A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality

Joint Commission Journal on Quality and Patient Safety
Scott G WeinerAllen Kachalia

Abstract

The opioid overdose crisis now claims more than 40,000 lives in the United States every year, and many hospitals and health systems are responding with opioid-related initiatives, but how best to coordinate hospital or health system-wide strategy and approach remains a challenge. An organizational opioid stewardship program (OSP) was created to reduce opioid-related morbidity and mortality in order to provide an efficient, comprehensive, multidisciplinary approach to address the epidemic in one health system. An executive committee of hospital leaders was convened to empower and launch the program. To measure progress, metrics related to care of patients on opioids and those with opioid use disorder (OUD) were evaluated. The OSP created a holistic, health system-wide program that addressed opioid prescribing, treatment of OUD, education, and information technology tools. After implementation, the number of opioid prescriptions decreased (-73.5/month; p < 0.001), mean morphine milligram equivalents (MME) per prescription decreased (-0.4/month; p < 0.001), the number of unique patients receiving an opioid decreased (-52.6/month; p < 0.001), and the number of prescriptions ≥ 90 MME decreased (-48.1/month; p < 0.001). Prescriptions...Continue Reading

Citations

Dec 22, 2019·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Joseph E CarpenterPaul M Wax
Jul 8, 2020·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Brandi C FinkRichard S Larson
Sep 11, 2019·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Douglas R OylerJohnathan H Goree
May 7, 2019·Annals of Internal Medicine·Shoshana J Herzig
Dec 31, 2020·The American Journal on Addictions·Jonathan E SiffBrook Watts
Feb 23, 2021·The Annals of Pharmacotherapy·Adina PetrosanElena Gutman
Jun 29, 2021·Journal of the American College of Emergency Physicians Open·Christian A TomaszewskiLeslie Mukau

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