Amanda Ryan, PharmD, BCGP, is the Clinical Pharmacy Specialist for atom Alliance, the five state Quality Innovation Network-Quality Improvement Organization that includes Qsource. She serves as atom’s subject matter expert in medication safety, which includes opioids as an area of focus. In this role she coordinates work across the region to improve the safe use of opioids, including in nursing homes. Before coming to Qsource her practice experience included six years in long-term care pharmacy, where she served as a consultant pharmacist for skilled nursing facilities, collaborated with the health care team on safe and effective medication use, and provided medication therapy management services. All of these practice experiences included opioid safety in nursing home residents as a specific area of focus.