On Oct. 24, President Donald Trump signed The SUPPORT for Patients and Communities Act. This bipartisan bill aims to resolve the opioid crisis by increasing access to addiction treatment and promoting recovery. Learn more about this opioid epidemic bill and the importance of tracking addiction outcome measures in your practice.
About the SUPPORT for Patients and Communities ActThe SUPPORT for Patients and Communities Act opioid legislation opens up new ways to fight opioid addiction for patients and researchers, including:
This bill also acknowledges that addiction is a disease. Confirming it as a medical condition helps reduce the stigma around addiction and reject the idea that it comes from a moral failing.
The Importance of Tracking Outcome Measures for Treatment EffectivenessBehavioral health professionals have a part to play in the fight against opioid addiction. Many of the underlying causes of opioid abuse involve mental health conditions, a history of substance abuse or trauma. Patients count on the behavioral health field to address these issues. With behavioral health at the forefront of addiction causes, professionals can track outcome measures to find aberrant behavior. AccuCare simplifies the process with the Opioid Risk Tool (ORT).
AccuCare’s Opioid Risk Tool (ORT)The ORT feature in our AccuCare online system allows you to detect a patient’s risk of opioid abuse with a simple questionnaire. After you enter the answers to questions about trauma, substance abuse history and mental health, ORT generates a score. This number indicates the patient’s risk of developing an opioid abuse disorder.
We based the ORT feature on a research-supported screening tool with more than 90 percent accuracy. Patients who receive a high score have a greater chance of performing aberrant behaviors that suggest opioid use. ORT acts as the start of a conversation that could save a patient’s life.
Contact Us Today
At Orion Healthcare Technology, we empower behavioral health professionals to improve patients’ well-being. To learn more about AccuCare and ORT, call us at 844-359-0540 or request a free demo.
Many people consider physical and mental health problems completely separate from one another. However, medical and behavioral health professionals understand that the two affect each other. Addiction to opioids and chronic pain have physical and emotional symptoms that we shouldn’t ignore. By addressing both problems from all angles, we can curb the opioid crisis impacting the United States.
About The Opioid Epidemic
According to NIDA, about 2.1 million Americans had a prescription opioid-related substance use disorder in 2016. That same year, 626,000 had a heroin use disorder, and 15,000 died from heroin overdose. Overall, an average of 115 people die from opioid overdose every day. These statistics show only a small part of the impact that opioid abuse has on public health. It causes an immeasurable amount of physical and emotional harm to patients and their loved ones.
New Opioid Regulations and Their Effect on Chronic Pain Patients
As a result of the increasing opioid problem in the United States, the CDC issued new opioid prescribing guidelines in 2016. They suggested a lower reliance on opioids as the first line of care for pain. Many patients undergoing opioid treatment feel dismayed by these changes. The updates make it seem like the healthcare system treats them as part of the problem.
We believe that the CDC has good reason to change how we prescribe opioids. However, these patients have understandable concerns about an increase in the burden of chronic pain.
How You Can Help Patients Taking Opioids for Chronic Pain
Behavioral health professionals from all disciplines can help pain patients manage their symptoms. Healthcare frequently leaves pain treatment up to specialists and general providers, but you also have a part to play. Pain causes a wide range of psychological symptoms often left unaddressed. When we don’t target the emotional aspects of pain, substance abuse becomes more likely due to mental illness’ role as a risk factor. The patient also has a difficult time trying alternative and supplemental therapies because of mental health symptoms like fatigue and lack of motivation.
Additionally, tackling the emotional symptoms of pain could reduce a patient’s need to rely on opioids. That’s not to say that pain patients can “get over” their conditions. However, the APA states that research indicates that some forms of psychotherapy could work as well as surgery to relieve pain.
If you don’t already address chronic pain symptoms, consider what you can do for your chronic pain patients. Even starting a simple conversation could make a big difference.
About AccuCare and the Opioid Risk Tool
AccuCare and its new Opioid Risk Tool (ORT) feature make it easier than ever to monitor addiction risks in your patients. The ORT uses a research-supported questionnaire to calculate a patient’s potential for abuse. Answer a few simple yes or no questions, and the ORT automatically calculates a score that helps you understand your patient’s risk. That way, you can monitor patients with high scores and stop addiction before it happens.
Contact us to learn more about AccuCare features, or request a demo today to see them for yourself.
Fentanyl and the Opioid Epidemic
Fentanyl and other synthetic opioids lie at the forefront of today’s crisis. Their potency and high price on the streets make them a lethal danger in the opioid epidemic. Behavioral health professionals must understand the harm caused by fentanyl and other opioids to fight back against abuse and addiction.
What Is Fentanyl?
