East Regional PMP. PMP Center of Excellence Update. Baltimore, MD April 6, 2011
|
|
- Agatha West
- 5 years ago
- Views:
Transcription
1 East Regional PMP Meeting: PMP Center of Excellence Update Baltimore, MD April 6, 2011
2 US Surgeon General s Expert Panel on Prescription Drug Abuse in Youth: March
3 Sources of Prescription Drugs for Abuse by Youth Common Understanding: Dominant source is from a friend or relative Given for free Purchased from them Stolen from them Prescriptions to youth are only a minor source Questionss: Does this hold true for all youth? Does this hold true in all locales? Will this hold true in the future, or is it changing?
4 What Can PMPs Tell Us About Use of Controlled Substances by Youth? Preliminary examination of data to demonstrate the kinds of analyses that are possible.
5 A Very Special Thanks to: Very Preliminary Analysis Maine PMP South Carolina PMP Wyoming PMP
6 Charleston County, SC South Carolina PMP and its vendor, HID, provided: Opioidprescriptions, prescriptions, Schedule IIandIII III Dispensed by SC Pharmacies in 2010 By county of patients residences We examined: City of Charleston and surrounding communities a metropolitan county Use of Opioids by youth compared to all ages
7 Opiate Utilization in Charleston County, SC (1/1/ /31/10) Qnty Dispensed (in %) # of Recipients (in %) ges Percenta Age
8 Charleston County, SC Opioid prescriptions only in Schedules II and III Users by age group How many of us were aware that a community could have almost as many individuals aged receiving opioid prescriptions as those aged 50 59, even if their use of prescriptions is less? Spartanburg County has a similar pattern Future Analyses Is this an emerging pattern? How prevalent is this in the rest of the county? What are the implications for abuse and misuse; i.e. is the use of opioids by youth for legitimate medical care?
9 Days of Supply: Charleston County, SC Age 0 9 average is 20 dosage units per day Age average is 10 Other ages average is 5 The pattern is similar in Spartanburg Future Analyses Is this an emerging pattern? How prevalent is this in the rest of the county? What are the implications for abuse and misuse?
10 The State of Maine Maine PMP provided: Schedules II, IIIandIVprescriptions IV Dispensed by Maine Pharmacies in 2009 Data for the entire state We examined: Use of prescriptions by youth age 25 and under, Comparison of junior high, senior high, and post high school age groups to one another and to the rest of all age users, by percentages
11 Maine Prescription Monitoring Program FY2010 Data Drug Categories of Dispensed Schedules II IV Drugs by Age Group N=434, Opioids Perc centage of Perso ons in Category Stimulants Sedatives Other 0 <= Age Groups
12 Maine Prescription Monitoring Program FY 2010 Data Payment Sources for Dispensed Schedules II IVIV Prescription Drugs Percent tage of payment source used by age group > Commercial insurance Medicaid Private (e.g., cash) Other Age Groups
13 Use of Controlled Substances by Youth in Maine Caveat: Timedid not permita rerun using rates per population This needs to be done, particularly as the number of years in each age group varied We plan to rerun the data with rates.
14 Use of Controlled Substances by Youth in Maine Preliminary observations and questions from the data: After high school, youth appear to have obtained more opioid prescriptions compared to younger ages. Is this related to employment and the ability to pay for the prescriptions through commercialinsurance? insurance? Related questions: Isthis related to increases in injuries, disease, other sources of pain? Is this related to leaving parental supervision?
15 What Can PMPs Tell Us About Prescription Drug Abuse by Youth? Preliminary examination of data to demonstrate the kinds of analyses that are possible.
16 Wyoming Wyoming PMP provided: Data for 296 persons who exceeded WY PMP s high threshold for Doctor Shoppers state population 544,000 Generally, one month s data for each person, i.e. the month they exceeded threshold; unsolicited reports were sent to prescribers Schedule II through V plus Carisoprodol and Ultram Dispensed by WY Pharmacies Statewidet We examined: Doctor shoppers by 10 year age groupings Use of Opioids by youth compared to all ages
17 Individuals Identified as Doctor Shoppers in WY PMP Database, Associated Prescriptions and Non liquid Doses, by Age Grouping %_ indiv %_prescr %_qty_disp
18 Wyoming Doctor Shoppers Observations: The WY doctor shoppers are younger than general population who obtain prescriptions more than 60% of the doctor shoppers are age 39 and under This is unlike general use in Charleston, SC data highest group 50 to 59 The quantities of prescriptions and dosage units obtained by younger doctor shoppers is similar to older doctor shoppers The peak in This is unlike general use in Charleston, SC data peak was 50 to 59 Different than general use in Charleston, SC, the 29 and under ages obtained the same level of prescriptions and dosage units as did older doctor shoppers.
19 Wyoming Doctor Shoppers Observation: Those 25 and under are 12.2% of the total WY doctor shoppers. At about 8 Rx and 300 dosage units per month for each of these young doctor shopper, what quantities of prescription drugs could they divert into abuse if WY were not monitoring and sending out unsolicited reports upon their exceeding the threshold? Given the relatively high thresholds used in WY, what additional young doctorshopping may be underway? Question for further analysis: Is youthful doctor shopping increasing, at least in some areas y pp g g of the country, compared to previous understandings?
