Opioid Crisis – State and Nationwide

As with many other states, Alaska is experiencing an opioid crisis. Governor Bill Walker issued a disaster declaration on the opioid epidemic on Feb. 15, 2017. The declaration established a statewide overdose response program (HOPE) under Dr. Butler and enabled the wide distribution of NARCAN (Naloxone). This site provides information that can help Alaska residents, families, health care providers and communities prevent heroin and opioid abuse, reduce addiction through treatment, and reverse the life-threatening effects of overdoses.

A southeast Indiana company recently may have made a major breakthrough regarding opioid addiction. “This is the biggest unmet need in addiction treatment globally,” says Brian Carrico, vice president of sales for Versailles-based Innovating Health Solutions. He is speaking about a new medical device called the BRIDGE. It greatly reduces or eliminates pain for drug-addicted individuals. It is a device that is small enough to sit in the palm of your hand. You can view a video of how the BRIDGE works to block pain here. The BRIDGE is reasonably priced at $495. Carrico says Innovative Health Solutions is seeking funding to provide the device to more people, mainly through lobbying Indiana state lawmakers and encouraging insurance companies to cover it as a treatment option. “The FDA is committed to supporting the development of novel treatments, both drugs, and devices, that can be used to address opioid dependence or addiction, as well as new, non-addictive treatments for pain that can serve as alternatives to opioids,” said FDA Commissioner Scott Gottlieb, M.D. Read more regarding this new breakthrough.

Prescription Opioids: What Alaskans Need To Know – Brochure, DHSS

With Opioids, Not Sharing is Caring – Opioid PSA Message

On November 1st, President Trump’s commission on the opioid crisis called for easier access to an alternative to opioids for people in pain and a nationwide system of drug courts, part of a menu of improvements the commission said is needed to curb the opioid epidemic. The final report has more than 50 recommendations, one being that doctors and others who prescribe opioids are required to show that they have received training in the ‘safe provision’ of those drugs before they can renew their license with the Drug Enforcement Administration.

States are moving to force physicians to check on patients’ narcotic-purchasing habits through databases that show whether their patients are getting drugs elsewhere.

ASHNHA is currently working to implement an emergency department coordination project which the association brought forward in a bill that passed in 2016. Through the project, Alaska’s emergency department physicians agreed on statewide narcotic prescribing guidelines, which have been implemented. The association continues to work on integrating the prescription drug monitoring program data into a new emergency department information exchange system, which we plan to implement statewide.

The American Hospital Association (AHA) has a new toolkit to help hospitals and health systems on how they can work with their patients, clinicians, and communities to stem this epidemic. The primary goals of the toolkit include: reviewing the multifaceted role of hospitals and health systems in fighting the epidemic, which includes reiterating the key activities that every hospital should be undertaking, and offering sources of expertise, ideas, and resources to assist hospitals in fulfilling their roles. The toolkit was created with input from subject matter experts, including psychiatrists specializing in addictions, CMOs, and other clinical experts, pain management professionals, and a number of specifically-identified stakeholders to ensure its relevance across the field. For more on the opioid crisis and additional resources for hospitals and health systems, visit the AHA website

State Legislation to address opioids

The State Legislature passed legislation to address the opioid crisis during the 2017 session. ASHNHA supported HB 159 and collaborated with the Department of Public Health to ensure that the bill’s provisions were workable in the inpatient and emergency department environments.

HB 159 included the following provisions:

  • Allows patients to execute a voluntary non-opioid directive.
  • Enables Alaskans to request partial refills of opioid prescriptions from pharmacists without voiding the remainder of the prescription.
  • Limits first-time opioid prescriptions to no more than a 7-day supply (with exceptions).
  • Strengthens reporting and education requirements for health care providers and pharmacists.
  • Requires the controlled substance prescription database to be updated daily rather than weekly.

 

ASHNHA is joining with the Alaska Division of Public Health for the Advancing Health in America through State Hospital Association and Public Health Collaboration. We will be working together to address this critical public health issue. If you would like to get involved or have some resources you would like to share contact, Michelle.

 

Opioid Public Education Campaign Messages and Materials:

Dr. Joshua Sonkiss, medical director of the Fairbanks Community Mental Health Services talks about the science of addiction at the Alaska Health Summit.

In an effort to combat the growing epidemic of prescription drug and heroin abuse, the FBI and DEA have released “Chasing the Dragon: The Life of an Opiate Addict,” a documentary aimed at educating students and young adults about the dangers of addiction.