d.	PROPN
commonwealth-190	138	12	wasan	wasan	PROPN
commonwealth-190	138	13	agreements	agreement	NOUN
commonwealth-190	138	14	in	in	ADP
commonwealth-190	138	15	their	their	PRON
commonwealth-190	138	16	patients	patient	NOUN
commonwealth-190	138	17	with	with	ADP
commonwealth-190	138	18	chronic	chronic	ADJ
commonwealth-190	138	19	pain	pain	NOUN
commonwealth-190	138	20	.	.	PUNCT
commonwealth-190	139	1	this	this	PRON
commonwealth-190	139	2	was	be	AUX
commonwealth-190	139	3	completed	complete	VERB
commonwealth-190	139	4	by	by	ADP
commonwealth-190	139	5	300	300	NUM
commonwealth-190	139	6	primary	primary	ADJ
commonwealth-190	139	7	care	care	NOUN
commonwealth-190	139	8	physicians	physician	NOUN
commonwealth-190	139	9	.	.	PUNCT
commonwealth-190	140	1	6	6	X
commonwealth-190	140	2	.	.	X
commonwealth-190	140	3	creating	create	VERB
commonwealth-190	140	4	a	a	DET
commonwealth-190	140	5	pathway	pathway	NOUN
commonwealth-190	140	6	in	in	ADP
commonwealth-190	140	7	the	the	DET
commonwealth-190	140	8	emergency	emergency	NOUN
commonwealth-190	140	9	departments	department	NOUN
commonwealth-190	140	10	for	for	ADP
commonwealth-190	140	11	assessing	assess	VERB
commonwealth-190	140	12	the	the	DET
commonwealth-190	140	13	need	need	NOUN
commonwealth-190	140	14	for	for	ADP
commonwealth-190	140	15	medicationassisted	medicationassiste	VERB
commonwealth-190	140	16	therapy	therapy	NOUN
commonwealth-190	140	17	and	and	CCONJ
commonwealth-190	140	18	enabling	enable	VERB
commonwealth-190	140	19	suboxone	suboxone	NOUN
commonwealth-190	140	20	prescribing	prescribing	NOUN
commonwealth-190	140	21	.	.	PUNCT
commonwealth-190	141	1	7	7	X
commonwealth-190	141	2	.	.	X
commonwealth-190	141	3	embedding	embed	VERB
commonwealth-190	141	4	social	social	ADJ
commonwealth-190	141	5	workers	worker	NOUN
commonwealth-190	141	6	with	with	ADP
commonwealth-190	141	7	addiction	addiction	NOUN
commonwealth-190	141	8	medicine	medicine	NOUN
commonwealth-190	141	9	training	training	NOUN
commonwealth-190	141	10	in	in	ADP
commonwealth-190	141	11	primary	primary	ADJ
commonwealth-190	141	12	care	care	NOUN
commonwealth-190	141	13	and	and	CCONJ
commonwealth-190	141	14	pain	pain	NOUN
commonwealth-190	141	15	specialty	specialty	NOUN
commonwealth-190	141	16	clinics	clinic	NOUN
commonwealth-190	141	17	,	,	PUNCT
commonwealth-190	141	18	along	along	ADP
commonwealth-190	141	19	with	with	ADP
commonwealth-190	141	20	training	training	NOUN
commonwealth-190	141	21	physicians	physician	NOUN
commonwealth-190	141	22	,	,	PUNCT
commonwealth-190	141	23	to	to	PART
commonwealth-190	141	24	prescribe	prescribe	VERB
commonwealth-190	141	25	suboxone	suboxone	NOUN
commonwealth-190	141	26	to	to	ADP
commonwealth-190	141	27	patients	patient	NOUN
commonwealth-190	141	28	with	with	ADP
commonwealth-190	141	29	opioid	opioid	ADJ
commonwealth-190	141	30	use	use	NOUN
commonwealth-190	141	31	disorders	disorder	NOUN
commonwealth-190	141	32	,	,	PUNCT
commonwealth-190	141	33	with	with	ADP
commonwealth-190	141	34	or	or	CCONJ
commonwealth-190	141	35	without	without	ADP
commonwealth-190	141	36	pain	pain	NOUN
commonwealth-190	141	37	.	.	PUNCT
commonwealth-190	142	1	8	8	X
commonwealth-190	142	2	.	.	X
commonwealth-190	142	3	collaborating	collaborate	VERB
commonwealth-190	142	4	with	with	ADP
commonwealth-190	142	5	addiction	addiction	NOUN
commonwealth-190	142	6	medicine	medicine	NOUN
commonwealth-190	142	7	clinicians	clinician	NOUN
commonwealth-190	142	8	,	,	PUNCT
commonwealth-190	142	9	services	service	NOUN
commonwealth-190	142	10	,	,	PUNCT
commonwealth-190	142	11	and	and	CCONJ
commonwealth-190	142	12	programs	program	NOUN
commonwealth-190	142	13	,	,	PUNCT
commonwealth-190	142	14	and	and	CCONJ
commonwealth-190	142	15	local	local	ADJ
commonwealth-190	142	16	and	and	CCONJ
commonwealth-190	142	17	regional	regional	ADJ
commonwealth-190	142	18	department	department	PROPN
commonwealth-190	142	19	of	of	ADP
commonwealth-190	142	20	health	health	NOUN
commonwealth-190	142	21	officials	official	NOUN
commonwealth-190	142	22	and	and	CCONJ
commonwealth-190	142	23	law	law	NOUN
commonwealth-190	142	24	enforcement	enforcement	NOUN
commonwealth-190	142	25	throughout	throughout	ADP
commonwealth-190	142	26	the	the	DET
commonwealth-190	142	27	western	western	ADJ
commonwealth-190	142	28	pennsylvania	pennsylvania	PROPN
commonwealth-190	142	29	region	region	NOUN
commonwealth-190	142	30	via	via	ADP
commonwealth-190	142	31	the	the	DET
commonwealth-190	142	32	university	university	PROPN
commonwealth-190	142	33	of	of	ADP
commonwealth-190	142	34	pittsburgh	pittsburgh	PROPN
commonwealth-190	142	35	opioid	opioid	PROPN
commonwealth-190	142	36	task	task	PROPN
commonwealth-190	142	37	force	force	NOUN
commonwealth-190	142	38	to	to	PART
commonwealth-190	142	39	better	well	ADV
commonwealth-190	142	40	coordinate	coordinate	VERB
commonwealth-190	142	41	opioid	opioid	ADJ
commonwealth-190	142	42	addiction	addiction	NOUN
commonwealth-190	142	43	care	care	NOUN
commonwealth-190	142	44	.	.	PUNCT
commonwealth-190	143	1	9	9	X
commonwealth-190	143	2	.	.	X
commonwealth-190	143	3	expanding	expand	VERB
commonwealth-190	143	4	multidisciplinary	multidisciplinary	ADJ
commonwealth-190	143	5	pain	pain	NOUN
commonwealth-190	143	6	treatment	treatment	NOUN
commonwealth-190	143	7	resources	resource	NOUN
commonwealth-190	143	8	in	in	ADP
commonwealth-190	143	9	pain	pain	NOUN
commonwealth-190	143	10	specialty	specialty	NOUN
commonwealth-190	143	11	clinics	clinic	NOUN
commonwealth-190	143	12	,	,	PUNCT
commonwealth-190	143	13	such	such	ADJ
commonwealth-190	143	14	as	as	ADP
commonwealth-190	143	15	the	the	DET
commonwealth-190	143	16	addition	addition	NOUN
commonwealth-190	143	17	of	of	ADP
commonwealth-190	143	18	a	a	DET
commonwealth-190	143	19	psychologist	psychologist	NOUN
commonwealth-190	143	20	and	and	CCONJ
commonwealth-190	143	21	a	a	DET
commonwealth-190	143	22	psychiatrist	psychiatrist	NOUN
commonwealth-190	143	23	,	,	PUNCT
commonwealth-190	143	24	and	and	CCONJ
commonwealth-190	143	25	improved	improve	VERB
commonwealth-190	143	26	physical	physical	ADJ
commonwealth-190	143	27	and	and	CCONJ
commonwealth-190	143	28	occupational	occupational	ADJ
commonwealth-190	143	29	therapy	therapy	NOUN
commonwealth-190	143	30	services	service	NOUN
commonwealth-190	143	31	,	,	PUNCT
commonwealth-190	143	32	with	with	ADP
commonwealth-190	143	33	providers	provider	NOUN
commonwealth-190	143	34	trained	train	VERB
commonwealth-190	143	35	specifically	specifically	ADV
commonwealth-190	143	36	in	in	ADP
commonwealth-190	143	37	chronic	chronic	ADJ
commonwealth-190	143	38	pain	pain	NOUN
commonwealth-190	143	39	rehabilitation	rehabilitation	NOUN
commonwealth-190	143	40	.	.	PUNCT
commonwealth-190	144	1	conclusion	conclusion	NOUN
commonwealth-190	144	2	across	across	ADP
commonwealth-190	144	3	the	the	DET
commonwealth-190	144	4	united	united	PROPN
commonwealth-190	144	5	states	states	PROPN
commonwealth-190	144	6	,	,	PUNCT
commonwealth-190	144	7	the	the	DET
commonwealth-190	144	8	physician	physician	NOUN
commonwealth-190	144	9	focus	focus	NOUN
commonwealth-190	144	10	on	on	ADP
commonwealth-190	144	11	improved	improved	ADJ
commonwealth-190	144	12	opioid	opioid	ADJ
commonwealth-190	144	13	prescribing	prescribe	VERB
commonwealth-190	144	14	for	for	ADP
commonwealth-190	144	15	chronic	chronic	ADJ
commonwealth-190	144	16	pain	pain	NOUN
commonwealth-190	144	17	has	have	AUX
commonwealth-190	144	18	resulted	result	VERB
commonwealth-190	144	19	in	in	ADP
commonwealth-190	144	20	an	an	DET
commonwealth-190	144	21	overall	overall	ADJ
commonwealth-190	144	22	drop	drop	NOUN
commonwealth-190	144	23	of	of	ADP
commonwealth-190	144	24	12	12	NUM
commonwealth-190	144	25	%	%	NOUN
commonwealth-190	144	26	in	in	ADP
commonwealth-190	144	27	the	the	DET
commonwealth-190	144	28	rate	rate	NOUN
commonwealth-190	144	29	of	of	ADP
commonwealth-190	144	30	opioid	opioid	ADJ
commonwealth-190	144	31	prescribing	prescribing	NOUN
commonwealth-190	144	32	since	since	SCONJ
commonwealth-190	144	33	2011	2011	NUM
commonwealth-190	144	34	,	,	PUNCT
commonwealth-190	144	35	decreases	decrease	VERB
commonwealth-190	144	36	in	in	ADP
commonwealth-190	144	37	the	the	DET
commonwealth-190	144	38	average	average	ADJ
commonwealth-190	144	39	milligrams	milligram	NOUN
commonwealth-190	144	40	of	of	ADP
commonwealth-190	144	41	morphine	morphine	NOUN
commonwealth-190	144	42	equivalents	equivalent	NOUN
commonwealth-190	144	43	per	per	ADP
commonwealth-190	144	44	prescription	prescription	NOUN
commonwealth-190	144	45	,	,	PUNCT
commonwealth-190	144	46	as	as	ADV
commonwealth-190	144	47	well	well	ADV
commonwealth-190	144	48	as	as	ADP
commonwealth-190	144	49	a	a	DET
commonwealth-190	144	50	30	30	NUM
commonwealth-190	144	51	%	%	NOUN
commonwealth-190	144	52	drop	drop	NOUN
commonwealth-190	144	53	in	in	ADP
commonwealth-190	144	54	the	the	DET
commonwealth-190	144	55	rates	rate	NOUN