20 Additional Areas for Analysis
21 Age specific rates of ED visits for nonmedical use of opioid analgesics (OAs) and benzodiazepines (BZDs) United States 2004and2008 MMWR June 18 benzodiazepines (BZDs) United States, 2004 and 2008 MMWR June 18, 2010
22 Drug Overdose among Youth PMP s Roles Should Emergency Departments routinely request PMP data when treating overdose victims to determine what drugs were obtained prior to overdose? Should prescribers and pharmacies by notified when persons to whom they prescribed overdose on the prescribed drugs? Should researchers examine PMP records for overdose victims to determine the extent to which prescribed drugs were involved?
23 Florida Newborns in Withdrawal per 1,00 00 Rate Rate per 1, Source: Herald Tribune, Sarasota Florida, July 18, 2010 Data Attributed to Florida Dept. of Health Years ICD code Drug withdrawal in newborn (drug is not specified)
24 Washington State Newborns in Withdrawal YEAR Rate of Newborns in Withdrawal per 1, Source: Washington State Department of Health ICD code Drug withdrawal in newborn (drug is not specified)
25 Maternal treatment with opioid analgesics and risk for birth defects Study by Cheryl S. Broussard, PhD; et al CONCLUSION: Consistent with some previous investigations, our study shows an association between early pregnancy maternal opioid analgesic treatment and certain birth defects. This information should be considered by women and their physicians who are making treatment decisions during pregnancy.
26 Increases in Newborn Withdrawal and Maternal Use of Opioids Risk of Birth Defects To what extent do these issues reflect use and abuse of prescription drugs by youth of child bearing age? Should Ob/Gyn physicians request PMP reports to determine Patients in pain treatment with opioids who don t advise their Ob/Gyn? Patients who are doctor shopping and refuse to disclose this? Should pediatricians obtain PMP Reports, i.e. should they continue to perceive prescription abuse as only for adults? Should researchers examine maternal PMP records when newborns areborn inwithdrawal /babiesareborn are born withdefects to determine if prescribed drugs were involved?
27 Other Lines of Inquiry for PMP Data Is youthful doctor shopping limited to a few states or is it more widespread? Is it increasing? To what extent does doctor shopping provide drugs for youth to abuse? Which drugs are involved in youthful doctor shopping; are they the same as for adults or the same in all areas? To what extent are youth obtaining drug Cocktails from prescribers, i.e.: Opioids id (e.g. Shdl Schedule II Oxycodone or Shdl Schedule III Hd Hydrocodone) d Benzodiazepines (e.g. Schedule IV Alprazolam) Muscle Relaxant (Unscheduled Carisoprodol/Soma 13 PMPs collect)
28 The Prescription Monitoring Program Center of Excellence at Brandeis University
29
30 Prescription Monitoring Program Center of Excellence Briefing on PMP Effectiveness 2.1 Prescription Monitoring Programs: An Effective Tool in Curbing the Prescription Drug Abuse Epidemic February 2011
31 Prescription Monitoring Program Center of Excellence Notes From the Field Prescription Monitoring Program Center of Excellence PMP Management Tools Prescription Monitoring Program Center of Excellence PMP Study Analysis
32 PMP Center of Excellence Expert Panel 5 PMPRepresentatives Alliance of States with PMPs ATTC AATOD BJA CDC Carnevale Associates Coalition Against Ins. Fraud DEA FDA Health Insurance Carrier IJIS Institute t NASCSA National CAPT NMPI ONDCP SAMHSA Tufts Medical School Veterans Administration
33 COE Work in Selected Areas MA spatial analyses of questionable activity GA and neighboring state PMPs PMPs and prevention Exploring pilotproject project withwy Doctor shopping study Further work with ME and MA PMP data
34 Rates of Doctor Shopping Associated with OxyContin in MA, 1996 Rates per 100 of doctor shopping, by quintile "Source: Massachusetts Dept. of Public Health in partnership with Brandeis University"
35 Rates of Doctor Shopping Associated with OxyContin in MA, 1998 Rates of doctor shopping x 100, per quintile "Source: Massachusetts Dept. of Public Health in partnership with Brandeis University"
36 2005 Prescriptions Associated with Questionable Activity (Rates per 100,000 Prescriptions) by Pharmacy Town Questionable activity rates "Source: Massachusetts Dept. of Public Health in partnership with Brandeis University"
37 2005 Opioid-related Health Overdose Problems Rate per 100,000 by Town Rate per 100,000 Quintiles "Source: Massachusetts Dept. of Public Health in partnership with Brandeis University"
38 Work with GA and Neighboring State PMPs PMP data for prescriptions written in GA and filled in NC, SC, AL, and LA for a 12 month period Data made available by HID (IT vendor for all four states) by GAZip Code How do geographic prescription patterns by GA Zip Code compare with what we might expect? E.g., more prescriptions in border Zip Codes
39 Controlled Substances Dosage Units Prescribed by Georgia Prescribers but Dispensed in Other States AK VT WA* OR NV CA ID AZ UT MT WY CO NM ND MN SD WI NE IA IL KS MO OK AR MS NY MI PA OH IN KY TN GA AL WV VA NC SC ME NH MA RI CT NJ DE MD DC HI TX LA FL 0.4 Million Dosage Units 3.0 Million Dosage Units 9.8 million Dosage Units *Washington has temporarily suspended d its PMP operations due to budgetary constraints. t 12.5 Million Dosage Units
40 Average Number of Patients per GA Prescriber for Prescriptions Filled in SC in 2009, by GA Zip Code Legend Average number of patients per prescriber
41 Average Number of Patients per GA Prescriber for Prescriptions Filled in AL in 2009, by GA Zip Code Legend Average number of patients per prescriber
