Trajectories – Opioids: A Population Health Dilemma
Staff Contact: Alison Williams
The March issue of Trajectories discusses how opioids are a population health dilemma not only in Missouri, but also nationwide.
As health care providers are challenged to address patient care issues at a population health level, much work has focused on reducing patient harm. Missouri hospitals have addressed many patient safety issues and reduced harm across clinical topics throughout the last several years. One key issue has been in the area of adverse drug events, with particular emphasis on managing outcomes for patients receiving opioids as part of a treatment plan.
Recent Hospital Industry Data Institute analyses of opioid use in Missouri hospitals throughout the last decade indicate the following.
- opioid misuse has increased significantly in Missouri throughout the last 10 years, particularly among white males younger than the age of 30 and the uninsured
- hospital utilization for opioid overuse in Missouri increased 137 percent between 2005 and 2014
Maps from the Center for Behavioral Health Statistics and Quality show the significant increase in hospital admissions for primary non-heroin opiates/synthetics admission rates by state (per 100,000 population ages 12 and older) from 2001 to 2011. Missouri notes a five-fold increase in admissions (see Figure 2 in this month’s edition).
Of interest, the top 10 diagnosis codes included on emergency department visit and hospital admission records in Missouri from 2005 to 2014 can be categorized into three common themes — withdrawal symptomatology, poisoning and mental health-associated disorders. Identification of opioid abuse “hot spots” can help population health planners understand opioid-related abuse and mortality, and allocate resources to reduce them. According to HIDI analyses, the St. Louis metropolitan area shows the highest rates statewide of hospital utilization for opioid overuse (see Figure 3 in this month’s edition); however, the largest increases during the last 10 years mostly have been in the rural Northeast and Southeast regions of the state.
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CMS Announces eCQM Program Education Webinar
Staff Contact: Sherry Buschjost
The next outreach and education webinar for participants in the electronic Clinical Quality Measure Program is scheduled at 1 p.m. Thursday, March 10. The webinar, titled “PSVA Demonstration and eCQM Program Q&A Session,” will provide a live demonstration of the pre-submission validation application followed by an open Q&A session focused on the eCQM program requirements for calendar year 2016. Registration is required.
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HHS Releases Comprehensive Zika Virus Resource
Staff Contacts: Alison Williams or Jackie Gatz
The U.S. Department of Health & Human Services’ Office of the Assistant Secretary for Preparedness and Response has released a new comprehensive resource on Zika virus for clinicians and emergency response personnel. “Zika: Resources at Your Fingertips” includes an overview of the virus — its epidemiology, symptoms, where it is found and how it is transmitted. The guide will be updated as new information or guidance becomes available. Additional information can be found at www.cdc.gov/zika and www.aha.org/zika.
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