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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?.

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qips all section call

QIPS All Section Call

Opiate use in the ED

objectives
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
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
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
Opiate Policies
  • NYC Guideline
  • Delaware Guideline
  • University of Wisconsin Guideline
prescription drug monitoring programs
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
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