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Premier resources, research and webinars
Approximately 90 percent of C-Suite leaders from Premier member health systems are prioritizing strategies to curb opioid use, according to Premier survey. Premier supports these opioid safety efforts with data-driven research and reports of opioid practice patterns, care redesign initiatives, repository of pain management alternatives, clinical surveillance solutions and shaping healthcare policy.
- Premier Public Affairs – Shaping Healthcare Policy
Modernize Health Information Laws to tackle opioid crisis. Premier is leading the lobbying activities of the Coalition of 39 national organizations (www.helpendopioidcrisis.org) pushing legislation (H.R. 3545 / S. 1850) to insert HIPAA’s treatment, payment and healthcare operations policy into 42 CFR Part 2. The goal is to modernize health information laws to enable the sharing of a patient’s entire medical record, including addiction records, so providers have all the information necessary to provide safe, effective, high quality treatment and care.
- Premier has engaged with the White House and the President’s Opioid Task Force on importance of amending the 1972 addiction privacy to enable care coordination. Premier efforts in tandem with the Coalition resulted in the President’s Opioid Task Force recommending that Congress pass H.R. 3545 / S.1850 as one of 56 recommendations to tackle the opioid crisis impacting the country as a whole.
- House passed Premier-supported Overdose Prevention and Patient Safety Act (H.R. 6082) on June 20, 2018. Premier’s efforts resulted in passage of this Act that paves the way to modernize a 40-year old law that has impeded healthcare providers’ ability to diagnose, treat and prevent addiction and other opioid-related disorders.
- Premier’s response to the House Ways and Means Committee on ways to address the opioid crisis (3.15.18)
More information on Premier Public Affairs efforts
- Opioid Stewardship
NQP Playbook™: Opioid Stewardship Premier is a proud member of the National Quality Partnership (NQP) Stewardship Action Team that developed this guide of best practices and strategies for effective pain management and opioid stewardship.
Premier’s capabilities for opioid stewardship – experts, technology and resources aligned with the seven fundamentals of the NQF Playbook: Opioid Stewardship.
- Premier Safety Institute
- Premier’s HIIN- National Hospital Initiative on Opioid Safety in Partnership with American Society of Anesthesiologists (ASA), American Academy of Orthopedic Surgeons (AAOS), and Institute of Patient & Family Center Care (IPFCC)
- PILOT: Safer Post-operative Pain Management: Reducing Opioid-related Harm
Premier’s national pilot brings hospitals together to improve pain management strategies through its Hospital Improvement Innovation Network (HIIN), which is part of the CMS Partnership for Patients program. The effort is focused on measurably improving the safety of post-operative opioid pain management by providers, clinicians and patients/families. Phase one of Safer Post-operative Pain Management: Reducing Opioid-related Harm pilot was launched in September 2017. Phase two started October 2018, with more than 60 participating hospitals from the Premier HIIN. In phase two, additional orthopedic surgeon subject matter experts from the AAOS) have joined Premier and ASA’s efforts; along with enhanced partnership IPFCC to ensure the patient and family are included from the beginning in goal setting and pain management.
More information - Article/Blog Making progress curbing opioid use in hospitals by Roshni Ghosh MD and Asokumar Buvanendran MD – guest column by American Society of Anesthesiologists, in KevinMD.com
- PILOT: Safer Post-operative Pain Management: Reducing Opioid-related Harm
- Premier Public Affairs – Shaping Healthcare Policy
Premier Safer Pain Management Product Portfolio (GPO Members only; log in required)
An annotated searchable repository of all Premier group purchasing contracts, suppliers, services and programs in the pain management space. Premier members can access this resource through its integrated intelligence platform PremierConnect® This toolkit supports efforts to improve prescribing practices, opioid use and patient safety through alternative methods and medications. Premier members can search for alternative therapies, as well as devices that monitor oxygen and carbon dioxide levels to avoid respiratory-related side effects, and treatments to improve the immune system’s response to opioidsNEW: Premier Data Optimization Report: Premier’s Opioid Overdoses (ODs) Treated in the Emergency Department (ED), 2018
An analysis to assess the need to institute new (or reinforce existing) improvement efforts in the management of patients presenting to the ED with an opioid OD using Premier’s Quality Advisor comparative database (details below). Analysis includes patients treated and released and admitted for inpatient care.Report highlights/Key data elements:
- Opioid OD Treatment Rate Comparison
- Cost of Care for Opioid ODs Treated in the ED
- Opioid ODs: Treated and Released vs. Treated and Admitted Cases
- What Can Be Done: Improvement Strategies and Resources
- Premier Data Optimization Report: Opioids Use in the Emergency Department 2017 (QualityAdvisorTM subscribers only).
An analysis of opioid visits, utilization, and prescribing practices in the emergency department using Premier’s Quality Advisor comparative database (details below)-
Report Highlights: The population for the Opioid Use in the Emergency Department (ED) includes patients treated and released from the ED. The analysis did not include those ED patients admitted and those who did not receive an opioid during their ED visit, but left the ED with a prescription for an opioid.
