Narcotic Stewardship Project
|
|
- Veronica Sparks
- 6 years ago
- Views:
Transcription
1 Narcotic Stewardship Project Right Size Prescribing Surgical Services Clinical Program Douglas S. Swords MD Shelly Brimhall MSN Barbara Ostlund MSN Sathya Vijayakumar MBA-MS Jeannette Prochazska MSN Prem Narayanan MS David Skarda MD
2 Prescription Misuse is a Serious Problem Opioid overdose now the leading cause of injury related deaths in the United States (surpassing MVA s) Opioid overdose deaths quadrupled in the last 15 years 55% of opioid users received pills for free from a family member or friend who had excess pills Persistent opioid use after surgery - 6%
3 Surgeons: Gatekeepers to Prescription Opioids Annals of Surgery April, 2017 Issue.
4 Surgeons Swinging pendulum Law of unintended consequences No refills No call-in prescriptions Patient satisfaction scores Overprescribe Want to control pain Trust patients Don t want to be called for more at 10:00 pm Difficult to give second prescriptions HCAHPS scores matter Mix narcotic naïve and narcotic exposed patients We might prescribe fewer if we knew how many patients take.
5 Challenge Accepted
6 How Intermountain is addressing Utah s opioid epidemic: It s time for courage and leadership on our part Opioid Summit Opioid Community Collaborative Medication disposal drop boxes Naloxone rescue kits Increased caregiver training Pain Services Clinical Service New prescribing recommendations - 40% reduction Increased education alternative pain management strategies Surgical Services Clinical Program Narcotic Initiative Surgical Patient Pain Med Survey Right Size opioid prescribing recommendations - by procedure/procedure type (based on data collected)
7 Current Process: Rolled out to all Intermountain facilities on icentra Began Jan. 9, 2017 Patient provides address 2 weeks postop survey sent out Exclusions for now C-Sections (L&D), Endoscopy & CT Patients Averaging 31% survey response rate
8 Education How do we let patients know they will receive a survey? Address in Preop (PAT) phone call (scripting provided) Address in Post-op (discharge) phone call (scripting provided) Provide patients with a rack-card Rack-cards in OR waiting area for family members Inpatients Included on MAWDS discharge teaching sheet & can also print info with discharge teaching sheets
9 icentra additions initiated March 9, 2017 Scripting dialog SDS/PACU Scripting about the Narcotic Survey now displays on the Preadmission Assessment and the Postop/Procedure phone call pages. The nurse making the phone call uses this verbiage to inform patients that they will receive a survey about their narcotic usage after surgery.
10 Rack-Card
11 Intermountain Pain Medication Patient Survey Example
12 2017 Goal: Increase opioid stewardship, reduce excess opioids in the community, and decrease opioid misuse/abuse. Method: Use patient-reported feedback to discover the quantity of opioids used by patients and their opioid-naïve status. Cross-reference patient-reported data with enterprise data warehouse opioids prescribed and surgical records to discover use and procedure comparisons. Propose ideal opioid prescription quantities (ranges by procedure/procedure types) As of Wednesday, November 29, 2017: We sent 36,415 initial surveys Patients completed 11,113 surveys Average Initial survey response rate of 30.52%
13 Survey responses Duration of Opioid Use Prior to Surgery?
14 Do you feel your pain was well controlled?
15 Survey Responses Was Your Pain Well Controlled? Pain Control Responses Pain Control Response Opioid Naïve Opioid Exposed Strongly Agree 77.50% 22.50% Agree 71.29% 28.71% Neutral 69.12% 30.88% Disagree 54.55% 45.45% Strongly Disagree 40.00% 60.00%
16 What have you done with leftover tablets (or liquid) of your opioid pain medication?
17 Did you receive instructions after your surgery or from the pharmacy regarding how to properly dispose of any unused opioid pain medication?
