PCORnet Best Practice Sharing Session: Measuring an Epidemic: Using EHR Data to Track Trends in Opioid Prescribing
May 4, 2017 @ 12:00 pm EDT - 1:00 pm EDT
The liberalizing of chronic opioid prescribing in the early 1990s was soon followed by unforeseen harm to individuals and communities. The subsequent rise in opioid addiction and overdose deaths has been widely described in the medical literature and lay press, and is now producing a backlash of recommendations and policies designed to make prescribing safer. We will review the history of this problem, its complex relationship with chronic pain, and prior efforts to use various data sources to track pain medication prescriptions. We will describe current efforts to organize the ADVANCE Clinical Data Research Network electronic health record data in order to more easily describe prescribing pattern changes that follow interventions at national, state, and clinic level.
John Muench, MD, MPH is Professor and Director of Behavioral Medicine for the Department of Family Medicine at Oregon Health & Science University as well as a clinical investigator at OCHIN in Portland, Oregon. He is co-director of the OCHIN Practice Based Research Network and serves as leader of the Chronic Pain/Opioid Research program area. He is Director of the SBIRT Oregon Initiative, funded by SAMHSA in order to more widely disseminate evidence based practices to address unhealthy substance use in primary care settings. Dr. Muench has maintained a continuity clinical practice in the same federally qualified health center since 1995.
Thuy Le, MPH is a Research Data Warehouse Programmer at OCHIN. She has worked in various areas of healthcare research and data analytics, including extensive experience in EHR data mining, data warehousing, and claims analytics. She is currently involved in several projects relating to colorectal cancer, patient complexity and provider performance.
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