American Society of Regional Anesthesia and Pain Medicine February 2018 - 9

Pennsylvania Initiatives to Address Opioid Use Disorder

D

rug overdose death rates are in
the news almost daily, and the
data demonstrate that the situation
continues to get worse. Although 2016
data document that deaths attributable to
prescription drugs has leveled off, deaths
attributed to heroin and fentanyl continue
to rise. Indeed, more Americans died from
drug overdose in 2016 than during the
Vietnam War.
In this article, we report on ongoing
Sarah Boateng
Rachel L. Levine, MD
Michael A. Ashburn, MD, MPH
efforts to address opioid overdose deaths
Executive Deputy Secretary
Acting Secretary of Health,
Professor
in Pennsylvania. This Pennsylvania story
of Health
Physician General, Commonwealth
Department of Anesthesiology and
has been one of partnership among
Commonwealth of Pennsylvania
of Pennsylvania
Critical Care
state government leadership, health
Harrisburg, Pennsylvania
Departments of Pediatrics
Perelman School of Medicine at the
professionals, and patient advocacy
and Psychiatry
University of Pennsylvania
organizations. Several states have taken
Penn State College of Medicine
Philadelphia, Pennsylvania
action to address this public health
Hershey, Pennsylvania
emergency. In Pennsylvania, legislation
was passed in 2015 and 2016 that
Section Editor: Rany Abdallah, MD, PhD
created a prescription drug monitoring
program, established physician education
requirements, and required changes to medical school education.
Pennsylvania task force members have recognized that changes in
the patient care process do not occur simply through publication of
Pennsylvania has been working on improving the use of opioids
guidelines. Therefore, the task force advocated for the creation of
for the treatment of pain for several years. Convened by the
continuing education on topics related to pain, the use of opioids,
Department of Health and the Department of Drug and Alcohol
addiction screening, and referral for treatment. In partnership
Programs, the Safe and Effective Prescribing Practices and Pain
with the Pennsylvania Medical Society and other professional
Management Task Force was established by the state in 2015.
organizations, the task force made continuing medical education on
The task force includes representatives from state and federal
the above topics free and available to all providers within the state.
government, professional societies, individual physicians, and
patient advocates. It developed 10 evidence-based specialty or
Pennsylvania state leadership created a task force consisting
location-specific state-based clinical practice guidelines to provide
of leadership from all Pennsylvania medical schools in 2016 to
clinicians with best practices related to the use of opioids for
discuss possible changes to medical student education related to
treatment of non-cancer pain (Figure 1). The guidelines ultimately
prescribing opioids. The task force developed core competencies
were reviewed and endorsed by several state regulatory boards,
for education on pain, opioids, and addiction (Figure 2). Ultimately,
including boards representing physicians, nurses, and pharmacists. the Pennsylvania state legislature passed legislation that required
Pennsylvania health education programs to provide instruction on
pain management, addiction, prescribing, and dispensing practices
for opioids as part of their training. In addition, the Pennsylvania
Figure 1: Pennsylvania state pain guidelines.

Figure 2: Pennsylvania pain and addiction core competencies.

American Society of Regional Anesthesia and Pain Medicine
2018

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Table of Contents for the Digital Edition of American Society of Regional Anesthesia and Pain Medicine February 2018

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