Determinants of high risk prescription drug and mortalityFan Xiong, M.P.H.
Advanced analytics work in epidemiology comparing the linear correlation in birth cohort prevalence and incidence for high-risk drug poisoning indicators using population health methods.
This document summarizes findings from a statistical brief examining trends in opioid-related inpatient stays and emergency department visits from 2005 to 2014 using national and state-level hospital data. Key findings include:
1) Nationally, the rate of opioid-related inpatient stays increased more for females than males from 2005 to 2014, while the rate of opioid-related ED visits increased similarly for both sexes.
2) In 2014, females had a higher rate of opioid-related inpatient stays than males in most states, while males had a higher rate of opioid-related ED visits than females in most states.
3) The highest rates of opioid-related inpatient stays from 2005 to 2014 were among patients
Public Opinion on the Use and Abuse of Prescription Opioids - November 2017KFF
This document summarizes findings from public opinion polls on prescription opioid use and abuse in the United States. It finds that two-thirds of Americans view prescription opioid abuse as a very serious problem and are closely following news on the addiction epidemic. While many blame doctors and drug companies, large shares also support increased education and access to treatment. Approximately 1 in 20 Americans are long-term prescription opioid users, many of whom report physical or mental health issues, though some use for non-medical reasons. There is agreement that prescription opioids are easy to obtain but mixed views on medical access.
The document discusses the growing problem of prescription drug abuse and overdose deaths in the United States. Some key points made include:
- In 2010, there were over 38,000 drug overdose deaths in the US, with prescription drugs accounting for over 22,000 of those deaths.
- Prescription drug abuse is the fastest growing drug problem in the country.
- Deaths from drug overdoses now outnumber deaths from motor vehicle accidents.
- The number of forensic drug cases tested has increased over 240% from 2001 to 2011.
- States in the Southwest and Appalachia have the highest rates of drug overdose mortality.
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...Paul Coelho, MD
This study analyzed national hospitalization data from 1993-2014 to examine trends in mortality and characteristics of hospitalizations related to opioids compared to other drug and non-drug hospitalizations. The key findings were:
1) Mortality among opioid-related hospitalizations quadrupled from 0.43% before 2000 to 2.02% in 2014, increasing 0.12 percentage points per year relative to other drug hospitalizations.
2) While total opioid-related hospitalizations remained stable, diagnoses shifted from opioid dependence/abuse to opioid/heroin poisoning, which have higher mortality rates. Hospitalizations for poisoning grew by 0.01 per 1,000 people annually after 2000.
3) Patients hospitalized for opioid/
National Drug Early Warning (NDEWS) webinar: A more dangerous heroin: Emergin...Dan Ciccarone
This presentation, to an international web audience, was presented alongside one by Dr Wilson Compton, Deputy Director of the National Institute on Drug Abuse. Sponsored by NDEWS, it explores the structural reasons for the emerging heroin overdose epidemic and ways to address it.
Patterns of opioid use and risk of opioid overdose.Paul Coelho, MD
This study examined patterns of opioid use and risk of opioid overdose death among 150,821 noncancer pain patients in the Washington Medicaid program between 2006 and 2010. The results showed that risk of overdose death significantly increased with higher average daily opioid doses, with a 4.9 times higher risk at doses of 200 mg or more per day compared to doses of 1-19 mg. Patients using both long-acting and short-acting Schedule II opioids had a 4.7 times higher risk than those using non-Schedule II opioids alone. Concurrent use of sedative-hypnotics was associated with a significantly increased risk of overdose death compared to nonuse, with benzodiazepines and skeletal muscle relaxants posing the
Determinants of high risk prescription drug and mortalityFan Xiong, M.P.H.
Advanced analytics work in epidemiology comparing the linear correlation in birth cohort prevalence and incidence for high-risk drug poisoning indicators using population health methods.
This document summarizes findings from a statistical brief examining trends in opioid-related inpatient stays and emergency department visits from 2005 to 2014 using national and state-level hospital data. Key findings include:
1) Nationally, the rate of opioid-related inpatient stays increased more for females than males from 2005 to 2014, while the rate of opioid-related ED visits increased similarly for both sexes.
2) In 2014, females had a higher rate of opioid-related inpatient stays than males in most states, while males had a higher rate of opioid-related ED visits than females in most states.
3) The highest rates of opioid-related inpatient stays from 2005 to 2014 were among patients
Public Opinion on the Use and Abuse of Prescription Opioids - November 2017KFF
This document summarizes findings from public opinion polls on prescription opioid use and abuse in the United States. It finds that two-thirds of Americans view prescription opioid abuse as a very serious problem and are closely following news on the addiction epidemic. While many blame doctors and drug companies, large shares also support increased education and access to treatment. Approximately 1 in 20 Americans are long-term prescription opioid users, many of whom report physical or mental health issues, though some use for non-medical reasons. There is agreement that prescription opioids are easy to obtain but mixed views on medical access.
The document discusses the growing problem of prescription drug abuse and overdose deaths in the United States. Some key points made include:
- In 2010, there were over 38,000 drug overdose deaths in the US, with prescription drugs accounting for over 22,000 of those deaths.
- Prescription drug abuse is the fastest growing drug problem in the country.
- Deaths from drug overdoses now outnumber deaths from motor vehicle accidents.
- The number of forensic drug cases tested has increased over 240% from 2001 to 2011.
