Statewide Results for Burnout, Resilience, Engagement Survey Distributed
 

Statewide Results for Burnout, Resilience, Engagement Survey Distributed

Thanks to all who participated in the 2018 statewide Burnout, Resilience and Engagement Survey offered to all Ohio hospitals on behalf of the OHA Physician Leadership Council. Nearly 2,500 physicians and advanced practice providers participated from every corner of the state representing multiple physician specialties and provider types.

For those hospitals that had a representative number of respondents, results were sent to the system chief medical officer or vice president of medical affairs.

If your hospital did not receive a report, please contact OHA’s Paul Hicks, MD, vice president of clinical and physician affairs, paul.hicks@ohiohospitals.org. If you missed this year, but would like to participate going forward, please let Paul know as well.

With a Significant Grant from the Cardinal Health Foundation, OHA Launches Opioid Data Collaborative

More Hospitals Encouraged to Participate

The Opioid Data Collaborative, led by OHA in partnership with the Cardinal Health Foundation, launched in July to combat Ohio’s opioid epidemic by reducing opioids prescribed. It has already generated great interest among member hospitals; to date 120 hospitals have expressed interest in joining.

This statewide data-sharing enterprise will allow Ohio hospitals to increase safe opioid prescribing practices in their institutions by providing normalized data that is benchmarked by state, market area and targeted common conditions. Ultimately, the goal is to engage providers and patients in hospitals across the state in reducing the number of opioids prescribed for pain management, while producing better patient outcomes.

The collaborative is co-chaired by Milisa Rizer, MD, chief clinical information officer at the Ohio State University Wexner Medical Center, and Rodney Stout, MD, CMO at Holzer Health System. Dr.s Rizer and Stout are engaging participating hospitals in identifying  useful metrics and defining use cases to guide the work.

Some of the metrics the OHA Collaborative is considering are:
 
  • Morphine equivalent dose per opioid prescription
  • Number of opioid prescriptions over total prescriptions written
  • Percentage of opioid prescription written for ≤ 5 or 7 days in accordance with state rules
  • Morphine equivalent dose for acute and chronic opioids
  • Morphine equivalent dose based on diagnosis groups

We hope you’ll join us in this important work. To learn more, contact Paul Hicks, MD.

Did you know…?

Did you know that suboxone (buprenorphine-naloxone) can be used in the hospital without a DATA 2000 waiver in two instances?
 
  1. Medical adjunctive therapy may be used throughout the patient’s stay: If the patient is admitted for a primary medical condition other than narcotic addiction, the physician can administer suboxone “for as long as the patient and the treatment of the patient’s narcotic addiction is an incidental adjunct to his or her primary medical condition”
  2. MAT may be used for primary addiction for up to 3 days: If the patient is admitted for a primary diagnosis of addiction, up to three days of suboxone or methadone may be used while arrangements are being made for ongoing treatment

In neither case can a physician prescribe suboxone for home use without a DATA 2000 waiver. See the letter from the DEA to OHA describing this appropriate use here.

DATA 2000 Training Set for October

Three organizations are joining efforts in October to offer physician training at three locations on the Drug Addiction Treatment Act 2000, or DATA 2000, which expands the clinical context of medication-assisted opioid dependency treatment.

DATA 2000 reduces the regulatory burden on physicians who choose to practice opioid dependency treatment by permitting qualified physicians to apply for and receive waivers of the special registration requirements defined in the Controlled Substances Act.

The training sessions are provided through the Ohio Department of Mental Health and Addiction Services, the American Society of Addiction Medicine and the Substance Abuse and Mental Health Services Administration.

Oct. 3-4: Franklin County—Ohio State University Wexner Medical Center, Columbus, see the agenda and register here.

Oct. 19-20: Licking County—Shepherd Hill, Newark, see the agenda and register here.

Oct. 26-27: Clark County—Mental Health and Rehabilitation Board of Clark, Greene & Madison Counties, Fairborn, see the agenda and register here.

AHA Physician Alliance Offers 3 Training Options

The American Hospital Association Physician Alliance offers several learning opportunities this fall and winter for physician and administrative leaders to improve the lives of their patients, their staff and themselves.

The Alliance is dedicated to improving physician and administrative leadership to transform health care together. Its work is built on three pillars – Lead Well, Be Well and Care Well.

AHA-AMGA Learning Collaborative. To help hospitals and medical groups work together to address the health care needs of their communities in innovative ways within the current payment and incentive system, the AHA and AMGA are inviting members to take part in a clinical integration learning collaborative that will provide administrative and clinical teams with the skills and information necessary to move from traditional care models to more organized, integrated systems of care.

Covering leadership, culture, infrastructure, execution, community partnership, physician compensation, communication, and performance improvement issues through in-person sessions and virtual education, interested teams should apply by Sept. 14 to be part of the collaborative which begins in February 2019.

Physician Leadership Experience. The AHA Physician Leadership Experience, a 3-day immersive experience, helps participants create a new professional strategy to offset the demands of the 24/7/365, fast-paced and unrelenting health care environment. Participants develop new skills, patterns and rituals that intentionally create equilibrium between the competing dimensions of their lives. Participants learn to elevate their personal leadership in every aspect of their lives, which allows them to regain control of what is foundationally core, and what truly matters most in their life and work.

The Leadership Experience is offered Nov. 1-3 at the Garden of the Gods in Colorado Springs, Colorado. Register here.

Leading Together: The New Paradigm for Health Care. Leading Together is a 1.5-day collaborative workshop designed for clinician and administrative leaders from the same organization to lead change together in the face of complex systemic problems. This program focuses on: a people-focused approach to leadership development grounded in inclusion and honoring diverse perspectives. It is based on the premise that leadership is an activity, not a person, and can be exercised by anyone, no matter their role. The program focuses on mobilizing people to tackle tough problems and thrive. The attached flyer includes links to podcasts with past participants to hear more about the program. To register for either the September program or the November program, please click here.

For questions, contact jweinsheimer@aha.org.

HPIO inventoried and compared results of Ohio’s addiction policies.
 

New Report Highlights Focus Areas for Ohio’s Addiction Work

The Health Policy Institute of Ohio has published the 2018 Addiction Policy Inventory and Scorecard. The report evaluates Ohio according to evidence-based policies and practices and ranks the state based on its level of adoption.

OHA participated with HPIO and a wide range of Ohio agencies and provider groups to evaluate elements in this report. While our state has made strides in addressing the opioid epidemic, among other addictions, the report highlights that much work still needs to be done, primarily around transitioning suffering Ohioans to treatment and recovery services and bolstering the behavioral health workforce.

A PowerPoint deck of the key report graphics is available here