In 2026-1Q, 155 age-eligible records were reviewed (16 with undocumented age included, 10 confirmed under 16 excluded). 0 received naloxone and 0 (0.0%) improved. Of 0 candidates with drug-use indicators, 0 had a documented exclusion, leaving 0 buprenorphine-eligible patients; 0 (0.0%) received buprenorphine and 0 were true missed opportunities. 0 had buprenorphine considered but not given (pertinent-negative). COWS was documented in 24 of 155 eligible records (15.5%); age was documented on 90.3%.