- States in the Southwest and Appalachia have the highest rates of drug overdose mortality.
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...Paul Coelho, MD
This study analyzed national hospitalization data from 1993-2014 to examine trends in mortality and characteristics of hospitalizations related to opioids compared to other drug and non-drug hospitalizations. The key findings were:
1) Mortality among opioid-related hospitalizations quadrupled from 0.43% before 2000 to 2.02% in 2014, increasing 0.12 percentage points per year relative to other drug hospitalizations.
2) While total opioid-related hospitalizations remained stable, diagnoses shifted from opioid dependence/abuse to opioid/heroin poisoning, which have higher mortality rates. Hospitalizations for poisoning grew by 0.01 per 1,000 people annually after 2000.
3) Patients hospitalized for opioid/
National Drug Early Warning (NDEWS) webinar: A more dangerous heroin: Emergin...Dan Ciccarone
This presentation, to an international web audience, was presented alongside one by Dr Wilson Compton, Deputy Director of the National Institute on Drug Abuse. Sponsored by NDEWS, it explores the structural reasons for the emerging heroin overdose epidemic and ways to address it.
Patterns of opioid use and risk of opioid overdose.Paul Coelho, MD
This study examined patterns of opioid use and risk of opioid overdose death among 150,821 noncancer pain patients in the Washington Medicaid program between 2006 and 2010. The results showed that risk of overdose death significantly increased with higher average daily opioid doses, with a 4.9 times higher risk at doses of 200 mg or more per day compared to doses of 1-19 mg. Patients using both long-acting and short-acting Schedule II opioids had a 4.7 times higher risk than those using non-Schedule II opioids alone. Concurrent use of sedative-hypnotics was associated with a significantly increased risk of overdose death compared to nonuse, with benzodiazepines and skeletal muscle relaxants posing the
National Academies of Science and Medicine: Intertwined Epidemics: Opioid and...Dan Ciccarone
This document summarizes research on the intertwined opioid and heroin epidemics in the United States. It discusses trends showing rising overdose rates for both opioids and heroin since the 1990s. Qualitative interviews suggest many individuals transition from misusing prescription opioids to heroin. The epidemics are intertwined as the at-risk populations overlap and many initiate heroin use after developing dependency from prescription opioids. However, the heroin epidemic also involves a "heroin pull" from increased heroin availability and new forms of heroin being supplied. Ongoing challenges include addressing excessive opioid prescribing, improving surveillance of heroin products and use patterns, expanding treatment programs, and implementing harm reduction strategies.
This document summarizes drug trends in New York City in 2013. Key findings include heroin and opioid analgesics playing a large role in drug deaths, with opioids involved in 71% of overdose deaths. Heroin-related overdose deaths increased 84% from 2010 to 2012. Opioid analgesic prescriptions among NYC residents increased 30% from 2008 to 2012. Cocaine was the second most common drug identified in drug crime lab tests after marijuana.
A study published in the American Journal of Preventive Medicine today finds that more than 2 million Americans who misused opioids between 2012 and 2014 also identified as binge drinkers. Overall, binge drinkers had nearly twice the odds of misusing opioids compared to non-drinkers.
The finding alarmed researchers, who noted that one in five prescription opioid deaths in recent years also involved alcohol. "Combining alcohol and opioids can significantly increase the risk of overdoses and deaths," CDC Director Robert Redfield said in a statement.
Kana Enomoto, Acting Administrator, Substance Abuse and Mental Health Services Administration, keynote presentation at the National Rx Drug Abuse & Heroin Summit March 29, 2016
Presented by
Salim Chowdhury, MD - Community Care
Curtis Upsher, Jr. MS - Director Community Relations - Community Care
Medicine, Culture, and Spirituality Conference
September 9, 2011
A More Dangerous Heroin: Presented at Grand Rounds, Dept of Psychiatry, Rush ...Dan Ciccarone
This document summarizes a presentation on the changing heroin epidemic in the United States. It discusses rising overdose deaths, particularly from fentanyl-laced heroin. Interviews with heroin users find they face a unpredictable drug supply with wide variations in potency and effects. As the heroin market transitions, users must adopt new harm reduction strategies to navigate an increasingly dangerous situation.
Rising drug overdose deaths, particularly from opioids, have led to a decline in US life expectancy for the past two years according to a CDC report. Drug overdoses contributed to nearly 63,600 deaths in 2016, a 21% increase from 2015, with opioids causing around 42,000 deaths. This growing opioid crisis is being blamed for the downward shift in life expectancy, as increases in drug overdose deaths are now greater than declines in cardiovascular disease mortality. The report suggests the decline may continue into a third year if solutions are not implemented to address the opioid epidemic ravaging the nation.
The Relationship Between Sexual Abuse And AddictionAndrea Presnall
This document summarizes 10 studies that examine the relationship between childhood sexual abuse and later substance abuse. Across the studies, several common findings emerged: childhood sexual abuse was associated with earlier initiation and more frequent substance use, particularly of alcohol and drugs; substance use partially mediated the relationship between childhood sexual abuse and later health issues like HIV risk behaviors; and experiences of childhood sexual abuse along with other childhood trauma were correlated with higher rates of substance abuse disorders. The studies highlighted the need for larger and more diverse sample sizes in future research.
