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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