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A Health Care Leader’s

Role in Tackling

the Opioid Abuse Issue

WHA Member Forum:

Thursday, February 25, 2016

11:30 am – 12:30 pm CST

Steven Rush, PhD, RN

VP, Workforce and Clinical Practice

Wisconsin Hospital Association

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Detrimental to Public Health

Of the 843 drug overdose deaths in 2013:

• Opioid pain relievers contributed to 45%

(i.e oxycodone, hydrocodone, and methadone)

• Heroin contributed to 27%

Wisconsin Opiate-Related Deaths

per 100,000 (2000-2013)

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Opiate Deaths: Opioids vs. Heroin

Prescription drugs, illicit drugs and over-the-counter medications were the underlying

cause of death for 97% of all Wisconsin poisoning deaths. Of these deaths, 14 percent

were suicides.

“Deaths from unintended drug overdoses have been rising sharply in recent years. In

2011, prescription painkillers accounted for close to 17,000 deaths in the United States.

That’s more than three times the number of deaths a decade earlier – just 5,528 in 2001.”

Wisconsin Attorney General Brad Schimel citing the National Institute on Drug Abuse during

his September 2015 press conference for the “Dose of Reality” public awareness campaign.

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• Opioid narcotic misuse and abuse resulted in an

estimated 1,463 emergency room visits in Wisconsin

in 2014

• Reported that 2.4 million people nationwide are

addicted to opiates, according to 2012 National Survey

on Drug Use and Health

HOPE 2.0

In his press release Nygren stated, “Many people

aren’t aware that, in many cases, heroin addiction

begins with addiction to prescription medications.

Whether these medications are obtained legally or

not, we need to do our best to curtail the illegal use

of these dangerous substances.”

WI Rep. John Nygren

launched a second HOPE

(Heroin, Opiate Prevention

and Education) legislative

package in September 2015.

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An even bigger storm may be coming…

As we reduce proliferation

of Rx narcotics, addicted

users will need a new

source of opiates.

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In just 6 years…

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WHA’s Response to Wisconsin Opioid Crisis

Long-standing partnerships with

policymakers and governmental leaders

“WHA recognizes Wisconsin hospitals play an important role in

addressing this public health issue and we support the efforts of

both Rep. John Nygren and Attorney General Brad Schimel. We

will continue to work with all our partners to develop tools and

resources that will assist our hospitals in addressing issues related

to opioid abuse.” WHA President and CEO, Eric Borgerding

Creation of WHA Health Care

Leaders Opioid Initiative

• Staff recognition of growing problem in the state

• WHA member feedback confirming the problem

• Key WHA staff convened August 2015 to partner with AG Brad

Schimel on ‘Dose of Reality’ public awareness campaign

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• Multiple stakeholders invited by WHA to coordinate provider-

facing messaging associated with the AG’s campaign:WI Medical Society, WI Dental Association,

WI Nurses Association, Pharmacy Society of WI,

Milwaukee Medical Society

• Stakeholder group morphed into WHA Health Care Leaders

Opioid Initiative working group

• Massachusetts Hospital Association served as model association

with their Substance Use Disorder Prevention and Treatment

Task Force

• Identification of four main components of a

multi-pronged approach:

1. Collection of available resources

2. WHA convenes stakeholders to assess, collaborate and

coordinate provider-focused education effort and

programming

3. WHA member leader educational outreach

4. WHA Board-level involvement and support

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1. WHA Opioid Resource Web Page• Feedback from WHA members indicated need for online source to

collect and organize existing resources and information.

• http://www.wha.org/opioid.aspx: dynamic and responsive resource

page representing current best practices and provider toolkits

• Houses collection of peer-reviewed best practice, guidelines and tools

endorsed by leading professional organizations; information divided

into provider-specific tabs:

• Physician

• Nurse Practitioner

• Pharmacist

• Dentist

• Hospital/Health System

• Also includes educational opportunities

and announcements

2. WHA Convenes Stakeholders to

Coordinate Provider Education• Purpose: In order to avoid duplication and maximize impact, WHA

will again convene stakeholders to assess, collaborate and coordinate

provider-focused education efforts and programming.

• Timing: February-April 2016

• Stakeholders:• WI Department of Health Services

• WI Department of Safety &

Professional Services

• Pharmacy Society of Wisconsin

• Wisconsin Medical Society

• Milwaukee Medical Society

• Wisconsin Dental Association

• Wisconsin Nurses Association

• Wisconsin Hospital Association

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3. WHA Member Leader

Educational OutreachPurpose: Focus on ways leaders can support the efforts of providers in

addressing and changing the current opioid-focused culture in health care.

Target Audience: senior administrative leaders, CMOs, nursing leaders

and medical group leaders

Timing: February-April 2016

Series of webinars: Topics include:• Role of a hospital/system leader in tackling the opioid issue

• Best practices currently in place in Wisconsin hospitals

• Effective efforts in preventing, detecting and intervening on drug diversion

• Navigating the Wisconsin PDMP and Controlled Substances Board

Therese Pandl

President/CEO, HSHS

Eastern Wisconsin Division

and

Immediate Past Chair, WHA

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4. Board Involvement and Support• WHA’s recognition of the important role hospitals play in

addressing this public health issue

• WHA supports the efforts of member hospitals in: o Raising awareness of this issue

o Developing specific strategies to address the use and abuse of opioids

o Creating a culture of change that is responsive to the growing

epidemic play in addressing this public health issue

• Previous statewide health care issues that warranted WHA Board

involvemento Tobacco-Free Hospital Campus Initiative: 2006

o Standardization of Wrist Band Colors: 2008

o Emergency Alert Standardization: 2010

WHA Board of Directors ResolutionRecognizing that Wisconsin hospitals play an important role in addressing

this public health issue, the Wisconsin Hospital Association Board of

Directors supports the efforts of WHA member hospitals in raising

awareness of this issue, in developing specific strategies to address the use

and abuse of opioids, and creating a culture of change that is responsive to

the growing epidemic of opioid use and abuse in Wisconsin.

Hospitals and health systems will support educational programs for their

prescribers regarding the magnitude of the problem, prescribers’ role in

addressing the problem, including patient education, and best clinical

practices. Hospitals and health systems will assess prescribers’ clinical

practice and identify and address opportunities for improvement.

Passed December 7, 2015

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Peter J. Holden

President & CEO

Beth Israel Deaconess

Hospital – Plymouth

Chair, MHA Board of

Trustees

Drug Epidemic in Plymouth, MA and

South Shore

https://www.youtube.com/watch?v

=nkwY2SgtkeE

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Opioid Crisis: Through the Lens

of Physician Leaders

• A patient/public health and safety issue

• Everyone has a role

• Will take real leadership and commitment

• Collaboration/Partnership critical

• WHA as champion, convener and facilitator

Upcoming Webinars

Wisconsin Best Practices in Tackling the Opioid Abuse Issue

Thursday, March 17 *** 10:00-11:30 am

Drug Diversion from the Health Care Workplace:

A Multiple Victim Crime

Tuesday, April 5 *** 1:00-2:00 pm

Navigating Wisconsin’s Prescription Drug Monitoring Program

and Controlled Substances Board

Wednesday, April 27 *** 10:00-11:30 am

Visit www.wha.org for more information and to register.

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Questions?

Need more information?

Contact: Steve Rush

608-274-1820

srush@wha.org