Rawlings Provider Specialty and Payer Trends HIVTW and R4P 2016 posterKeith Rawlings
This document analyzes trends in pre-exposure prophylaxis (PrEP) utilization from 2012-2015 using national electronic patient data from pharmacies. It finds that 79,684 individuals received PrEP, with family medicine, internal medicine, infectious diseases, and emergency medicine accounting for 84% of prescriptions. For males, family medicine and internal medicine were the primary prescribers, while for females it was emergency medicine and family planning. Starts for males were most commonly covered by commercial insurance and Medicaid, while females were mostly covered by Medicaid. The results indicate gender differences in PrEP prescribers and insurance coverage that have implications for linking patients to prevention services differently for men and women.
This document is an undergraduate thesis that examines the pharmaceutical industry and alternative medicine. It argues that while Western medicine has improved health outcomes for some acute illnesses, the over-reliance on drugs has significant downsides. Preventable medical errors are the third leading cause of death in the US, with pharmaceutical companies more focused on profits than patient safety. The document also suggests that several holistic doctors working on alternative cancer treatments may have been murdered to protect the financial interests of the pharmaceutical industry.
Daniel Blaney-Koen, American Medical Association, presented on The Nation's Opioid Epidemic: Are we Asking the Right Questions? at the State Legislative Conference on November 6, 2015.
HIV/AIDS in Special Population Groups in TexasDSHS
The document summarizes HIV testing and treatment patterns among Hispanics in Texas based on an analysis of multiple data sources. It finds that compared to other groups, Hispanics in Texas have higher rates of being unaware of their HIV status, not getting tested regularly, delaying care after diagnosis, and progressing to AIDS within a year. Barriers identified among Hispanic males include stigma, limited testing locations/hours, and cultural factors like views on masculinity and sexuality. Effective interventions are needed to increase HIV testing and earlier treatment initiation among Hispanics in Texas.
The Centers for Medicare & Medicaid Services outlines their opioid misuse strategy to address the national opioid epidemic. Their strategy includes 4 priority areas: 1) implementing more effective strategies to reduce risks of opioid use disorder, overdoses, and inappropriate prescribing; 2) expanding access to naloxone to reverse overdoses; 3) expanding screening, diagnosis, and treatment of opioid use disorder including medication-assisted treatment; and 4) increasing use of evidence-based practices for pain management. Opioid misuse has led to alarming increases in overdoses and deaths, and CMS aims to combat this through promoting safe opioid use, improving access to treatment, and alternative pain management options.
This presentation demonstrates the failure of U.S. marijuana prohibition and supports calls for evidence-based models to legalize and regulate the use of cannabis. It provides an overview of the ICSDP's report "Tools for Debate" which can be found at http://www.icsdp.org/research/publications.aspx
Lipid Screening in Childhood for Detection of Multifactorial DyslipidemiaGlobal Medical Cures™
Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Skin Cancer Screening
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
This document summarizes a study conducted in Utah that interviewed friends and family of individuals aged 13 and older who died from a drug overdose between October 2008 and October 2009. The study found that overdoses involving prescription opioids were most common among those aged 25-54, with oxycodone, methadone, hydrocodone, and alprazolam most frequently implicated. Characteristics strongly correlated with overdose death included financial problems, past substance abuse, and mental illness. Unemployment, past substance abuse history, and mental illness diagnosis merit further investigation to better understand their relationship to unintentional prescription opioid overdoses.
Patterns of Opioid Use and Risk of Opioid Overdose Death Among Medicaid PatientsPaul Coelho, MD
This study examined patterns of opioid use and risk of opioid overdose death among 150,821 noncancer pain patients in the Washington Medicaid program between 2006 and 2010. The results showed that compared to patients taking 1-19 mg per day of opioids, the risk of overdose death significantly increased at higher daily doses of 50 mg or more. Patients using both long-acting and short-acting Schedule II opioids had nearly 5 times the risk of overdose death compared to those using non-Schedule II opioids alone. Concurrent use of sedative-hypnotics, even at low opioid doses, was associated with a substantially greater risk of overdose death.
Kansas’ Opioid Epidemic: An Epidemic of Opioid Use DisordersFan Xiong, M.P.H.
This document summarizes Kansas' opioid epidemic. It discusses how since 1999 more Americans have died from drug overdoses than in WWII. Opioid prescription rates and declining labor participation are correlated with high overdose death rates. Kansas data shows depressive disorders and binge drinking are linked to the epidemic. Emergency room visits and deaths involving opioids like oxycodone and heroin have increased sharply since 2007 among those born after 1980. Reducing drug access alone will not reverse declining population health driving the crisis.
Quality Data Sources Essay Example Paper.docxwrite22
This document discusses several quality data sources used in healthcare:
1. The National Health and Nutrition Examination Survey collects health data from US civilians including chronic conditions, health, nutrition, and risk factors.
2. The National HIV/AIDS Surveillance System collects HIV exposure and demographic data from all US states to monitor HIV infection rates.
3. The Behavioral Risk Factor Surveillance System surveys US adults about preventive health behaviors and chronic conditions.
4. The National Consumer Assessment of Healthcare Providers and Systems Benchmarking Database collects patient experience data about healthcare providers and health plans.
