Today, 11 percent of Americans experience daily chronic pain, for which opioids are frequently prescribed. Unfortunately, what started as standard prescribing practice has become detrimental, and due to their highly addictive nature, we’ve seen a quadrupling number of opioid overdose deaths from 1999 to 2015, killing more than 90 people per day. While state and national legislatures continue to search for ways to combat this epidemic, significant change can be made at the community level starting with medical staff, hospitals and health systems. This webinar will provide a comprehensive overview of the pain crisis and how it affects various patient populations, outline CDC guidelines on opioid use for chronic pain and identify strategies to positively impact the use of opioids and outcomes.
Sources: NCCIH, NPR
Key Takeaways:
- Recognize the relationship between opioid use on clinical and economic outcomes in various patient populations and the community
- Outline recommendations suggested by CDC guidelines on opioid use in chronic pain and new pain standards just released by TJC
- Identify strategies to impact multiple drivers of the opioid crisis
List three different types of MAT (medication-assisted treatment) for opioid dependence
Describe the mechanism of action and the proper dosing for three different types of MAT for opioid dependence
Review common barriers to using MAT in a variety of treatment settings.
Affects of Substance Abuse on Mental Health - Opioids (Narcotics) zeeshan Shani
This slideshow is an endeavour to inculcate awareness and educate the youth and their parents about the usage, identification and affects of Narcotics (Opiods) Abuse.
List three different types of MAT (medication-assisted treatment) for opioid dependence
Describe the mechanism of action and the proper dosing for three different types of MAT for opioid dependence
Review common barriers to using MAT in a variety of treatment settings.
Affects of Substance Abuse on Mental Health - Opioids (Narcotics) zeeshan Shani
This slideshow is an endeavour to inculcate awareness and educate the youth and their parents about the usage, identification and affects of Narcotics (Opiods) Abuse.
Part of the "Fourth Annual Health Law Year in P/Review" held at Harvard Law School on January 29, 2016.
This symposium featured leading experts discussing major developments during 2015 and what to watch out for in 2016. The discussion covered hot topics in such areas as health insurance, health care systems, public health, innovation, and other issues facing clinicians and patients.
This year's Health Law Year in P/Review was sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, the New England Journal of Medicine, Health Affairs, the Hastings Center, Harvard Health Publications at Harvard Medical School, and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund at Harvard University.
Visit our website for more information: http://petrieflom.law.harvard.edu/events/details/fourth-annual-health-law-year-in-p-review.
Drug abuse and drug dependences for Diploma pharmacy - 2nd year in Hospital and clinical pharmacy.
Some more valuable information about the Drug Addiction and drug dependences which is in concise manner.
Part of the "Fourth Annual Health Law Year in P/Review" held at Harvard Law School on January 29, 2016.
This symposium featured leading experts discussing major developments during 2015 and what to watch out for in 2016. The discussion covered hot topics in such areas as health insurance, health care systems, public health, innovation, and other issues facing clinicians and patients.
This year's Health Law Year in P/Review was sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, the New England Journal of Medicine, Health Affairs, the Hastings Center, Harvard Health Publications at Harvard Medical School, and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund at Harvard University.
Visit our website for more information: http://petrieflom.law.harvard.edu/events/details/fourth-annual-health-law-year-in-p-review.
Drug abuse and drug dependences for Diploma pharmacy - 2nd year in Hospital and clinical pharmacy.
Some more valuable information about the Drug Addiction and drug dependences which is in concise manner.
Four Effective Opioid Interventions for Healthcare LeadersHealth Catalyst
The crisis of opioid abuse in the U.S. is well known. What may not be so well known are the ways for clinicians and healthcare systems to minimize misuse of these addictive drugs. This article describes the risks for patients when they are prescribed opioids and the need for opioid intervention. It offers four approaches that healthcare systems can take to tackle the crisis while still relieving pain and suffering for the patients they serve:
Use data and analytics to inform strategies that reduce opioid availability
Adopt prescription drug monitoring programs to prevent misuse
Adopt evidence-based guidelines
Consider promising state strategies for dealing with prescription opioid overdose
Opioid misuse is a public health epidemic, but treatments are available and it’s time for those involved in the delivery of healthcare to change practices.
