QIPS All Section Call Opiate use in the

Objectives • Identify the key components of opiate contracts and principles of how to

What’s the Big Deal? • Since 2009, more people have died each year from

Opiate Policies/Contracts in the ED • Many EDs and a handful of Local and

Opiate Policies • NYC Guideline • Delaware Guideline • University of Wisconsin Guideline

Prescription Drug Monitoring Programs • All states but Missouri have a system in place

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QIPS All Section Call Opiate use in the ED

Objectives • Identify the key components of opiate contracts and principles of how to use them effectively. • Discuss benefits/risks of PDMP as they pertain to patient safety and quality.

What’s the Big Deal? • Since 2009, more people have died each year from drug poisoning than from motor vehicle crashes. • The age-adjusted unintentional drug poisoning death rate more than doubled: – 2000: 4. 1 per 100, 000 population – 2010: 9. 7 per 100, 000 • Physicians prescribe 69 tons of oxycodone and 42 tons of hydrocodone annually in the United States.

Opiate Policies/Contracts in the ED • Many EDs and a handful of Local and State governments are developing policies around the prescribing of prescription pain medications. • Let’s discuss (refer to example policies) – Pros/Cons – What wording specifically works and what does not – Ask questions about the samples available – Develop a toolbox for the QIPS website

Opiate Policies • NYC Guideline • Delaware Guideline • University of Wisconsin Guideline

Prescription Drug Monitoring Programs • All states but Missouri have a system in place or have approved systems ready to go. • Benefits of use include • Detect aberrant behavior • Identify overdose substance • Evaluate your prescribing practice (could be a con) • Barriers to use • • Sign up process Cumbersome/time consuming No EMR integration No multi-state query

Thank You