42 Average Number of Prescriptions per Patient, 2009 Prescriptions Originating in GA and Filled in AL, by GA Zip Code Legend Average number of prescriptions per patient
43 GA Zip Codes with More Than 100 Patients per Prescriber and More Than Two Prescriptions per Patient, on Average, for Prescriptions Filled in AL in 2009 Legend GA Zip Codes meeting (1) or not meeting (0) the criteria 0 1
44 Prevention Implications PMP data from neighboring states can help highlight potential drug problem areas in a focal state, whether or not PMP data is available in thefocal state Data from different neighboring states can reveal different aspects of a problem (e.g., border communities) A complete needs assessment may involve assembling data from multiple state PMPs
45 PMPs and Prevention COE collaboration with Carnevale & Assoc. to develop recommendations for how PMP data can be used to support prevention SAMHSA expected to OK report s release soon COE currently working with WY PMP, Dept. of Health, and prevention practitioners to explore pilot use of PMP data for prevention
46 Wyoming: Number of Controlled Substance Prescriptions by Zip Code Aug., July, Number of prescriptions, in quintiles
47 Wyoming: Number of Prescriptions per Person by Zip Code Aug., July, Number of prescriptions per person, in quintiles
48 Wyoming: Nunber of Prescriptions Associated with Doctor Shopping Behavior per 10,000 Prescriptions, by Zip Code Aug., July, Proportion of prescriptions associated with doctor shopping, in quintiles
49 Wyoming: Zip Codes with Population Greater than 1,000 and High Doctor Shopping Rates (Number of Prescriptions Associated with Doctor Shopping per 10,000 Prescriptions) Aug., July, Legend Pop < 1000 or doctor shopping rate < 20 Pop > 1000 and doctor shopping rate between 20 and 60 Pop > 1000 and doctor shopping rate > 60
50 Work with WY: Next Steps Analyze doctor shopping rates in relation to Zip Code demographic data In MA, white, middle class communities associated with highest rates of doctor shopping/questionable activity Work with Steve Butler of Univ. of Wyoming to develop PMP data into community profiles usable by local prevention practitioners Work with Dept. of Health to access death certificate and hospital ldischarge data
51 Doctor Shopping Study Analyze individual and community level characteristics associated with individuals meeting questionable activity thresholds Data from MA, ME, WY, possibly SC and other states MA prescriber surveys Accompanying and follow up to unsolicited report Preliminary results suggest questionable activity threshold capturing high proportion of doctor shoppers
52 Further Work with ME and MA Maine s longitudinal database De identified but with same ID # across nearly six years of data Examine prescription histories leading up to meeting doctor shopping thresholdh Prescription histories after triggering unsolicited report Massachusetts data Track prescription histories for individuals on whom unsolicited report is sent, and individuals with similar prescription patterns on whom no report is sent
53 Contact Information Peter Kreiner, Ph.D. Principal Investigator PMP Center of Excellence Brandeis University Wbi Website:
54 Contact Information John Eadie, MPA Director PMP Center of Excellence Brandeis University Wbi Website:
Protecting Children s Safety: How Prescription Drug Monitoring Programs Can Assist An Update Presenter: John L. Eadie Moderator: Cindy Rodgers
Protecting Children s Safety: How Prescription Drug Monitoring Programs Can Assist An Update Presenter: John L. Eadie Moderator: Cindy Rodgers Audio is streaming through your computer speakers. If you
More informationArkansas Prescription Monitoring Program
Arkansas Prescription Monitoring Program FY 2016 Third Quarter Report January-March 2016 Arkansas Prescription Monitoring Program Quarterly Report January March, Fiscal year 2016 Act 304 of 2011 authorized
More informationState of California Department of Justice. Bureau of Narcotic Enforcement
State of California Department of Justice Bureau of Narcotic Enforcement Prescription Drugs in the U.S. At least half of all Americans take one prescription drug regularly, with one in six taking three
More informationArkansas Prescription Monitoring Program
Arkansas Prescription Monitoring Program FY 2017 Second Quarter Report October December 2016 Arkansas Prescription Monitoring Program Quarterly Report October December, Fiscal year 2017 Act 304 of 2011
More informationPrescription Monitoring Programs: An Update on Interstate Data Sharing
Prescription Monitoring Programs: An Update on Interstate Data Sharing National Conference of State Legislatures July 28, 2010 David R. Hopkins Kentucky Cabinet for Health and Family Services Office of
More informationAMERICA S OPIOID EPIDEMIC AND ITS EFFECT ON THE NATION S COMMERCIALLY-INSURED POPULATION PUBLISHED JUNE 29, 2017
AMERICA S OPIOID EPIDEMIC AND ITS EFFECT ON THE NATION S COMMERCIALLY-INSURED POPULATION PUBLISHED JUNE 29, 2017 America s Opioid Epidemic and Its Effect on the Nation s Commercially-Insured Population
More informationDEA: Combating the Supply
Drug Enforcement Administration DEA: Combating the Supply 2nd Annual Opioid Abuse and Heroin Overdose Solutions Summit Cathy Gallagher Diversion Program Manager Detroit Division May 11, 2017 1 Prescription
More informationA National and Statewide Perspective on the Opioid Crisis
Insert CIO Name Here A National and Statewide Perspective on the Opioid Crisis Amy Peeples, MPA Deputy Director, National Center for Injury Prevention and Control Centers for Disease Control and Prevention
More informationWorkforce Data The American Board of Pediatrics
Workforce Data 2009-2010 The American Board of Pediatrics Caution. Before using this report as a resource, please read the information below! Please use caution when comparing data in this version of the
