The Community Foundation for Southeast Michigan engaged Public Sector Consultants (PSC) to identify and prioritize barriers to implementing successful medication for opioid use disorder (MOUD) programs in hospital emergency departments (EDs) to better address opioid use disorder (OUD). PSC first identified barriers through interviews with a diverse group of stakeholders engaged at all levels of MOUD implementation. Using the findings from the 16 interviews, PSC then engaged the same group of stakeholders through a survey and a subgroup of those stakeholders in a 90-minute virtual meeting to prioritize the identified barriers and determine which barriers are most urgent to address. Key findings from these activities are presented below, followed by detailed findings from the survey and facilitated meeting.