commonwealth-190	144	56	of	of	ADP
commonwealth-190	144	57	prescribing	prescribe	VERB
commonwealth-190	144	58	high	high	ADJ
commonwealth-190	144	59	-	-	PUNCT
commonwealth-190	144	60	d	d	NOUN
commonwealth-190	144	61	ose	ose	NOUN
commonwealth-190	144	62	opioids	opioid	NOUN
commonwealth-190	144	63	,	,	PUNCT
commonwealth-190	144	64	>	>	PUNCT
commonwealth-190	144	65	90	90	NUM
commonwealth-190	144	66	mg	mg	NOUN
commonwealth-190	144	67	per	per	ADP
commonwealth-190	144	68	day	day	NOUN
commonwealth-190	144	69	(	(	PUNCT
commonwealth-190	144	70	guy	guy	NOUN
commonwealth-190	144	71	et	et	PROPN
commonwealth-190	144	72	al	al	PROPN
commonwealth-190	144	73	.	.	PROPN
commonwealth-190	144	74	2017	2017	NUM
commonwealth-190	144	75	)	)	PUNCT
commonwealth-190	144	76	.	.	PUNCT
commonwealth-190	145	1	in	in	ADP
commonwealth-190	145	2	western	western	PROPN
commonwealth-190	145	3	pennsylvania	pennsylvania	PROPN
commonwealth-190	145	4	specifically	specifically	ADV
commonwealth-190	145	5	,	,	PUNCT
commonwealth-190	145	6	these	these	DET
commonwealth-190	145	7	metrics	metric	NOUN
commonwealth-190	145	8	have	have	AUX
commonwealth-190	145	9	dropped	drop	VERB
commonwealth-190	145	10	even	even	ADV
commonwealth-190	145	11	more	more	ADV
commonwealth-190	145	12	sharply	sharply	ADV
commonwealth-190	145	13	compared	compare	VERB
commonwealth-190	145	14	to	to	ADP
commonwealth-190	145	15	the	the	DET
commonwealth-190	145	16	rest	rest	NOUN
commonwealth-190	145	17	of	of	ADP
commonwealth-190	145	18	the	the	DET
commonwealth-190	145	19	country	country	NOUN
commonwealth-190	145	20	(	(	PUNCT
commonwealth-190	145	21	such	such	ADJ
commonwealth-190	145	22	as	as	ADP
commonwealth-190	145	23	a	a	DET
commonwealth-190	145	24	14	14	NUM
commonwealth-190	145	25	%	%	NOUN
commonwealth-190	145	26	drop	drop	NOUN
commonwealth-190	145	27	in	in	ADP
commonwealth-190	145	28	the	the	DET
commonwealth-190	145	29	rate	rate	NOUN
commonwealth-190	145	30	of	of	ADP
commonwealth-190	145	31	opioid	opioid	ADJ
commonwealth-190	145	32	prescribing	prescribing	NOUN
commonwealth-190	145	33	)	)	PUNCT
commonwealth-190	145	34	,	,	PUNCT
commonwealth-190	145	35	and	and	CCONJ
commonwealth-190	145	36	as	as	ADP
commonwealth-190	145	37	a	a	DET
commonwealth-190	145	38	result	result	NOUN
commonwealth-190	145	39	,	,	PUNCT
commonwealth-190	145	40	our	our	PRON
commonwealth-190	145	41	region	region	NOUN
commonwealth-190	145	42	is	be	AUX
commonwealth-190	145	43	no	no	ADV
commonwealth-190	145	44	longer	long	ADV
commonwealth-190	145	45	in	in	ADP
commonwealth-190	145	46	the	the	DET
commonwealth-190	145	47	upper	upper	ADJ
commonwealth-190	145	48	25	25	NUM
commonwealth-190	145	49	%	%	NOUN
commonwealth-190	145	50	of	of	ADP
commonwealth-190	145	51	opioid	opioid	ADJ
commonwealth-190	145	52	prescribing	prescribing	NOUN
commonwealth-190	145	53	rates	rate	NOUN
commonwealth-190	145	54	in	in	ADP
commonwealth-190	145	55	the	the	DET
commonwealth-190	145	56	country	country	NOUN
commonwealth-190	145	57	,	,	PUNCT
commonwealth-190	145	58	and	and	CCONJ
commonwealth-190	145	59	is	be	AUX
commonwealth-190	145	60	now	now	ADV
commonwealth-190	145	61	in	in	ADP
commonwealth-190	145	62	the	the	DET
commonwealth-190	145	63	middle	middle	ADJ
commonwealth-190	145	64	50	50	NUM
commonwealth-190	145	65	%	%	NOUN
commonwealth-190	145	66	tier	tier	NOUN
commonwealth-190	145	67	(	(	PUNCT
commonwealth-190	145	68	guy	guy	NOUN
commonwealth-190	145	69	et	et	PROPN
commonwealth-190	145	70	al	al	PROPN
commonwealth-190	145	71	.	.	PROPN
commonwealth-190	145	72	2017	2017	NUM
commonwealth-190	145	73	)	)	PUNCT
commonwealth-190	145	74	.	.	PUNCT
commonwealth-190	146	1	local	local	ADJ
commonwealth-190	146	2	and	and	CCONJ
commonwealth-190	146	3	regional	regional	ADJ
commonwealth-190	146	4	efforts	effort	NOUN
commonwealth-190	146	5	through	through	ADP
commonwealth-190	146	6	upmc	upmc	PROPN
commonwealth-190	146	7	and	and	CCONJ
commonwealth-190	146	8	the	the	DET
commonwealth-190	146	9	university	university	PROPN
commonwealth-190	146	10	of	of	ADP
commonwealth-190	146	11	pittsburgh	pittsburgh	PROPN
commonwealth-190	146	12	opioid	opioid	PROPN
commonwealth-190	146	13	task	task	PROPN
commonwealth-190	146	14	force	force	NOUN
commonwealth-190	146	15	have	have	AUX
commonwealth-190	146	16	certainly	certainly	ADV
commonwealth-190	146	17	contributed	contribute	VERB
commonwealth-190	146	18	to	to	ADP
commonwealth-190	146	19	this	this	DET
commonwealth-190	146	20	success	success	NOUN
commonwealth-190	146	21	,	,	PUNCT
commonwealth-190	146	22	and	and	CCONJ
commonwealth-190	146	23	illustrate	illustrate	VERB
commonwealth-190	146	24	how	how	SCONJ
commonwealth-190	146	25	populationbased	populationbase	VERB
commonwealth-190	146	26	pain	pain	NOUN
commonwealth-190	146	27	and	and	CCONJ
commonwealth-190	146	28	opioid	opioid	ADJ
commonwealth-190	146	29	care	care	NOUN
commonwealth-190	146	30	can	can	AUX
commonwealth-190	146	31	be	be	AUX
commonwealth-190	146	32	translated	translate	VERB
commonwealth-190	146	33	effectively	effectively	ADV
commonwealth-190	146	34	from	from	ADP
commonwealth-190	146	35	clinical	clinical	ADJ
commonwealth-190	146	36	studies	study	NOUN
commonwealth-190	146	37	and	and	CCONJ
commonwealth-190	146	38	guidelines	guideline	NOUN
commonwealth-190	146	39	to	to	ADP
commonwealth-190	146	40	widespread	widespread	ADJ
commonwealth-190	146	41	clinical	clinical	ADJ
commonwealth-190	146	42	practice	practice	NOUN
commonwealth-190	146	43	.	.	PUNCT
commonwealth-190	147	1	references	reference	NOUN
commonwealth-190	147	2	argoff	argoff	NOUN
commonwealth-190	147	3	,	,	PUNCT
commonwealth-190	147	4	c.	c.	PROPN
commonwealth-190	147	5	e.	e.	PROPN
commonwealth-190	147	6	,	,	PUNCT
commonwealth-190	147	7	d.	d.	PROPN
commonwealth-190	147	8	p.	p.	PROPN
commonwealth-190	147	9	alford	alford	PROPN
commonwealth-190	147	10	,	,	PUNCT
commonwealth-190	147	11	j.	j.	PROPN
commonwealth-190	147	12	fudin	fudin	PROPN
commonwealth-190	147	13	,	,	PUNCT
commonwealth-190	147	14	j.	j.	PROPN
commonwealth-190	147	15	a.	a.	PROPN
commonwealth-190	147	16	adler	adler	PROPN
commonwealth-190	147	17	,	,	PUNCT
commonwealth-190	147	18	m.	m.	PROPN
commonwealth-190	147	19	j.	j.	PROPN
commonwealth-190	147	20	bair	bair	PROPN
commonwealth-190	147	21	,	,	PUNCT
commonwealth-190	147	22	r.	r.	PROPN
commonwealth-190	147	23	c.	c.	PROPN
commonwealth-190	147	24	dart	dart	PROPN
commonwealth-190	147	25	,	,	PUNCT
commonwealth-190	147	26	r.	r.	PROPN
commonwealth-190	147	27	gandolfi	gandolfi	PROPN
commonwealth-190	147	28	,	,	PUNCT
commonwealth-190	147	29	b.	b.	PROPN
commonwealth-190	147	30	 	 	SPACE
commonwealth-190	147	31	h.	h.	PROPN
commonwealth-190	147	32	mccarberg	mccarberg	PROPN
commonwealth-190	147	33	,	,	PUNCT
commonwealth-190	147	34	s.	s.	PROPN
commonwealth-190	147	35	p.	p.	PROPN
commonwealth-190	147	36	stanos	stanos	PROPN
commonwealth-190	147	37	,	,	PUNCT
commonwealth-190	147	38	j.	j.	PROPN
commonwealth-190	147	39	a.	a.	PROPN
commonwealth-190	147	40	gudin	gudin	PROPN
commonwealth-190	147	41	,	,	PUNCT
commonwealth-190	147	42	r.	r.	PROPN
commonwealth-190	147	43	c.	c.	PROPN
commonwealth-190	147	44	polomano	polomano	PROPN
commonwealth-190	147	45	,	,	PUNCT
commonwealth-190	147	46	and	and	CCONJ
commonwealth-190	147	47	l.	l.	PROPN
commonwealth-190	147	48	r.	r.	PROPN
commonwealth-190	147	49	webster	webster	PROPN
commonwealth-190	147	50	.	.	PUNCT
commonwealth-190	148	1	2017	2017	NUM
commonwealth-190	148	2	.	.	PUNCT
commonwealth-190	149	1	“	"	PUNCT
commonwealth-190	149	2	rational	rational	ADJ
commonwealth-190	149	3	urine	urine	NOUN
commonwealth-190	149	4	drug	drug	NOUN
commonwealth-190	149	5	monitoring	monitoring	NOUN
commonwealth-190	149	6	in	in	ADP
commonwealth-190	149	7	patients	patient	NOUN
commonwealth-190	149	8	receiving	receive	VERB
commonwealth-190	149	9	opioids	opioid	NOUN
commonwealth-190	149	10	for	for	ADP
commonwealth-190	149	11	chronic	chronic	ADJ
commonwealth-190	149	12	pain	pain	NOUN
commonwealth-190	149	13	:	:	PUNCT
commonwealth-190	149	14	consensus	consensus	NOUN
commonwealth-190	149	15	recommendations	recommendation	NOUN
commonwealth-190	149	16	.	.	PUNCT
commonwealth-190	149	17	”	"	PUNCT
commonwealth-190	150	1	pain	pain	NOUN
commonwealth-190	150	2	medicine	medicine	NOUN
commonwealth-190	150	3	19	19	NUM
commonwealth-190	150	4	(	(	PUNCT
commonwealth-190	150	5	january	january	PROPN
commonwealth-190	150	6	):	):	PUNCT
commonwealth-190	150	7	97–117	97–117	NUM
commonwealth-190	150	8	.	.	PUNCT
commonwealth-190	150	9	physician	physician	NOUN
commonwealth-190	150	10	responses	response	NOUN
commonwealth-190	150	11	to	to	ADP
commonwealth-190	150	12	the	the	DET
commonwealth-190	150	13	opioid	opioid	ADJ
commonwealth-190	150	14	epidemic	epidemic	NOUN
commonwealth-190	150	15	133	133	NUM
commonwealth-190	150	16	ballantyne	ballantyne	NOUN
commonwealth-190	150	17	,	,	PUNCT
commonwealth-190	150	18	j.	j.	PROPN
commonwealth-190	150	19	c.	c.	PROPN
commonwealth-190	150	20	,	,	PUNCT
