1. Partnership with Providers: Addressing the Opioid Crisis

2. The Crisis

3. 43,982 Americans Nearly 16,235 DIED FROM DRUG POISONINGS
deaths involved prescription opioids
In 2008
NCHS Data Fact Sheet, June
CDC. Policy Impact: Prescription Painkiller Overdoses. (Historical content data) (accessed on 1/6/15).

4. US Opiate Consumption 80% of all opiates consumed in the US
5% of the global population
99% of all hydrocodone consumed
250 Million prescriptions per year in the US

8. Shared Problem

9. First-Time Use of Specific Drugs Among Persons Age ≥ 12 (2012)
SAMHSA. (2013). Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings. NSDUH Series H-46, HHS Publication No. (SMA) Rockville, MD.

10. Substances Parents Have Discussed With Teens*
*As reported by teens
14%
15%
21%
22%
23%
30%
77%
81%
Inhalants
Steroids w/o doctor's Rx
Non-Rx cold/cough medicine to get high
Methamphetamine
Ecstasy
Heroin
Any Rx drug used w/o doctor's Rx
Rx pain reliever w/o doctor's Rx
Cocaine/crack
Marijuana
Beer/alcohol
% of teens whose parents have discussed

11. Shared Problem of Pain

12. Variation Pill Mill – Dr. Frank Danger Li of Seattle Pain Center
8 deaths
20,000 patients
UNC study showed 32% misuses of chronic meds
Prescribing patterns can vary by 5 fold in practices

13. Variations in Practice Exist

14. Safety is Not Guaranteed

15. Stronger Medicaid Guidelines

21. Joint Taskforce Opiate Feedback Program

22. Addressing the Tails

23. Data Feedback at One System

24. ED Narcotic Prescription Rate

25. ED Narcotic Prescription Rate
Facility
December 2015
September 2017
Absolute Decrease
% Decrease
Average
17.2
8.5
-8.7
-50.5%
-41.9%
23.5
15.8
-7.7
-32.8%
17.4
8.4
-9.0
-51.7%
22.4
15.1
-7.3
-32.6%
22.8
16.9
-5.9
-25.9%
-17.7%
22.1
20.0
-2.1
-9.5%
16.2
11.4
-4.8
-29.6%