Session ID: 
67

Inappropriate Opioids, Adverse Outcomes and IT Solutions

4:30pm - 5:30pm Tuesday, March 6
Las Vegas - Venetian Convention Center
Sands Show Room

Description

Little information exists on the appropriateness of opioid prescriptions and how opioid prescribing practices influence health outcomes and medical costs. Using a nationwide database, we linked pharmaceutical and inpatient/outpatient records for individuals with a medical disability due to carpal tunnel release surgery. We found that 29% of cases were prescribed opioids contrary to evidence-based guideline recommendations. Further, patients prescribed an opioid contrary to guidelines had disability durations 2 days longer and medical costs $422 higher than patients prescribed an opioid according to guidelines. Inappropriate opioid prescriptions for carpal tunnel release may cost the U.S. $71 million in medical costs and 124,000 disability days. IT solutions are available to prevent inappropriate prescriptions including drug formularies. This session will discuss the integration of opioid guidelines and a drug formulary within Kaiser Permanente’s EHR including physician perspectives of the tool.

Learning Objectives: 

  • Recognize the current opioid epidemic
  • Compare opioid prescriptions to evidence-based guideline recommendations for carpal tunnel release patients
  • Assess the reduction in healing time and medical costs by following opioid guidelines
  • Discuss IT solutions including a drug formulary and prescription drug monitoring programs for reducing the number of inappropriate opioid prescriptions
  • Describe the successes and challenges of implementing opioid guidelines and a drug formulary within an EHR

Speaker(s): 

Director, Rocky Mountain Center for Occupational and Environment Health,
University of Utah
Regional Medical Director for Occupational Health,
Kaiser Permanente
Continuing Education Credits: 
ABPM
1.00
ACPE
1.00
CAHIMS
1.00
CME
1.00
CNE
1.00
CPHIMS
1.00
PDU
1.00

Audience: 

Clinical Informaticists
Pharmacy Professional
Physician, CMO, CMIO

Level: 

Intermediate

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