commonwealth-190	150	21	and	and	CCONJ
commonwealth-190	150	22	j.	j.	PROPN
commonwealth-190	150	23	mao	mao	PROPN
commonwealth-190	150	24	.	.	PUNCT
commonwealth-190	151	1	2003	2003	NUM
commonwealth-190	151	2	.	.	PUNCT
commonwealth-190	152	1	“	"	PUNCT
commonwealth-190	152	2	opioid	opioid	ADJ
commonwealth-190	152	3	therapy	therapy	NOUN
commonwealth-190	152	4	for	for	ADP
commonwealth-190	152	5	chronic	chronic	ADJ
commonwealth-190	152	6	pain	pain	NOUN
commonwealth-190	152	7	.	.	PUNCT
commonwealth-190	152	8	”	"	PUNCT
commonwealth-190	153	1	the	the	DET
commonwealth-190	153	2	new	new	PROPN
commonwealth-190	153	3	england	england	PROPN
commonwealth-190	153	4	journal	journal	PROPN
commonwealth-190	153	5	of	of	ADP
commonwealth-190	153	6	medicine	medicine	NOUN
commonwealth-190	153	7	349	349	NUM
commonwealth-190	153	8	(	(	PUNCT
commonwealth-190	153	9	november	november	PROPN
commonwealth-190	153	10	):	):	PUNCT
commonwealth-190	153	11	1943–1953	1943–1953	NUM
commonwealth-190	153	12	.	.	PUNCT
commonwealth-190	154	1	braden	braden	PROPN
commonwealth-190	154	2	,	,	PUNCT
commonwealth-190	154	3	j.	j.	PROPN
commonwealth-190	154	4	b.	b.	PROPN
commonwealth-190	154	5	,	,	PUNCT
commonwealth-190	154	6	m.	m.	PROPN
commonwealth-190	154	7	d.	d.	PROPN
commonwealth-190	154	8	sullivan	sullivan	PROPN
commonwealth-190	154	9	,	,	PUNCT
commonwealth-190	154	10	g.	g.	PROPN
commonwealth-190	154	11	t.	t.	PROPN
commonwealth-190	154	12	ray	ray	PROPN
commonwealth-190	154	13	,	,	PUNCT
commonwealth-190	154	14	k.	k.	PROPN
commonwealth-190	154	15	saunders	saunders	PROPN
commonwealth-190	154	16	,	,	PUNCT
commonwealth-190	154	17	j.	j.	PROPN
commonwealth-190	154	18	merrill	merrill	PROPN
commonwealth-190	154	19	,	,	PUNCT
commonwealth-190	154	20	m.	m.	PROPN
commonwealth-190	154	21	j.	j.	PROPN
commonwealth-190	154	22	silverberg	silverberg	PROPN
commonwealth-190	154	23	,	,	PUNCT
commonwealth-190	154	24	c.	c.	PROPN
commonwealth-190	154	25	m.	m.	PROPN
commonwealth-190	154	26	rutter	rutter	PROPN
commonwealth-190	154	27	,	,	PUNCT
commonwealth-190	154	28	c.	c.	PROPN
commonwealth-190	154	29	weisner	weisner	NOUN
commonwealth-190	154	30	,	,	PUNCT
commonwealth-190	154	31	c.	c.	PROPN
commonwealth-190	154	32	bantagreen	bantagreen	PROPN
commonwealth-190	154	33	,	,	PUNCT
commonwealth-190	154	34	c.	c.	PROPN
commonwealth-190	154	35	campbell	campbell	PROPN
commonwealth-190	154	36	,	,	PUNCT
commonwealth-190	154	37	and	and	CCONJ
commonwealth-190	154	38	m.	m.	PROPN
commonwealth-190	154	39	von	von	PROPN
commonwealth-190	154	40	korff	korff	PROPN
commonwealth-190	154	41	.	.	PROPN
commonwealth-190	154	42	2009	2009	NUM
commonwealth-190	154	43	.	.	PUNCT
commonwealth-190	155	1	“	"	PUNCT
commonwealth-190	155	2	trends	trend	NOUN
commonwealth-190	155	3	in	in	ADP
commonwealth-190	155	4	long	long	ADJ
commonwealth-190	155	5	-	-	PUNCT
commonwealth-190	155	6	t	t	NOUN
commonwealth-190	155	7	erm	erm	PROPN
commonwealth-190	155	8	opioid	opioid	PROPN
commonwealth-190	155	9	therapy	therapy	NOUN
commonwealth-190	155	10	for	for	ADP
commonwealth-190	155	11	noncancer	noncancer	NOUN
commonwealth-190	155	12	pain	pain	NOUN
commonwealth-190	155	13	among	among	ADP
commonwealth-190	155	14	persons	person	NOUN
commonwealth-190	155	15	with	with	ADP
commonwealth-190	155	16	a	a	DET
commonwealth-190	155	17	history	history	NOUN
commonwealth-190	155	18	of	of	ADP
commonwealth-190	155	19	depression	depression	NOUN
commonwealth-190	155	20	.	.	PUNCT
commonwealth-190	155	21	”	"	PUNCT
commonwealth-190	156	1	general	general	ADJ
commonwealth-190	156	2	hospital	hospital	NOUN
commonwealth-190	156	3	psychiatry	psychiatry	NOUN
commonwealth-190	156	4	31	31	NUM
commonwealth-190	156	5	(	(	PUNCT
commonwealth-190	156	6	6	6	NUM
commonwealth-190	156	7	):	):	PUNCT
commonwealth-190	156	8	564–570	564–570	NUM
commonwealth-190	156	9	.	.	PUNCT
commonwealth-190	156	10	busse	busse	PROPN
commonwealth-190	156	11	,	,	PUNCT
commonwealth-190	156	12	j.	j.	PROPN
commonwealth-190	156	13	w.	w.	PROPN
commonwealth-190	156	14	,	,	PUNCT
commonwealth-190	156	15	d.	d.	PROPN
commonwealth-190	156	16	juurlink	juurlink	PROPN
commonwealth-190	156	17	,	,	PUNCT
commonwealth-190	156	18	and	and	CCONJ
commonwealth-190	156	19	g.	g.	PROPN
commonwealth-190	156	20	h.	h.	PROPN
commonwealth-190	156	21	guyatt	guyatt	PROPN
commonwealth-190	156	22	.	.	PUNCT
commonwealth-190	156	23	2016	2016	NUM
commonwealth-190	156	24	.	.	PUNCT
commonwealth-190	157	1	“	"	PUNCT
commonwealth-190	157	2	addressing	address	VERB
commonwealth-190	157	3	the	the	DET
commonwealth-190	157	4	limitations	limitation	NOUN
commonwealth-190	157	5	of	of	ADP
commonwealth-190	157	6	the	the	DET
commonwealth-190	157	7	cdc	cdc	PROPN
commonwealth-190	157	8	guideline	guideline	NOUN
commonwealth-190	157	9	for	for	ADP
commonwealth-190	157	10	prescribing	prescribe	VERB
commonwealth-190	157	11	opioids	opioid	NOUN
commonwealth-190	157	12	for	for	ADP
commonwealth-190	157	13	chronic	chronic	ADJ
commonwealth-190	157	14	noncancer	noncancer	NOUN
commonwealth-190	157	15	pain	pain	NOUN
commonwealth-190	157	16	.	.	PUNCT
commonwealth-190	157	17	”	"	PUNCT
commonwealth-190	158	1	canadian	canadian	PROPN
commonwealth-190	158	2	medical	medical	PROPN
commonwealth-190	158	3	association	association	PROPN
commonwealth-190	158	4	journal	journal	PROPN
commonwealth-190	158	5	188	188	NUM
commonwealth-190	158	6	(	(	PUNCT
commonwealth-190	158	7	december	december	PROPN
commonwealth-190	158	8	):	):	PUNCT
commonwealth-190	158	9	1210–1211	1210–1211	NUM
commonwealth-190	158	10	.	.	PUNCT
commonwealth-190	158	11	butler	butler	PROPN
commonwealth-190	158	12	,	,	PUNCT
commonwealth-190	158	13	s.	s.	PROPN
commonwealth-190	158	14	f.	f.	PROPN
commonwealth-190	158	15	,	,	PUNCT
commonwealth-190	158	16	s.	s.	PROPN
commonwealth-190	158	17	h.	h.	PROPN
commonwealth-190	158	18	budman	budman	PROPN
commonwealth-190	158	19	,	,	PUNCT
commonwealth-190	158	20	k.	k.	PROPN
commonwealth-190	158	21	c.	c.	PROPN
commonwealth-190	158	22	fernandez	fernandez	PROPN
commonwealth-190	158	23	,	,	PUNCT
commonwealth-190	158	24	b.	b.	PROPN
commonwealth-190	158	25	houle	houle	PROPN
commonwealth-190	158	26	,	,	PUNCT
commonwealth-190	158	27	c.	c.	PROPN
commonwealth-190	158	28	benoit	benoit	PROPN
commonwealth-190	158	29	,	,	PUNCT
commonwealth-190	158	30	n.	n.	PROPN
commonwealth-190	158	31	katz	katz	PROPN
commonwealth-190	158	32	,	,	PUNCT
commonwealth-190	158	33	and	and	CCONJ
commonwealth-190	158	34	r.	r.	PROPN
commonwealth-190	158	35	n.	n.	PROPN
commonwealth-190	158	36	jamison	jamison	PROPN
commonwealth-190	158	37	.	.	PROPN
commonwealth-190	158	38	2007	2007	NUM
commonwealth-190	158	39	.	.	PUNCT
commonwealth-190	159	1	“	"	PUNCT
commonwealth-190	159	2	development	development	NOUN
commonwealth-190	159	3	and	and	CCONJ
commonwealth-190	159	4	validation	validation	NOUN
commonwealth-190	159	5	of	of	ADP
commonwealth-190	159	6	the	the	DET
commonwealth-190	159	7	current	current	ADJ
commonwealth-190	159	8	opioid	opioid	ADJ
commonwealth-190	159	9	misuse	misuse	NOUN
commonwealth-190	159	10	measure	measure	NOUN
commonwealth-190	159	11	.	.	PUNCT
commonwealth-190	159	12	”	"	PUNCT
commonwealth-190	160	1	pain	pain	NOUN
commonwealth-190	160	2	130	130	NUM
commonwealth-190	160	3	(	(	PUNCT
commonwealth-190	160	4	july	july	PROPN
commonwealth-190	160	5	):	):	PUNCT
commonwealth-190	160	6	144–156	144–156	NUM
commonwealth-190	160	7	.	.	PUNCT
commonwealth-190	161	1	butler	butler	PROPN
commonwealth-190	161	2	,	,	PUNCT
commonwealth-190	161	3	s.	s.	PROPN
commonwealth-190	161	4	f.	f.	PROPN
commonwealth-190	161	5	,	,	PUNCT
commonwealth-190	161	6	s.	s.	PROPN
commonwealth-190	161	7	h.	h.	PROPN
commonwealth-190	161	8	budman	budman	PROPN
commonwealth-190	161	9	,	,	PUNCT
commonwealth-190	161	10	k.	k.	PROPN
commonwealth-190	161	11	fernandez	fernandez	PROPN
commonwealth-190	161	12	,	,	PUNCT
commonwealth-190	161	13	and	and	CCONJ
commonwealth-190	161	14	r.	r.	PROPN
commonwealth-190	161	15	n.	n.	PROPN
commonwealth-190	161	16	jamison	jamison	PROPN
commonwealth-190	161	17	.	.	PUNCT
commonwealth-190	162	1	2004	2004	NUM
commonwealth-190	162	2	.	.	PUNCT
commonwealth-190	163	1	“	"	PUNCT
commonwealth-190	163	2	validation	validation	NOUN
commonwealth-190	163	3	of	of	ADP
commonwealth-190	163	4	a	a	DET
commonwealth-190	163	5	screener	screener	NOUN
commonwealth-190	163	6	and	and	CCONJ
commonwealth-190	163	7	opioid	opioid	ADJ
commonwealth-190	163	8	assessment	assessment	NOUN
commonwealth-190	163	9	measure	measure	NOUN
commonwealth-190	163	10	for	for	ADP
commonwealth-190	163	11	patients	patient	NOUN
commonwealth-190	163	12	with	with	ADP
commonwealth-190	163	13	chronic	chronic	ADJ
commonwealth-190	163	14	pain	pain	NOUN
commonwealth-190	163	15	.	.	PUNCT
commonwealth-190	163	16	”	"	PUNCT
commonwealth-190	164	1	pain	pain	NOUN
commonwealth-190	164	2	112	112	NUM
commonwealth-190	164	3	(	(	PUNCT
commonwealth-190	164	4	november	november	PROPN
