MQIC wishes to draw your attention to resources and guidelines regarding the U.S. and Michigan opioid epidemic.
In June 2015, Governor Snyder formed the Michigan Prescription Drug and Opioid Abuse Task Force to address the abuse of prescription drugs and opioids in Michigan. Please access the Report of Findings and Recommendations for Action developed by the task force. Task Force recommendations only are provided here.
Issues in Michigan for consideration:
- More than 21 million prescriptions for controlled substances written in 2014
- Nearly 11 million of those prescriptions were for schedule II drugs (3 million in 2007)
- Individual pill counts: 745 million in 2014, 180 million in 2007
- 2009 to 2012: 4,772 Michigan overdose deaths - 19.4% definitively opioid-related
- 35.9% of overdose deaths were a result of an unspecified drug – 83% of those had filled a prescription for an opioid in the previous 30 days
- Ranked 10th among all states in per capita prescribing rates in 2014
- 107 prescriptions written for opioids and benzodiazepines per 100 residents
The above brings us to the release of the Centers for Disease Control and Prevention CDC Guideline for Prescribing Opioids for Chronic Pain – United States, 2016 issued in March 2016. An errata was also issued on March 26, 2016. The CDC has provided a number of resources as listed:
- Guideline for Prescribing Opioids for Chronic Pain – Improving Practice Through Recommendations
- Checklist for Prescribing Opioids for Chronic Pain
- Nonopioid Treatments for Chronic Pain
- Assessing Benefits and Harms of Opioid Therapy
- Calculating Total Daily Dose of Opioids for Safer Dosage
- Prescription Drug Monitoring Programs
- Why Guidelines for Primary Care Providers?
Thank you for taking time to link to the resources, and for your consideration in implementing the new CDC guideline into your practice.
MQIC guidelines assist by providing evidence-based recommendations in order for you to be able to focus on your patients. To help your patients increase their knowledge and commitment in their overall health, feel free to pass along MQIC guidelines and refer them to the website at www.mqic.org.
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The Michigan Quality Improvement Consortium will establish and implement a core set of clinical practice guidelines and performance measures. The interventions designed and implemented by each plan to improve consistent delivery of services will be at the discretion of individual plans, but guidelines, performance goals, measurement methodology, and performance reporting will be standardized.
About Our Committee
The Michigan Quality Improvement Consortium establishes and implements clinical practice guidelines and performance measures with a focus on improvement for effecting positive health outcomes.
Medical Directors' Committee
- Develop common evidence-based clinical practice guidelines
- Provide direction and final decisions for MQIC
- Establish common definitions of populations among all health plans
- Establish common measurement protocols consistent with MQIC guidelines
- Coordinate MQIC communications
- Coordinate health plan and physician activities that complement MQIC quality improvement efforts
MQIC membership is diverse and includes physicians, health plan administrators, researchers, quality improvement experts, and specialty societies. The consortium recognizes the need to collaborate with other entities and experts to successfully achieve the consortium's vision.
Organizations and Health Plans