Fentanyl is a synthetic opioid with a potency 100 times higher than morphine and 50 times stronger than heroin. It comes in the form of branded prescription drugs such as Actiq and Duragesic. The drug also has street forms with names like Jackpot and TNT. Some of these street drugs consist of heroin laced with fentanyl for a stronger effect.
Doctors generally only prescribe fentanyl for patients with severe conditions. Certain analogs to fentanyl, such as carfentanyl, have such a high potency that they require protective gear to use safely.
How Does Fentanyl Fit Into the Opioid Crisis?According to the CDC, the opioid crisis has three waves that occurred over the course of two and a half decades. The third wave started in 2013 and signaled an increase in overdoses related to synthetic opioids. Deaths related to synthetic opioid overdose often involve illicitly manufactured fentanyl (IMF).
Many people who take IMF don’t realize they’re taking it. Illegal opioid sellers cut heroin and other drugs with fentanyl to enhance the high their products create. Fentanyl’s strength results in severe dependency that causes users to seek out increasingly stronger opioids.
Fentanyl Usage StatisticsConsider the following statistics:
The Importance of Combating Fentanyl Abuse and AddictionSynthetic opioids such as fentanyl caused over 19,000 deaths in 2016. These numbers increase every year. However, behavioral health professionals can help our country reduce these statistics and save lives. They can detect fentanyl addiction and abuse during care, sometimes before abuse even happens. Their role in the healthcare system gives them prime opportunities to refer patients to opioid use specialists. You can fight back against fentanyl abuse by:
Using AccuCare and the Opioid Risk Tool to Predict Aberrant Behaviors
At Orion Healthcare Technology, we want to help behavioral health providers serve their patients. That’s why we added the Opioid Risk Tool (ORT) to our AccuCare EHR application. Developed using in-depth research, the ORT employs simple questions to determine a patient’s risk of opioid abuse. It creates a score that quantifies your patients’ risk of showing aberrant behaviors, or activities that indicate possible abuse. With over 90 percent accuracy, the ORT helps you understand which patients to monitor for opioid abuse.
To learn more about AccuCare, contact our customer support team or request a free demo.
Opioid Risk Tool in AccuCare
We are pleased to announce the new Opioid Risk Tool (ORT) feature in our AccuCare online system. Opioid abuse impacts the well-being of everyone, and we want to contribute solutions to this nationwide epidemic. Let us explain the importance of preventing opioid addiction and how the ORT can help.
The Importance of Opioid Addiction PreventionOpioid addiction is a critical public health emergency. A surge of prescriptions for opioid painkillers in the 1990s escalated into widespread dependence. Today, over 115 Americans die every day from opioid overdose.
Addiction puts significant stress on the mental and physical health of patients and their loved ones. The United States must dedicate valuable resources to combat the epidemic. Reports estimate that we pay more than $500 billion annually on the opioid crisis. While patient lives are more valuable than any amount of money, this situation also places an economic burden on our country.
Behavioral health specialists have a vital role to play in opioid addiction prevention. Many opioid abuse risk factors involve trauma, mental health issues and previous substance abuse. Behavioral health practices often serve patients who have these vulnerabilities. This field has prime opportunities to identify aberrant behaviors before dependence becomes severe. Using tools such as the ORT helps professionals identify the potential for abuse.
Detecting Prescription Opioid Abuse With the ORTAccuCare’s ORT feature uses a screening tool developed in a 2005 study by Lynn R. Webster, MD, and Rebecca M. Webster. They evaluated 185 pain patients with a self-administered form of the ORT. This questionnaire had over a 90 percent accuracy detecting low-risk and high-risk patients. Patients with high scores were very likely to express aberrant behaviors that indicate opioid abuse within the following 12 months.
The ORT automates opioid abuse risk assessments using simple-to-understand technology. It records the following risk factors:
Enter the answers to nine yes-or-no questions to calculate a patient’s risk of addiction and abuse. Each answer provides a score dependent on the patient’s gender. The same page presents a key showing the level of risk indicated:
You do not need to do any of the math yourself — the ORT tracks your patient’s score automatically. After you finish the assessment, you can visit the Screening Tools/Supplements page to generate a report of the results.
About Orion Healthcare Technology and AccuCareAt Orion Healthcare Technology, we want to give behavioral health practices the tools they need to improve their patients’ lives. Our AccuCare online application allows you to manage your patient records and practice management securely. It helps you every step of the way, whether you need to complete a patient intake or process billing.
It requires careful consideration to choose the right electronic health record system. We provide a free AccuCare demo to help you determine if our software meets your needs. Call us at 844-359-0540, or submit a demo request to get in touch with an Orion representative.
Combating the opioid epidemic starts with knowledge. As you read on, you’ll learn more about the opioid crisis, its history and what’s being done about it today. You’ll discover that fighting opioid addiction with technology — like through the use of electronic health record (EHR) systems — can play a big role in the solution.