5. The National Ambulatory Medical Care Survey collects data from medical visits including diagnoses, treatments, and patient dem
National Academies of Science and Medicine: Intertwined Epidemics: Opioid and...Dan Ciccarone
This document summarizes research on the intertwined opioid and heroin epidemics in the United States. It discusses trends showing rising overdose rates for both opioids and heroin since the 1990s. Qualitative interviews suggest many individuals transition from misusing prescription opioids to heroin. The epidemics are intertwined as the at-risk populations overlap and many initiate heroin use after developing dependency from prescription opioids. However, the heroin epidemic also involves a "heroin pull" from increased heroin availability and new forms of heroin being supplied. Ongoing challenges include addressing excessive opioid prescribing, improving surveillance of heroin products and use patterns, expanding treatment programs, and implementing harm reduction strategies.
This document summarizes drug trends in New York City in 2013. Key findings include heroin and opioid analgesics playing a large role in drug deaths, with opioids involved in 71% of overdose deaths. Heroin-related overdose deaths increased 84% from 2010 to 2012. Opioid analgesic prescriptions among NYC residents increased 30% from 2008 to 2012. Cocaine was the second most common drug identified in drug crime lab tests after marijuana.
A study published in the American Journal of Preventive Medicine today finds that more than 2 million Americans who misused opioids between 2012 and 2014 also identified as binge drinkers. Overall, binge drinkers had nearly twice the odds of misusing opioids compared to non-drinkers.
The finding alarmed researchers, who noted that one in five prescription opioid deaths in recent years also involved alcohol. "Combining alcohol and opioids can significantly increase the risk of overdoses and deaths," CDC Director Robert Redfield said in a statement.
Kana Enomoto, Acting Administrator, Substance Abuse and Mental Health Services Administration, keynote presentation at the National Rx Drug Abuse & Heroin Summit March 29, 2016
Presented by
Salim Chowdhury, MD - Community Care
Curtis Upsher, Jr. MS - Director Community Relations - Community Care
Medicine, Culture, and Spirituality Conference
September 9, 2011
A More Dangerous Heroin: Presented at Grand Rounds, Dept of Psychiatry, Rush ...Dan Ciccarone
This document summarizes a presentation on the changing heroin epidemic in the United States. It discusses rising overdose deaths, particularly from fentanyl-laced heroin. Interviews with heroin users find they face a unpredictable drug supply with wide variations in potency and effects. As the heroin market transitions, users must adopt new harm reduction strategies to navigate an increasingly dangerous situation.
Rising drug overdose deaths, particularly from opioids, have led to a decline in US life expectancy for the past two years according to a CDC report. Drug overdoses contributed to nearly 63,600 deaths in 2016, a 21% increase from 2015, with opioids causing around 42,000 deaths. This growing opioid crisis is being blamed for the downward shift in life expectancy, as increases in drug overdose deaths are now greater than declines in cardiovascular disease mortality. The report suggests the decline may continue into a third year if solutions are not implemented to address the opioid epidemic ravaging the nation.
The Relationship Between Sexual Abuse And AddictionAndrea Presnall
This document summarizes 10 studies that examine the relationship between childhood sexual abuse and later substance abuse. Across the studies, several common findings emerged: childhood sexual abuse was associated with earlier initiation and more frequent substance use, particularly of alcohol and drugs; substance use partially mediated the relationship between childhood sexual abuse and later health issues like HIV risk behaviors; and experiences of childhood sexual abuse along with other childhood trauma were correlated with higher rates of substance abuse disorders. The studies highlighted the need for larger and more diverse sample sizes in future research.
Rawlings Provider Specialty and Payer Trends HIVTW and R4P 2016 posterKeith Rawlings
This document analyzes trends in pre-exposure prophylaxis (PrEP) utilization from 2012-2015 using national electronic patient data from pharmacies. It finds that 79,684 individuals received PrEP, with family medicine, internal medicine, infectious diseases, and emergency medicine accounting for 84% of prescriptions. For males, family medicine and internal medicine were the primary prescribers, while for females it was emergency medicine and family planning. Starts for males were most commonly covered by commercial insurance and Medicaid, while females were mostly covered by Medicaid. The results indicate gender differences in PrEP prescribers and insurance coverage that have implications for linking patients to prevention services differently for men and women.
This document is an undergraduate thesis that examines the pharmaceutical industry and alternative medicine. It argues that while Western medicine has improved health outcomes for some acute illnesses, the over-reliance on drugs has significant downsides. Preventable medical errors are the third leading cause of death in the US, with pharmaceutical companies more focused on profits than patient safety. The document also suggests that several holistic doctors working on alternative cancer treatments may have been murdered to protect the financial interests of the pharmaceutical industry.
Daniel Blaney-Koen, American Medical Association, presented on The Nation's Opioid Epidemic: Are we Asking the Right Questions? at the State Legislative Conference on November 6, 2015.
HIV/AIDS in Special Population Groups in TexasDSHS
The document summarizes HIV testing and treatment patterns among Hispanics in Texas based on an analysis of multiple data sources. It finds that compared to other groups, Hispanics in Texas have higher rates of being unaware of their HIV status, not getting tested regularly, delaying care after diagnosis, and progressing to AIDS within a year. Barriers identified among Hispanic males include stigma, limited testing locations/hours, and cultural factors like views on masculinity and sexuality. Effective interventions are needed to increase HIV testing and earlier treatment initiation among Hispanics in Texas.