commonwealth-190	164	5	):	):	PUNCT
commonwealth-190	164	6	65–75	65–75	NUM
commonwealth-190	164	7	.	.	PUNCT
commonwealth-190	165	1	chou	chou	PROPN
commonwealth-190	165	2	,	,	PUNCT
commonwealth-190	165	3	r.	r.	PROPN
commonwealth-190	165	4	,	,	PUNCT
commonwealth-190	165	5	g.	g.	PROPN
commonwealth-190	165	6	j.	j.	PROPN
commonwealth-190	165	7	fanciullo	fanciullo	PROPN
commonwealth-190	165	8	,	,	PUNCT
commonwealth-190	165	9	p.	p.	PROPN
commonwealth-190	165	10	g.	g.	PROPN
commonwealth-190	165	11	fine	fine	PROPN
commonwealth-190	165	12	,	,	PUNCT
commonwealth-190	165	13	j.	j.	PROPN
commonwealth-190	165	14	a.	a.	PROPN
commonwealth-190	165	15	adler	adler	PROPN
commonwealth-190	165	16	,	,	PUNCT
commonwealth-190	165	17	j.	j.	PROPN
commonwealth-190	165	18	c.	c.	PROPN
commonwealth-190	165	19	ballantyne	ballantyne	PROPN
commonwealth-190	165	20	,	,	PUNCT
commonwealth-190	165	21	p.	p.	NOUN
commonwealth-190	165	22	davies	davy	NOUN
commonwealth-190	165	23	,	,	PUNCT
commonwealth-190	165	24	m.	m.	NOUN
commonwealth-190	165	25	i.	i.	PROPN
commonwealth-190	165	26	donovan	donovan	PROPN
commonwealth-190	165	27	,	,	PUNCT
commonwealth-190	165	28	d.	d.	PROPN
commonwealth-190	165	29	a.	a.	PROPN
commonwealth-190	165	30	fishbain	fishbain	PROPN
commonwealth-190	165	31	,	,	PUNCT
commonwealth-190	165	32	k.	k.	PROPN
commonwealth-190	165	33	m.	m.	PROPN
commonwealth-190	165	34	foley	foley	PROPN
commonwealth-190	165	35	,	,	PUNCT
commonwealth-190	165	36	j.	j.	PROPN
commonwealth-190	165	37	fudin	fudin	PROPN
commonwealth-190	165	38	,	,	PUNCT
commonwealth-190	165	39	a.	a.	NOUN
commonwealth-190	165	40	m.	m.	PROPN
commonwealth-190	165	41	gilson	gilson	PROPN
commonwealth-190	165	42	,	,	PUNCT
commonwealth-190	165	43	a.	a.	NOUN
commonwealth-190	165	44	kelter	kelter	PROPN
commonwealth-190	165	45	,	,	PUNCT
commonwealth-190	165	46	a.	a.	NOUN
commonwealth-190	165	47	mauskop	mauskop	PROPN
commonwealth-190	165	48	,	,	PUNCT
commonwealth-190	165	49	p.	p.	NOUN
commonwealth-190	165	50	g.	g.	PROPN
commonwealth-190	165	51	o’connor	o’connor	ADV
commonwealth-190	165	52	,	,	PUNCT
commonwealth-190	165	53	s.	s.	PROPN
commonwealth-190	165	54	d.	d.	PROPN
commonwealth-190	165	55	passik	passik	PROPN
commonwealth-190	165	56	,	,	PUNCT
commonwealth-190	165	57	g.	g.	PROPN
commonwealth-190	165	58	w.	w.	PROPN
commonwealth-190	165	59	pasternak	pasternak	PROPN
commonwealth-190	165	60	,	,	PUNCT
commonwealth-190	165	61	r.	r.	PROPN
commonwealth-190	165	62	k.	k.	PROPN
commonwealth-190	165	63	portenoy	portenoy	PROPN
commonwealth-190	165	64	,	,	PUNCT
commonwealth-190	165	65	b.	b.	PROPN
commonwealth-190	165	66	a.	a.	PROPN
commonwealth-190	165	67	rich	rich	PROPN
commonwealth-190	165	68	,	,	PUNCT
commonwealth-190	165	69	r.	r.	PROPN
commonwealth-190	165	70	g.	g.	PROPN
commonwealth-190	165	71	roberts	roberts	PROPN
commonwealth-190	165	72	,	,	PUNCT
commonwealth-190	165	73	k.	k.	PROPN
commonwealth-190	165	74	 	 	SPACE
commonwealth-190	165	75	h.	h.	PROPN
commonwealth-190	165	76	todd	todd	PROPN
commonwealth-190	165	77	,	,	PUNCT
commonwealth-190	165	78	and	and	CCONJ
commonwealth-190	165	79	c.	c.	PROPN
commonwealth-190	165	80	miaskowski	miaskowski	PROPN
commonwealth-190	165	81	.	.	PUNCT
commonwealth-190	166	1	2009	2009	NUM
commonwealth-190	166	2	.	.	PUNCT
commonwealth-190	167	1	“	"	PUNCT
commonwealth-190	167	2	clinical	clinical	ADJ
commonwealth-190	167	3	guidelines	guideline	NOUN
commonwealth-190	167	4	for	for	ADP
commonwealth-190	167	5	the	the	DET
commonwealth-190	167	6	use	use	NOUN
commonwealth-190	167	7	of	of	ADP
commonwealth-190	167	8	chronic	chronic	ADJ
commonwealth-190	167	9	opioid	opioid	NOUN
commonwealth-190	167	10	therapy	therapy	NOUN
commonwealth-190	167	11	in	in	ADP
commonwealth-190	167	12	chronic	chronic	ADJ
commonwealth-190	167	13	noncancer	noncancer	NOUN
commonwealth-190	167	14	pain	pain	NOUN
commonwealth-190	167	15	.	.	PUNCT
commonwealth-190	167	16	”	"	PUNCT
commonwealth-190	168	1	the	the	DET
commonwealth-190	168	2	journal	journal	NOUN
commonwealth-190	168	3	of	of	ADP
commonwealth-190	168	4	pain	pain	NOUN
commonwealth-190	168	5	10	10	NUM
commonwealth-190	168	6	(	(	PUNCT
commonwealth-190	168	7	february	february	PROPN
commonwealth-190	168	8	):	):	PUNCT
commonwealth-190	168	9	113–130	113–130	NUM
commonwealth-190	168	10	.	.	PUNCT
commonwealth-190	169	1	dersh	dersh	NOUN
commonwealth-190	169	2	,	,	PUNCT
commonwealth-190	169	3	j.	j.	PROPN
commonwealth-190	169	4	,	,	PUNCT
commonwealth-190	169	5	r.	r.	PROPN
commonwealth-190	169	6	j.	j.	PROPN
commonwealth-190	169	7	gatchel	gatchel	PROPN
commonwealth-190	169	8	,	,	PUNCT
commonwealth-190	169	9	t.	t.	PROPN
commonwealth-190	169	10	mayer	mayer	PROPN
commonwealth-190	169	11	,	,	PUNCT
commonwealth-190	169	12	p.	p.	PROPN
commonwealth-190	169	13	polatin	polatin	PROPN
commonwealth-190	169	14	,	,	PUNCT
commonwealth-190	169	15	and	and	CCONJ
commonwealth-190	169	16	o.	o.	PROPN
commonwealth-190	169	17	r.	r.	PROPN
commonwealth-190	169	18	temple	temple	PROPN
commonwealth-190	169	19	.	.	PUNCT
commonwealth-190	170	1	2006	2006	NUM
commonwealth-190	170	2	.	.	PUNCT
commonwealth-190	171	1	“	"	PUNCT
commonwealth-190	171	2	prevalence	prevalence	NOUN
commonwealth-190	171	3	of	of	ADP
commonwealth-190	171	4	psychiatric	psychiatric	ADJ
commonwealth-190	171	5	disorders	disorder	NOUN
commonwealth-190	171	6	in	in	ADP
commonwealth-190	171	7	patients	patient	NOUN
commonwealth-190	171	8	with	with	ADP
commonwealth-190	171	9	chronic	chronic	ADJ
commonwealth-190	171	10	disabling	disable	VERB
commonwealth-190	171	11	occupational	occupational	ADJ
commonwealth-190	171	12	spinal	spinal	ADJ
commonwealth-190	171	13	disorders	disorder	NOUN
commonwealth-190	171	14	.	.	PUNCT
commonwealth-190	171	15	”	"	PUNCT
commonwealth-190	171	16	spine	spine	VERB
commonwealth-190	171	17	31	31	NUM
commonwealth-190	171	18	(	(	PUNCT
commonwealth-190	171	19	may	may	PROPN
commonwealth-190	171	20	):	):	PUNCT
commonwealth-190	171	21	1156–1162	1156–1162	NUM
commonwealth-190	171	22	.	.	PUNCT
commonwealth-190	172	1	dowell	dowell	PROPN
commonwealth-190	172	2	,	,	PUNCT
commonwealth-190	172	3	d.	d.	PROPN
commonwealth-190	172	4	,	,	PUNCT
commonwealth-190	172	5	t.	t.	PROPN
commonwealth-190	172	6	m.	m.	PROPN
commonwealth-190	172	7	haegerich	haegerich	PROPN
commonwealth-190	172	8	,	,	PUNCT
commonwealth-190	172	9	and	and	CCONJ
commonwealth-190	172	10	r.	r.	PROPN
commonwealth-190	172	11	chou	chou	PROPN
commonwealth-190	172	12	.	.	PROPN
commonwealth-190	172	13	2016	2016	NUM
commonwealth-190	172	14	.	.	PUNCT
commonwealth-190	173	1	“	"	PUNCT
commonwealth-190	173	2	cdc	cdc	PROPN
commonwealth-190	173	3	guideline	guideline	NOUN
commonwealth-190	173	4	for	for	ADP
commonwealth-190	173	5	prescribing	prescribe	VERB
commonwealth-190	173	6	opioids	opioid	NOUN
commonwealth-190	173	7	for	for	ADP
commonwealth-190	173	8	chronic	chronic	ADJ
commonwealth-190	173	9	pain	pain	NOUN
commonwealth-190	173	10	—	—	PUNCT
commonwealth-190	173	11	united	united	PROPN
commonwealth-190	173	12	states	states	PROPN
commonwealth-190	173	13	,	,	PUNCT
commonwealth-190	173	14	2016	2016	NUM
commonwealth-190	173	15	.	.	PUNCT
commonwealth-190	173	16	”	"	PUNCT
commonwealth-190	173	17	morbidity	morbidity	NOUN
commonwealth-190	173	18	and	and	CCONJ
commonwealth-190	173	19	mortality	mortality	NOUN
commonwealth-190	173	20	weekly	weekly	ADJ
commonwealth-190	173	21	report	report	NOUN
commonwealth-190	173	22	65	65	NUM
commonwealth-190	173	23	(	(	PUNCT
commonwealth-190	173	24	march	march	PROPN
commonwealth-190	173	25	):	):	PUNCT
commonwealth-190	173	26	1–49	1–49	PROPN
commonwealth-190	173	27	.	.	PUNCT
commonwealth-190	174	1	edlund	edlund	PROPN
commonwealth-190	174	2	,	,	PUNCT
commonwealth-190	174	3	m.	m.	PROPN
commonwealth-190	174	4	j.	j.	PROPN
commonwealth-190	174	5	,	,	PUNCT
commonwealth-190	174	6	b.	b.	PROPN
commonwealth-190	174	7	c.	c.	PROPN
commonwealth-190	174	8	martin	martin	PROPN
commonwealth-190	174	9	,	,	PUNCT
commonwealth-190	174	10	m.	m.	PROPN
commonwealth-190	174	11	y.	y.	PROPN
commonwealth-190	174	12	fan	fan	PROPN
commonwealth-190	174	13	,	,	PUNCT
commonwealth-190	174	14	a.	a.	PROPN
commonwealth-190	174	15	devries	devries	PROPN
commonwealth-190	174	16	,	,	PUNCT
commonwealth-190	174	17	j.	j.	PROPN
commonwealth-190	174	18	b.	b.	PROPN
commonwealth-190	174	19	braden	braden	PROPN
commonwealth-190	174	20	,	,	PUNCT
commonwealth-190	174	21	and	and	CCONJ
commonwealth-190	174	22	m.	m.	PROPN
commonwealth-190	174	23	d.	d.	PROPN
commonwealth-190	174	24	sullivan	sullivan	PROPN
commonwealth-190	174	25	.	.	PUNCT
commonwealth-190	175	1	2010	2010	NUM
commonwealth-190	175	2	.	.	PUNCT
commonwealth-190	176	1	“	"	PUNCT
commonwealth-190	176	2	risks	risk	NOUN
commonwealth-190	176	3	for	for	ADP
commonwealth-190	176	4	opioid	opioid	ADJ
commonwealth-190	176	5	abuse	abuse	NOUN
commonwealth-190	176	6	and	and	CCONJ
commonwealth-190	176	7	dependence	dependence	NOUN
commonwealth-190	176	8	among	among	ADP