Key data elements:
- Overall ED opioid utilization rate
- Frequency of ED visits with opioid use
- Opioid utilization by drug and formulation (short-acting or extended release)
- Opioid use by diagnosis for treated and released ED patients receiving opioids
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Source of data for report: Premier Quality Advisor™
The Premier Quality Advisor™ Platform contains data on 40 percent of all U.S. inpatient hospital discharges. This comparative database measures and analyzes performance to improve patient outcomes and reduce costs by integration of quality, safety and financial data. This is accomplished through benchmarking clinical and financial outcomes against peer hospitals; comparing internal and external performances in shaping best decisions; identifying care practice variations; reducing mortality, complications, readmissions and hospital-associated conditions; monitoring ongoing efforts to improve quality, resource utilization, and efficiency; and complying with regulatory reporting requirements. For more information about Quality Advisor, please call the Informatics Solution Center at: 800.805.4608.
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- Clinical Surveillance powered by Theradoc®
- Clinical and medication surveillance solutions that provide real-time alerts on high-risk drugs and potentially dangerous drug combination interactions, as well as monitors patients prescribed high-dose long acting/extended release opioids. These solutions include recommendations for co-prescribing naloxone and educational tools for patient and family naloxone use prior to discharge.
- Premier research – publications on opioid-related outcomes and economics conducted by Premier Research Science
Articles
- Oderda GM, Gan TJ, Johnson BH, Robinson SB. Effect of opioid-related adverse events on outcomes in selected surgical patients. J Pain Palliat Care Pharmacother. 2013 Mar;27(1):62-70. doi: 10.3109/15360288.2012.751956. Epub 2013 Jan 9.
- Gan TJ, Robinson SB, Oderda GM, Scranton R, Pepin J, Ramamoorthy S. Impact of postsurgical opioid use and ileus on economic outcomes in gastrointestinal surgeries. Curr Med Res Opin. 2015 Apr;31(4):677-86. doi: 10.1185/03007995.2015.1005833. Epub 2015 Feb 10.
- Lasky T, Ernst F, Greenspan J, Wang S, Gonzalez G. Estimating pediatric inpatient medication use in United States. Pharmacoepidemiology Drug Safety 2010
- Lasky T, Greenspan J, Ernst FR, Gonzalez L. Morphine use in hospitalized children in the United States: A descriptive analysis of data from pediatric hospitalizations in 2008. Clin Ther. 2012 Mar;34(3):720-7.
- Article: Ernst FR, Mills JR, Berner T, House J. Opioid medication practices in chronic pain patients presenting for all-causes to emergency department: Prevalence and impact on health outcomes. J Manag Care Spec Pharm 2015;21(10):925-36
- Herzig, S. J., Rothberg, M. B., Cheung, M., Ngo, L. H., & Marcantonio, E. R. (February 13, 2014). Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals. Journal of Hospital Medicine, 9, 2, 73-81.
Abstracts presented
- Abstract: Schechter LN, Harshaw Q, Frye CB, Ernst FR, Krukas MR, Shillington AC. Costs Associated with Intravenous Patient Controlled Analgesia (IV PCA) in US Hospitals. Presented at International Society for Pharmacoeconomics and Outcomes Research (ISPOR) 2013
- Abstract: Miller TE, Ernst FR, Krukas MR Gan TJ. Level of compliance with the enhanced recovery after surgery (ERAS) protocol and postoperative outcomes. Presented at International Anesthesia Research Society (IARS) 2013
- Abstract: Gan TJ, Oderda GM Robinson SB. Opioid-related adverse events increase length of stay and drive up total cost of care in a national database of post surgical patients. Presented at International Anesthesia Research Society (IARS) 2012
- Abstract: Oderda GM, Robinson SB, Tong GJ et al. Impact of post-surgical opioid use and ileus on economic outcomes in gastrointestinal surgeries. Presented at International Society for Pharmacoeconomics and Outcomes Research (ISPOR) 2012)
- Abstract: Gan TJ, Robinson SB, and Oderda GM. Impact of Postsurgical Opioid Use and Adverse Drug Events on Economic Outcomes in Hysterectomy Surgeries. Presented at Society for Ambulatory Anesthesia (SAMBA) 2012
- Abstract: Ramamoorthya S, Robinson SB. Impact of opioid related adverse events on length of stay and hospital costs in patients a laparoscopic colectomy. Presented at Digestive Disease Week (DDW) 2012
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Premier webinars:
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Advisor Live
- Advisor Live: What providers should know about maternal opioid use and abuse
- Advisor Live: Safe opioid use – Strategies for reducing adverse events and related harm
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Premier PFP and QUEST ADE and Harm Collaborative: Reducing ADEs and harm associated with opioids – Safer post-operative pain management
- Contemporary Pain Management: T.J. Gan M.D. Slides
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Articles, blogs, coalitions
- Article by G.Pugliese Balancing pain management with technology, safely and effectively 2017
- Blog by G.Pugliese: What are you doing for safer opioid pain management? In Premier Action for Better Health Care Blog 2015
- Article by G. Pugliese: Addressing opioid risks in the hospital setting- by Pugliese G. in 2014 Premier Quality Outlook
- Premier Safety Institute member of the National Coalition to Promote Continuous Monitoring of Patients on Opioids
- Opioid Use and Misuse – Did you Know?
Opioid information for consumers, patients, families, caregivers