The Centers for Medicare & Medicaid Services outlines their opioid misuse strategy to address the national opioid epidemic. Their strategy includes 4 priority areas: 1) implementing more effective strategies to reduce risks of opioid use disorder, overdoses, and inappropriate prescribing; 2) expanding access to naloxone to reverse overdoses; 3) expanding screening, diagnosis, and treatment of opioid use disorder including medication-assisted treatment; and 4) increasing use of evidence-based practices for pain management. Opioid misuse has led to alarming increases in overdoses and deaths, and CMS aims to combat this through promoting safe opioid use, improving access to treatment, and alternative pain management options.
This presentation demonstrates the failure of U.S. marijuana prohibition and supports calls for evidence-based models to legalize and regulate the use of cannabis. It provides an overview of the ICSDP's report "Tools for Debate" which can be found at http://www.icsdp.org/research/publications.aspx
Lipid Screening in Childhood for Detection of Multifactorial DyslipidemiaGlobal Medical Cures™
Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Skin Cancer Screening
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
This document summarizes a study conducted in Utah that interviewed friends and family of individuals aged 13 and older who died from a drug overdose between October 2008 and October 2009. The study found that overdoses involving prescription opioids were most common among those aged 25-54, with oxycodone, methadone, hydrocodone, and alprazolam most frequently implicated. Characteristics strongly correlated with overdose death included financial problems, past substance abuse, and mental illness. Unemployment, past substance abuse history, and mental illness diagnosis merit further investigation to better understand their relationship to unintentional prescription opioid overdoses.
Patterns of Opioid Use and Risk of Opioid Overdose Death Among Medicaid PatientsPaul Coelho, MD
This study examined patterns of opioid use and risk of opioid overdose death among 150,821 noncancer pain patients in the Washington Medicaid program between 2006 and 2010. The results showed that compared to patients taking 1-19 mg per day of opioids, the risk of overdose death significantly increased at higher daily doses of 50 mg or more. Patients using both long-acting and short-acting Schedule II opioids had nearly 5 times the risk of overdose death compared to those using non-Schedule II opioids alone. Concurrent use of sedative-hypnotics, even at low opioid doses, was associated with a substantially greater risk of overdose death.
Kansas’ Opioid Epidemic: An Epidemic of Opioid Use DisordersFan Xiong, M.P.H.
This document summarizes Kansas' opioid epidemic. It discusses how since 1999 more Americans have died from drug overdoses than in WWII. Opioid prescription rates and declining labor participation are correlated with high overdose death rates. Kansas data shows depressive disorders and binge drinking are linked to the epidemic. Emergency room visits and deaths involving opioids like oxycodone and heroin have increased sharply since 2007 among those born after 1980. Reducing drug access alone will not reverse declining population health driving the crisis.
Quality Data Sources Essay Example Paper.docxwrite22
This document discusses several quality data sources used in healthcare:
1. The National Health and Nutrition Examination Survey collects health data from US civilians including chronic conditions, health, nutrition, and risk factors.
2. The National HIV/AIDS Surveillance System collects HIV exposure and demographic data from all US states to monitor HIV infection rates.
3. The Behavioral Risk Factor Surveillance System surveys US adults about preventive health behaviors and chronic conditions.
4. The National Consumer Assessment of Healthcare Providers and Systems Benchmarking Database collects patient experience data about healthcare providers and health plans.
5. The National Ambulatory Medical Care Survey collects data from medical visits including diagnoses, treatments, and patient dem
More young people in Canada are visiting EDs because of drinking alcoholΔρ. Γιώργος K. Κασάπης
More people are visiting emergency departments after drinking alcohol, a new study finds. Researchers looked at more than 765,000 ED visits in Ontario, Canada’s largest province, and found a 175% increase in such visits between 2003 and 2016 among 25- to 29-year-olds. That spiked to a 240% increase in alcohol-related ED visits for young women, who were also more likely than men to be under Canada’s legal drinking age of 19. For both young men and women, visiting the ED for alcohol-related problems also led to more hospital admissions than other types of ED visits. Other countries, including the U.S., have experienced similar increases in alcohol-related visits to the ED, the authors behind the new study write, urging more research into the reasons behind the growing trend.
Sex- and Age-specific Increases in Suicide Attempts by Self-Poisoning in the ...Δρ. Γιώργος K. Κασάπης
There was a more than twofold increase in the rate of suspected self-poisoning suicide cases between 2011 and 2018, according to a new study that looked at more than 1.6 million such cases.
Here’s what else you need to know:
•Overall trends: Cases of suicide attempts by self-poisoning doubled in those aged 10-18 between 2011 and 2018, rising from around 39,000 to more than 78,000.
•Gender: More girls than boys attempted suicide by self-poisoning. The rate of intentional attempts among girls 10-18 also steadily increased from 2011-2018.
•Outcomes: The number of serious outcomes — including death and hospitalizations — as a result of the poisoning increased 235% between 2000 and 2018, and more than 1,400 children died.
March 02, 2018
Value-based health care is one of the most pressing topics in health care finance and policy today. Value-based payment structures are widely touted as critical to controlling runaway health care costs, but are often difficult for health care entities to incorporate into their existing infrastructures. Because value-based health care initiatives have bipartisan support, it is likely that these programs will continue to play a major role in both the public and private health insurance systems. As such, there is a pressing need to evaluate the implementation of these initiatives thus far and to discuss the direction that American health care financing will take in the coming years.