commonwealth-190	176	9	recipients	recipient	NOUN
commonwealth-190	176	10	of	of	ADP
commonwealth-190	176	11	chronic	chronic	ADJ
commonwealth-190	176	12	opioid	opioid	NOUN
commonwealth-190	176	13	therapy	therapy	NOUN
commonwealth-190	176	14	:	:	PUNCT
commonwealth-190	176	15	results	result	NOUN
commonwealth-190	176	16	from	from	ADP
commonwealth-190	176	17	the	the	DET
commonwealth-190	176	18	troup	troup	PROPN
commonwealth-190	176	19	study	study	NOUN
commonwealth-190	176	20	.	.	PUNCT
commonwealth-190	176	21	”	"	PUNCT
commonwealth-190	176	22	drug	drug	NOUN
commonwealth-190	176	23	and	and	CCONJ
commonwealth-190	176	24	alcohol	alcohol	NOUN
commonwealth-190	176	25	dependence	dependence	NOUN
commonwealth-190	176	26	112	112	NUM
commonwealth-190	176	27	(	(	PUNCT
commonwealth-190	176	28	november	november	PROPN
commonwealth-190	176	29	):	):	PUNCT
commonwealth-190	176	30	90–98	90–98	NUM
commonwealth-190	176	31	.	.	PUNCT
commonwealth-190	176	32	finley	finley	PROPN
commonwealth-190	176	33	,	,	PUNCT
commonwealth-190	176	34	e.	e.	PROPN
commonwealth-190	176	35	p.	p.	PROPN
commonwealth-190	176	36	,	,	PUNCT
commonwealth-190	176	37	ashley	ashley	PROPN
commonwealth-190	176	38	garcia	garcia	PROPN
commonwealth-190	176	39	,	,	PUNCT
commonwealth-190	176	40	kristen	kristen	PROPN
commonwealth-190	176	41	rosen	rosen	PROPN
commonwealth-190	176	42	,	,	PUNCT
commonwealth-190	176	43	don	don	PROPN
commonwealth-190	176	44	mcgeary	mcgeary	NOUN
commonwealth-190	176	45	,	,	PUNCT
commonwealth-190	176	46	mary	mary	PROPN
commonwealth-190	176	47	jo	jo	PROPN
commonwealth-190	176	48	pugh	pugh	PROPN
commonwealth-190	176	49	,	,	PUNCT
commonwealth-190	176	50	and	and	CCONJ
commonwealth-190	176	51	jennifer	jennifer	PROPN
commonwealth-190	176	52	sharpe	sharpe	PROPN
commonwealth-190	176	53	potter	potter	PROPN
commonwealth-190	176	54	.	.	PUNCT
commonwealth-190	176	55	2017	2017	NUM
commonwealth-190	176	56	.	.	PUNCT
commonwealth-190	177	1	“	"	PUNCT
commonwealth-190	177	2	evaluating	evaluate	VERB
commonwealth-190	177	3	the	the	DET
commonwealth-190	177	4	impact	impact	NOUN
commonwealth-190	177	5	of	of	ADP
commonwealth-190	177	6	prescription	prescription	NOUN
commonwealth-190	177	7	drug	drug	NOUN
commonwealth-190	177	8	monitoring	monitoring	NOUN
commonwealth-190	177	9	program	program	NOUN
commonwealth-190	177	10	implementation	implementation	NOUN
commonwealth-190	177	11	:	:	PUNCT
commonwealth-190	177	12	a	a	DET
commonwealth-190	177	13	scoping	scope	VERB
commonwealth-190	177	14	review	review	NOUN
commonwealth-190	177	15	.	.	PUNCT
commonwealth-190	177	16	”	"	PUNCT
commonwealth-190	178	1	bmc	bmc	PROPN
commonwealth-190	178	2	health	health	NOUN
commonwealth-190	178	3	services	service	NOUN
commonwealth-190	178	4	research	research	VERB
commonwealth-190	178	5	17	17	NUM
commonwealth-190	178	6	(	(	PUNCT
commonwealth-190	178	7	june	june	PROPN
commonwealth-190	178	8	):	):	PUNCT
commonwealth-190	178	9	420	420	NUM
commonwealth-190	178	10	.	.	PUNCT
commonwealth-190	179	1	frenk	frenk	PROPN
commonwealth-190	179	2	,	,	PUNCT
commonwealth-190	179	3	s.	s.	PROPN
commonwealth-190	179	4	m.	m.	PROPN
commonwealth-190	179	5	,	,	PUNCT
commonwealth-190	179	6	k.	k.	PROPN
commonwealth-190	179	7	s.	s.	PROPN
commonwealth-190	179	8	porter	porter	PROPN
commonwealth-190	179	9	,	,	PUNCT
commonwealth-190	179	10	and	and	CCONJ
commonwealth-190	179	11	l.	l.	PROPN
commonwealth-190	179	12	j.	j.	PROPN
commonwealth-190	179	13	paulozzi	paulozzi	PROPN
commonwealth-190	179	14	.	.	PUNCT
commonwealth-190	180	1	2015	2015	NUM
commonwealth-190	180	2	.	.	PUNCT
commonwealth-190	181	1	“	"	PUNCT
commonwealth-190	181	2	prescription	prescription	NOUN
commonwealth-190	181	3	opioid	opioid	ADJ
commonwealth-190	181	4	analgesic	analgesic	ADJ
commonwealth-190	181	5	use	use	NOUN
commonwealth-190	181	6	among	among	ADP
commonwealth-190	181	7	adults	adult	NOUN
commonwealth-190	181	8	:	:	PUNCT
commonwealth-190	181	9	united	united	PROPN
commonwealth-190	181	10	states	states	PROPN
commonwealth-190	181	11	,	,	PUNCT
commonwealth-190	181	12	1999–2012	1999–2012	NUM
commonwealth-190	181	13	.	.	PUNCT
commonwealth-190	181	14	”	"	PUNCT
commonwealth-190	181	15	nchs	nchs	PROPN
commonwealth-190	181	16	data	datum	NOUN
commonwealth-190	181	17	brief	brief	VERB
commonwealth-190	181	18	189	189	NUM
commonwealth-190	181	19	(	(	PUNCT
commonwealth-190	181	20	feb	feb	PROPN
commonwealth-190	181	21	):	):	PUNCT
commonwealth-190	181	22	1–8	1–8	PROPN
commonwealth-190	181	23	.	.	PUNCT
commonwealth-190	181	24	guy	guy	NOUN
commonwealth-190	181	25	,	,	PUNCT
commonwealth-190	181	26	g.	g.	PROPN
commonwealth-190	181	27	p.	p.	PROPN
commonwealth-190	181	28	,	,	PUNCT
commonwealth-190	181	29	jr	jr	PROPN
commonwealth-190	181	30	.	.	PROPN
commonwealth-190	181	31	,	,	PUNCT
commonwealth-190	181	32	k.	k.	PROPN
commonwealth-190	181	33	zhang	zhang	PROPN
commonwealth-190	181	34	,	,	PUNCT
commonwealth-190	181	35	m.	m.	PROPN
commonwealth-190	181	36	k.	k.	PROPN
commonwealth-190	181	37	bohm	bohm	PROPN
commonwealth-190	181	38	,	,	PUNCT
commonwealth-190	181	39	j.	j.	PROPN
commonwealth-190	181	40	losby	losby	PROPN
commonwealth-190	181	41	,	,	PUNCT
commonwealth-190	181	42	b.	b.	PROPN
commonwealth-190	181	43	lewis	lewis	PROPN
commonwealth-190	181	44	,	,	PUNCT
commonwealth-190	181	45	r.	r.	PROPN
commonwealth-190	181	46	young	young	PROPN
commonwealth-190	181	47	,	,	PUNCT
commonwealth-190	181	48	l.	l.	PROPN
commonwealth-190	181	49	b.	b.	PROPN
commonwealth-190	181	50	murphy	murphy	PROPN
commonwealth-190	181	51	,	,	PUNCT
commonwealth-190	181	52	and	and	CCONJ
commonwealth-190	181	53	d.	d.	PROPN
commonwealth-190	181	54	dowell	dowell	PROPN
commonwealth-190	181	55	.	.	PUNCT
commonwealth-190	181	56	2017	2017	NUM
commonwealth-190	181	57	.	.	PUNCT
commonwealth-190	182	1	“	"	PUNCT
commonwealth-190	182	2	vital	vital	ADJ
commonwealth-190	182	3	signs	sign	NOUN
commonwealth-190	182	4	:	:	PUNCT
commonwealth-190	182	5	changes	change	NOUN
commonwealth-190	182	6	in	in	ADP
commonwealth-190	182	7	opioid	opioid	ADJ
commonwealth-190	182	8	prescribing	prescribing	NOUN
commonwealth-190	182	9	in	in	ADP
commonwealth-190	182	10	the	the	DET
commonwealth-190	182	11	united	united	PROPN
commonwealth-190	182	12	states	states	PROPN
commonwealth-190	182	13	,	,	PUNCT
commonwealth-190	182	14	2006–2015	2006–2015	NUM
commonwealth-190	182	15	.	.	PUNCT
commonwealth-190	182	16	”	"	PUNCT
commonwealth-190	183	1	morbidity	morbidity	NOUN
commonwealth-190	183	2	and	and	CCONJ
commonwealth-190	183	3	mortality	mortality	NOUN
commonwealth-190	183	4	weekly	weekly	ADJ
commonwealth-190	183	5	report	report	NOUN
commonwealth-190	183	6	66	66	NUM
commonwealth-190	183	7	(	(	PUNCT
commonwealth-190	183	8	july	july	PROPN
commonwealth-190	183	9	):	):	PUNCT
commonwealth-190	183	10	697–704	697–704	NUM
commonwealth-190	183	11	.	.	PUNCT
commonwealth-190	184	1	institute	institute	PROPN
commonwealth-190	184	2	of	of	ADP
commonwealth-190	184	3	medicine	medicine	NOUN
commonwealth-190	184	4	.	.	PUNCT
commonwealth-190	185	1	2011	2011	NUM
commonwealth-190	185	2	.	.	PUNCT
commonwealth-190	186	1	relieving	relieve	VERB
commonwealth-190	186	2	pain	pain	NOUN
commonwealth-190	186	3	in	in	ADP
commonwealth-190	186	4	america	america	PROPN
commonwealth-190	186	5	:	:	PUNCT
commonwealth-190	186	6	a	a	DET
commonwealth-190	186	7	blueprint	blueprint	NOUN
commonwealth-190	186	8	for	for	ADP
commonwealth-190	186	9	transforming	transform	VERB
commonwealth-190	186	10	prevention	prevention	NOUN
commonwealth-190	186	11	,	,	PUNCT
commonwealth-190	186	12	care	care	NOUN
commonwealth-190	186	13	,	,	PUNCT
commonwealth-190	186	14	education	education	NOUN
commonwealth-190	186	15	,	,	PUNCT
commonwealth-190	186	16	and	and	CCONJ
commonwealth-190	186	17	research	research	NOUN
commonwealth-190	186	18	.	.	PUNCT
commonwealth-190	187	1	washington	washington	PROPN
commonwealth-190	187	2	,	,	PUNCT
commonwealth-190	187	3	dc	dc	PROPN
commonwealth-190	187	4	:	:	PUNCT
commonwealth-190	187	5	national	national	PROPN
commonwealth-190	187	6	academies	academies	PROPN
commonwealth-190	187	7	press	press	PROPN
commonwealth-190	187	8	.	.	PUNCT
commonwealth-190	188	1	jamison	jamison	PROPN
commonwealth-190	188	2	,	,	PUNCT
commonwealth-190	188	3	r.	r.	PROPN
commonwealth-190	188	4	n.	n.	PROPN
commonwealth-190	188	5	,	,	PUNCT
commonwealth-190	188	6	e.	e.	PROPN
commonwealth-190	188	7	l.	l.	PROPN
commonwealth-190	188	8	ross	ross	PROPN
commonwealth-190	188	9	,	,	PUNCT
commonwealth-190	188	10	e.	e.	PROPN
commonwealth-190	188	11	michna	michna	PROPN
commonwealth-190	188	12	,	,	PUNCT
commonwealth-190	188	13	l.	l.	PROPN
commonwealth-190	188	14	q.	q.	PROPN
commonwealth-190	188	15	chen	chen	PROPN
commonwealth-190	188	16	,	,	PUNCT
commonwealth-190	188	17	c.	c.	PROPN
commonwealth-190	188	18	holcomb	holcomb	PROPN
commonwealth-190	188	19	,	,	PUNCT
commonwealth-190	188	20	and	and	CCONJ
commonwealth-190	188	21	a.	a.	PROPN
commonwealth-190	188	22	d.	d.	PROPN