In today’s healthcare environment, there is an increasing emphasis on antimicrobial stewardship programs (ASP) and their impact on patient and community health and hospital financials. There are now new regulatory standards from The Joint Commission (TJC) that require hospitals to implement ASPs, and the Centers for Medicare and Medicaid Services (CMS) has proposed making it mandatory that hospitals implement an ASP in order to participate in Medicare and Medicaid. Regardless, a solid ASP is critically important to patient wellbeing, public health, and a hospital’s bottom line. This webinar will focus on how to bring a successful ASP to life in your hospital with a business plan and buy in from key stakeholders across the organization.
Eye on the Prize: Promoting a "Culture of Excellence" Through Effective Strat...CompleteRx
The epitome of excellence can be recognized in organizations that have been awarded the Malcolm Baldrige National Quality Award. The successful development and implementation of an organization’s strategic plan is pivotal to this achievement as it ensures leadership and employees are working toward common goals. While setting priorities and focusing resources may seem like a given for any successful organization, the process of establishing and measuring an effective strategic plan can be complex and overwhelming. In conjunction with the Kentucky Center for Performance Excellence (KyCPE), this webinar will teach you to develop a strategic planning process to improve your organization’s performance and ensure key performance indicators are aligned with your overall strategic plan. The webinar will also review past healthcare Malcolm Baldrige National Quality Award winners and share best practices from these award winners.
Key Takeaways:
- Understand strategy development and HOW do you develop your strategy
- Review what Baldrige winning organizations have done to develop information for your strategic planning process
- Learn how to deploy your action plans
5 Ways Your Pharmacy Can Boost Your Revenue CycleCompleteRx
With rising drug costs and decreasing reimbursements contributing to shrinking margins (in 2014, according to Modern Healthcare, 61.3 percent of healthcare providers reported decreased margins from the previous year), hospitals continue to scrutinize their revenue cycles to ensure they stay in the black, and there’s an oft-overlooked resource they would do well to consider: pharmacy. Historically, the hospital pharmacy has been labeled a cost generator, but there are actually many ways this strategic department can positively impact each stage of the revenue cycle – from point of service to claim submission and more. This webinar will explore innovative tactics, including optimized processes, improved data management, and creative patient programs, which hospital pharmacies across the country can leverage to boost overall hospital revenue.
The Cure for a Healthy Recruitment and Retention StrategyCompleteRx
Losing a qualified job candidate or employee can be a tough pill to swallow. No matter what the position, finding job candidates that are the right fit are hard to come by in the ever-changing healthcare market. A recent McKinsey & Co study suggests there could be an 18 million-person shortage in the supply of high-skilled, college-educated workers by 2020 – this includes pharmacy and healthcare workers. On top of that, workforce demographics, technology and benefits continue to evolve as the new millennial workforce sets expectations for what they want in a career. In this webinar, you’ll hear from our talent acquisition and pharmacy operations teams as they strategize new ways to recruit and retain top talent today.
How High Will They Go? Managing Rising Drug Prices in a Changing Healthcare E...CompleteRx
In 2016, spending on prescription drugs is expected to reach $500 billion. So, how high will they really go? That is a common question asked with drug prices as recent headlines have exploited drug pricing schemes and how the pharmaceutical industry is handling rising prices. This webinar discusses how hospitals and health systems can prepare for and manage rising drug costs, ensure patient care and positively impact the bottom line.
The Rise (or Fall?) of Pharmacy Management in the Technology AgeCompleteRx
Technology is a critical tool in providing quality, cost
effective healthcare. An overview of key technologies
which effect day to day pharmacy management will be
reviewed. Future market and technology trends which
could alter the professional landscape for pharmacy will
be discussed.
Five Pharmacy Rules Hospitals Can't Afford To Ignore In 2016CompleteRx
With each new year comes increased regulations that affect the hospital ecosystem. This webinar will take a look at the approved and proposed regulatory requirements for hospital pharmacies that have been published to be proactive and ensure compliance.