To explore this important issue, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School collaborated with Ropes & Gray LLP to host a one-day conference on value-based health care. This event brought together scholars, health law practitioners, and health care entities to evaluate the impact of value-based health care on the American health care system.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/will-value-based-care-save-the-health-care-system
The document discusses trends in methamphetamine use and related harms across the United States based on data from national surveys and treatment centers. It finds that:
1) Methamphetamine use and overdose deaths more than doubled from 2010-2014, though rates remain lower than other drugs.
2) Treatment admissions for methamphetamine surpassed cocaine admissions from 2013-2015 and increased 17% from 2011-2015.
3) Over 70% of law enforcement agencies in the Pacific and West Central regions reported methamphetamine as the greatest drug threat in their areas.
Dr. Tom Frieden, Director of the Centers for Disease Control and Prevention, keynote presentation at the National Rx Drug Abuse & Heroin Summit on March 30, 2016.
This study examined health insurance claims data from over 10 million patients who were prescribed opioids to evaluate how opioid receipt differed based on preexisting psychiatric conditions and medications. The study found that patients with a variety of psychiatric conditions and those prescribed various psychoactive medications were more likely to receive opioids, particularly long-term opioid therapy. The increased risk for long-term opioid therapy ranged from 1.5 times higher for those previously prescribed ADHD medications, to over 8 times higher for those with prior opioid use disorder diagnoses. The results provide evidence that commercially insured patients with psychiatric conditions receive opioids more than those without such conditions.
This study examined trends in Pennsylvania's psychiatric bed capacity from 1996 to 2006. It found a 29% overall decline in psychiatric beds, driven by a 46% decrease in state hospital beds and a 15% decrease in non-state hospital beds. Despite these declines, discharges increased 32% as length of stay decreased 33% from 15 to 10 days, allowing greater patient turnover. Emergency room admissions to psychiatric beds also rose significantly. The results suggest psychiatric care has adapted to meet demand through shorter hospital stays rather than additional bed capacity.
This document summarizes the opioid crisis in the United States from 2000 to 2014. It shows that the number of opioid-related overdose deaths more than tripled during this period, increasing from about 8,000 to over 28,000. Additionally, 7.9 million Americans aged 12 or older met the criteria for an illicit drug use disorder in 2013-2014 but only 20% received treatment. The document outlines actions by the Obama administration to address the crisis and increase funding for treatment. It emphasizes that stories can help reduce stigma and that recovery is possible through working together.
Quality Data Sources Organizer Discussion Paper.docxwrite22
The document discusses five quality data sources from the 2017 National Healthcare Quality and Disparities Report. It provides details on each data source such as the primary content collected, target population, demographic data included, frequency of data collection, and whether it is a primary or secondary source. The sources discussed are the National Health and Nutrition Examination Survey, Behavioral Risk Factor Surveillance System, National Ambulatory Medical Care Survey, National Consumer Assessment of Healthcare Providers and Systems Benchmarking Database, and National Health Interview Survey.
This research proposal aims to evaluate the effect of recreational marijuana policy on opioid overdose deaths using a differences-in-differences analysis. The researcher hypothesizes that states legalizing recreational marijuana use will see a decrease in opioid overdose deaths, suggesting that recreational marijuana and opioids are substitutes. The proposal outlines data sources and methodology, and reviews literature showing an opioid overdose epidemic in the US but zero reported deaths from marijuana overdose. It argues legal access to controlled marijuana may lower opioid overdose deaths by providing a safer pain relief substitute.
Bitsie, K. (2015). Cancer Risk and Cancer Screening in a Pacific Northwest TribeNatalie Chin
This study assessed cancer risk factors and screening in the Cow Creek Band of Umpqua Tribe in Oregon through a survey of 283 tribal members. Compared to non-Hispanic whites in Oregon, tribal members were more likely to be obese and current smokers but had similar or higher rates of cancer screening. Specifically, tribal members were more likely to have received fecal occult blood tests and clinical breast exams recently. While some risk factors were elevated, cancer screening rates were generally favorable and suggested the tribe's health programs were having a positive impact.
The number of hospice programs in California remained stable from 1996 to 2004, while the average number of patients treated in each hospice program nearly doubled. The number of patients using hospice services in California increased 93% over this period. More than half of hospice patients in California are over 80 years old, and half receive care at home. Despite perceptions, fewer than half of all hospice patients have a primary diagnosis of cancer.
Treatment Programs HARPS Program (Helping At-Risk Pregnant Women Succeed) - C...ErikaAGoyer
NATIONAL PERINATAL ASSOCIATION CONFERENCE 2014 - Treatment Programs HARPS Program (Helping At-Risk Pregnant Women Succeed)
- Chris Cooper, MSN, NNP-CB, APRN and Dawn Forbes, MD
1. Adverse drug reactions (ADRs) are a major public health problem, causing over 2 million serious reactions, 100,000 deaths, and up to 440,000 preventable medical deaths per year in the US. ADRs are one of the leading causes of death ahead of other illnesses.
2. Older adults are particularly at risk of ADRs due to changes in body composition, decreased liver and kidney function, and increased drug sensitivity with age. Over 6.6 million older adults per year receive inappropriate prescriptions putting them at risk.