commonwealth-190	188	23	wasan	wasan	PROPN
commonwealth-190	188	24	.	.	PUNCT
commonwealth-190	189	1	2010	2010	NUM
commonwealth-190	189	2	.	.	PUNCT
commonwealth-190	190	1	“	"	PUNCT
commonwealth-190	190	2	substance	substance	NOUN
commonwealth-190	190	3	misuse	misuse	NOUN
commonwealth-190	190	4	treatment	treatment	NOUN
commonwealth-190	190	5	for	for	ADP
commonwealth-190	190	6	high	high	ADJ
commonwealth-190	190	7	-	-	PUNCT
commonwealth-190	190	8	r	r	NOUN
commonwealth-190	190	9	isk	isk	NOUN
commonwealth-190	190	10	chronic	chronic	ADJ
commonwealth-190	190	11	pain	pain	NOUN
commonwealth-190	190	12	patients	patient	NOUN
commonwealth-190	190	13	on	on	ADP
commonwealth-190	190	14	opioid	opioid	ADJ
commonwealth-190	190	15	therapy	therapy	NOUN
commonwealth-190	190	16	:	:	PUNCT
commonwealth-190	190	17	a	a	DET
commonwealth-190	190	18	randomized	randomized	ADJ
commonwealth-190	190	19	trial	trial	NOUN
commonwealth-190	190	20	.	.	PUNCT
commonwealth-190	190	21	”	"	PUNCT
commonwealth-190	191	1	pain	pain	NOUN
commonwealth-190	191	2	150	150	NUM
commonwealth-190	191	3	(	(	PUNCT
commonwealth-190	191	4	september	september	PROPN
commonwealth-190	191	5	):	):	PUNCT
commonwealth-190	191	6	390–400	390–400	NUM
commonwealth-190	191	7	.	.	PUNCT
commonwealth-190	192	1	liebschutz	liebschutz	PROPN
commonwealth-190	192	2	,	,	PUNCT
commonwealth-190	192	3	j.	j.	PROPN
commonwealth-190	192	4	m.	m.	PROPN
commonwealth-190	192	5	,	,	PUNCT
commonwealth-190	192	6	z.	z.	PROPN
commonwealth-190	192	7	xuan	xuan	PROPN
commonwealth-190	192	8	,	,	PUNCT
commonwealth-190	192	9	c.	c.	PROPN
commonwealth-190	192	10	w.	w.	PROPN
commonwealth-190	192	11	shanahan	shanahan	PROPN
commonwealth-190	192	12	,	,	PUNCT
commonwealth-190	192	13	m.	m.	PROPN
commonwealth-190	192	14	larochelle	larochelle	PROPN
commonwealth-190	192	15	,	,	PUNCT
commonwealth-190	192	16	j.	j.	PROPN
commonwealth-190	192	17	keosaian	keosaian	PROPN
commonwealth-190	192	18	,	,	PUNCT
commonwealth-190	192	19	d.	d.	PROPN
commonwealth-190	192	20	beers	beers	PROPN
commonwealth-190	192	21	,	,	PUNCT
commonwealth-190	192	22	g.	g.	PROPN
commonwealth-190	192	23	guara	guara	PROPN
commonwealth-190	192	24	,	,	PUNCT
commonwealth-190	192	25	k.	k.	PROPN
commonwealth-190	192	26	o’connor	o’connor	PROPN
commonwealth-190	192	27	,	,	PUNCT
commonwealth-190	192	28	d.	d.	PROPN
commonwealth-190	192	29	p.	p.	PROPN
commonwealth-190	192	30	alford	alford	PROPN
commonwealth-190	192	31	,	,	PUNCT
commonwealth-190	192	32	v.	v.	PROPN
commonwealth-190	192	33	parker	parker	PROPN
commonwealth-190	192	34	,	,	PUNCT
commonwealth-190	192	35	r.	r.	PROPN
commonwealth-190	192	36	d.	d.	PROPN
commonwealth-190	192	37	weiss	weiss	PROPN
commonwealth-190	192	38	,	,	PUNCT
commonwealth-190	192	39	j.	j.	PROPN
commonwealth-190	192	40	h.	h.	PROPN
commonwealth-190	192	41	samet	samet	PROPN
commonwealth-190	192	42	,	,	PUNCT
commonwealth-190	192	43	j.	j.	PROPN
commonwealth-190	192	44	crosson	crosson	PROPN
commonwealth-190	192	45	,	,	PUNCT
commonwealth-190	192	46	p.	p.	PROPN
commonwealth-190	192	47	a.	a.	NOUN
commonwealth-190	192	48	cushman	cushman	PROPN
commonwealth-190	192	49	,	,	PUNCT
commonwealth-190	192	50	and	and	CCONJ
commonwealth-190	192	51	k.	k.	PROPN
commonwealth-190	192	52	e.	e.	PROPN
commonwealth-190	192	53	lasser	lasser	PROPN
commonwealth-190	192	54	.	.	PUNCT
commonwealth-190	193	1	2017	2017	NUM
commonwealth-190	193	2	.	.	PUNCT
commonwealth-190	194	1	“	"	PUNCT
commonwealth-190	194	2	improving	improve	VERB
commonwealth-190	194	3	adherence	adherence	NOUN
commonwealth-190	194	4	to	to	ADP
commonwealth-190	194	5	longterm	longterm	VERB
commonwealth-190	194	6	opioid	opioid	NOUN
commonwealth-190	194	7	therapy	therapy	NOUN
commonwealth-190	194	8	guidelines	guideline	NOUN
commonwealth-190	194	9	to	to	PART
commonwealth-190	194	10	reduce	reduce	VERB
commonwealth-190	194	11	opioid	opioid	ADJ
commonwealth-190	194	12	misuse	misuse	NOUN
commonwealth-190	194	13	in	in	ADP
commonwealth-190	194	14	primary	primary	ADJ
commonwealth-190	194	15	care	care	NOUN
commonwealth-190	194	16	:	:	PUNCT
commonwealth-190	194	17	a	a	DET
commonwealth-190	194	18	clusterrandomized	clusterrandomize	VERB
commonwealth-190	194	19	clinical	clinical	ADJ
commonwealth-190	194	20	trial	trial	NOUN
commonwealth-190	194	21	.	.	PUNCT
commonwealth-190	194	22	”	"	PUNCT
commonwealth-190	195	1	jama	jama	PROPN
commonwealth-190	195	2	internal	internal	ADJ
commonwealth-190	195	3	medicine	medicine	NOUN
commonwealth-190	195	4	177	177	NUM
commonwealth-190	195	5	(	(	PUNCT
commonwealth-190	195	6	september	september	PROPN
commonwealth-190	195	7	):	):	PUNCT
commonwealth-190	195	8	1265–1272	1265–1272	NUM
commonwealth-190	195	9	.	.	PUNCT
commonwealth-190	196	1	134	134	NUM
commonwealth-190	196	2	ajay	ajay	PROPN
commonwealth-190	196	3	d.	d.	PROPN
commonwealth-190	196	4	wasan	wasan	PROPN
commonwealth-190	196	5	martel	martel	PROPN
commonwealth-190	196	6	,	,	PUNCT
commonwealth-190	196	7	m.	m.	NOUN
commonwealth-190	196	8	o.	o.	PROPN
commonwealth-190	196	9	,	,	PUNCT
commonwealth-190	196	10	a.	a.	PROPN
commonwealth-190	196	11	j.	j.	PROPN
commonwealth-190	196	12	dolman	dolman	PROPN
commonwealth-190	196	13	,	,	PUNCT
commonwealth-190	196	14	r.	r.	PROPN
commonwealth-190	196	15	r.	r.	PROPN
commonwealth-190	196	16	edwards	edwards	PROPN
commonwealth-190	196	17	,	,	PUNCT
commonwealth-190	196	18	r.	r.	PROPN
commonwealth-190	196	19	n.	n.	PROPN
commonwealth-190	196	20	jamison	jamison	PROPN
commonwealth-190	196	21	,	,	PUNCT
commonwealth-190	196	22	and	and	CCONJ
commonwealth-190	196	23	a.	a.	PROPN
commonwealth-190	196	24	d.	d.	PROPN
commonwealth-190	196	25	wasan	wasan	PROPN
commonwealth-190	196	26	.	.	PUNCT
commonwealth-190	197	1	2014	2014	NUM
commonwealth-190	197	2	.	.	PUNCT
commonwealth-190	198	1	“	"	PUNCT
commonwealth-190	198	2	the	the	DET
commonwealth-190	198	3	association	association	NOUN
commonwealth-190	198	4	between	between	ADP
commonwealth-190	198	5	negative	negative	ADJ
commonwealth-190	198	6	affect	affect	NOUN
commonwealth-190	198	7	and	and	CCONJ
commonwealth-190	198	8	prescription	prescription	VERB
commonwealth-190	198	9	opioid	opioid	ADJ
commonwealth-190	198	10	misuse	misuse	NOUN
commonwealth-190	198	11	in	in	ADP
commonwealth-190	198	12	patients	patient	NOUN
commonwealth-190	198	13	with	with	ADP
commonwealth-190	198	14	chronic	chronic	ADJ
commonwealth-190	198	15	pain	pain	NOUN
commonwealth-190	198	16	:	:	PUNCT
commonwealth-190	198	17	the	the	DET
commonwealth-190	198	18	mediating	mediate	VERB
commonwealth-190	198	19	role	role	NOUN
commonwealth-190	198	20	of	of	ADP
commonwealth-190	198	21	opioid	opioid	ADJ
commonwealth-190	198	22	craving	craving	NOUN
commonwealth-190	198	23	.	.	PUNCT
commonwealth-190	198	24	”	"	PUNCT
commonwealth-190	199	1	the	the	DET
commonwealth-190	199	2	journal	journal	NOUN
commonwealth-190	199	3	of	of	ADP
commonwealth-190	199	4	pain	pain	NOUN
commonwealth-190	199	5	15	15	NUM
commonwealth-190	199	6	(	(	PUNCT
commonwealth-190	199	7	january	january	PROPN
commonwealth-190	199	8	):	):	PUNCT
commonwealth-190	199	9	90–100	90–100	PROPN
commonwealth-190	199	10	.	.	PUNCT
commonwealth-190	199	11	michna	michna	NOUN
commonwealth-190	199	12	,	,	PUNCT
commonwealth-190	199	13	e.	e.	PROPN
commonwealth-190	199	14	,	,	PUNCT
commonwealth-190	199	15	r.	r.	PROPN
commonwealth-190	199	16	n.	n.	PROPN
commonwealth-190	199	17	jamison	jamison	PROPN
commonwealth-190	199	18	,	,	PUNCT
commonwealth-190	199	19	l.	l.	PROPN
commonwealth-190	199	20	d.	d.	PROPN
commonwealth-190	199	21	pham	pham	PROPN
commonwealth-190	199	22	,	,	PUNCT
commonwealth-190	199	23	e.	e.	PROPN
commonwealth-190	199	24	l.	l.	PROPN
commonwealth-190	199	25	ross	ross	PROPN
commonwealth-190	199	26	,	,	PUNCT
commonwealth-190	199	27	d.	d.	PROPN
commonwealth-190	199	28	janfaza	janfaza	PROPN
commonwealth-190	199	29	,	,	PUNCT
commonwealth-190	199	30	s.	s.	PROPN
commonwealth-190	199	31	s.	s.	PROPN
commonwealth-190	199	32	nedeljkovic	nedeljkovic	PROPN
commonwealth-190	199	33	,	,	PUNCT
commonwealth-190	199	34	s.	s.	PROPN
commonwealth-190	199	35	narang	narang	PROPN
commonwealth-190	199	36	,	,	PUNCT
commonwealth-190	199	37	d.	d.	PROPN
commonwealth-190	199	38	palombi	palombi	PROPN
commonwealth-190	199	39	,	,	PUNCT
commonwealth-190	199	40	and	and	CCONJ
commonwealth-190	199	41	a.	a.	PROPN
commonwealth-190	199	42	d.	d.	PROPN
commonwealth-190	199	43	wasan	wasan	PROPN
commonwealth-190	199	44	.	.	PUNCT
commonwealth-190	200	1	2007	2007	NUM
commonwealth-190	200	2	.	.	PUNCT
commonwealth-190	201	1	“	"	PUNCT
commonwealth-190	201	2	urine	urine	NOUN
commonwealth-190	201	3	toxicology	toxicology	NOUN
commonwealth-190	201	4	screening	screen	VERB
commonwealth-190	201	5	among	among	ADP
commonwealth-190	201	6	chronic	chronic	ADJ
commonwealth-190	201	7	pain	pain	NOUN
commonwealth-190	201	8	patients	patient	NOUN
commonwealth-190	201	9	on	on	ADP
commonwealth-190	201	10	opioid	opioid	ADJ
