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

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