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