More informationRECOVERY SUPPORT SERVICES IN STATES
RECOVERY SUPPORT SERVICES IN STATES An analysis of State recovery support services using the 16 17 Substance Abuse Block Grant (SABG) Behavioral Health Assessment and Plan THIS PROJECT IS BEING SUPPORTED
More informationBlack Women s Access to Health Insurance
FACT SHEET Black Women s Access to Health Insurance APRIL 2018 Data released by the U.S. Census Bureau show that, despite significant health insurance gains since the Affordable Care Act (ACA) was implemented,
More information2018 Annual Meeting & Educational Conference Opioids In Workers Compensation: Research From WCRI
2018 Annual Meeting & Educational Conference Opioids In Workers Compensation: Research From WCRI John W. Ruser, Ph.D. NCSI 2018 Annual Meeting June 12, 2018 AGENDA Introduce WCRI Opioid dispensing to injured
More informationFinancial Impact of Lung Cancer in West Virginia
Financial Impact of Lung Cancer in West Virginia John Deskins, Ph.D. Christiadi, Ph.D. Sara Harper November 2018 Bureau of Business & Economic Research College of Business & Economics West Virginia University
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Retaking NPTE
The table below lists the requirements for retaking the National Physical Therapy Exam (NPTE) for each jurisdiction. Summary Number of attempts on NPTE limited? 16 27 Number of attempts allowed before
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Direct Access
Each licensing authority indicates the level of direct access allowed in the jurisdiction and the type of limitations that apply to this access. There are two tables: Types and Limits Referrals TYPES AND
More informationWomen s Health Coverage: Stalled Progress
FACT SHEET Women s Health Coverage: Stalled Progress SEPTEMBER 2018 New data from the U.S. Census Bureau show that 1 in 10 women lack access to health insurance. This year, progress in reducing the number
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Direct Access
Each licensing authority indicates the level of direct access allowed in the jurisdiction and the type of limitations that apply to this access. There are two tables: Types and Limits Referrals TYPES AND
More informationThe Affordable Care Act and HIV: What are the Implications?
The Affordable Care Act and HIV: What are the Implications? 2013 National Black AIDS Institute Webinar Series September 18, 2013 Jen Kates, Kaiser Family Foundation The Challenge Figure 1 30 years into
More informationVoluntary Mental Health Treatment Laws for Minors & Length of Inpatient Stay. Tori Lallemont MPH Thesis: Maternal & Child Health June 6, 2007
Voluntary Mental Health Treatment Laws for Minors & Length of Inpatient Stay Tori Lallemont MPH Thesis: Maternal & Child Health June 6, 2007 Introduction 1997: Nearly 300,000 children were admitted to
More informationEvidence-Based Policymaking: Investing in Programs that Work
Evidence-Based Policymaking: Investing in Programs that Work August 4, 2015 The Policy Challenge Though policymakers want to make the best choices, the process often relies on inertia and anecdote Very
More informationImproving Oral Health:
Improving Oral Health: New Tools for State Policy Makers Cassie Yarbrough, MPP Lead Public Policy Analyst Health Policy Institute Lansing, MI June 1, 2017 The ADA Health Policy Institute 2017 American
More informationOverview of the HHS National Network of Quitlines Initiative
Overview of the HHS National Network of Quitlines Initiative Prepared for the 2005 National Oral Health Conference 6th Joint Meeting of ASTDD and AAPHD Barbara Z. Park, RDH, MPH May 2, 2005 Background
More informationUSA National Mental Healthcare Nonprofit Exempt Organization Financial Analysis as of December 14, 2015 January 24, 2016 ANSA-H2
USA National Mental Healthcare Nonprofit Exempt Organization Financial Analysis as of December 14, 2015 January 24, 2016 ANSA-H2 Prepared by David Yoo, HanaSoul Consulting, Omaha, Nebraska dcyoo@cox.net
More informationHawaii, Arkansas and Oklahoma Lead the Nation for Methamphetamine Use in the Workforce, Reveals Quest Diagnostics Drug Testing Index
For immediate release: Media Contact: Barb Short 973-520-2800 Investor Contact: Kathleen Valentine 973-520-2900 Hawaii, Arkansas and Oklahoma Lead the Nation for Methamphetamine Use in the Workforce, Reveals
More informationStrategies to Increase Hepatitis C Treatment Within ADAPs
Strategies to Increase Hepatitis C Treatment Within ADAPs Amanda Bowes National Alliance of State & Territorial AIDS Directors (NASTAD) Disclosures Presenter(s) has no financial interest to disclose. Learning
More informationApplication of Advanced Practice Nurses Attitudes and Behaviors about Opioid Prescribing for Chronic Pain Survey
Application of Advanced Practice Nurses Attitudes and Behaviors about Opioid Prescribing for Chronic Pain Survey Pat Bruckenthal, PhD, APRN-BC, ANP Aaron Gilson, MS, MSSW, PhD Conflict of Interest Disclosure
More information2016 COMMUNITY SURVEY
1 Epilepsy Innovation Institute (Ei ) 016 COMMUNITY SURVEY INTRODUCTION From September 8th to November 9th, 016, epilepsy.com hosted a survey that asked the community the following: What are the aspects
More informationWisconsin Statewide Substance Abuse Prevention Training Wisconsin Dells June 12, 2015
Wisconsin Statewide Substance Abuse Prevention Training Wisconsin Dells June 12, 2015 1 Presenter Andrea Magermans Program Analyst of the Wisconsin PDMP Wisconsin Department of Safety and Professional
More informationPOLICY BRIEF. State Variability in Access to Hospital-Based Obstetric Services in Rural U.S. Counties. April rhrc.umn.edu. Purpose.