The 340B Program and Implications of the Mega GuidanceCompleteRx
As the 340B Drug Pricing Program continues to undergo changes, our team has been following all the recent updates and how they impact hospital pharmacies. This presentation goes through the latest on the long awaited guidance of proposed changes that was posted by the Federal Register on August 28, 2015.
Criteria for Performance Excellence to Improve Pharmacy ServicesCompleteRx
- Enhance understanding of the Performance Excellence program and the impact on Healthcare organizations
- Be able to locate Process level and Results level items and how to begin
- Identify areas in the hospital pharmacy that can be impacted by the program
How To Boost Hospital Performance By Optimizing Your PharmacyCompleteRx
Assessing and managing productivity is a complex process that takes the rights tools and people. While pharmacy may seem to be a small part of an overall organization, it is actually one of the largest cost centers of a hospital, making it one of the most important departments to optimize and streamline. Learn how your pharmacy’s productivity can impact your hospital’s overall costs, quality, safety and patient satisfaction.
Key Points:
- Analyzing productivity
- Pros and cons of pharmacy productivity management tools
- Use of volume indicators
- Workflows to improve productivity and communication with nursing and hospital staff
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
ALKAMAGIC PLAN 1350.pdf plan based of door to door delivery of alkaline water...rowala30
Alka magic plan 1350 -we deliver alkaline water at your door step and you can make handsome money by referral programme
we also help and provide systematic guideline to setup 1000 lph alkaline water plant
Veterinary Diagnostics Market PPT 2024: Size, Growth, Demand and Forecast til...IMARC Group
The global veterinary diagnostics market size reached US$ 6.6 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 12.6 Billion by 2032, exhibiting a growth rate (CAGR) of 7.3% during 2024-2032.
More Info:- https://www.imarcgroup.com/veterinary-diagnostics-market
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
2. Speakers
2
Julie Rubin, Pharm.D., BCPS
Director of Clinical Services
CompleteRx, Ltd
Kenneth Maxik, MBA, MBB, FACHE
Director of Patient Safety and Compliance,
CompleteRx
3. 3
Agenda
The Epidemic
Accreditation Standards
IHI Initiative
Opioid selection, dosage, duration, follow-up, and
discontinuation
Assessing risk and addressing harms of opioid use
5. 5
Chronic Pain and Prescription Opioids
11% of Americans experience daily (chronic) pain
Opioids frequently prescribed for chronic pain
Primary care providers commonly treat chronic, non-cancer pain
Account for ~50% of opioid pain medications dispensed
Report concern about opioids and insufficient training
7. Role of Prescribing Opioids and Overdose Deaths
*Death rate, 2013, National Vital Statistics System. Opioid pain reliever sales rate, 2013, DEA’s Automation of Reports and Consolidated Orders System
9. 9
Need for Opioid Prescribing Guidelines
Previous opioid prescribing guidelines have been developed by several states
and agencies, but were inconsistent
Most recent national guidelines are several years old and don’t incorporate the
most recent evidence
Need for clear, consistent recommendations
12. 12
Which of the following identified areas has your hospital
or health system accomplished related to pain
management?
A. Assigned an executive leadership champion
B. Developed a team charter
C. Conducted a GAP Analysis
D. Both A & B
E. All of the above
12
Quick Poll
14. 14
IHI
Recommendation's for a systems approach to the opioid crises:
four main drivers to reduce opioid use.
Limit supply of opioids
Raise awareness of risk of opioid addiction
Identify and manage the opioid-dependent population
Treat opioid-addicted individuals
15. 15
Reverse the opioid crisis
in a community
Measures:
• Overdose rate
• Fatal overdose rate
• Individuals in treatment
• Prescription opioid rate
Source: IHI
Limit supply
of opioids
• Prescribing practices
• Dispensing practices
• Diversion
• Pharmaceutical
production
• Availability of alternative
pain management
treatment
Raise
awareness of
risk of opioid
addiction
• Identification/education
of patients at greater risk
for addiction
• Provider education
• Adolescent education
• Adult education
• Reducing stigma around
substance abuse
16. 16
Who has been educated amongst hospital staff on
changing opioid guidelines and management?
