The opioid crisis is ongoing, and every doctor has a role in providing excellent care for patients and preventing opioid overuse and misuse. While some people seem to think that the solution lies in never prescribing opioids, in reality, some patients are struggling with life-threatening illnesses and in need of palliative care that makes them an appropriate solution. Every physician must now walk a fine line between managing pain and prescribing in a manner that encourages addiction.
Changes in the Opioid Crisis
It’s unsurprising that there is a renewed interest in creating policies to limit prescriptions of opioids in the wake of rising deaths from overdoses. According to the CDC, overdoses from prescription medication are a leading factor in the 16-year increase in opioid overdose deaths. From 1999 to 2010, the amount of prescription opioids sold to hospitals, practices and pharmacies nearly quadrupled without an overall increase in the amount of pain that patients reported.
CDC Guidelines
The CDC released aggressive clinical practice guidelines that suggest limiting initial opioid prescriptions to 3 days unless it is a situation where there is active cancer, a need for palliative care or end-of-life care. The guidelines also caution prescriptions that contain more than 90 morphine milligram equivalents every day due to the increased risk of overdose and lateral efficacy of a stronger prescription.
The CDC’s clinical reminders are a launching point for your practice to serve as a resource for patients and prevent opioid addiction in your community. Some of the reminders include:
- Start with low dosages
- When opioids are prescribed for acute pain, prescribe no more than needed
- Never prescribe extended-release opioids for acute pain
- Always discuss benefits and risks and availability of non-opioid treatments with patients before prescribing or continuing a prescription
Assessing the Risk and Harm at Your Practice
When you are working with patients who are receiving one prescription for opioids or renewing a prescription, you should always make assessing risk and addressing potential harm a priority. To properly consider risk and harms:
- Evaluate each patient’s risk factors for opioid-related side effects and hazards
- Check the prescription drug monitoring program for prescriptions from other providers or high dosages
- Avoid prescribing benzodiazepine and opioids concurrently
- Use urine drug testing to identify undisclosed use or the presence of prescribed substances
- Arrange treatment for opioid use disorder if a patient is in need
Help Impact the Opioid Crisis with Vetters Enterprises
Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.