commonwealth-190	201	11	therapy	therapy	NOUN
commonwealth-190	201	12	:	:	PUNCT
commonwealth-190	201	13	frequency	frequency	NOUN
commonwealth-190	201	14	and	and	CCONJ
commonwealth-190	201	15	predictability	predictability	NOUN
commonwealth-190	201	16	of	of	ADP
commonwealth-190	201	17	abnormal	abnormal	ADJ
commonwealth-190	201	18	findings	finding	NOUN
commonwealth-190	201	19	.	.	PUNCT
commonwealth-190	201	20	”	"	PUNCT
commonwealth-190	202	1	the	the	DET
commonwealth-190	202	2	clinical	clinical	ADJ
commonwealth-190	202	3	journal	journal	NOUN
commonwealth-190	202	4	of	of	ADP
commonwealth-190	202	5	pain	pain	NOUN
commonwealth-190	202	6	23	23	NUM
commonwealth-190	202	7	(	(	PUNCT
commonwealth-190	202	8	february	february	PROPN
commonwealth-190	202	9	):	):	PUNCT
commonwealth-190	202	10	173–179	173–179	NUM
commonwealth-190	202	11	.	.	PUNCT
commonwealth-190	203	1	national	national	ADJ
commonwealth-190	203	2	academies	academy	NOUN
commonwealth-190	203	3	of	of	ADP
commonwealth-190	203	4	sciences	science	NOUN
commonwealth-190	203	5	,	,	PUNCT
commonwealth-190	203	6	engineering	engineering	NOUN
commonwealth-190	203	7	,	,	PUNCT
commonwealth-190	203	8	and	and	CCONJ
commonwealth-190	203	9	medicine	medicine	NOUN
commonwealth-190	203	10	.	.	PUNCT
commonwealth-190	204	1	2017	2017	NUM
commonwealth-190	204	2	.	.	PUNCT
commonwealth-190	205	1	pain	pain	NOUN
commonwealth-190	205	2	management	management	NOUN
commonwealth-190	205	3	and	and	CCONJ
commonwealth-190	205	4	the	the	DET
commonwealth-190	205	5	opioid	opioid	ADJ
commonwealth-190	205	6	epidemic	epidemic	NOUN
commonwealth-190	205	7	:	:	PUNCT
commonwealth-190	205	8	balancing	balance	VERB
commonwealth-190	205	9	societal	societal	ADJ
commonwealth-190	205	10	and	and	CCONJ
commonwealth-190	205	11	individual	individual	ADJ
commonwealth-190	205	12	benefits	benefit	NOUN
commonwealth-190	205	13	and	and	CCONJ
commonwealth-190	205	14	risks	risk	NOUN
commonwealth-190	205	15	of	of	ADP
commonwealth-190	205	16	prescription	prescription	NOUN
commonwealth-190	205	17	opioid	opioid	NOUN
commonwealth-190	205	18	use	use	NOUN
commonwealth-190	205	19	.	.	PUNCT
commonwealth-190	206	1	washington	washington	PROPN
commonwealth-190	206	2	,	,	PUNCT
commonwealth-190	206	3	dc	dc	PROPN
commonwealth-190	206	4	:	:	PUNCT
commonwealth-190	206	5	the	the	DET
commonwealth-190	206	6	national	national	PROPN
commonwealth-190	206	7	academies	academies	PROPN
commonwealth-190	206	8	press	press	PROPN
commonwealth-190	206	9	.	.	PUNCT
commonwealth-190	207	1	quinones	quinone	NOUN
commonwealth-190	207	2	,	,	PUNCT
commonwealth-190	207	3	s.	s.	PROPN
commonwealth-190	207	4	2015	2015	NUM
commonwealth-190	207	5	.	.	PUNCT
commonwealth-190	207	6	 	 	SPACE
commonwealth-190	208	1	dreamland	dreamland	NOUN
commonwealth-190	208	2	:	:	PUNCT
commonwealth-190	208	3	the	the	DET
commonwealth-190	208	4	true	true	ADJ
commonwealth-190	208	5	tale	tale	NOUN
commonwealth-190	208	6	of	of	ADP
commonwealth-190	208	7	america	america	PROPN
commonwealth-190	208	8	’s	’s	PART
commonwealth-190	208	9	opiate	opiate	ADJ
commonwealth-190	208	10	epidemic	epidemic	NOUN
commonwealth-190	208	11	.	.	PUNCT
commonwealth-190	209	1	new	new	PROPN
commonwealth-190	209	2	york	york	PROPN
commonwealth-190	209	3	:	:	PUNCT
commonwealth-190	209	4	bloomsbury	bloomsbury	NOUN
commonwealth-190	209	5	press	press	NOUN
commonwealth-190	209	6	.	.	PUNCT
commonwealth-190	210	1	smith	smith	PROPN
commonwealth-190	210	2	,	,	PUNCT
commonwealth-190	210	3	s.	s.	PROPN
commonwealth-190	210	4	m.	m.	PROPN
commonwealth-190	210	5	,	,	PUNCT
commonwealth-190	210	6	f.	f.	PROPN
commonwealth-190	210	7	paillard	paillard	PROPN
commonwealth-190	210	8	,	,	PUNCT
commonwealth-190	210	9	a.	a.	NOUN
commonwealth-190	210	10	mckeown	mckeown	PROPN
commonwealth-190	210	11	,	,	PUNCT
commonwealth-190	210	12	l.	l.	PROPN
commonwealth-190	210	13	b.	b.	PROPN
commonwealth-190	210	14	burke	burke	PROPN
commonwealth-190	210	15	,	,	PUNCT
commonwealth-190	210	16	r.	r.	PROPN
commonwealth-190	210	17	r.	r.	PROPN
commonwealth-190	210	18	edwards	edwards	PROPN
commonwealth-190	210	19	,	,	PUNCT
commonwealth-190	210	20	n.	n.	PROPN
commonwealth-190	210	21	p.	p.	PROPN
commonwealth-190	210	22	katz	katz	PROPN
commonwealth-190	210	23	,	,	PUNCT
commonwealth-190	210	24	e.	e.	PROPN
commonwealth-190	210	25	j.	j.	PROPN
commonwealth-190	210	26	papadopoulos	papadopoulos	PROPN
commonwealth-190	210	27	,	,	PUNCT
commonwealth-190	210	28	b.	b.	PROPN
commonwealth-190	210	29	a.	a.	PROPN
commonwealth-190	210	30	rappaport	rappaport	PROPN
commonwealth-190	210	31	,	,	PUNCT
commonwealth-190	210	32	a.	a.	NOUN
commonwealth-190	210	33	slagle	slagle	PROPN
commonwealth-190	210	34	,	,	PUNCT
commonwealth-190	210	35	e.	e.	PROPN
commonwealth-190	210	36	c.	c.	PROPN
commonwealth-190	210	37	strain	strain	PROPN
commonwealth-190	210	38	,	,	PUNCT
commonwealth-190	210	39	a.	a.	PROPN
commonwealth-190	210	40	d.	d.	PROPN
commonwealth-190	210	41	wasan	wasan	PROPN
commonwealth-190	210	42	,	,	PUNCT
commonwealth-190	210	43	d.	d.	PROPN
commonwealth-190	210	44	c.	c.	PROPN
commonwealth-190	210	45	turk	turk	PROPN
commonwealth-190	210	46	,	,	PUNCT
commonwealth-190	210	47	and	and	CCONJ
commonwealth-190	210	48	r.	r.	PROPN
commonwealth-190	210	49	 	 	SPACE
commonwealth-190	210	50	h.	h.	PROPN
commonwealth-190	210	51	dworkin	dworkin	PROPN
commonwealth-190	210	52	.	.	PROPN
commonwealth-190	210	53	2015	2015	NUM
commonwealth-190	210	54	.	.	PUNCT
commonwealth-190	211	1	“	"	PUNCT
commonwealth-190	211	2	instruments	instrument	NOUN
commonwealth-190	211	3	to	to	PART
commonwealth-190	211	4	identify	identify	VERB
commonwealth-190	211	5	prescription	prescription	NOUN
commonwealth-190	211	6	medication	medication	NOUN
commonwealth-190	211	7	misuse	misuse	NOUN
commonwealth-190	211	8	,	,	PUNCT
commonwealth-190	211	9	abuse	abuse	NOUN
commonwealth-190	211	10	,	,	PUNCT
commonwealth-190	211	11	and	and	CCONJ
commonwealth-190	211	12	related	related	ADJ
commonwealth-190	211	13	events	event	NOUN
commonwealth-190	211	14	in	in	ADP
commonwealth-190	211	15	clinical	clinical	ADJ
commonwealth-190	211	16	trials	trial	NOUN
commonwealth-190	211	17	:	:	PUNCT
commonwealth-190	211	18	an	an	DET
commonwealth-190	211	19	acttion	acttion	NOUN
commonwealth-190	211	20	systematic	systematic	ADJ
commonwealth-190	211	21	review	review	NOUN
commonwealth-190	211	22	.	.	PUNCT
commonwealth-190	211	23	”	"	PUNCT
commonwealth-190	212	1	the	the	DET
commonwealth-190	212	2	journal	journal	NOUN
commonwealth-190	212	3	of	of	ADP
commonwealth-190	212	4	pain	pain	NOUN
commonwealth-190	212	5	16	16	NUM
commonwealth-190	212	6	(	(	PUNCT
commonwealth-190	212	7	may	may	PROPN
commonwealth-190	212	8	):	):	PUNCT
commonwealth-190	212	9	389–411	389–411	NUM
commonwealth-190	212	10	.	.	PUNCT
commonwealth-190	213	1	tayeb	tayeb	PROPN
commonwealth-190	213	2	,	,	PUNCT
commonwealth-190	213	3	b.	b.	PROPN
commonwealth-190	213	4	o.	o.	PROPN
commonwealth-190	213	5	,	,	PUNCT
commonwealth-190	213	6	a.	a.	PROPN
commonwealth-190	213	7	e.	e.	PROPN
commonwealth-190	213	8	barreiro	barreiro	PROPN
commonwealth-190	213	9	,	,	PUNCT
commonwealth-190	213	10	y.	y.	PROPN
commonwealth-190	213	11	s.	s.	PROPN
commonwealth-190	213	12	bradshaw	bradshaw	PROPN
commonwealth-190	213	13	,	,	PUNCT
commonwealth-190	213	14	k.	k.	PROPN
commonwealth-190	213	15	k.	k.	PROPN
commonwealth-190	213	16	chui	chui	PROPN
commonwealth-190	213	17	,	,	PUNCT
commonwealth-190	213	18	and	and	CCONJ
commonwealth-190	213	19	d.	d.	PROPN
commonwealth-190	213	20	b.	b.	PROPN
commonwealth-190	213	21	carr	carr	PROPN
commonwealth-190	213	22	.	.	PROPN
commonwealth-190	213	23	2016	2016	NUM
commonwealth-190	213	24	.	.	PUNCT
commonwealth-190	214	1	“	"	PUNCT
commonwealth-190	214	2	durations	duration	NOUN
commonwealth-190	214	3	of	of	ADP
commonwealth-190	214	4	opioid	opioid	NOUN
commonwealth-190	214	5	,	,	PUNCT
commonwealth-190	214	6	nonopioid	nonopioid	NOUN
commonwealth-190	214	7	drug	drug	NOUN
commonwealth-190	214	8	,	,	PUNCT
commonwealth-190	214	9	and	and	CCONJ
commonwealth-190	214	10	behavioral	behavioral	ADJ
commonwealth-190	214	11	clinical	clinical	ADJ
commonwealth-190	214	12	trials	trial	NOUN
commonwealth-190	214	13	for	for	ADP
commonwealth-190	214	14	chronic	chronic	ADJ
commonwealth-190	214	15	pain	pain	NOUN
commonwealth-190	214	16	:	:	PUNCT
commonwealth-190	214	17	adequate	adequate	ADJ
commonwealth-190	214	18	or	or	CCONJ
commonwealth-190	214	19	inadequate	inadequate	ADJ
commonwealth-190	214	20	?	?	PUNCT
commonwealth-190	214	21	”	"	PUNCT
commonwealth-190	214	22	pain	pain	NOUN
commonwealth-190	214	23	medicine	medicine	NOUN
commonwealth-190	214	24	17	17	NUM
commonwealth-190	214	25	(	(	PUNCT
commonwealth-190	214	26	november	november	PROPN
commonwealth-190	214	27	):	):	PUNCT
commonwealth-190	214	28	2036–2046	2036–2046	NUM
commonwealth-190	214	29	.	.	PUNCT
commonwealth-190	214	30	vowles	vowle	NOUN
commonwealth-190	214	31	,	,	PUNCT
commonwealth-190	214	32	k.	k.	PROPN
