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Opioid Stewardship and Obstetrics

Opioid Stewardship and Obstetrics. IHQI Improvement Scholars Project FY 19. Using a Tailored Opioid Prescribing Method to Reduce the Number of Opioid Tablets Prescribed Following Cesarean Delivery. Project Leaders: Christine McKenzie and Lacey Straube

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Opioid Stewardship and Obstetrics

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  1. Opioid Stewardship and Obstetrics IHQI Improvement Scholars Project FY 19

  2. Using a Tailored Opioid Prescribing Method to Reduce the Number of Opioid Tablets Prescribed Following Cesarean Delivery Project Leaders: Christine McKenzie and Lacey Straube Team Members: Deonna Angelillo, Diane Asbill, Susan Dalton, Kim Hamden, Angela Johnson, Alison Stuebe, Carolyn Webster Faculty Coach: Matt Nielsen Project Sponsor: Peggy McNaull Project Managers: Candice Hunt, Kelly Reilly, Will Stanley, Monecia Thomas

  3. “Opioid addiction is America’s 50-state epidemic”-NY Times 2017

  4. 44-88% of opioid users identify family or friends as a source Daniulaityte R. et al. (2014) Sources of Pharmaceutical Opioids for Non-Medical Use among Young Adults. Journal of Psychoactive Drugs, 46:3, 198-207.

  5. What are we trying to accomplish? What are we trying to accomplish? Sept 2019 – Sept 2020

  6. Definition Method Measures

  7. NO Single Provider Roll out Department Roll out Dec - Jan - Feb - Mar - Apr - May - Jun - Jul - Aug

  8. Percent of Patients

  9. Department Roll out Percent of Patients

  10. Single Provider Roll out Opioid Order Modification Department Roll out Percent of Patients

  11. Patient Survey

  12. 15,531 Tablets Saved!

  13. Potential Number of Tablets Conserved with the Spread of Tailored Opioid Prescribing 22,880,000 Annually for the 1.3 Million U.S. Cesarean Deliveries 19,413 Annually At UNCH 43,679 Annually UNC system 15,531 Tablets Saved At UNC Over Project Period (9 months) PRESENT FUTURE

  14. UNC Health Care Standard Opioid Prescribing Schedule

  15. 3, 4, and 5 Women’s Staff • Deonna Angelillo • Diane Asbill • Constanza Bacon • Susan Dalton  • Amy Davenport  • Matthew Hallman  • Kim Hamden  • Brent Harkrider • Candice Hunt  • Angela Johnson  • Clark McCall  • Peggy McNaull • Matt Nielsen • Kelly Reilly  • Will Stanley  • Lacey Straube  • Alison Stuebe  • Monecia Thomas  • Carolyn Webster Thank you!

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