virginia’s prescription monitoring …€™s prescription monitoring program providing education...
TRANSCRIPT
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Department of Health Professions
VIRGINIA’S PRESCRIPTION MONITORING PROGRAM
PROVIDING EDUCATION AND PRACTICE RESOURCE TOOLS
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Department of Health Professions
PRESCRIPTION DRUG ABUSE IN VIRGINIA
• Lee County, Virginia was highlighted in an April 2001 CBS news story concerning Oxycontin abuse.
• Police in Prince George County arrested 4 juveniles connected to a 15-year student overdosing on Oxycontin on October 29, 2004.
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Department of Health Professions
WISE COUNTY• 4/2/08 Wise County authorities in the past two years have
arrested more than 350 low-level drug dealers in an investigation dubbed Operation Street Sweeper, but Tuesday’s roundup nabbed some upper-level drug operators, authorities said.
Operation April Fools, an offshoot of the Street Sweeper investigation, resulted in 29 arrests by 3 p.m. of the 48 peopleindicted recently by a multi-jurisdictional grand jury, said Wise County Commonwealth’s Attorney Ron Elkins.
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Department of Health Professions
DRUG DEATHS IN VIRGINIA
050
100150200250300
2003 2004 2005 2006
NorthernWesternCentralTidewater
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Department of Health Professions
SURVEY OF PHYSICIANSPrescription Drug Diversion Study
• Only about 21% of physicians have patients complete a written or oral health history at every visit, when receiving a physical exam or annually.
• Only 53.8% of histories include information on prescription drug abuse
• Only 52.7% of prescribers always counsel each patient on the risks of physical dependence associated with taking controlled drugs.
Under the Counter: The Diversion and Abuse of Controlled Prescription Drugs in the U.S.The National Center on Addiction and Substance Abuse at Columbia University (2005)
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Department of Health Professions
NEED FOR MORE USERS OF PROGRAM
Registered Users of PMP DataCenter
0
200
400
600
800
1000
1200
1400
1600
1800
Jan-07Mar-07May-07
Jul-07Sep-07Nov-07Jan-08Mar-08
Total Users
Prescribers
Pharmacists
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Department of Health Professions
PAIN MANAGEMENT EDUCATION:A COOPERATIVE EFFORT
Virginia’s Prescription Monitoring ProgramAnd
Virginia Commonwealth UniversitySchool of Medicine
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Department of Health Professions
THE NEED FOR EDUCATION
• Managing Pain is challenging– Spans professions and specialties– Variation in chronic pain syndromes– Limited evidence-based guidelines– Limited provider training– Provider fears of legal ramifications
Upshur et al 2006; Chen et al 2006; Adams et al 2001
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Department of Health Professions
Retrospective Chart Review• Hypothesis
– Deficiencies in recommended management practices
• Pain Assessment– Most residents documented pain diagnosis (93%)
and score (82%) • Risk assessment
– 60-70% did not document illicit substance use, legal history, or obtain prior medical records
Yanni et al 2006 (abstract)Yanni et al 2008 (submission)
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Department of Health Professions
Resident Questionnaire• How would you rate
your medical school training in preparing you to treat CNMP?
• 57.5% (65) “fair” or “poor”
• 31.9% (36) “average”
• How would you rate your residency trainingin preparing you to treat CNMP?
• 32.1% (36) “fair” or “poor”
• 42% (47) “average”Weaver et al 2005 (abstract)Yanni et al 2008 (submission)
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Department of Health Professions
Resident Questionnaire• 89% reported managing CNMP was “much less” or
“somewhat less” rewarding than managing other chronic conditions
• 58% reported CNMP “negatively” or “very negatively” affected their overall clinic experience
• 58% reported CNMP “negatively” or “very negatively” affected their view of primary care as a career
Weaver et al 2005 (abstract)Yanni et al 2008 (submission)
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Department of Health Professions
Principles of Development• Offer a “standardized” curriculum
– ACGME competencies– Improve knowledge, change attitudes
• Target range of user levels• Applicable across disciplines• E-learning
– Accommodate learner schedules – Build in educational design principles– Access practice resources– Share across programs/institutions
Cook, Dupras. JGIM, 2004.
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Department of Health Professions
Course Evaluation Questions
• Having completed the curriculum will you access any of the resources?
• Is the assessment and treatment of patients with CNMP more important to you as a result of using this curriculum?
• As a result of the curriculum, will you make any changes in your behavior or practice?
• Would you recommend this curriculum to your colleagues?
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Yanni et al 2008 (Submission)
Department of Health Professions
% Yes to Evaluation Questions
100%90%96%Recommend
69%74%75%Changes
61%84%92%Importance
100%83%89%Resources
ReviewersN=14
ResidentsN=278
StudentsN=161
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Department of Health Professions
Aims of Partnership Between DHP and VCU School of Medicine
• Provide accessible resources for pain education
• Create a Virginia-specific module to outline responsibilities and legalities
• Highlight Virginia specific resources– Virginia’s Prescription Monitoring Program (PMP)
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Department of Health Professions
Current Applications• VCU GME programs• VCU SOM undergraduate
curriculum• GME and undergraduate
medical schools outside of Virginia
• VCU School of Pharmacy• Virginia Providers
– Supported by DHP
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Department of Health Professions
The Curriculum Team: Content• Leanne Yanni, MD
– Creator, Editor, & Content Contributor– [email protected]
• Betty Anne Johnson, MD, PhD• Laura Morgan, PharmD• Mike Weaver, MD• Sarah Beth Harrington, MD• Christine Huynh, MD• Carl Wolf, PhD
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Department of Health Professions
PROGRAM CONTACT INFORMATION
• Program Director: Ralph Orr• Program Phone #: 804-367-4566• Fax 804-527-4470• Email- [email protected]• www.dhp.virginia.gov/dhp_programs/pmp/def
ault.asp