POLICY BRIEF State Variability in Access to Hospital-Based Peiyin Hung, MSPH Katy Kozhimannil, PhD Michelle Casey, MS Carrie Henning-Smith, PhD Key Findings Between 2004 and 2014: County-level access to
More informationBY-STATE MENTAL HEALTH SERVICES AND EXPENDITURES IN MEDICAID, 1999
STATE-BY BY-STATE MENTAL HEALTH SERVICES AND EXPENDITURES IN MEDICAID, 1999 James Verdier,, Ann Cherlow,, and Allison Barrett Mathematica Policy Research, Inc. Jeffrey Buck and Judith Teich Substance Abuse
More informationTHREE BIG IMPACT ISSUES
THREE BIG IMPACT ISSUES Tim McAfee, MD, MPH Director CDC Office on Smoking and Health Presented at the National Cancer Policy Forum Workshop on Reducing Tobacco-Related Cancer Incidence and Mortality June
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Foreign Educated PTs and PTAs
PT Requirements for Licensure Summary: Number of Jurisdictions that Require: Educational Credentials Review 50 from a program equivalent to CAPTE 37 Eligibility to practice in the country in which education
More informationAddressing Challenges Together, One Rock at a Time
Addressing Challenges Together, One Rock at a Time PAMELA SCHWEITZER, PHARM.D., BCACP ASSISTANT SURGEON GENERAL REAR ADMIRAL (RADM), U.S. PUBLIC HEALTH SERVICE E-MAIL: PAMELA.SCHWEITZER@CMS.HHS.GOV @USPHSPHARMACY
More informationPrescription Monitoring Program Center for Excellence, Brandeis University. April 10-12, 2012 Walt Disney World Swan Resort
Prescription Monitoring Program Center for Excellence, Brandeis University April 10-12, 2012 Walt Disney World Swan Resort Accepted Learning Objectives: 1. Explain the current capabilities and contributions
More informationMaternal and Child Health Initiatives in Sickle Cell Disease
Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB) Maternal and Child Health Initiatives in Sickle Cell Disease American Public Health Association Annual Meeting
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Foreign Educated Physical Therapists
Requirements for Licensure Summary: Number of Jurisdictions that Require: Educational Credentials Review 50 Graduation from a program equivalent to CAPTE 37 Eligibility to practice in the country in which
More informationHow to Get Paid for Doing EBD
How to Get Paid for Doing EBD Robert D. Compton, DDS President Robert Compton, DDS Executive Director DentaQuest Institute Disclosure DentaQuest Institute President DentaQuest Benefits Senior VP & CDO
More informationAMERICAN IMMUNIZATION REGISTRY ASSOCIATION A L I S O N C H I, P R O G R A M D I R E C T O R
AMERICAN IMMUNIZATION REGISTRY ASSOCIATION A L I S O N C H I, P R O G R A M D I R E C T O R WHAT IS AIRA A way to work together to develop standards, best practices, develop and share strategies and provide
More informationDental ER Visits: Evidence of a Failed System. Shelly Gehshan AACDP Conference April 29, 2012
Dental ER Visits: Evidence of a Failed System Shelly Gehshan AACDP Conference April 29, 2012 Overview of Pew s s findings Preventable dental conditions were the primary diagnosis in 830,590 visits to hospital
More informationDirector s Update Brief novel 2009-H1N1. Tuesday 21 JUL EDT Day 95. Week of: Explaining the burden of disease and aligning resources
Director s Update Brief novel 9-H1N1 Tuesday 1 JUL 9 815 EDT Day 95 Week of: Explaining the burden of disease and aligning resources Key Events novel 9-H1N1 Declarations WHO: Pandemic Phase (11 JUN 9 1
More informationThe Changing Face of Heroin Use in the US: A Retrospective Analysis of the Past 50 Years 100 Heroin 90 Prescription opioids
Total Sample, % Total Sample, % The Changing Face of Heroin Use in the US: A Retrospective Analysis of the Past Years Heroin 9 Prescription opioids 8 7 6 96s 97s 98s 99s s s (n = 88) (n = ) (n = ) (n =
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Direct Access
Each licensing authority indicates the level of direct access allowed in the jurisdiction and the type of limitations that apply to this access. There are three tables: Types and Limits Specific Limits
More informationLaTanya Runnells, Ph.D Program Manager December 6, 2016
LaTanya Runnells, Ph.D Program Manager December 6, 2016 Mental Health First Aid USA is coordinated by the National Council for Behavioral Health, the Maryland Department of Health and Mental Hygiene, and
More informationImproving Access to Oral Health Care for Vulnerable and Underserved Populations
Improving Access to Oral Health Care for Vulnerable and Underserved Populations Report of the Committee on Oral Health Access to Services Shelly Gehshan Director, Pew Children s Dental Campaign Committee
More informationOverview and Findings from ASTHO s IIS Interstate Data Sharing Meeting
Overview and Findings from ASTHO s IIS Interstate Data Sharing Meeting Kim Martin Association of State and Territorial Health Officials (ASTHO) May 12, 2015 The Need for IIS Interstate Data Exchange States,
More informationApproach to Cancer Prevention through Policy, Systems, and Environmental Change in the U.S.