3. In addition to deaths, ADRs cause over 1.5 million hospitalizations per year and additional hospitalizations when patients experience reactions after
This document summarizes a presentation given by Joseph T. Rannazzisi on prescription drug investigations in the 21st century. The presentation examined reasons for increasing rates of prescription drug diversion and abuse, evaluated effective investigation strategies, and described opportunities for law enforcement collaboration with regulatory agencies. Key points included:
- Prescription drug abuse is the fastest growing drug problem in the US, with overdose deaths exceeding other drug types.
- Nonmedical use of prescription psychotherapeutics has risen among all age groups from 2003-2011 according to national surveys.
- West Virginia, New Mexico, and Kentucky have the highest rates of prescription painkiller overdose deaths.
Similar to Governor Substance Use Disorder Taskforce Presentation (20)
Presentation by Julie Topoleski, CBO’s Director of Labor, Income Security, and Long-Term Analysis, at the 16th Annual Meeting of the OECD Working Party of Parliamentary Budget Officials and Independent Fiscal Institutions.
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https://www.youtube.com/@jenniferschaus/videos
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https://www.youtube.com/@jenniferschaus/videos
2024: The FAR - Federal Acquisition Regulations, Part 41
Governor Substance Use Disorder Taskforce Presentation
1. The Morbidity and Mortality of
Kansas’ Drug Epidemic
Fan Xiong, MPH
Senior Epidemiologist
Kansas Board of Pharmacy
Kansas Data-Driven Prevention Initiative Program
Kansas Department of Health and Environment, Bureau of Health Promotion
Presented to the Kansas Governor Substance Use Disorder
Task Force
3. Image Source: CDC. Available at:
https://www.cdc.gov/drugoverdose/epidemic/index.html
4. Image Source: Cicero TJ, Ellis MS, Surratt HL, Kurtz SP. The changing face of heroin use in the United States: a retrospective analysis of the past 50
years. JAMA psychiatry. 2014 Jul 1;71(7):821-6.
• In the 1960s to early 1990s,
heroin was the first choice of
opioids for abuse.
• After 1990s, prescription
opioid became the first choice
of opioid for abuse.
5. Source: Cicero TJ, Ellis MS, Harney J. Shifting patterns of prescription opioid and heroin abuse in the United States. New England Journal of Medicine. 2015 Oct 29;373(18):1789-90.
Most who reported prescription opioid abuse prior to heroin cited accessibility
and cost as primary factors for the heroin use/transition.
6. Image Source: Bronshtein, Natalia. “INTERACTIVE: Explore how illegal drugs have become cheaper and more potent over
time.” Available at: https://www.statnews.com/2016/11/16/illegal-drugs-price-potency. Accessed on October 9, 2017. Textboxes
and additional calculations was made by Fan Xiong, MPH. Data was cited as based on the U.S. Drug Enforcement
Administration’s System to Retrieve Information from Drug Evidence.
Heroin is cheaper and more potent than before.
1986 2000 2010
$200
$4001 gram = 1000 milligram
8. Meth and
Heroin have
recently
emerged.
Data Source: Kansas Bureau of Epidemiology and Public
Health Informatics, Kansas Department of Health and
Environment, Kansas Mortality Files 2005-2016.
9. Age-adjusted Emergency
Department Visit Rate per
100,000 Population;
Kansas 2007-2016
Age-adjusted
Hospitalization Discharge
Rate per 100,000;
Kansas 2007-2016
Non-Heroin
Opioid
Poisonings
Rate, 2007-
2016 12.6
19.1
7.7
13.4
0
5
10
15
20
25
30
35
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Female Male
23.1
31.2
15.7
17.9
0
5
10
15
20
25
30
35
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Female Male
2015 and 2016 data contains
ICD-10-CM diagnosis codes
and absolute rates may not
be comparable with previous
years.
Data Source: Kansas Hospital Association. 2007-2016 Emergency Admission Database Special Request and 2007-2016 Kansas Hospital Discharge Database.
10. Heroin Drug
Poisoning
Rate, 2007-
2016
0.4
1.71.4
3.1
0
0.5
1
1.5
2
2.5
3
3.5
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Female Male
Age-adjusted Emergency
Department Visit Rate per
100,000 Population;
Kansas 2007-2016
Age-adjusted
Hospitalization Discharge
Rate per 100,000;
Kansas 2007-2016
0.8
2.1
1.1
3.2
0
0.5
1
1.5
2
2.5
3
3.5
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Female Male
2015 and 2016 data contains
ICD-10-CM diagnosis codes
and absolute rates may not
be comparable with previous
years.
Data Source: Kansas Hospital Association. 2007-2016 Emergency Admission Database Special Request and 2007-2016 Kansas Hospital Discharge Database.
11. Amphetamine
Drug Poisonings
Medical
Encounter Rate,
2007-2016
1.8
5.33.4
8.8
0
2
4
6
8
10
12
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Female Male
Age-adjusted Emergency
Department Visit Rate per
100,000 Population;
Kansas 2007-2016
Age-adjusted
Hospitalization Discharge
Rate per 100,000;
Kansas 2007-2016
0.9
7.9
1.4
8.6
10.5
0
2
4
6
8
10
12
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Female Male
2015 and 2016 data contains
ICD-10-CM diagnosis codes
and absolute rates may not be
comparable with previous
years.
Data Source: Kansas Hospital Association. 2007-2016 Emergency Admission Database Special Request and 2007-2016 Kansas Hospital Discharge Database.
