Data-Driven Multidisciplinary Approaches to Reduce Prescription Drug Abuse in Kentucky

Data-Driven Multidisciplinary Approaches to Reduce Prescription Drug Abuse in Kentucky

http://uknow.uky.edu/content/kentucky-awarded-grant-prescription-drugabuse-prevention-program

Data-Driven Multidisciplinary Approaches to Reduce Prescription Drug Abuse in Kentucky Funded by the Bureau of Justice Assistance (BJA) Period: Oct 1 2014- March 30, 2016 New category funding in the FY2013 Harold Rogers Prescription Drug Monitoring Program Developed out of recognition that prescription drug abuse is a multidisciplinary problem requiring strong partnerships and information sharing to be addressed successfully BJA Focus: Data sharing Strengthening collaborations between agencies Identification of areas/communities at high risk and need for education, outreach, treatment, and enforcement Promotion of data-driven solutions and best practices

Data-Driven Multidisciplinary Approaches to Reduce Prescription Drug Abuse in Kentucky Main Objectives: Establish data sharing agreements among agencies data holders Develop multi source data collection on Rx drug-related data Produce state and county-level reports highlighting geographical areas of high risk of prescription drug abuse or overdose, utilizing multi-source data Expand KASPER s analytical capability to identify questionable behaviors and harmful prescribing practices Develop KASPER data reports utilizing the new algorithms Link death certificates to PDMP data to identify controlled substance prescription history for residents who died from drug overdose and identify possibly harmful prescribing patterns Form a multidisciplinary, multiagency Action Team

KASPER Activities Develop and implement an algorithm to calculate prescribed average daily morphine milligram equivalent (MME) at patient level Update KASPER quarterly reports with MME statistics (patient daily dose MME 100 by resident zip/county) Develop and implement an algorithm for identification of overlapping opioid and benzodiazepine prescriptions Develop a KASPER quarterly report/map of rate of patients with overlapping prescriptions for opioids and benzodiazepines per 1,000 residents by county Develop and implement an algorithm for hashing personal identifier information Enhance KASPER reports based on Action Team suggestions Calculate KASPER performance measures for submission to BJA

KIPRC Activities Establish data sharing agreements between KIPRC and other agencies to collect and analyze various sources of data to identify drug abuse trends and sources of diversion Produce comprehensive state and county-level reports highlighting geographical areas of high risk for Rx drug overdose or abuse, using multi-source data to guide community planning and actions Disseminate reports to local communities (KY ASAP; local state departments; local law enforcement) Establish a feedback loop from local communities back to KIPRC on report improvements Link death certificates/me/tox/coroner data with KASPER prescription history data to: identify patterns of addiction and abuse potentially leading to drug overdose use summary findings to inform prescriber continuing education in the state

Hal Rogers Action Team The following agencies provided letters of support for the grant application and committed to the Action Team: Kentucky Board of Medical Licensure Kentucky Board of Pharmacy Kentucky Board of Nursing Kentucky Pharmacists Association Office of Inspector General/KASPER Kentucky Department for Public Health Kentucky Office of Drug Control Policy Office of the Chief Medical Examiner Operation UNITE Institute for Pharmaceutical Outcomes and Policy

Hal Rogers Action Team Activities Quarterly meetings Provide guidance and input on: quarterly KASPER reports with MME-based statistics algorithm for identification of overlapping opioid and benzodiazepine prescriptions other measures and algorithms to identify possibly harmful prescribing practices KASPER and KIPRC analyses results best practices to address prescription drug abuse issues at state and/or local levels

Hal Rogers Grant Contact Information Svetla Slavova Terry Bunn KIPRC KIPRC ssslav2@email.uky.edu tlbunn2@uky.edu Tel: 859-323-7873 Tel: 859-257-4955 http://www.mc.uky.edu/kiprc/projects/ddmarpdak/index.html