Effect of an opioid management program for Colorado workers’ compensation providers on adherence to treatment guidelines for chronic pain

Tenney, Liliana; McKenzie, Lisa M.; Matus, Brenden; Mueller, Kathryn; Newman, Lee S.

doi:10.1002/ajim.22920

i

Effect of an opioid management program for Colorado workers’ compensation providers on adherence to treatment guidelines for chronic pain

Supporting Files

November 30 2018
By Tenney, Liliana ; McKenzie, Lisa M. ; Matus, Brenden ; ...

File Language:

English

Details

Alternative Title:

Am J Ind Med
Personal Author:

Tenney, Liliana ; McKenzie, Lisa M. ; Matus, Brenden ; Mueller, Kathryn ; Newman, Lee S.
Description:

Objective:

The aim of this study was to examine adherence of state guidelines for Colorado workers’ compensation physicians/providers treating individuals as injured workers with chronic pain after initiation of an opioid management program and provider incentives.

Methods:

A retrospective cohort of chronic, non-cancer pain claims was constructed from the Colorado’s workers’ compensation database. Adherence to treatment guidelines and opioid prescribing practices were evaluated during implementation of a new billing code to incentivize adherence.

Results:

Overall, less than 33% of claims showed evidence of opioid management. Comprehensive opioid management was observed in only 4.4% of claims. In 2010, after implementing the new billing code, the ratio of long acting opioids to short acting opioids decreased from 0.2 to 0.13; returning to 0.2 in one year. Similarly, morphine equivalent doses declined for a short period.

Conclusions:

Incentivizing physicians to adhere to chronic pain management guidelines only temporarily improves prescribing practices.
Subjects:

Article Chronic Pain Injured Worker Opioid Prevention Opioids Workers’ Compensation
Source:

Am J Ind Med. 62(1):21-29
Pubmed ID:

30499587
Pubmed Central ID:

PMC6558965
Document Type:

Journal Article
Funding:

T42 OH009229/OH/NIOSH CDC HHS/United States ; T42OH009229/ACL HHS/United States ; T42 OH009449/National Institute for Occupational Safety and Health/
Volume:

62
Issue:

1
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:6a8039a573c0ea31b9a292598e58668c8129a98fb24aa4fa62dd999500e1a503
Download URL:

https://stacks.cdc.gov/view/cdc/79244/cdc_79244_DS1.pdf
File Type:

[PDF - 499.88 KB ]

File Language:

English

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