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Leveraging Integrated Data Exchange & Workflows for the Opioid Abuse Epidemic

Session 159, February 22, 2017

Tripp Jennings, MD, FACEP Chief Value Officer, Palmetto Health

Bryan Amick, PharmD, MS, MBA Director Clinical Quality & Population Health

South Carolina Department of Health and Human Services

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Speaker Introduction

Tripp Jennings, MD, FACEP

Chief Value Officer, Palmetto Health

Medical Director, South Carolina Department of Health and Human Services

Bryan Amick, PharmD, MS, MBA

Director, Clinical Quality & Population Health

South Carolina Department of Health and Human Services

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Conflict of Interest

Tripp Jennings, MD, FACEP

Bryan Amick, PharmD, MS, MBA

Has no real or apparent conflicts of interest to report.

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Agenda

• Introductions

•Review of Objectives

•Content

•Q and A

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Learning Objectives

• Outline the approach for payers, government, and health systems to work together to solve a data access need

• Describe South Carolina's approach to advancing Prescription Drug Monitoring Program (PDMP) and connecting to providers in other states

• Describe an effective alternative to mandatory state lookup laws

• Describe the barriers to utilizing technology and increased access to lifesaving data

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An Introduction of How Benefits Were Realized for the Value of Health ITSatisfaction: Improved provider satisfaction

Treatment/Clinical: Improved clinical decision making

Electronic Secure Data: Enabled more secure data workflows

Population Management: Effective PDMP utilization

Savings: Demonstrated savings from optimized workflows and improved quality care delivery

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The National Opioid Epidemic: The Numbers

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1- American Society of Addiction Medicine. (2016). Opioid Addiction 2016 Facts & Figures [Fact sheet].

Retrieved from http://www.asam.org/advocacy/toolkits/opioids

2- U.S. Department of Health and Human Services. (2016). The Opioid Epidemic: By the Numbers [Fact sheet].

Retrieved from http://www.hhs.gov/opioids/about-the-epidemic/index.html

The National Opioid Epidemic: Troubling Trends

• 1999-2010 Overdose death rate ( 4x)Opioid overdose death rate ( 4x)2

Rx sales ( 4x)Treatment admission rates ( 6x)

• 80% of new heroin users start w/a Rx1

ONLY 23% turn from heroin to opioids

• Increase in Rx rates (1994-2007)1

Adolescents: ~200%

• Increase in Rx overdose death rates (1999-2010)1

Women: >400%

Men: >237%

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3 options

• Ignore the problem

• Support/Fight Mandated Look-up

• Manage via Payer Policy

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The Solution: Payer vs Statute

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Dispensers

Health Information ExchangesPrescribers

Interop &Workflows

EMR integrated component to access PMP Data

– Prescription Monitoring Program (PMP) data

• State mandated in 49 states (exception MO)

• Pharmacy dispense data for controlled substances

– PMP Report

• Full PMP report of prescriptions with data analysis

• Interactive Graphs

– Risk Score

• 3 categories: narcotic, sedative, and stimulant use

• Risk score factors in overlapping timeframes, prescribers, dispensing pharmacies

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Integrating Decision Support in the Provider’s Workflow…

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Benefits: The Numbers

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Benefits: The Numbers

0

200

400

600

800

1000

1200

1400

Jan Feb Mar Apr May Jun Jul Aug Sep

Total Time Saved, in hrs (per Month)

$-

$20,000

$40,000

$60,000

$80,000

$100,000

$120,000

$140,000

$160,000

$180,000

Jan Feb Mar Apr May Jun Jul Aug Sep

Estimated Financial Savings (per Month)

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Barriers

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An Summary of How Benefits Were Realized for the Value of Health ITSatisfaction: Improved provider satisfaction

Treatment/Clinical: Improved clinical decision making

Electronic Secure Data: Enabled more secure data workflows

Population Management: Effective PDMP utilization

Savings: Demonstrated savings from optimized workflows and improved quality care delivery

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Questions

Bryan Amick, PharmD, MS, MBA

Bryan.Amick@scdhhs.gov

Tripp Jennings, MD, FACEP Twitter: @trippjennings

William.jennings@palmettohealth.org