Addressing PA s Opioid Abuse and Overdose Crisis
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1 Addressing PA s Opioid Abuse and Overdose Crisis
2 Opioid Statistics: A Nationwide Overview About 64,000 drug overdose deaths in 2016 (higher than peak car accident deaths, peak HIV deaths, and peak gun deaths) Up 22% from ,400 overdose deaths between involved prescription opioids Drug overdoses expected to remain leading cause of death for Americans < 50 Drug deaths involving fentanyl more than doubled from 2015 to 2016 Fentanyl deaths in 2016: Up 540% in three years Source: National Center for Health Statistics, Centers for Disease Control and Prevention 2017 PENNSYLVANIA MEDICAL SOCIETY
3 Pennsylvania-Specific Data 4,642 drug-related overdose deaths were reported in 2016 in PA, opioids found in 85% (25% of which were prescribed) Increase in drug-related overdose deaths between 2015 and 2016 larger in rural counties (42 percent) compared to urban counties (34 percent) Source: 2016 DEA Drug Overdose Report 2017 PENNSYLVANIA MEDICAL SOCIETY
4 Pennsylvania-Specific Data Drug-related overdose rate in PA was 36.5 per 100,000 people, national average 16.3 per 100, percent of PA counties had overdose death rates higher than the national average Source: 2016 DEA Drug Overdose Report 2017 PENNSYLVANIA MEDICAL SOCIETY
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14 The Role of the Physician Determine the right treatment, for the right patient, at the right time Query the PDMP and use data to make informed decisions Learning to say No Having difficult conversations with patients Warm hand-off/referral to treatment Continuous process Reassess Get involved in advocacy efforts 2017 PENNSYLVANIA MEDICAL SOCIETY
15 The Warm Hand-off Tips from the PA Department of Health: Ask permission to talk about the issue Use open-ended questions Listen reflectively Use sincere affirmation Roll with ambivalence Summarize plans 2017 PENNSYLVANIA MEDICAL SOCIETY
16 Warm Hand-off Protocol Developed in partnership by the Pennsylvania departments of Health and Drug and Alcohol Programs and the Pennsylvania College of Emergency Physicians in February 2017 Distributed statewide for recommended use by emergency room physicians and other health care professionals caring for overdose patients 2017 PENNSYLVANIA MEDICAL SOCIETY
17 Overall Response 1. Clinical practice guidelines 2. PDMP 3. Increased utilization of Naloxone 4. Expansion of drug take-back initiatives 5. Increased attention to treatment of substance use disorders 6. Expansion of medication-assisted treatment programs and behavioral health treatment centers 7. Prescription limits 2017 PENNSYLVANIA MEDICAL SOCIETY
18 Empowering Physicians to Lead Collaboration with various stakeholders Developing education to give physicians the tools and resources to improve their own clinical understanding and have informed conversations with legislators and patients Advocating for physicians and patients 2017 PENNSYLVANIA MEDICAL SOCIETY
19 Work with Non-Traditional Partners Attorney General s office District attorney association School district association School physical trainers Home health providers Large employers 2017 PENNSYLVANIA MEDICAL SOCIETY
20 Work with Non-Traditional Partners Areas of focus: Education PDMP Use of naloxone Legislation Drug collection boxes 2017 PENNSYLVANIA MEDICAL SOCIETY
21 Use Available Resources Online CME o What Health Care Teams Need to Know o Using Opioids to Treat Chronic Pain Prescribing guidelines Toolkits for physicians, patients, and legislators PENNSYLVANIA MEDICAL SOCIETY
22 Advocacy at the State Level 1. Working with physicians, legislators, and other stakeholders to help ensure that any legislation takes a common sense, patient-centered approach. 2. Sharing the Pennsylvania physician perspective with legislators. What can I do to make a difference? 2017 PENNSYLVANIA MEDICAL SOCIETY
23 Group Discussion What are you doing to address the opioid abuse crisis locally? 2016 PENNSYLVANIA MEDICAL SOCIETY
24 Questions? John P. Gallagher, MD Chair, PAMED s Opioid Advisory Task Force shortstuffmd@yahoo.com
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