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Impact of Academic Detailing in the Chicagoland Region: A Pilot Study Impact of Academic Detailing in the Chicagoland Region: A Pilot Study

Impact of Academic Detailing in the Chicagoland Region: A Pilot Study - PowerPoint Presentation

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Uploaded On 2019-10-30

Impact of Academic Detailing in the Chicagoland Region: A Pilot Study - PPT Presentation

Impact of Academic Detailing in the Chicagoland Region A Pilot Study A Simon Pickard PhD Todd A Lee PharmD PhD Academic Detailing Focused on oneonone educational outreach Provides evidencebased information ID: 761215

opioid academic detailing prescribing academic opioid prescribing detailing chicagoland intervention health rxs pcps mmes area number visits amita visit

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Impact of Academic Detailing in the Chicagoland Region: A Pilot Study A. Simon Pickard, PhD Todd A. Lee, PharmD, PhD

Academic DetailingFocused on one-on-one educational outreachProvides evidence-based informationEffective at modifying behaviorPrescribing antihypertensivesPrescribing antimicrobialsAlcohol use disorder treatmentHIV testingPrevention for States activitiesIncreased use of academic detailingStrategy for modifying prescribing behavior

Study Aims STUDY AIMS Primary aimTo determine the feasibility and impact of academic detailing visits on opioid prescribing activities among PCPs from a large health system in the Chicagoland-area Secondary aims To explore PCPs experience and satisfaction with academic detailing visits Identify potential barriers and factors for success of academic detailing visits Measure quality of interaction based on perception of academic detailers

PICOTS Framework PICOTS FRAMEWORKPOPULATION Primary care providers (PCPs) from a large health system in the Chicagoland area (AMITA Health)INTERVENTION Academic detailing visits focused on past prescribing and CDC Guidelines for Prescribing Opioids for Chronic Pain COMPARATOR Group of non-AMITA primary care physicians in the Chicagoland area OUTCOMES Measures of opioid prescribing TIMEFRAME May – August 2018 SETTING PCP practice locations in the Chicagoland area (AMITA Health and control sites)

Study DesignQuasi-experimental studyPre/post assessment of opioid prescribing indicatorsPrescribing measures 6 months before intervention and 6 months after interventionMeasures in both intervention and control groups Difference-in-difference approach to evaluate the effectiveness of the intervention

Intervention GroupAMITA Health primary care providersAround 300 eligible PCPsLicensed healthcare professional with prescriptive authority (MD, DO, NP, PA)Excluding residents from intervention due to timing

Comparison GroupRandomly selected group of non-AMITA PCPs in the Chicagoland areaMatching at the zip code level and provider typeUnknowns / Issues –Within organization interventions Constrain comparison group to another health system

InterventionTwo academic detailing visits by trained academic detailersVisits will be 15-30 minute face-to-face encountersVisits will include following elements Greetings/introductionsReview of PCPs opioid prescribing metrics (“dashboard” metrics)Key aspects of CDC Guidelines (will be prioritized based on input from AMITA, PMP, NarCAD training)AssessmentRepeat visit about 8 wks following initial visit

Academic DetailersMix of graduate students and current PharmD studentsPharmD students recruited through a competitive processRequired to give 10 minute presentation on CDC Guidelines Evaluated on a number of criteriaTrain-the-trainer model3-4 individuals attending NarCAD training sessionApril 30 – May 1Will train detailers based on NarCAD model

Dashboard Metrics Provider Level MetricsNumber of prescriptions for controlled substances, by classMean day supply per opioid prescriptionMean MMEs per opioid prescriptionRate of co-prescribing of opioids and benzodiazepines as a proportion of total number of opioid prescriptionsTotal number of MMEs prescribedNumber of prescriptions with >31 day supply for opioidsProportion of opioid Rxs with MMEs ≥90 Proportion of opioid Rxs with MMEs between 50-90 Proportion of opioid Rxs with MMEs <50 Number of Rxs for long-acting/extended release opioids Number of naloxone Rxs

Timeline MayJuneJulyAugustVisit 1 Visit 2

AssessmentsDashboard MetricsPhysician administered survey after visitDetailer measures of perception of visit

Input from Advisory Committee Any previous experience with academic detailing?Interest in Expert panel? Input valued on Physician-completed surveyExperience with PMPAttitude towards opioid prescribing Satisfaction with AD visitDetailer perception of AD visitPrescriber awareness of PMP and CDC guidelinesPrescriber availability for visitInterest, courtesy, positive/negative attitude about visitSuggestions for implementation of Delta region ITVExperienced SIU faculty?Practicality of sending Chicago-area trained team?