1 / 14

Proposal for Supporting Academic Detailing on Safe Pain Medication Use for Utah Providers

Proposal for Supporting Academic Detailing on Safe Pain Medication Use for Utah Providers. Focus is on Provider Education. Nearly ½ of deaths had valid Rx Half of these involved methadone Large number also on benzodiazepines Patients and families often didn’t recognize developing problem.

kineta
Download Presentation

Proposal for Supporting Academic Detailing on Safe Pain Medication Use for Utah Providers

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Proposal for Supporting Academic Detailing onSafe Pain Medication Use for Utah Providers

  2. Focus is on Provider Education • Nearly ½ of deaths had valid Rx • Half of these involved methadone • Large number also on benzodiazepines • Patients and families often didn’t recognize developing problem

  3. Challenges • Reduce deaths but preserve indicated Rx • Engage time-pressured providers • Displace current practices and mental models • Requires mindful approach • Overcome skepticism • Confounding issues (mental health, addiction, diversion)

  4. Approach • Interactive face-to-face learning • Support materials • Practice redesign • Performance feedback • Enhanced by • Using existing relationships • Reputable sources if information • Demonstrating respect for targeted providers

  5. Intervention Methods DetailBalance effectiveness with cost efficiency • 10 rural and 20 Wasatch front groups • Educational presentation • Tools and support materials • Practice redesign • Performance feedback • Large audience CME (6-10 meetings) • Partner with Intermountain and U. of U. Clinics • Articles

  6. Recruitment • Use regularly scheduled meetings • Customized mail, email, and telephone invitations • Instructions to look at DOPL Controlled Substances Database ahead of time.

  7. Materials to provide attendees • Comparison data • Guidelines • Toolbox • Patient education forms • Referral options for addicts, mentally ill, inadequate pain response • Information for HealthInsight assistance • Access to peer experts

  8. Areas of primary focus • Screening patients for risk vs. benefit from long-acting narcotics • Understanding special issues with methadone • Avoiding benzodiazepines in combination with opioids • Use of sleep studies when appropriate • Avoiding long-acting opioids for acute pain • Educating patients and families regarding risks and signs of toxicity

  9. Areas of secondary focus • Dealing with drug-seeking patients • Dealing with diversion • Preferred approaches to non-malignant pain

  10. Supplemental education strategies • Intermountain • University of Utah clinics • UMIA • Physician meetings • Articles

  11. Measurement and evaluation • PPMEP steering committee • Patient outcomes • HealthInsight • Process measures Number, percent reached by specialty Provider evaluations of sessions Follow-up calls to track process changes

  12. SummaryOver next 12 months: • 10 rural small group meetings • 20 Wasatch front small group meetings • Integrate with Intermountain, U. of Utah, UMIA • Several statewide CME meetings • Articles in UMA Bulletin

More Related