18 Intermountain drop boxes yield over 6,400 lbs. unused meds as of August 17, 2016
19 For your safety and the safety of your family and the community, we recommend that you Take any remaining pain medication to a safe disposal drop box located at Intermountain Community Pharmacy locations or other sites across the region. Use the Safe Disposal: Drop-off Locator to find a drop-off location near you:
20 Clinician Education Has Started: Mid November sent out first dosing recommendation letters to: Gen Surg ENT Gyn Urology Addition of Obstetric (C-sections & Vag-deliveries) population to the Patient Pain Medication Survey
21
22
23
24 Urology
25 GYN
26 ENT
27 Surgeon Messaging Now Right Size Prescribing Know how many doses patients use after the operation Know if you patient has been taking narcotics before your operation DOPL CSD Consider Naloxone for patients who have been taking narcotics before the operation and may have a respiratory/pain tolerance development differential
28 Surgeon Messaging Future Right Size Prescribing Prescribe the 2x the mean consumed with a partial fill of 1x the mean consumed Tailor opioid prescriptions to patient s genetic phenotype Further pain medication prescriptions should be from the PCP
29 Success
30 Consequences Intended: Decrease deaths Decrease the development of new addiction Decrease cost Unintended: Increase the value of prescription narcotics Supply/demand Drive current misusers to alternatives Injection Impurities
31 Acknowledgement/Credit Jay Bishoff
32 Questions
Appropriate Opioid Prescribing for Acute Pain after Surgery
Appropriate Opioid Prescribing for Acute Pain after Surgery Richard J. Barth Jr. Professor of Surgery Chief, Section of General Surgery Dartmouth Hitchcock Medical Center American Urologic Association
More informationAppropriate Opioid Prescribing for Acute Pain after Surgery
Appropriate Opioid Prescribing for Acute Pain after Surgery Richard J. Barth Jr. Professor of Surgery Chief, Section of General Surgery Dartmouth Hitchcock Medical Center Clinical Trials Network Webinar
More informationEnhanced Recovery to Optimize Perioperative Alternatives to Opioids
Enhanced Recovery to Optimize Perioperative Alternatives to Opioids Women in Government, Annual Healthcare Summit Th 05 November 2017, Washington DC Timothy E. Miller, MB, ChB, FRCA Duke University Department
More informationDefying Gravity. Changing the conversation and landscape with prescription opioids
Defying Gravity Changing the conversation and landscape with prescription opioids What is Utah Like? Counties and LSAA Community Coalitions Working to Reduce risk factors Enhance protective Drug Free Community
More informationOpioid Guardianship Project: Combating the Opioid Crisis Sarah Derr, PharmD Meg Nugent, MHA, RN Iowa Healthcare Collaborative
Opioid Guardianship Project: Combating the Opioid Crisis Sarah Derr, PharmD Meg Nugent, MHA, RN Iowa Healthcare Collaborative Objectives Summarize the current crisis at the national and Iowa state level.
More informationTITLE AUTHORS. Lucas G. Hill, PharmD The University of Texas at Austin College of Pharmacy
TITLE Naloxone Counseling for Harm Reduction and Patient Engagement AUTHORS Lucas G. Hill, PharmD The University of Texas at Austin College of Pharmacy Marianne E. Koenig, PharmD UPMC St. Margaret Family
More informationWhy pay for Continuing Education when you can get it for FREE!?
Why pay for Continuing Education when you can get it for FREE!? Special Projects Coordinator Arizona Center for Rural Health 9/15/17 This publication was supported by the Grant Number 1U17CE002717-01,
More informationMorrison County Community-Based Care Coordination. Our Core Values Reverence Integrity Compassion Excellence
Morrison County Community-Based Care Coordination Our Core Values Reverence Integrity Compassion Excellence Community Based Care Coordination Project The goal is to mitigate the need for, overuse of, and
More informationTreating pain without pills
Treating pain without pills Treating pain without pills HealthPartners pain management program Nearly one-third of Americans experience pain. Pain medication is the most commonly prescribed class of drugs
More informationOPIOID PRESCRIBING RULES. May 17, 2017 Webinar
OPIOID PRESCRIBING RULES May 17, 2017 Webinar Outline Introduction and Universal Precautions Dr. Levine, Commissioner, Health Department 15 Minutes Acute Pain Dr. Patti Fisher, UVMMC 20 Minutes Chronic
