1. The Pennsylvania Academic Detailing Program AHRQ INNOVATIONS EXCHANGE WEB CONFERENCE October 13, 2010 Thomas Snedden Director, Pennsylvania PACE Program tsnedden@state.pa.us

2. 2 Educational Modules Cox-2’s / NSAIDs Acid suppression therapy Antiplatelet therapy Lipid-lowering therapy Antihypertension therapy Management of type 2 diabetes Depression

3. 3 Educational Modules Falls and Mobility Cognitive Impairment Chronic obstructive pulmonary disease Incontinence Osteoporosis Insomnia (planned) Atrial fibrillation (planned) Complete set of educational materials found at rxfacts.org

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6. SURVEY ITEM (n = 106, MAY – NOV 2006) MEAN ± SD 1=Strongly disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree The program provides me with useful information about commonly used medications. 4.6 ±.5 The content represents unbiased and balanced information about drugs. 4.6 ±.5 The program provides a perspective on prescribing that is different from what I get from other sources. 4.4 ±.6 My Drug Education Consultant is a well-informed source of evidence-based information about drugs I prescribe. 4.6 ±.5 I find the patient materials useful in my practice.4.3 ±.8 Being able to get Continuing Medical Education credits from Harvard is a valuable component of the service. 4.0 ± 1.2 It makes sense for the Commonwealth of Pennsylvania to devote resources to this activity. 4.5 ±.6 I would like to see this program continue.4.6 ±.6 6

7. SURVEY ITEM (n = 180, OCT 2009 – SEP 2010) MEAN ± SD 1=Strongly disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree The program provides me with useful information about commonly used medications. 4.7 ±.4 The content represents unbiased and balanced information about drugs. 4.8 ±.5 The program provides a perspective on prescribing that is different from what I get from other sources. 4.3 ±.8 My Drug Education Consultant is a well-informed source of evidence-based information about drugs I prescribe. 4.8 ±.4 I find the patient materials useful in my practice.4.6 ±.5 Being able to get Continuing Medical Education credits from Harvard is a valuable component of the service. 4.5 ±.7 It makes sense for the Commonwealth of Pennsylvania to devote resources to this activity. 4.6 ±.6 I would like to see this program continue.4.8 ±.4 The program has provided me the information that will help me in the care of my patients. 4.7 ±.5 7

8. EFFECT ON DRUG UTILIZATION AFTER COX-2 / NSAID MODULE 8

9. PPI COST SAVINGS ANALYSIS PRESCRIBING STRATUMPHYSICIANS6-MO. PPI SAVINGS Very low (≤ 19 PPI scripts in past year) 60$23,436 Low (20 – 40 scripts) 68$53,285 Medium (41 – 75 scripts) 71$69,197 High (76+ scripts) 92$139,983 6-mo. total, weighted by distribution $285,901 9 http://www.rxfacts.org/pdf/iDiS%20eval_PPI_2007%2010%2004.pdf

10. QUESTIONS 10