commonwealth-190	214	33	e.	e.	PROPN
commonwealth-190	214	34	,	,	PUNCT
commonwealth-190	214	35	m.	m.	PROPN
commonwealth-190	214	36	l.	l.	PROPN
commonwealth-190	214	37	mcentee	mcentee	PROPN
commonwealth-190	214	38	,	,	PUNCT
commonwealth-190	214	39	p.	p.	PROPN
commonwealth-190	214	40	s.	s.	PROPN
commonwealth-190	214	41	julnes	julnes	PROPN
commonwealth-190	214	42	,	,	PUNCT
commonwealth-190	214	43	t.	t.	PROPN
commonwealth-190	214	44	frohe	frohe	PROPN
commonwealth-190	214	45	,	,	PUNCT
commonwealth-190	214	46	j.	j.	PROPN
commonwealth-190	214	47	p.	p.	NOUN
commonwealth-190	214	48	ney	ney	NOUN
commonwealth-190	214	49	,	,	PUNCT
commonwealth-190	214	50	and	and	CCONJ
commonwealth-190	214	51	d.	d.	PROPN
commonwealth-190	214	52	n.	n.	PROPN
commonwealth-190	214	53	van	van	PROPN
commonwealth-190	214	54	der	der	NOUN
commonwealth-190	214	55	goes	go	VERB
commonwealth-190	214	56	.	.	PUNCT
commonwealth-190	215	1	2015	2015	NUM
commonwealth-190	215	2	.	.	PUNCT
commonwealth-190	216	1	“	"	PUNCT
commonwealth-190	216	2	rates	rate	NOUN
commonwealth-190	216	3	of	of	ADP
commonwealth-190	216	4	opioid	opioid	ADJ
commonwealth-190	216	5	misuse	misuse	NOUN
commonwealth-190	216	6	,	,	PUNCT
commonwealth-190	216	7	abuse	abuse	NOUN
commonwealth-190	216	8	,	,	PUNCT
commonwealth-190	216	9	and	and	CCONJ
commonwealth-190	216	10	addiction	addiction	NOUN
commonwealth-190	216	11	in	in	ADP
commonwealth-190	216	12	chronic	chronic	ADJ
commonwealth-190	216	13	pain	pain	NOUN
commonwealth-190	216	14	:	:	PUNCT
commonwealth-190	216	15	a	a	DET
commonwealth-190	216	16	systematic	systematic	ADJ
commonwealth-190	216	17	review	review	NOUN
commonwealth-190	216	18	and	and	CCONJ
commonwealth-190	216	19	data	datum	NOUN
commonwealth-190	216	20	synthesis	synthesis	NOUN
commonwealth-190	216	21	.	.	PUNCT
commonwealth-190	216	22	”	"	PUNCT
commonwealth-190	217	1	pain	pain	NOUN
commonwealth-190	217	2	156	156	NUM
commonwealth-190	217	3	(	(	PUNCT
commonwealth-190	217	4	april	april	PROPN
commonwealth-190	217	5	):	):	PUNCT
commonwealth-190	217	6	569–576	569–576	NUM
commonwealth-190	217	7	.	.	PUNCT
commonwealth-190	218	1	wasan	wasan	NOUN
commonwealth-190	218	2	,	,	PUNCT
commonwealth-190	218	3	a.	a.	PROPN
commonwealth-190	218	4	d.	d.	PROPN
commonwealth-190	218	5	,	,	PUNCT
commonwealth-190	218	6	e.	e.	PROPN
commonwealth-190	218	7	michna	michna	PROPN
commonwealth-190	218	8	,	,	PUNCT
commonwealth-190	218	9	r.	r.	PROPN
commonwealth-190	218	10	r.	r.	PROPN
commonwealth-190	218	11	edwards	edwards	PROPN
commonwealth-190	218	12	,	,	PUNCT
commonwealth-190	218	13	j.	j.	PROPN
commonwealth-190	218	14	n.	n.	PROPN
commonwealth-190	218	15	katz	katz	PROPN
commonwealth-190	218	16	,	,	PUNCT
commonwealth-190	218	17	s.	s.	PROPN
commonwealth-190	218	18	s.	s.	PROPN
commonwealth-190	218	19	nedeljkovic	nedeljkovic	PROPN
commonwealth-190	218	20	,	,	PUNCT
commonwealth-190	218	21	a.	a.	PROPN
commonwealth-190	218	22	j.	j.	PROPN
commonwealth-190	218	23	dolman	dolman	PROPN
commonwealth-190	218	24	,	,	PUNCT
commonwealth-190	218	25	d.	d.	PROPN
commonwealth-190	218	26	janfaza	janfaza	PROPN
commonwealth-190	218	27	,	,	PUNCT
commonwealth-190	218	28	z.	z.	PROPN
commonwealth-190	218	29	isaac	isaac	PROPN
commonwealth-190	218	30	,	,	PUNCT
commonwealth-190	218	31	and	and	CCONJ
commonwealth-190	218	32	r.	r.	PROPN
commonwealth-190	218	33	n.	n.	PROPN
commonwealth-190	218	34	jamison	jamison	PROPN
commonwealth-190	218	35	.	.	PROPN
commonwealth-190	219	1	2015	2015	NUM
commonwealth-190	219	2	.	.	PUNCT
commonwealth-190	220	1	“	"	PUNCT
commonwealth-190	220	2	psychiatric	psychiatric	ADJ
commonwealth-190	220	3	comorbidity	comorbidity	NOUN
commonwealth-190	220	4	is	be	AUX
commonwealth-190	220	5	associated	associate	VERB
commonwealth-190	220	6	prospectively	prospectively	ADV
commonwealth-190	220	7	with	with	ADP
commonwealth-190	220	8	diminished	diminished	ADJ
commonwealth-190	220	9	opioid	opioid	ADJ
commonwealth-190	220	10	analgesia	analgesia	NOUN
commonwealth-190	220	11	and	and	CCONJ
commonwealth-190	220	12	increased	increase	VERB
commonwealth-190	220	13	opioid	opioid	ADJ
commonwealth-190	220	14	misuse	misuse	NOUN
commonwealth-190	220	15	in	in	ADP
commonwealth-190	220	16	patients	patient	NOUN
commonwealth-190	220	17	with	with	ADP
commonwealth-190	220	18	chronic	chronic	ADJ
commonwealth-190	220	19	low	low	ADJ
commonwealth-190	220	20	back	back	ADJ
commonwealth-190	220	21	pain	pain	NOUN
commonwealth-190	220	22	.	.	PUNCT
commonwealth-190	220	23	”	"	PUNCT
commonwealth-190	221	1	anesthesiology	anesthesiology	NOUN
commonwealth-190	221	2	123	123	NUM
commonwealth-190	221	3	(	(	PUNCT
commonwealth-190	221	4	october	october	PROPN
commonwealth-190	221	5	):	):	PUNCT
commonwealth-190	221	6	861–872	861–872	NUM
commonwealth-190	221	7	.	.	PUNCT
commonwealth-190	222	1	ajay	ajay	PROPN
commonwealth-190	222	2	d.	d.	PROPN
commonwealth-190	222	3	wasan	wasan	PROPN
commonwealth-190	222	4	is	be	AUX
commonwealth-190	222	5	the	the	DET
commonwealth-190	222	6	vice	vice	NOUN
commonwealth-190	222	7	chair	chair	NOUN
commonwealth-190	222	8	for	for	ADP
commonwealth-190	222	9	pain	pain	NOUN
commonwealth-190	222	10	medicine	medicine	NOUN
commonwealth-190	222	11	in	in	ADP
commonwealth-190	222	12	the	the	DET
commonwealth-190	222	13	department	department	NOUN
commonwealth-190	222	14	of	of	ADP
commonwealth-190	222	15	anesthesiology	anesthesiology	NOUN
commonwealth-190	222	16	at	at	ADP
commonwealth-190	222	17	the	the	DET
commonwealth-190	222	18	university	university	PROPN
commonwealth-190	222	19	of	of	ADP
commonwealth-190	222	20	pittsburgh	pittsburgh	PROPN
commonwealth-190	222	21	medical	medical	ADJ
commonwealth-190	222	22	center	center	PROPN
commonwealth-190	222	23	(	(	PUNCT
commonwealth-190	222	24	upmc	upmc	NOUN
commonwealth-190	222	25	)	)	PUNCT
commonwealth-190	222	26	and	and	CCONJ
commonwealth-190	222	27	a	a	DET
commonwealth-190	222	28	professor	professor	NOUN
commonwealth-190	222	29	of	of	ADP
commonwealth-190	222	30	anesthesiology	anesthesiology	NOUN
commonwealth-190	222	31	and	and	CCONJ
commonwealth-190	222	32	psychiatry	psychiatry	NOUN
commonwealth-190	222	33	in	in	ADP
commonwealth-190	222	34	the	the	DET
commonwealth-190	222	35	university	university	PROPN
commonwealth-190	222	36	of	of	ADP
commonwealth-190	222	37	pittsburgh	pittsburgh	PROPN
commonwealth-190	222	38	school	school	NOUN
commonwealth-190	222	39	of	of	ADP
commonwealth-190	222	40	medicine	medicine	NOUN
commonwealth-190	222	41	.	.	PUNCT
commonwealth-190	223	1	he	he	PRON
commonwealth-190	223	2	is	be	AUX
commonwealth-190	223	3	board	board	NOUN
commonwealth-190	223	4	certified	certify	VERB
commonwealth-190	223	5	in	in	ADP
commonwealth-190	223	6	pain	pain	NOUN
commonwealth-190	223	7	medicine	medicine	NOUN
commonwealth-190	223	8	and	and	CCONJ
commonwealth-190	223	9	completed	complete	VERB
commonwealth-190	223	10	fellowship	fellowship	NOUN
commonwealth-190	223	11	training	training	NOUN
commonwealth-190	223	12	in	in	ADP
commonwealth-190	223	13	pain	pain	NOUN
commonwealth-190	223	14	medicine	medicine	NOUN
commonwealth-190	223	15	in	in	ADP
commonwealth-190	223	16	the	the	DET
commonwealth-190	223	17	anesthesiology	anesthesiology	NOUN
commonwealth-190	223	18	department	department	NOUN
commonwealth-190	223	19	at	at	ADP
commonwealth-190	223	20	brigham	brigham	PROPN
commonwealth-190	223	21	and	and	CCONJ
commonwealth-190	223	22	women	woman	NOUN
commonwealth-190	223	23	’s	’s	PART
commonwealth-190	223	24	hospital	hospital	NOUN
commonwealth-190	223	25	and	and	CCONJ
commonwealth-190	223	26	harvard	harvard	PROPN
commonwealth-190	223	27	medical	medical	PROPN
commonwealth-190	223	28	school	school	PROPN
commonwealth-190	223	29	.	.	PUNCT
commonwealth-190	224	1	he	he	PRON
commonwealth-190	224	2	is	be	AUX
commonwealth-190	224	3	also	also	ADV
commonwealth-190	224	4	board	board	NOUN
commonwealth-190	224	5	certified	certify	VERB
commonwealth-190	224	6	in	in	ADP
commonwealth-190	224	7	psychiatry	psychiatry	NOUN
commonwealth-190	224	8	and	and	CCONJ
commonwealth-190	224	9	completed	complete	VERB
commonwealth-190	224	10	a	a	DET
commonwealth-190	224	11	residency	residency	NOUN
commonwealth-190	224	12	in	in	ADP
commonwealth-190	224	13	psychiatry	psychiatry	NOUN
commonwealth-190	224	14	at	at	ADP
commonwealth-190	224	15	johns	johns	PROPN
commonwealth-190	224	16	hopkins	hopkins	PROPN
commonwealth-190	224	17	.	.	PUNCT
commonwealth-190	225	1	he	he	PRON
commonwealth-190	225	2	is	be	AUX
commonwealth-190	225	3	cochair	cochair	NOUN
commonwealth-190	225	4	of	of	ADP
commonwealth-190	225	5	a	a	DET
commonwealth-190	225	6	systemwide	systemwide	ADJ
commonwealth-190	225	7	committee	committee	NOUN
commonwealth-190	225	8	to	to	PART
commonwealth-190	225	9	improve	improve	VERB
commonwealth-190	225	10	pain	pain	NOUN
commonwealth-190	225	11	care	care	NOUN
commonwealth-190	225	12	across	across	ADP
commonwealth-190	225	13	upmc	upmc	PROPN
commonwealth-190	225	14	.	.	PUNCT