More informationPerformance of North Carolina's System for Monitoring Prescription Drug Abuse. Session Law , Section 12F.16.(q)
Performance of North Carolina's System for Monitoring Prescription Drug Abuse Session Law 2015-241, Section 12F.16.(q) Report to the Joint Legislative Oversight Committee on Health and Human Services and
More informationWORKING UPSTREAM TO COMBAT THE OPIOID CRISIS
WORKING UPSTREAM TO COMBAT THE OPIOID CRISIS WELCOME Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association PRESENTER Sarah Derr, PharmD Medication Management Lead Iowa Healthcare
More informationMedication Assisted Treatment
Meeting the Needs of Your Clients: Building Competencies in Mental Health and Addiction Services Medication Assisted Treatment November 5, 2018 In partnership with: House Keeping Because this is a webinar,
More informationPrescription Drug Safety for Teens
Prescription Drug Safety for Teens Curriculum Guide Recommended Grade Level 9-12 Total Time 30-45 minutes Subject Fit Health Standards Alignment National Health Education Standards (NHES) With prescription
More informationChronic Pain Management in the Primary Care Setting
Chronic Pain Management in the Primary Care Setting Keeping you and your patients safe. Joel Porter, MD October 1, 2015 Chronic Pain Management Chronic pain is a major public health problem Existing chronic
More informationThe Role of Acute Care Prescribing in the Opioid Epidemic
The Role of Acute Care Prescribing in the Opioid Epidemic Chad M. Brummett, M.D. Associate Professor Department of Anesthesiology Division of Pain Medicine University of Michigan Medical School Email:
More informationOur Core Thoughts on Dealing with the Opioid Addiction Crisis. Meghan McNelly, PharmD, MHA, FACHE Suzette Song, MD Joseph Alhadeff, MD
Our Core Thoughts on Dealing with the Opioid Addiction Crisis Meghan McNelly, PharmD, MHA, FACHE Suzette Song, MD Joseph Alhadeff, MD Outline Brief History of the Opioid Problem How did we as a medical
More informationScO.S. Academic Detailing for Safer Prescribing
ScO.S. Academic Detailing for Safer Prescribing Sarah Ball, PharmD Research Assistant Professor MUSC College of Medicine September 6, 2017 Megan Pruitt, PharmD SCORxE Clinical Pharmacy Consultant MUSC
More informationOverview of ASHP Opioid Efforts
Overview of ASHP Opioid Efforts Deborah A Pasko, Pharm.D, MHA Director, Medication Safety & Quality Nicholas Gentile Director, State Grassroots Advocacy and Political Action Presenter My educational background
More informationThe Opioid Crisis in Kentucky. Doug Oyler, PharmD Director, Office of Opioid Safety UK HealthCare
The Opioid Crisis in Kentucky Doug Oyler, PharmD Director, Office of Opioid Safety UK HealthCare Discuss the role of opioid prescribing in creating and sustaining the crisis Describe components and initiatives
More informationOpioid Stewardship Davies Presentation
Opioid Stewardship Davies Presentation Todd Burstain, MD CMIO Ochsner Health Systems Deborah Simonson, Pharm D. Vice President, Pharmacy Ochsner Health Systems Richard Guthrie, MD Chief Quality Officer
More informationOpioid epidemic and PEHP
Opioid epidemic and PEHP Agenda Overview of opioid crisis Utah perspective PEHP: clinical interventions Impact of interventions Why are we here? In the 1990s, the medical establishment came to believe
More informationOpioid Consumption Following Foot and Ankle Surgery
Opioid Consumption Following Foot Haley M. Merrill, MD Daniel M. Dean, MD Jay L. Mottla, MD Steven K. Neufeld, MD Daniel J. Cuttica, DO Matthew M. Buchanan, MD Orthopaedic Foot and Ankle Center Falls Church,
More informationBuprenorphine Order Set and Rapid Access Referral. Copyright 2017, CAMH
2 Buprenorphine Order Set and Rapid Access Referral 1 Agenda Problem Identification / Identification Importance / Importance Baseline Workflow Baseline Workflow Baseline Data Baseline Data Objectives Solution
More informationOpioid Initiative Wave I Starting an ALTO Program
Opioid Initiative Wave I Starting an ALTO Program Presenter Alexis LaPietra, DO What is an Alternatives to Opioids Program Comprehensive program focusing on a multi-modal approach to acute pain management
More informationD. Janene Holladay, M.D. Board Certifications: American Board of Anesthesiology American Board of Pain Medicine American Board of Addiction Medicine
