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Partnership with Providers: Addressing the Opioid Crisis

A look at the opioid crisis in the US and the need for collaboration between providers to address the issue. Discusses statistics, variations in practice, and the importance of data feedback.

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Partnership with Providers: Addressing the Opioid Crisis

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  1. Partnership with Providers: Addressing the Opioid Crisis

  2. The Crisis

  3. In 2013 43,982 Americans DIED FROM DRUG POISONINGS Nearly 16,235 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 http://www.cdc.gov/homeandrecreationalsafety/rxbrief/ (Historical content - 2008 data) (accessed on 1/6/15).

  4. 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

  5. Shared Problem

  6. 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.

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

  8. Shared Problem of Pain

  9. 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

  10. Variations in Practice Exist

  11. Safety is Not Guaranteed

  12. Stronger Medicaid Guidelines

  13. Joint Taskforce OpiateFeedback Program

  14. Addressing the Tails

  15. Data Feedback at One System

  16. ED Narcotic Prescription Rate

  17. ED Narcotic Prescription Rate

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