Claims data analysis of provider-to-provider tele-mentoring program impact on opioid prescribing in Missouri.

Q3 Medicine

Journal of opioid management Pub Date : 2024-03-01 DOI:10.5055/jom.0825

Olabode B Ogundele, Xing Song, Praveen Rao, Tracy Greever-Rice, Suzanne A Boren, Karen Edison, Douglas Burgess, Mirna Becevic

{"title":"Claims data analysis of provider-to-provider tele-mentoring program impact on opioid prescribing in Missouri.","authors":"Olabode B Ogundele, Xing Song, Praveen Rao, Tracy Greever-Rice, Suzanne A Boren, Karen Edison, Douglas Burgess, Mirna Becevic","doi":"10.5055/jom.0825","DOIUrl":null,"url":null,"abstract":"Objective: The objective of this study was to assess opioid prescribing patterns of primary care providers (PCPs) participating in a virtual tele-mentoring program for patients with chronic pain as compared to nonparticipants.Design: We utilized Missouri Medicaid claims from 2013 to 2021 to compare opioid prescription dosages and daily supply of opioids prescribed by PCPs. Participants and nonparticipants were matched using propensity score matching.Setting: Missouri Medicaid data were received through partnership with the Center for Health Policy's MO HealthNet Data Project, the state's leading provider of Medicaid data.Participants: Missouri-based prescribers.Intervention: Show-Me Project Extension for Community Healthcare Outcomes (ECHO), an evidence-based provider-to-provider telehealth intervention that connects PCPs with a team of specialists.Main outcome measures: We compared the rate of prescription opioid >50 morphine milligram equivalents (MMEs), mean MMEs/day, and mean number of daily supply to understand the impact of the ECHO model on providers' opioid prescribing.Results: Patients treated by ECHO providers have 33 percent lower odds of being prescribed opioid dose >50 MME/day (p < 0.001) compared to non-ECHO providers. There is also a 14 percent reduction in the average opioid dose prescribed to patients of ECHO providers (p < 0.001). We observed a 3 percent (p < 0.001) reduction in average daily supply of opioids among patients of ECHO providers compared to the comparison group.Conclusions: Pain Management ECHO supports PCPs with needed education and skills to provide specialty care in the management of pain conditions and safe prescribing of opioid medications.","PeriodicalId":16601,"journal":{"name":"Journal of opioid management","volume":"20 2","pages":"133-147"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of opioid management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5055/jom.0825","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The objective of this study was to assess opioid prescribing patterns of primary care providers (PCPs) participating in a virtual tele-mentoring program for patients with chronic pain as compared to nonparticipants.

Design: We utilized Missouri Medicaid claims from 2013 to 2021 to compare opioid prescription dosages and daily supply of opioids prescribed by PCPs. Participants and nonparticipants were matched using propensity score matching.

Setting: Missouri Medicaid data were received through partnership with the Center for Health Policy's MO HealthNet Data Project, the state's leading provider of Medicaid data.

Participants: Missouri-based prescribers.

Intervention: Show-Me Project Extension for Community Healthcare Outcomes (ECHO), an evidence-based provider-to-provider telehealth intervention that connects PCPs with a team of specialists.

Main outcome measures: We compared the rate of prescription opioid >50 morphine milligram equivalents (MMEs), mean MMEs/day, and mean number of daily supply to understand the impact of the ECHO model on providers' opioid prescribing.

Results: Patients treated by ECHO providers have 33 percent lower odds of being prescribed opioid dose >50 MME/day (p < 0.001) compared to non-ECHO providers. There is also a 14 percent reduction in the average opioid dose prescribed to patients of ECHO providers (p < 0.001). We observed a 3 percent (p < 0.001) reduction in average daily supply of opioids among patients of ECHO providers compared to the comparison group.

Conclusions: Pain Management ECHO supports PCPs with needed education and skills to provide specialty care in the management of pain conditions and safe prescribing of opioid medications.

查看原文本刊更多论文

密苏里州医疗服务提供者远程指导计划对阿片类药物处方影响的索赔数据分析。

研究目的本研究旨在评估参加慢性疼痛患者虚拟远程指导项目的初级保健提供者（PCP）与未参加者的阿片类药物处方模式：我们利用密苏里州医疗补助计划 2013 年至 2021 年的报销单来比较初级保健医生开具的阿片类药物处方剂量和每日供应量。采用倾向得分匹配法对参与者和非参与者进行匹配：密苏里州医疗补助数据是通过与卫生政策中心的 MO HealthNet 数据项目合作获得的，该项目是密苏里州医疗补助数据的主要提供者：干预措施：干预措施：Show-Me 社区医疗保健成果扩展项目（ECHO），这是一项基于证据的提供者对提供者远程医疗干预措施，它将初级保健医生与专家团队联系在一起：我们比较了阿片类药物处方>50吗啡毫克当量（MMEs）的比例、平均MMEs/天数和平均日供应量，以了解ECHO模式对医疗服务提供者阿片类药物处方的影响：结果：与非 ECHO 医疗机构相比，接受 ECHO 医疗机构治疗的患者被处方阿片类药物剂量大于 50 毫西美仑/天的几率降低了 33%（p < 0.001）。ECHO 医疗机构为患者开具的阿片类药物平均剂量也降低了 14%（p < 0.001）。我们观察到，与对比组相比，ECHO 医疗服务提供者的患者每日阿片类药物平均供应量减少了 3% (p < 0.001)：疼痛管理 ECHO 为初级保健医生提供了所需的教育和技能支持，帮助他们在疼痛状况管理和阿片类药物安全处方方面提供专业护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of opioid management Medicine-Anesthesiology and Pain Medicine

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： The Journal of Opioid Management deals with all aspects of opioids. From basic science, pre-clinical, clinical, abuse, compliance and addiction medicine, the journal provides and unbiased forum for researchers and clinicians to explore and manage the complexities of opioid prescription.