D. Janene Holladay, M.D. Board Certifications: American Board of Anesthesiology American Board of Pain Medicine American Board of Addiction Medicine Financial Disclosure I have no relevant financial relationships
More informationThe 86 th Texas Legislature s Policy Response to Opioids Prepared by the Texas Orthopaedic Association
The 86 th Texas Legislature s Policy Response to Opioids Prepared by the Texas Orthopaedic Association The United States is in the midst of an epidemic of substance misuse and abuse that applies to all
More informationSUBHEAD GOES HERE. Addressing Tennessee s Opioid Crisis. Natalie A. Tate, PharmD Vice President, Pharmacy
SUBHEAD GOES HERE Addressing Tennessee s Opioid Crisis Natalie A. Tate, PharmD Vice President, Pharmacy Our opioids story Our approach Our response to neonatal abstinence syndrome Facts and faces of opioid
More informationThe Oregon Opioid Initiative. State Pain & Opioid Conference Prescription Drug Monitoring May 2018 Lisa Millet, Public Health Division
The Oregon Opioid Initiative State Pain & Opioid Conference Prescription Drug Monitoring May 2018 Lisa Millet, Public Health Division Disclosure No disclosures 2 Learning Objectives Learner will be able
More informationThe Role of the Pharmacist in Postoperative Pain Management: Strategies to Help Combat the Epidemic
The Role of the Pharmacist in Postoperative Pain Management: Strategies to Help Combat the Epidemic Presented By: Cheryl Genord, R.Ph. B.S.Pharm Clinical Pharmacy Specialist Learning Objectives Describe
More informationUnderstanding the Opiate Epidemic
Understanding the Opiate Epidemic An opiate is a narcotic analgesic that depresses the central nervous system. Natural opiates are derived from the poppy plant. Synthetic opiates are manufactured drugs
More informationEMERGENCY DEPARTMENT MODEL PRACTICES DEALING WITH THE PRESCRIPTION OPIOID EPIDEMIC
EMERGENCY DEPARTMENT MODEL PRACTICES DEALING WITH THE PRESCRIPTION OPIOID EPIDEMIC RAMI R KHOURY, MD, FACEP ASSISTANT MEDICAL D IRECTOR EMERGENCY C A R E ALLEGIANCE HEALTH ADVERTISING AT ITS BEST! OVERDOSE
More informationNurse Practitioner Practice Guideline Treatment Agreements
Nurse Practitioner Practice Guideline Treatment Agreements In November 2012, the New Classes of Practitioners Regulations (NCPR) under Canada s Controlled Drug and Substances Act (CDSA) came into force,
More informationImplementing Pain and Opioid Management Guidelines in Primary Care Practice
Implementing Pain and Opioid Management Guidelines in Primary Care Practice Objectives 1. What is the issue? 2. Why use a dedicated dissemination & implementation process? a. Historical perspective Cooperative
More informationPatient and Family Agreement on Opioids
Patient and Family Agreement on Opioids We care about our patients and are committed to their recovery and wellness. We offer our patients medications and options for various services to keep them from
More informationOpioid Misuse and Overdose Prevention and Safety. Dr. Kathleen Clanon Medical Director May 31, 2018
Opioid Misuse and Overdose Prevention and Safety Dr. Kathleen Clanon Medical Director May 31, 2018 1 On average, 115 Americans die every day from an opioid overdose. Centers for Disease Control 2 Opioid
More informationThe Arizona Prescription Drug Reduction Initiative
The Arizona Prescription Drug Reduction Initiative A Multi-Systemic Approach for Targeting Rx Drug Misuse and Abuse Richard Rosky AZ HIDTA Program Co-Chair AZ Rx Abuse Reduction Initiative The Silent Epidemic
More informationImplementation: Public Hearing: Request for Comments (FDA-2017-N-6502)
March 16, 2018 via online submission: www.regulations.gov The Honorable Scott Gottlieb Commissioner Food and Drug Administration 5630 Fishers Lane, Room 1061 Rockville, MD 20852 Re: Opioid Policy Steering
More information4/19/2018. Opioid Use Disorder in Pregnancy OBJECTIVES ANTENATAL TESTING
Opioid Use Disorder in Pregnancy 2017 Recommendations from ACOG and The Pew Charitable Trust KATHY D. HARTKE, MD, LEGISLATIVE CO-CHAIR AND IMMEDIATE PAST CHAIR, WISCONSIN SECTION OF THE AMERICAN COLLEGE
More informationTHE MEDICINE ABUSE PROJECT:
THE MEDICINE ABUSE PROJECT: How teens, parents and doctors view the problem of teen misuse and abuse of prescription drugs and over-the-counter cough medicines A RIGHT OF PASSAGE OR AN EPIDEMIC? Used as
More informationThe Opioid Epidemic: What is the Role of Acute Pain Prescribing?