Approach to Cancer Prevention through Policy, Systems, and Environmental Change in the U.S. Marcus Plescia, MD, MPH Director, Division of Cancer Prevention and Control Centers for Disease Control and Prevention
More informationOpioids And DEA Compliance
Opioids And DEA Compliance Don L. Bell, II Senior Vice President & General Counsel National Association of Chain Drug Stores (703) 837-4231 DBell@NACDS.org Agenda The Opioid Abuse Crisis - Distinguishing
More informationMarijuana and driving in the United States: prevalence, risks, and laws
Marijuana and driving in the United States: prevalence, risks, and laws Lifesavers National Conference 2016 Long Beach, California April 4, 2016 Anne T. McCartt iihs.org IIHS is an independent, nonprofit
More informationEmerging Issues in Cancer Prevention and Control
Emerging Issues in Cancer Prevention and Control Marcus Plescia, MD, MPH Director, Division of Cancer Prevention and Control Centers for Disease Control & Prevention National Center for Chronic Disease
More informationReport to Congressional Defense Committees
Report to Congressional Defense Committees The Department of Defense Comprehensive Autism Care Demonstration Quarterly Report to Congress Second Quarter, Fiscal Year 2017 In Response to: Senate Report
More informationCHILDHOOD ALLERGIES IN AMERICA
CHILDHOOD ALLERGIES IN AMERICA Severe Allergic Reactions Causing More Emergency Room Visits for U.S. Children PUBLISHED MARCH 13, 2018 ( 2 ) EXECUTIVE SUMMARY In this report, the Blue Cross Blue Shield
More informationAlzheimer s Association Clinical Studies Initiative
Alzheimer s Association Clinical Studies Initiative Presented at the October 4, 2007 meeting on Recruitment and Retention Challenges and Opportunities For the Alzheimer Disease Centers By Paula Moore Director,
More informationConsiderations for State Obesity Policy
Considerations for State Obesity Policy Scott Kahan, MD, MPH Faculty, Johns Hopkins Bloomberg School of Public Health Director, National Center for Weight & Wellness Clinical Director, STOP Obesity Alliance,
More informationThe drug 3,4-methylenedioxymethamphetamine
March 24, 2011 Emergency Department Visits Involving Ecstasy In Brief The number of drug-related emergency department (ED) visits involving 3,4-methylenedioxymethamphetamine (MDMA), commonly known as Ecstasy,
More informationAddressing the Substance Abuse Needs of Army National Guard Service Members
1 Addressing the Substance Abuse Needs of Army National Guard Service Members National Association of State Alcohol and Drug Abuse Directors (NASADAD) MAJ John Hinkell and Gail Taylor ARNG Substance Abuse
More informationPrescription Drugs: Issues in Treatment, Supervision and Case Management
Prescription Drugs: Issues in Treatment, Supervision and Case Management National Association of Drug Court Professionals Washington, DC July 16, 2013 Agenda Overview of prescription drug diversion and
More informationWho is paying pharmacists? Network inclusion Standard and simplified processes
From the 950 s. Increase access points Enhanced and consistent communications / education Documentation / Quality Measures (outcomes) Interface between primary care, public health and pharmacists Documentation
More informationDrug Overdose Deaths in the United States,
Drug Overdose Deaths in the United States, 1999 2016 Holly Hedegaard, M.D., Margaret Warner, Ph.D., and Arialdi M. Miniño, M.P.H. Key findings Data from the National Vital Statistics System, Mortality
More informationRAISE Network Webinar Series. Asian Smokers Quitline (ASQ): Promoting Cessation in Our Communities. March 17, :00 pm 2:00 pm PT
RAISE Network Webinar Series Asian Smokers Quitline (ASQ): Promoting Cessation in Our Communities March 17, 2015 1:00 pm 2:00 pm PT National Council of Asian Pacific Americans Website: www.ncapaonline.org
More informationReducing Barriers to Risk Appropriate Cancer Genetics Services: Current Strategies
Reducing Barriers to Risk Appropriate Cancer Genetics Services: Current Strategies Kara J. Milliron, MS, CGC Mark D. Pearlman, MD Disclosure I am a contract genetic counselor with Informed DNA, Inc. The
More informationSASI Analysis of Funds Distributed in the United States By the Centers for Disease Control and Prevention (CDC) Pursuant to PS
SASI Analysis of Funds Distributed in the United States By the Centers for Disease Control and Prevention (CDC) Pursuant to PS17-1704 1 April 13, 2017 INTRODUCTION In the Summer of 2016, the Centers for
More informationThe Right Hit. DEVELOPING EFFECTIVE MEDIA STRATEGY AT SYRINGE SERVICES PROGRAMS
The Right Hit. DEVELOPING EFFECTIVE MEDIA STRATEGY AT SYRINGE SERVICES PROGRAMS AIDS United Presenters Jess Tilley Executive Director, HRH413 Kyle Barbour, M.D. Resident Physician, University of Rochester,
More informationExpanding Immunizing Pharmacist Services in North Carolina
Expanding Immunizing Pharmacist Services in North Carolina Ryan Swanson, Pharm.D. Clinical Coordinator Kerr Drug/Kerr Health September 23, 2010 Financial Disclosure No relevant financial relationships
More informationHEALTH OF WISCONSIN. Children and young adults (ages 1-24) B D REPORT CARD 2016
HEALTH OF WISCONSIN Summary Grades Life stage Health grade Health disparity grade Infants (less than 1 year of age) C D Children and young adults (ages 1-24) B D Working-age adults (ages 25-64) B C Older