An Introduction to Opioids and Opioid Addiction
Opioids are drugs developed to mimic opium’s pain-reducing properties. Opioids bind to your spinal cord and brain receptors, disrupting pain signals and activating your brain’s reward areas by releasing the dopamine hormone, which creates a “high” feeling or euphoria. Opioids include legal medications — such as hydrocodone, morphine, Vicodin and oxycodone, all prescribed for chronic and acute pain — plus illegal drugs like fentanyl and heroin.
Opioid Addiction Statistics
Behavioral health providers all over the country are trying to tackle an increasing national public health emergency. According to the Centers for Disease Control and Prevention (CDC), opioid and other drug overdose deaths are continuing to grow in the U.S. Opioids make up around 66 percent of most drug overdose-related deaths.
Other statistics about opioid addiction from the CDC include:
Since 1999, non-prescription opioid use has quadrupled, according to a National Institute of Health 2016 report. Lowering the number of prescriptions for these drugs is a primary focus in reversing the opioid addiction trend. Behavioral and mental health treatments are also instrumental in dealing with the opioid epidemic.
History of the Opioid Epidemic
The United States has struggled with opioid abuse since before the 1900s, including:
CNN, in their article “Opioid History: From ‘Wonder Drug’ to Abuse Epidemic,” provides a history of opioid use and addiction. At its beginning, morphine was used to treat the injuries of civil war veterans at the turn of the century, who consequently became addicted to opioids. At this point, drugs were already a problem, and people were consuming them at disturbing rates a long time before the war even started.
Bayer Co. started another opioid production, heroin, in 1898, for commercial use. Many had thought of it as a “wonder drug” since its beginning clinical trials. However, addicts began to discover you could amplify its effects by injecting it. People used drugs like heroin as a way to suppress their cough. Since there weren’t a lot of other options available, more and more individuals began using opioids as painkillers.
By the 1920s, those prescribing the opioids figured out their highly addictive nature and tried to refrain from prescribing them to patients. In 1924, lawmakers declared heroin illegal for importation, manufacture and possession — and even for medicinal purposes. U.S. drug use increased so rapidly in the 1970s that the President at the time made it a point to begin studying the issue. The recommendations were that the Customs Service and Drug Enforcement Administration focus less on intercepting cocaine and marijuana traffickers and more on heroin.
After Vicodin and Percocet appeared on the market in the late 1970s, prescribers were educated already on avoiding prescribing patients highly addictive opioids. However, a letter in the New England Journal of Medicine in January 1980 resisted the belief that opioid use for treating chronic pain was risky. It indicated addiction development was unlikely in patients who didn’t have an addiction history.
Pharmaceutical companies, in the late 1990s, reassured the healthcare community that addiction wouldn’t be a problem for patients taking opioid painkillers. As a result, the number of opioid prescriptions dispensed grew tremendously and at faster rates. With the increase in opioid medication prescriptions came more widespread abuse of both non-prescription and prescription opioids. It had finally become clear they were indeed extremely addictive.
At the same time, terminally ill patients began receiving more opioid prescriptions. Both researchers and prescribers wanted to look at treating chronic pain patients.
The National Institute on Drug Abuse conducted a study showing the number of prescriptions filled for painkillers in the early 1990s by U.S. pharmacies grew by two to three million every year. This number climbed by eight million from 1995 to 1996.
Opioid Addiction Today
Opiate dependence is a chronic disease and a widespread behavioral health problem today. In March 2017, the National Institutes on Drug Abuse reported more than 115 people in the U.S. die every day from an opioid-related overdose. Opioid misuse and addiction — including heroin, prescription painkillers and synthetic opioids like fentanyl — is now a severe national emergency. It affects not only public health but also economic and social welfare.
With some reports estimating it costs the U.S. more than $500 billion annually, the prescription opioid epidemic is creating a vast “economic burden” in the U.S. — including outlays for:
What Is Being Done About the Opioid Epidemic?
Individuals and organization are making numerous efforts in confronting and combating the opioid epidemic:
1. Establishment of New CDC Guidelines
The growing mortality rate has developed a public health problem resulting in the CDC setting forth new guidelines in March 2016 for those prescribing opioids for chronic pain. These guidelines offer prescribing doctors recommendations for chronic pain not in the realm of palliative care, active cancer treatment or end-of-life care.
Specifically, the CDC guidelines address:
2. Building Behavioral Health Systems
As this opioid overdose epidemic worsens, mental and behavioral health providers use resources and tools to assist with detecting and preventing the abuse and misuse of opioids by their patients.