The Opioid Epidemic: What is the Role of Acute Pain Prescribing? How did we get here? 2012: 259 million opioid prescriptions 40% : Levy B, Paulozzi L, Mack KA, Jones CM. Trends in Opioid Analgesic-Prescribing
More information6/6/2017. First Do No Harm SECTION 1 THE OPIOID CRISIS. Implementing an Opioid Stewardship Program in a HealthCare System OBJECTIVES
First Do No Harm Implementing an Opioid Stewardship Program in a HealthCare System Phil Chang, MD Kristy Deep, MD Doug Oyler, PharmD June 12, 2017 OBJECTIVES Explain the role of opioid stewardship as a
More informationPreventing opioid poisonings Presenting responsible pain management Promoting Substance Use Treatment and Support services
Preventing opioid poisonings Presenting responsible pain management Promoting Substance Use Treatment and Support services Fred Wells Brason II fbrason@projectlazarus.org Pilot Project Setting Manual labor
More informationThe Opioid Epidemic: Current State and the Path Forward
The Opioid Epidemic: Current State and the Path Forward Teresa Rummans, MD Jenna K Lovely, Pharm D, BCPS Julie Cunningham, Pharm D, BCPP Halena Gazelka, MD 2015 MFMER slide-1 Disclosures No relevant financial
More informationEMERGENCY DEPARTMENT MODEL PRACTICES DEALING WITH THE PRESCRIPTION OPIOID EPIDEMIC
EMERGENCY DEPARTMENT MODEL PRACTICES DEALING WITH THE PRESCRIPTION OPIOID EPIDEMIC RAMI R KHOURY, MD, FACEP ASSISTANT MEDICAL DIRECTOR EMERGENCY CARE ALLEGIANCE HEALTH ADVERTISING AT ITS BEST! OVERDOSE
More informationMission: The Oregon Coalition for Responsible Use of Meds (OrCRM) is a Statewide Coalition launched to prevent overdose, misuse and abuse of
Mission: The Oregon Coalition for Responsible Use of Meds (OrCRM) is a Statewide Coalition launched to prevent overdose, misuse and abuse of amphetamines and opioids, both prescription and illicit, among
More informationPrescription Monitoring Program (PMP)
06/15/2018 FACT SHEET Implementation of Enacted Prescribing Limits and Requirements and Relevant Opioid Prescribing Laws and Rules Background: The 2016 law (Chapter 488) makes five major changes to opioid
More informationSafe Prescribing of Drugs with Potential for Misuse/Diversion
College of Physicians and Surgeons of British Columbia Safe Prescribing of Drugs with Potential for Misuse/Diversion Preamble This document establishes both professional standards as well as guidelines
More informationArizona State Office of Rural Health Webinar Series
Arizona State Office of Rural Health Webinar Series Mute your phone &/or computer microphone Time is reserved at the end for Q&A Please fill out the post-webinar survey Webinar is being recorded Recording
More informationWhatcom County. Opioid Abuse. Prevention & Response Plan
Whatcom County Opioid Abuse Prevention & Response Plan Prepared by the Whatcom County Health Department on Behalf of Whatcom has HOPE March 2017 INTRODUCTION On September 6, 2016, twenty-seven stakeholders
More informationMY Generation Rx. Minute Activities TEEN EDUCATION. Minute Activities.
MY Generation Rx Brought to you by: Minute Activities Minute Activities are short, hands-on activities designed to teach teens how to safely use prescription medications in an effort to prevent their misuse.