12. Data Source: 2010-2016 Kansas Bureau of Epidemiology and Public Health Informatics, Kansas Department of Health and Environment,
Kansas Mortality Files. Only counties with at least 5 expected deaths per 100,000 population are shown due to unstable rates.
Annual Average Age-adjusted Drug Poisoning Mortality Rate per 100,000 population
by County, Kansas residents, 2010-2016
13. Data Source: 2010-2016 Kansas Bureau of Epidemiology and Public Health Informatics, Kansas Department of Health and Environment,
Kansas Mortality Files. Only counties with at least 5 expected deaths per 100,000 population are shown due to unstable rates.
Annual Average Age-adjusted Opioid Poisoning Mortality Rate per 100,000 population
by County, Kansas residents, 2010-2016
1,077 deaths from
2010 to 2016 were
opioid-related deaths
– any prescription
opioids, heroin, or
illicit opioid
contributed to the
death.
14. Data Source: 2010-2016 Kansas Bureau of Epidemiology and Public Health Informatics, Kansas Department of Health and Environment,
Kansas Mortality Files. Only counties with at least 5 expected deaths per 100,000 population are shown due to unstable rates.
Annual Average Age-adjusted Opioid Poisoning Mortality Rate per 100,000 population
by County, Kansas residents, 2010-2016
Six counties in Kansas had
a rate higher than the 2016
national average of 13.3.
This is potentially an
underestimate since there
are drug poisoning deaths
in Kansas that do not
specific a drug.
17. Image Source: http://www.preventoverdoseks.org/kpdo_data.htm
Patients with more than
90+ morphine milligram
equivalent (MME) per
day is a risk factor for
opioid poisoning and
developing an opioid use
disorder.
In 2017, there were 4
counties with at least
4.5% of residents with
more than 90+ MME per
day in 2017.
18. Image Source: http://www.preventoverdoseks.org/kpdo_data.htm
Patients with concurrent
prescriptions for opioids
and benzodiazepine is a
risk factor for opioid
poisoning and
developing an opioid use
disorder.
In 2017, there were 8
counties with at least
7.0% of county residents
with concurrent
prescriptions for opioids
and benzodiazepine in
2017.
19. Having a mental illness, history of alcohol use disorder, or other substance
use disorder is a risk factor for opioid poisoning and developing an opioid
use disorder.
Numerator: Respondents who reported they had
ever been told by a doctor, nurse or other health
professional that they have a depressive
disorder (including depression, major
depression, dysthymia, or minor depression).
Denominator: All respondents, excluding
unknowns and refusals.
County Level Prevalence of Depressive
Disorder, Kansas BRFSS 2015
County Level Prevalence of Binge
Drinker, Kansas BRFSS 2015
Numerator: Male respondents having five or
more drinks on one occasion in the past 30
days or females having four or more drinks
on one occasion in the past 30 days.
Denominator: All respondents, excluding
unknowns and refusals.
21. Image Source: Huang X, Keyes KM, Li G. Increasing Prescription Opioid and Heroin Overdose Mortality in the United States, 1999–2014: An Age–Period–Cohort
Analysis. American journal of public health. 2018 Jan;108(1):131-6.
“Individuals
born between
1947 and 1964
and between
1979 and 1992
are
particularly
afflicted by
the opioid
epidemic.” –
Huang, et al.
22. Hospitalizations
due to Opioid
Related Use
Disorders*,
Kansas Hospital
Discharges,
Kansas residents,
2012-2016
*Excluding remission diagnosis
codes. Hospital discharges include
ICD-9-CM and ICD-10-CM diagnosis
codes for opioid abuse, dependence,
or use disorders. Since ICD-10-CM
has greater specificity, most hospital
discharges presented were from
2016.
Year of Birth
23. Patient Year of Birth
Number of K-TRACS Patients with Buprenorphine Opioid Labeled for
Medication Assisted Treatment by Year of Birth, Kansas residents,
2015-2017
Most patients with
Buprenorphine
opioid prescriptions
labeled for
Medication Assisted
Treatment (MAT)
were born after
1975.
Data Source: 2015-2017 K-TRACS.
Buprenorphine Opioid Labeled for
Medication Assisted Treatment were
selected based on FDA labeling for
indication and based on prescriptions
reported to K-TRACS
Only 5-years birth cohort with at
least 20 patients are shown.
NumberofKansasPatients
24. Kansans with a
year of birth
from 1945 to
1959 have a
correlation in
high-dose
opioids and non-
heroin opioid
poisoning.
Image Source: Kansas Health Statistics
Report. February 2018 Issue.
25. Prevalence of Selected Health
Factors by Birth Year among
Males, Kansas BRFSS 2011-2016
Number of Drug Poisoning Deaths by
Birth Year among Male Decedents, ,
Kansas residents, 2005-2016
Birth Year Birth Year
26. Prevalence of Selected Health
Factors by Birth Year among
Females, Kansas BRFSS 2011-2016
Number of Drug Poisoning
Deaths by Birth Year among
Female Decedents, Kansas
residents, 2005-2016
Birth Year Birth Year
27. Senior Epidemiologist
Kansas Board of Pharmacy
Kansas Department of Health and Environment
Topeka, Kansas
fan.xiong@ks.gov
785-296-6580
Contact