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: License Renewal. License Renewal on Birthdays
The table below lists information on the term and renewal date for each jurisdiction. Summary License Term 1 26 2 Renewal Date One date 31 Birthdays 6 Half in even years 4 4 License Term AL AK AZ AR CA
More informationState Tobacco Control Programs
State Tobacco Control Programs National Cancer Policy Forum Workshop Reducing Tobacco-Related Cancer Incidence and Mortality Karla S. Sneegas, MPH Chief Program Services Branch CDC Office on Smoking and
More informationAlternative Dental Workforce Models: Creating a Proposal and Developing a Consensus
Alternative Dental Workforce Models: Creating a Proposal and Developing a Consensus Shelly Gehshan, MPP Director, Pew Children s Dental Campaign Pew Center on the States sgehshan@pewtrusts.org Why Do We
More information50-STATE REPORT CARD
JANUARY 2014 The State of Reproductive Health and Rights: 50-STATE REPORT CARD U.S. REPRODUCTIVE HEALTH AND RIGHTS AT A CROSSROADS The status of reproductive health and rights in the U.S. is at an historic
More informationANNUAL REPORT EXECUTIVE SUMMARY. The full report is available at DECEMBER 2017
ANNUAL REPORT EXECUTIVE SUMMARY DECEMBER 2017 The full report is available at www.americashealthrankings.org EXECUTIVE SUMMARY OVERVIEW America s Health Rankings presents its 28th Annual Report, providing
More informationWhat is the Objective of the DQA in Developing Performance Measures. Robert Compton, DDS Executive Director
What is the Objective of the DQA in Developing Performance Measures Robert Compton, DDS Executive Director EBD Champions Conference May 9-10, 2014 DISCLOSURE Disclosure on DentaQuest Benefits ~ 20 million
More informationIntegrated HIV Statewide Coordinated Statement of Need (SCSN)/Comprehensive Plan Update
Integrated HIV Statewide Coordinated Statement of Need (SCSN)/Comprehensive Plan Update Ryan White HIV/AIDS Program Part B Administrative Reverse Site Visit November 6, 2014 Andrea Jackson, MPH, Project
More informationChristie Eheman, PhD NAACCR 6/2012
Christie Eheman, PhD NAACCR 6/2012 Comparative Effectiveness Research CDC National Program of Cancer Registries Christie Eheman, PhD NAACCR 6/2012 CDC - Fran Michaud, Dave Butterworth, Linda Mulvihill,
More informationMedicare Advantage Outreach and Education Bulletin
Medicare Advantage Outreach and Education Bulletin Blue Cross and Blue Shield of Georgia Prescription Drug Monitoring Programs Prescription drug abuse and diversion are acute problems in the area of pain
More information2018 Perinatal Hepatitis B Summit. Eva Hansson, RN, MSN Perinatal Hepatitis B Prevention Coordinator
2018 Perinatal Hepatitis B Summit Eva Hansson, RN, MSN Perinatal Hepatitis B Prevention Coordinator Overview of Summit Summary of perinatal Hepatitis B in the US & Texas ACIP Hepatitis B Prevention recommendations
More informationADEA Survey of Dental School Seniors, 2015 Graduating Class Tables Report
ADEA Survey of Dental School Seniors, 2015 Graduating Class Tables Report Published March 2016 Suggested Citation American Dental Education Association. (March 2016). ADEA Survey of Dental School Seniors,
More informationAfrican American Women and HIV/AIDS: Confronting the Crisis and Planning for Action
African American Women and HIV/AIDS: Confronting the Crisis and Planning for Action Kellye McKenzie, Senior Program Manager, Racial & Ethnic Health Disparities Joy Mbajah, Program Manager, Prevention Presentation
More informationImproving Cancer Surveillance and Mortality Data for AI/AN Populations
Improving Cancer Surveillance and Mortality Data for AI/AN Populations Melissa A. Jim, MPH (Diné) Epidemiologist, Cancer Surveillance Branch Assigned to IHS Division of Epidemiology and Disease Prevention
More informationAssessing Opioid Misuse and Overdose Using Prescription Drug Monitoring Programs (PDMP) and Other Data Sources
Assessing Opioid Misuse and Overdose Using Prescription Drug Monitoring Programs (PDMP) and Other Data Sources NPN Conference Anaheim, CA September 12, 2017 Presentations Overview of SAMHSA s Prevention
More informationShu-Hong Zhu, PhD University of California, San Diego INTRODUCING THE ASIAN SMOKERS QUITLINE (ASQ)
Shu-Hong Zhu, PhD University of California, San Diego INTRODUCING THE ASIAN SMOKERS QUITLINE (ASQ) THE REACH AND EFFICACY OF A MULTILINGUAL TELEPHONE QUITLINE FOR ASIAN SMOKERS English Quitlines in 1992
More informationAAll s well that ends well; still the fine s the crown; Whate er the course, the end is the renown. WILLIAM SHAKESPEARE, All s Well That Ends Well
AAll s well that ends well; still the fine s the crown; Whate er the course, the end is the renown. WILLIAM SHAKESPEARE, All s Well That Ends Well mthree TrEATMENT MODALITIES 7 ž 21 ATLAS OF ESRD IN THE
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 informationConsensus and Collaboration
Consensus and Collaboration John Morton, MD, MPH, FACS, FASMBS Chief, Bariatric & Minimally Invasive Surgery Stanford School of Medicine Past-President, American Society of Metabolic and Bariatric Surgery,
More informationOpioid Abuse and Prescribing. Dr. Mitchell Mutter Director of Special Projects