More informationSHARED DECISION-M A KING FOR PRESCRIPTION OPIOIDS AFTER CESAREAN DELIVERY
Appendix 1. SHARED DECISION-M A KING FOR PRESCRIPTION OPIOIDS AFTER CESAREAN DELIVERY W HAT IS PAIN? HOW MUCH PAIN DO W OMEN USUALLY HAVE AFTER A C-SECTION? During hospitalization, the average pain score
More informationMedicare Part D Opioid Policies for 2019 Information for Patients
CENTERS FOR MEDICARE & MEDICAID SERVICES Medicare Part D Opioid Policies for 2019 Information for Patients Introduction Prescription opioid pain medications like oxycodone (OxyContin ), hydrocodone (Vicodin
More informationBest Practices and Foundation Forum. Fred Wells Brason II
Best Practices and Foundation Forum Fred Wells Brason II fbrason@projectlazarus.org Wilkes County, NC Manual labor dominates employment options in this county of 69,000. Wilkes 4 Marvelous M s Moonshine
More informationImproving Opioid Stewardship Amidst an Opioid Crisis
Improving Opioid Stewardship Amidst an Opioid Crisis Jonah Stulberg, MD PhD FACS PANC/POSSE Webinar October 18, 2018 Disclosures Jonah J Stulberg is the Principal Investigator (PI) on the following grants:
More informationOutline. Decreasing total opioid prescriptions Decreasing benzodiazepine and opioid co-prescription. Increasing community awareness of opioid risks
RxSafe Marin overview Outline Safe Prescribing Guidelines Decreasing total opioid prescriptions Decreasing benzodiazepine and opioid co-prescription Increasing community awareness of opioid risks Increasing
More informationRule Governing the Prescribing of Opioids for Pain
Rule Governing the Prescribing of Opioids for Pain 1.0 Authority This rule is adopted pursuant to Sections 14(e) and 11(e) of Act 75 (2013) and Sections 2(e) and 2a of Act 173 (2016). 2.0 Purpose This
More informationOn December 27, 2017, the Lieutenant Governor signed into law several new requirements
OPIOID Alert MICHIGAN OSTEOPATHIC ASSOCIATION JANUARY 2018 On December 27, 2017, the Lieutenant Governor signed into law several new requirements aimed at combating the opioid epidemic. On the following
More informationPrescription Drug Monitor Programs (PMDP): Combating prescription drug misuse and abuse. A physician s perspective.
Prescription Drug Monitor Programs (PMDP): Combating prescription drug misuse and abuse. A physician s perspective. Jeremy Johnson, MD UAB-Huntsville Family Medicine, Huntsville, AL Johnson Medical, LLC
More informationTri-County Region Opioid Trends Clackamas, Multnomah, and Washington, Oregon. Executive Summary
Tri-County Region Opioid Trends Clackamas, Multnomah, and Washington, Oregon 2016 Executive Summary 20.8 million people in the United States have a substance use disorder (not limited to opioids), equivalent
More informationExamples of Change Strategies to Best Position Wisconsin Health Systems in Reducing Drug Abuse
Examples of Change Strategies to Best Position Wisconsin Health Systems in Reducing Drug Abuse Amy Zosel, MD, MSCS Medical College of Wisconsin Wisconsin Poison Centers The Problem Wisconsin is battling
More informationUsing Structured Frameworks to Implement Opioid Use Disorder (OUD) Prevention Approaches. Melissa Struzzo, MPH
Using Structured Frameworks to Implement Opioid Use Disorder (OUD) Prevention Approaches Melissa Struzzo, MPH Learning Objectives To identify ways to engage the community coalition in collaboration with
More informationOctober 20, 2016 Scott K. Proescholdbell, MPH. Opioid Overdose and North Carolina s Public Health and Prevention Strategies
October 20, 2016 Scott K. Proescholdbell, MPH Opioid Overdose and North Carolina s Public Health and Prevention Strategies Deaths per 100,000 population Death Rates* for Three Selected Causes of Injury,
More informationInformation Sheet 10. Medication Hints and Tips (Updated August 2014)
An information sheet on Medication problems and how to prevent them. Memory Loss... People who suffer from dementia or Alzheimer s disease may simply forget to take their medications, causing them to skip
More informationNaloxone and Combating the Opioid Epidemic
Objectives Naloxone and Combating the Opioid Epidemic Jeff Jacobson PharmD Southpointe Pharmacy Discuss the current opioid crisis Define the role of Naloxone in opioid overdose Analyze the barriers to
More informationAddressing the Opioid Epidemic in Tennessee
Addressing the Opioid Epidemic in Tennessee A Multidisciplinary Approach Melissa McPheeters, PhD, MPH Director, Informatics and Public Health Analytics 26 108 733 *Source: CDC References Centers for
More informationTreating Emergency Room Opioid Withdrawal with Buprenorphine
Treating Emergency Room Opioid Withdrawal with Buprenorphine Monday, February 11th (3:45pm 4:30pm) Room W314B Christine Bucago, Advanced Practice Clinical Leader (Nursing), CAMH Jane Paterson, Director,
More informationNew Medicare Part D Prescription Opioid Policies for 2019 Information for Prescribers
CENTERS FOR MEDICARE & MEDICAID SERVICES New Medicare Part D Prescription Opioid Policies for 2019 Information for Prescribers Background CMS understands the magnitude of the nation s opioid epidemic and
More informationHealth TALK. Toothache? Did you know?
