Category: Federal Forum Posters
Purpose: The undesirable impact of Opioid Abuse in the United States has continued to rise in terms of drug abuse, dependence, and overdose. Opioid drug overdose deaths have drastically increased from 2001 to 2014 with rates increasing 3.4 and 6-fold for prescription opioids and heroin, respectively. Naloxone, an opioid antagonist, can reverse opioid action in emergency opioid overdose events and prevent opioid related fatalities. The objective of this project aims to improve health system wide informatics by creation of network-shared database and pharmacist workflow design, and compare intranasal naloxone home kits dispensing rates pre- and post-intervention for high-risk opioid patients.
Methods: VA Stratification Tool for Opioid Risk Mitigation (STORM) predicts risk of overdose or suicide-related health care events, or deaths. The primary outcome is to increase naloxone dispensing to high-risk patients using STORM data by 30% at initial launch on actionable patients, and follow-up at 60 days before and after the implementation phase of network-shared database to strengthen OEND risk mitigation strategies. Primary outcome will be assessed using clinical reports to evaluate completion of naloxone education and dispensing to high-risk patients using the created pharmacy informatics database. Other interventions include development of informatics process and workflow design, interdisciplinary naloxone guidelines and training education, and patient education on opioid-related risks and rescue therapy. Primary outcomes will be measured through pre-intervention and post-intervention phase of naloxone prescribing rates from monthly STORM data collection and analyzed using chi-square test.
Results: not applicable
Conclusion: not applicable
Stephen Slubar– PGY2 Psychiatric Pharmacy Resident, VA Texas Valley Coastal Bend HCS, Corpus Christi, TX