Oregon Strategies for the Opioid Crisis

Nicole O’Kane, PharmD Clinical Director

HealthInsight Oregon

“There is no immunity to the opioid problem. It covers all areas, all age groups, male and female. And it’s

only getting worse in the time frame we’re looking at here.”

- Dr. Anne Elixhauser

Agency for Healthcare Research and Quality Interview in the New York Times, 8/21/2017

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Oregon Opioid-related Deaths

http://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/SUBSTANCEUSE/OPIOIDS/Pages/data.aspx OHA dashboard accessed 10/2/2017

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Oregon Opioid-related Hospitalizations

http://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/SUBSTANCEUSE/OPIOIDS/Pages/data.aspx OHA dashboard accessed 10/2/2017

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Coordination Across the Community

Patients, families and caregivers

Health systems (physical, behavioral and mental health)

Health insurance payer (public and

private employers)

Legislative and law

enforcement

Social support systems (public

and private)

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Strategies to Combat the Opioid Crisis

Involve patients

Inform the public

Support professionals Trainings Resource tools System improvements

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Safe prescribing practices

Access to non-opioid treatments

Safe storage and disposal

Naloxone rescue

Medication-assisted treatments

Data to target and evaluate interventions

Strategies to Combat the Opioid Crisis

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HealthInsight Safety Initiatives

Administrator

Prescription Opioids to

Heroin Trends in Oregon (CDC)

Washington Data Mapping (BJA)

Prescriber

Opioid Harm Prevention for

Older Adult Patients (CMS)

PDMP User Interface

Enhancement (PEW)

Evaluation of Utah Prescribing

Practices (BJA)

Pharmacist

RESPOND Toolkit for Community

Pharmacists (AHRQ)

Patient

HIV/Hepatitis and Opioid Prevention and Engagement

(NIDA)

Oregon PDMP Use and Patient

Outcomes (NIDA)

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Reducing Opioid Overdose and Misuse

www.healthoregon.org/opioids 9

www.healthoregon.org/opioids

Reducing Opioid Overdose and Misuse

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What Is Your Role?

Patients, families and caregivers

Health systems

Health insurance payer

Legislative and law

enforcement

Social support systems

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Oregon Resources for Opioid Safety 1. Oregon Health Authority (OHA)

Reducing Opioid Overdose and Misuse main page: www.healthoregon.org/opioids OHA Oregon Prescribing and Drug Overdose Data Dashboard: http://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/SUBSTANCEUSE/OPIOIDS/Pages/data.aspx OHA Naloxone Guidance: http://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/SUBSTANCEUSE/OPIOIDS/Pages/naloxone.aspx#pharmtoolkit OHA Regional CCO collaborative for safer opioid prescribing: http://www.oregon.gov/oha/HPA/CSI-TC/Documents/Opioid-Prescriber-Toolkit.pdf OHA Health Evidence Review Commission: http://www.oregon.gov/oha/hpa/csi-herc/pages/index.aspx

2. Oregon Board of Pharmacy Information for pharmacists on prescribing naloxone: https://www.oregon.gov/pharmacy/Pages/Naloxone.aspx

3. Oregon Pain Guidance Multidisciplinary website acting as a hub for communities in Oregon to coordinate and share best practices and resources related to opioid safety: https://www.oregonpainguidance.org/

4. Oregon Coalition for Responsible Use of Meds Prescription disposal instructions for pharmacies and clinics: https://orcrm.oregonpainguidance.org/rx-disposal/rx-disposal-pharmacists-clinics/

National Resources for Opioid Safety 1. Centers for Disease Control and Prevention

One stop for various useful resources including data reports, information for patients, guidelines, publications, resources, online training for professionals : https://www.cdc.gov/drugoverdose/data/index.html

2. Substance Abuse and Mental Health Services Administration (SAMHSA) SAMHSA Behavioral health treatment services locator and help line : https://www.findtreatment.samhsa.gov/ SAMHSA Medication-assisted treatment (MAT): https://www.samhsa.gov/medication-assisted-treatment SAMHSA Overdose prevention toolkit: https://store.samhsa.gov/shin/content//SMA16-4742/SMA16-4742.pdf

3. U.S. Department of Health & Human Services Opioid safety resources for health professionals, law enforcement and the public: https://www.hhs.gov/opioids/index.html

4. Prescribe to Prevent Naloxone and overdose prevention training resources for prescribers, pharmacists, patients, families: http://prescribetoprevent.org/

5. US Department of Justice Drug Enforcement Administration (DEA) Diversion control division : https://www.deadiversion.usdoj.gov/ DEA Drug disposal fact sheet: https://www.deadiversion.usdoj.gov/drug_disposal/fact_sheets/disposal_public.pdf