Health TALK SUMMER 2018 Did you know? About 618 people in the United States are killed by extreme heat every year. Heat-related illnesses happen when the body is not able to properly cool itself. Older
More informationArticle #2 Prescription Drug Overdose CDC: Centers for Disease Control and Prevention. Understanding the Epidemic
Article #2 Prescription Drug Overdose CDC: Centers for Disease Control and Prevention Understanding the Epidemic When the Prescription Becomes the Problem In a period of nine months, a tiny Kentucky county
More informationSecure Medicine Return Regulations King County, Washington
Secure Medicine Return Regulations King County, Washington Board of Health Chapter 11.50 New law to create a sustainably financed, county-wide secure medicine return system SMR-090413 King County Passes
More informationOral Therapies: Strategies to Ensure Adherence Jan Tipton, MSN, RN, AOCN University of Toledo Medical Center
Oral Therapies: Strategies to Ensure Adherence Jan Tipton, MSN, RN, AOCN University of Toledo Medical Center Learning Objectives Review strategies, tools, and resources to facilitate adherence among patients
More informationPrepublication Requirements
Issued Prepublication Requirements The Joint Commission has approved the following revisions for prepublication. While revised requirements are published in the semiannual updates to the print manuals
More informationFAQs on Proper Disposal of Drugs
FAQs on Proper Disposal of Drugs In the past, you might have been told it was best to discard medications by flushing them. What has changed? There is a new awareness about the potential harmful effects
More informationThere are no financial or other pertinent conflicts of interest to disclose. Learning Objectives: Key Questions To Ask 10/4/2014
Maintaining Patient Safety When Chronic Opioid Therapy Is Prescribed P. David Pacheco, Ph.C, PA-C, CAAAPM Pain Medication Management Specialist Southwest Interventional Pain Specialists, PC 4700 Jefferson
More informationBuilding a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine
Building a Comprehensive, Community-driven Prevention Approach to the Opioid Crisis in Maine Scott M. Gagnon, MPP, PS-C Director, AdCare Educational Institute of Maine, Inc. Co-Chair, Prevention & Harm
More informationBlue Cross of Idaho Addresses State s Opioid Issue
Blue Cross of Idaho Addresses State s Opioid Issue BY THE NUMBERS - Opioid Management page 3 THE PROBLEM - How Preventing Pain Hurt Us page 4 THE SOLUTIONS - Idaho State Board Of Pharmacy Prescription
More informationReport to the Legislature: Unsolicited Reporting Criteria Established and Process Review MN Prescription Monitoring Program
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Board of
More informationOPIOID REDUCTION INITIATIVE FOR SURGICAL PATIENTS AT KAISER PERMANENTE
OPIOID REDUCTION INITIATIVE FOR SURGICAL PATIENTS AT KAISER PERMANENTE DAVID PARSONS, MD NORTHWEST PERMANENTE PC MID-WILLAMETTE VALLEY PAIN SUMMIT SEPTEMBER 22, 2017 HOW BIG IS THIS PROBLEM? 2001 JCAHO:
More informationOpioid Overdose in Oregon Report to the Legislature
SEPTEMBER 2018 Opioid Overdose in Oregon Report to the Legislature This report summarizes the burden of opioid overdose among Oregonians as required by ORS 432.141. It describes Oregon s progress in reducing
More informationResponding to the Prescription Opioid and Heroin Crisis: An Epidemic of Addiction
Responding to the Prescription Opioid and Heroin Crisis: An Epidemic of Addiction Andrew Kolodny, MD Co-Director, Opioid Policy Research Collaborative Heller School for Social Policy and Management Brandeis
More informationIF YOUR NAME S NOT ON THE THEY RE NOT MEANT FOR YOU TO SWALLOW!
IF YOUR NAME S NOT ON THE BOTTLE THEY RE NOT MEANT FOR YOU TO SWALLOW! 2 nd Annual Opioid Abuse and Heroin Overdose Solutions Summit Presented by: Grenae Dudley, Ph.D. The Youth Connection and Love Detroit
More informationWhat would it take to get to zero overdose deaths in California? Kelly Pfeifer, MD May 5, 2017
What would it take to get to zero overdose deaths in California? Kelly Pfeifer, MD kpfeifer@chcf.org May 5, 2017 Beth Name and picture changed What we believed then Opioids are safer than alternatives
More informationLiterature year in review: Fast take
Literature year in review: Fast take Fatal opioid overdoses have declined in parts of Eastern Mass. By Catie Edmondson GLOBE CORRESPONDENT AUGUST 11, 2017 EMS program called First Watch: Alert to district
More informationTO YOUR PHARMACIST TOOLKIT. A Guide to Help Utah Pharmacists Talk to Customers About Prescription Opioids
TALK TO YOUR PHARMACIST TOOLKIT A Guide to Help Utah Pharmacists Talk to Customers About Prescription Opioids Acknowledgements This report was made possible by the following individuals and agencies: Stephanie
More informationOpioid use and over-prescription in post-operative patients. Opioid Epidemic. Opioid Epidemic 6/5/2017. epidemic?