Opioid Abuse and Prescribing Dr. Mitchell Mutter Director of Special Projects Auburn University February 22, 2019 Disclosure Statement of Financial Interest I, Mitchell Mutter, DO NOT have a financial
More informationLegal & Policy Approaches to Reducing Prescription Drug Overdose
Legal & Policy Approaches to Reducing Prescription Drug Overdose August 28, 2014 Public Health Law Series Webinar: How to Use Webex Audio: If you can hear us through your computer, you do not need to use
More informationAn Update on Kentucky All Schedule Prescription Electronic Reporting (KASPER)
An Update on Kentucky All Schedule Prescription Electronic Reporting (KASPER) Mary Reinle Begley Inspector General Kentucky David R. Hopkins KASPER Program Manager Office of Inspector General Health Care
More informationProgram Overview. Karen L. Swartz, M.D. Johns Hopkins University School of Medicine
Program Overview Karen L. Swartz, M.D. Johns Hopkins University School of Medicine 0 has generously funded the expansion of ADAP in Washington DC and Texas Objectives Why was ADAP created? What ADAP is
More informationHarnessing the Power of Evidence:
Harnessing the Power of Evidence: Using the Results First Approach to Inform County Programming Decisions Ashleigh Holand, Manager, State Policy Pew-MacArthur Results First Initiative January 22, 2015
More informationPS : Comprehensive HIV Prevention Programs for Health Departments
PS12-1201: Comprehensive HIV Prevention Programs for Health Departments Program Overview Erica K. Dunbar, MPH Program Leader, Health Department Initiatives National Center for HIV/AIDS, Viral Hepatitis,
More informationExhibit 1. Change in State Health System Performance by Indicator
Exhibit 1. Change in State Health System Performance by Indicator Indicator (arranged by number of states with improvement within dimension) Access and Affordability 0 Children ages 0 18 uninsured At-risk
More informationA Personal Story: Turning Tragedy into Triumph. Martha Lopez Anderson Chair, Board of Directors Parent Heart Watch
A Personal Story: Turning Tragedy into Triumph Martha Lopez Anderson Chair, Board of Directors Parent Heart Watch A Personal Story: Turning Tragedy into Triumph Sean Alexander, a seemingly healthy and
More informationThe Growing Health and Economic Burden of Older Adult Falls- Recent CDC Research
The Growing Health and Economic Burden of Older Adult Falls- Recent CDC Research Gwen Bergen, PhD gjb8@cdc.gov Division of Unintentional Injury Prevention National Center for Injury Prevention and Control
More informationNASMHPD: Peer Support Services Survey
NASMHPD: Peer Support Services Survey Pillars of Peer Support Services Summit II October, 2010 Presenter: Ellie Shea-Delaney Assistant Commissioner for Program Development and Interagency Planning Massachusetts
More informationHEALTH OF WOMEN AND CHILDREN REPORT
HEALTH OF WOMEN AND CHILDREN REPORT MARCH 2018 The full report is available at www.americashealthrankings.org OVERVIEW Promoting the health of women, infants and children is fundamental to keeping our
More informationPrescription Monitoring Programs - Legislative Trends and Model Law Revision
Prescription Drug Monitoring Programs Training and Technical Assistance Center Webinar Series National Alliance for Model State Drug Laws: Legislative Round-Up July 22, 2015 Prescription Monitoring Programs
More informationThe Public Health Approach to Prevention Surveillance National Violent Death Reporting System (NVDRS) Summary and access to data
The Public Health Approach to Prevention Surveillance 101 - National Violent Death Reporting System (NVDRS) Summary and access to data 2018 GL Smith Memorial Act suicide prevention Conference Alex E. Crosby
More informationLegal and Policy Approaches to Reducing Prescription Drug Overdose
Legal and Policy Approaches to Reducing Prescription Drug Overdose Presenters: Corey Davis and Kristi Weeks Facilitators: Cindy Rodgers and Erica Streit-Kaplan On your telephone please dial: 1-866-835-7973
More informationPrescription Behavior Surveillance System Len Paulozzi, MD, MPH
Prescription Behavior Surveillance System Len Paulozzi, MD, MPH Centers for Disease Control and Prevention Centers for Disease Control and Prevention National Center for Injury Prevention and Control Harold
More informationMental Health First Aid USA
Mental Health First Aid USA A Collaborative Partnership National Council for Behavioral Health Maryland State Department of Health and Mental Hygiene Missouri Department of Mental Health What Is Mental
More informationTHE STATE OF THE STATES MARIJUANA POLICIES: STATE MARIJUANA PROGRAMS & RELATED STATE LAWS OVERVIEW
Strong States, Strong Nation THE STATE OF THE STATES MARIJUANA POLICIES: STATE MARIJUANA PROGRAMS & RELATED STATE LAWS OVERVIEW - PRESENTED TO THE ASSOCIATION OF PUBLIC HEALTH LABORATORIES - MAY 18, 2015
More informationHow Often Do Americans Eat Vegetarian Meals? And How Many Adults in the U.S. Are Vegetarian? Posted on May 29, 2015 by The VRG Blog Editor
How Often Do Americans Eat Vegetarian Meals? And How Many Adults in the U.S. Are Vegetarian? Posted on May 29, 2015 by The VRG Blog Editor The Vegetarian Resource Group asks in a 2015 National Survey Conducted
More information