VCBH Medical Directors present the Benzodiazepine Project at the National Rx Drug Abuse & Heroin Summit in Atlanta

Deaths resulting in accidental overdoses related to benzodiazepines has been rising in Ventura County. Of all benzodiazepines, alprazolam is the most commonly prescribed, misused and diverted; however, it is no longer the drug of first choice for most conditions. To help reduce morbidity, mortality and drug diversion, VCBH focused on incorporating good practices into its medical decision-making regarding controlled substances. The project dealt with multifaceted challenges: a growing epidemic of Rx drug abuse in the community, consumers’ lack of awareness of the dangers these substances pose, providers’ lack of awareness of evidenced-based practices, and resistance to change on the part of both patient and prescriber.

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Countdown to the National Rx Drug Abuse & Heroin Summit 2018 – April 2-5, Atlanta, GA

Since 2012, the National Rx Drug Abuse & Heroin Summit has been a venue where leaders from diverse backgrounds come together with solutions for a common goal in addressing the Opioid crisis. It is the annual gathering for stakeholders to discuss what’s working in prevention and treatment. This year, a delegation from Ventura County, including staff, Prevention contract providers, and more will be attending. We are honored that two VCBH proposals were approved by the Summit this year: 1) Safe Alprazolam Prescribing and Benzodiazepine Monitoring Program, Brian S. Taylor, MD, Medical Director, VCBH; Celia Woods, MD, Quality Medical Director, VCBH and 2) The Intersection of Law Enforcement and Healthcare: Increased Utilization of California's PDMP, Victor Fazio, EdD, MACJ, Detective Sergeant, Ventura County Sheriff’s Office; Dan Hicks, Manager Prevention Services, VCBH.

We look forward to networking, sharing our Ventura County experiences on a national platform, and gaining new ideas and momentum to continue our good work. 

Follow us live from the Summit on Twitter at twitter.com/VCLimits #venturacountyresponds

Preventing Overdose through Safe Prescribing - Benzodiazepine Project

Ventura County’s Benzodiazepine Performance Improvement Project

The Ventura County Health Care Agency won the prestigious 2016 CAPH/SNI Quality Leaders Award for Data-Driven Organizations for “Safe Alprazolam Prescribing”. This award was presented to the HCA team at the CAPH/SNI Annual Conference in December 2016 in Pasadena, CA. In 2017, the County of Ventura Board of Supervisors also presented the team with the California State Association of Counties (CSAC) Challenge and Merit Award for the Safe Alprazolam Prescribing and Benzodiazepine Monitoring Program. Accidental overdoses resulting in death related to benzodiazepines have been rising in Ventura County. Of all benzodiazepines, alprazolam (brand name Xanax) is the most commonly prescribed, misused and diverted. To help reduce morbidity, mortality and drug diversion, Ventura County Health Care Agency focused on incorporating good practices into medical decision making regarding controlled substances. This project helped to learn whether providers were prescribing safely. This challenge was multifaceted: dealing with a growing epidemic of prescription drug abuse in the community, consumers’ lack of awareness of the dangers these substances pose, providers’ lack of awareness of evidenced-based practices and resistance to change on the part of both patient and prescriber.

VCHCA’s Safe Prescribing Initiative uses a multi-level approach, beginning with the establishment of practice guidelines. The initiative also accesses reports from the CURES prescription drug monitoring program, uses a medication treatment agreement (MTA) between prescriber and patient, utilizes urine drug screens, and ensures that patients have access to non-pharmacologic treatment options, which has included training therapists in cognitive-behavioral therapy. The project was innovative by using data to design report cards, offering medical providers feedback about their prescribing practices, and providing them with data that reflected how their practice compared to the practice of their peers and the organization as a whole. Through the initiative, VCHCA has cut its number of patients prescribed alprazolam to less than a third of what it was in 2014, it has doubled its rate of medication treatment agreements, and increased the percentage of CURES reports run from 18.7% to 97.7%.

benzo project

> See the Ventura County’s Benzodiazepine Performance Improvement Project Video



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