Opioid use and over-prescription in post-operative patients Eric Chen, MD/PhD Department of Orthopaedic Surgery Boston University / Boston Medical Center Lahey Hospital Medical Center Opioid Epidemic Nationwide
More informationPresentation Objectives
Oregon s PDMP 101 Lisa Millet, MSH, Section Manager Injury and Violence Prevention Section Center for Prevention and Health Promotion Oregon Health Authority Eugene Oregon PDO Summit April 20, 2016 1 Presentation
More informationResist the Opioid Pendulum: Understanding Opioids and Pain, and how they relate to Addiction
Resist the Opioid Pendulum: Understanding Opioids and Pain, and how they relate to Addiction Stefan G. Kertesz, MD, MSc Diplomate, American Board of Addiction Medicine Associate Professor, University of
More informationIllinois Prescription Monitoring Program. Sarah Pointer, Pharm D. Clinical Director of the Illinois Prescription Monitoring Program
Illinois Prescription Monitoring Program Sarah Pointer, Pharm D. Clinical Director of the Illinois Prescription Monitoring Program Agenda Provide an overview of the Illinois Prescription Monitoring Program
More informationPublic Policy and Best Practices for Reducing Opioid Harm. State Capital Building, Harrisburg PA June 6, 2018
Public Policy and Best Practices for Reducing Opioid Harm State Capital Building, Harrisburg PA June 6, 2018 93 hospitals across 22 States: 4 Acute Care Hospitals in PA Extensive community programs including
More informationIntroduction. Introduction. Demonstration of an Effective Post-Op Pain Management Protocol In Distal Radius Fractures
Demonstration of an Effective Post-Op Pain Management Protocol In Distal Radius Fractures Demonstration of an Effective Post-Op Pain Management Protocol In Distal Radius Fractures David L. Nelson, MD Brandan
More informationNCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Medicaid Transformation Project
NCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Introduction The North Central Accountable Community of Health (NCACH) is accepting applications from partners
More informationOpioid Prescribing for Acute Pain. Care for People 15 Years of Age and Older
Opioid Prescribing for Acute Pain Care for People 15 Years of Age and Older Summary This quality standard provides guidance on the appropriate prescribing, monitoring, and tapering of opioids to treat
More informationOPIOID WORKGROUP LEADERSHIP TEAM
OPIOID WORKGROUP LEADERSHIP TEAM Community-wide Action Plan and Call to Action This brief summary of the Opioid Action Plan presented to the Skagit County Board of Health on December 13, 2016 provides
More informationPutnam County. West Virginia Board of Pharmacy Prescription Opioid Problematic Prescribing Indicators County Report
West Virginia Board of Pharmacy Prescription Opioid Problematic Prescribing Indicators Report The West Virginia Violence and Injury Prevention Program ( VIPP), in collaboration with the West Virginia Board
More informationStorytelling the Opioid Epidemic: Using Media for Impact
Storytelling the Opioid Epidemic: Using Media for Impact 2018 NPN Conference Boston, MA Maureen Mo De Nieva-Marsh, BA RxSafe Marin, Senior Program Coordinator County Health Rankings Comparison to
More informationPrescription Opioid Overdose in Oregon: A public health perspective
Prescription Opioid Overdose in Oregon: A public health perspective Katrina Hedberg, MD, MPH Health Officer & State Epidemiologist Oregon Public Health Division Oregon Health Authority All-Cause Mortality,
More informationHHS Priorities and Actions to Support Treatment for Those with Opioid Use Disorder
HHS Priorities and Actions to Support Treatment for Those with Opioid Use Disorder Brett Giroir, U.S. Department of Health and Human Services Join the conversation at #OUDTreatment #EndTheStigma Expanding
More informationEducation Program for Prescribers and Pharmacists
Transmucosal Immediate Release Fentanyl (TIRF) Products Risk Evaluation and Mitigation Strategy (REMS) Education Program for Prescribers and Pharmacists Products Covered Under this Program Abstral (fentanyl)
More information