The Substance Abuse and Mental Health Services Administration (SAMHSA) is working on building a behavioral health system to enable people in the U.S. to find services and effective treatments in their communities for opioid addiction and other mental and substance use disorders. As a result of changes in healthcare laws, the removal of barriers to accessing behavioral health services makes it easier for individuals to get treatment.
For instance, many healthcare plans now provide coverage for substance abuse and mental health treatments.
3. Implementation of a Five-Point Opioid Strategy
In October 2017, Health and Human Services (HHS) declared the opioid crisis a national public health emergency. In April 2017, HHS announced a five-point Opioid Strategy. It provides a framework to take advantage of the resources and expertise of HHS facilities in an organized and calculated way. The evidence-based, comprehensive Opioid Strategy focuses on these five priorities:
4. Increased Community Support
More campaigns for community awareness are taking place to educate consumers about the ramifications of using opiates — and more are needed. National campaign seminars and literature are becoming freely accessible and distributed to the public.
5. Broadened Access to Naloxone
As an antidote for opioid overdose, naloxone has reversed nearly 27,000 opioid overdoses in the U.S. from 1996 to 2014. Until recently, only emergency personnel carried naloxone in an injectable form. Currently, several states have approved expanded access to naloxone, meaning it is now available at some pharmacies over-the-counter.
The new form is user-friendly. A hand-held auto-injector enables family members and caregivers to deliver an immediate response to an overdose. Efforts are underway to make a nasal spray available for even easier use.
6. Increased Supply of Buprenorphine
Through an updated federal rule, the HHS recently allowed for an increased supply of buprenorphine, which can be an effective treatment for opioid use disorder. The previous supply was inadequate to address the nation’s prescription opioid crisis. Designed to give those addicted to opioids greater access to buprenorphine, HHS has increased the patient limit for prescribing the treatment from 100 to 275.
7. National Leaders Taking a Stance
National community leaders are also tackling the opioid addiction problem by challenging lawmakers to quicken anti-abuse drug approval and stop the illegal importation of opioids from other countries.
States are looking into lax opioid prescription protocols, whereby governing entities are studying ways to regulate and standardize prescription practices to reduce painkiller abuse.
8. Integration of Health IT Tools
Electronic records can be a major benefit in the efforts against opioid abuse. Keeping itemized and precise records of a patient’s history is instrumental in discovering patients with a history of substance abuse. This is particularly helpful when trying to identify a patient who “shops” for doctors to prescribe them an opioid painkiller. EHR records can play a key role in identifying people who are addicted to opioids and encouraging them to get help.
The country’s health information exchange (HIE) organizations are working on enhancing the flow of data — particularly as it applies to prescription information — to help address opioid abuse and misuse.
How EHRs Help Combat the Opioid Crisis
Comprehensive electronic records are another opioid addiction preventative measure. It’s essential that behavioral health administrators and providers record data accurately into the Electronic Health Records (EHR) system when a patient that is using or misusing opioids comes into their office. With essential electronic health records, behavioral health providers can share important documentation with other healthcare system organizations, or across state lines, about patient opioid use.
Clinical directors, CEOs, IT directors and administrators and practices all over the U.S. are implementing electronic health records and opioid daily practices within a system to track patient data and prescriptions. The advantages of EHR systems in efforts to combat the opioid epidemic have been significant. Some benefits of fighting opioid addiction with technology — including Orion AccuCare — include:
A wide range of therapeutic practices surrounds behavioral health, from addiction treatment to mental health. Behavioral health practices, with this broad range of services, require an EHR system to keep up. EHR services keep everything running smoothly in the back office, whereas paper-based systems waste valuable resources and time.
Orion Healthcare Technology’s AccuCare EHR System
Orion’s EHR system, AccuCare, is designed specifically for the behavioral therapy industry. It can serve many purposes — including a behavioral therapy billing system as well as a therapy notes platform for use during counseling. It equips therapists with the resources and tools they require to handle the administrative and technological requirements of today’s behavioral healthcare field. The AccuCare system gives therapists the support they need to treat mental health disorders and substance abuse effectively — including opioid addiction.
The EHR system replaces standard paper charts. It also maintains, compiles and tracks it to streamline reporting. The electronic health record system handles patient healthcare history in a convenient computerized version. It contains essential patient records such as:
Features of AccuCare
While the AccuCare EHR system provides many beneficial features, some functions are of special significance to the opioid epidemic and those tasked with reversing it:
Other benefits and features of AccuCare EHR software include:
Contact Orion Healthcare Technology Today for a Free AccuCare Demo
Every product built by Orion Healthcare Technology is tailored to meet the specific needs of behavioral health practices in today’s modern world of healthcare. Here at Orion, we offer a whole range of custom services and technology solutions. Contact Orion today about our EHR system and request your free AccuCare demo, or give us a call at 800.324.7966.