Partnership with Providers: Addressing the Opioid Crisis

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Presentation transcript:

Partnership with Providers: Addressing the Opioid Crisis

The Crisis

43,982 Americans Nearly 16,235 DIED FROM DRUG POISONINGS deaths involved prescription opioids In 2008 NCHS Data Fact Sheet, June 2015 http://www.cdc.gov/nchs/data/factsheets/factsheet_drug_poisoning.pdf CDC. Policy Impact: Prescription Painkiller Overdoses. http://www.cdc.gov/homeandrecreationalsafety/rxbrief/ (Historical content - 2008 data) (accessed on 1/6/15).

US Opiate Consumption 80% of all opiates consumed in the US 5% of the global population 99% of all hydrocodone consumed 250 Million prescriptions per year in the US

Shared Problem

First-Time Use of Specific Drugs Among Persons Age ≥ 12 (2012) SAMHSA. (2013). Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings. NSDUH Series H-46, HHS Publication No. (SMA) 13-4795. Rockville, MD.

Substances Parents Have Discussed With Teens* *As reported by teens 14% 15% 21% 22% 23% 30% 77% 81% Inhalants Steroids w/o doctor's Rx Non-Rx cold/cough medicine to get high Methamphetamine Ecstasy Heroin Any Rx drug used w/o doctor's Rx Rx pain reliever w/o doctor's Rx Cocaine/crack Marijuana Beer/alcohol % of teens whose parents have discussed

Shared Problem of Pain

Variation Pill Mill – Dr. Frank Danger Li of Seattle Pain Center 8 deaths 20,000 patients UNC study showed 32% misuses of chronic meds Prescribing patterns can vary by 5 fold in practices

Variations in Practice Exist

Safety is Not Guaranteed

Stronger Medicaid Guidelines

Joint Taskforce Opiate Feedback Program

Addressing the Tails

Data Feedback at One System

ED Narcotic Prescription Rate

ED Narcotic Prescription Rate Facility December 2015 September 2017 Absolute Decrease % Decrease Average 17.2 8.5 -8.7 -50.5% -41.9% 23.5 15.8 -7.7 -32.8% 17.4 8.4 -9.0 -51.7% 22.4 15.1 -7.3 -32.6% 22.8 16.9 -5.9 -25.9% -17.7% 22.1 20.0 -2.1 -9.5% 16.2 11.4 -4.8 -29.6%