A. Medical Staff
B. Nursing Staff
C. Pharmacy Staff
D. Both A & B
E. All of the above
16
Quick Poll
17. 17
Reverse the opioid crisis
in a community
Measures:
• Overdose rate
• Fatal overdose rate
• Individuals in treatment
• Prescription opioid rate
Source: IHI
Identify and
manage
opioid
dependent
population
• Compassionate, consistent
care
• Tapering
• Pain management education
• Availability of alt. pain
management treatment
• Education of
patients/families
Treat opioid-
addicted
individuals
• Identification of opioid
addicted individuals
• Availability of detox facilities
• Availability of long-term
ongoing comprehensive
addiction treatment
• Availability of supportive
social services
• Prevention of fatal overdose
20. 20
Recommendation #1: Nonpharmacologic
Therapy
Nonpharmacologic therapy and nonopioid pharmacologic
therapy are preferred for chronic pain
If opioids are used, they should be combined with
nonpharmacologic therapy and nonopioid pharmacologic
therapy, as appropriate.
(Recommendation category A: Evidence type: 3)
21. 21
Recommendation #2: Establish and measure
progress toward goals
Before initiating opioid therapy for chronic pain:
Determine how effectiveness will be evaluated
Establish treatment goals with patients
– Pain relief
– Function
22. 22
Who in your organization is responsible for educating
patients on opioid abuse?
A. Medical Staff
B. Nursing Staff
C. Pharmacy Staff
D. Both A & B
E. All of the above
22
Quick Poll
23. 23
Recommendation #3: Patient Education
Before starting and periodically during opioid therapy, clinicians should discuss
with patients known risks and realistic benefits of opioid therapy and patient
and clinician responsibilities for managing therapy.
(Recommendation category A: Evidence type: 3)
25. 25
Recommendation #4: Prescribing
When starting opioid therapy
for chronic pain, clinicians
should prescribe immediate-
release opioids instead of
extended-release/long-acting
(ER/LA) opioids.
(Recommendation category A:
Evidence type: 4)
26. 26
Recommendation #5: Start low and go slow
Start with lowest effective dosage and increase by the smallest
practical amount.
Total opioid dosage >50 MME/day
Avoid increasing opioid dosages to >90 MME/day.
High, hard to treat patients
27. 27
Recommendation #6: When opioids are
needed for acute pain
Prescribe the lowest effective dose.
Often < 3 days and rarely more than 7 days needed.
Do not prescribe additional opioids “just in case”
Re-evaluate patients with severe acute pain that continues
longer than the expected duration
Revise the initial diagnosis and to adjust management
accordingly
Do not prescribe ER/LA opioids for acute pain treatment
28. 28
Recommendation #7: Follow up
Re-evaluate patients
within 1-4 weeks of starting
long-term therapy or of
dosage increase
at least every 3 months or
more frequently
29. 29
Tapering Opioids
Work with patients to taper opioids down or off
Taper slowly enough to minimize opioid withdrawal
Access appropriate expertise for tapering during pregnancy
Optimize non-opioid pain management and psychosocial
support
30. 30
Strategic Recommendations For Your Hospital
Retrain providers
Consider all providers
Identify alternative treatment options for pain management
Create a role for pharmacists and retail pharmacy
(“corresponding responsibility”)
Engage in public messaging
“Flood the zone”
Recognize that geography is important
Include law enforcement
32. 32
Certain factors increase risks for opioid-
associated harms
Moderate or severe sleep-disorders
Pregnancy
Renal or hepatic insufficiency, aged >65 years
Patients treated for depression
Consider offering naloxone when patients
34. 34
Who comprises your team to help
combat opioid abuse?
A. Hospital Personnel
B. Local Law Enforcement
C. Community Leaders
D. Both A & C
E. All of the above
34
Quick Poll
35. 35
A Systems Approach to Treatment of Pain Management
35
Key Takeaways
Non pharmacological
approaches should be reviewed
A GAP Analysis should be
conducted to understand current
processes
The pharmacist plays an
important role in the
management of patients
Change prescribing practices
Educate physician about the
risk of long term opioid use
Educate the patients about
chronic, opioid use
Tapering opioids
ADE prevention
Alternative pain medications