Pd62-09 Reducing Opioid Utilization After Ureteroscopy in a Statewide Quality Improvement Collaborative

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety III (PD62)1 May 2024PD62-09 REDUCING OPIOID UTILIZATION AFTER URETEROSCOPY IN A STATEWIDE QUALITY IMPROVEMENT COLLABORATIVE Russell Becker, Stephanie Daignault-Newton, Anthony Bonzagni, Golena Fernandez Moncaleano, Jerison Ross, Tudor Borza, Khurshid Ghani, Casey Dauw, and for the Michigan Urological Surgery Improvement Collaborative Russell BeckerRussell Becker , Stephanie Daignault-NewtonStephanie Daignault-Newton , Anthony BonzagniAnthony Bonzagni , Golena Fernandez MoncaleanoGolena Fernandez Moncaleano , Jerison RossJerison Ross , Tudor BorzaTudor Borza , Khurshid GhaniKhurshid Ghani , Casey DauwCasey Dauw , and for the Michigan Urological Surgery Improvement Collaborative View All Author Informationhttps://doi.org/10.1097/01.JU.0001008656.89655.67.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Since its inception in 2016, the Michigan Urological Surgery Improvement Collaborative (MUSIC) Reducing Operative Complications from Kidney Stones (ROCKS) initiative has implemented multifaceted efforts to reduce postoperative opioid utilization after ureteroscopy, including patient education and standardized prescriber guidance for opioid-free multimodal pain management. Post-ureteroscopy opioid prescribing in Michigan fell dramatically from 2016-2021, yet it remains unknown whether this was the direct result of MUSIC ROCKS efforts, or larger national trends including increased public awareness of the opioid epidemic and regulatory changes which occurred over the same time period. METHODS: MUSIC ROCKS clinical registry data were used to tabulate post-ureteroscopy opioid urologist prescribing at time of ureteroscopy patterns from 2016-2021. These data were compared to Optum's Clinformatics Data Mart (CDM) administrative health claims for adult members and their dependents of large commercial and Medicare Advantage health plans. We identified patients who underwent ureteroscopy defined by CPT codes and calculated the proportion who had post-ureteroscopy opioid prescription fills within 14 days of surgery from their pharmacy claims defined by drug class and generic name. We report opioid fill rates within the state of Michigan and across the rest of the United States. The proportion of ureteroscopies with opioid prescriptions out of all ureteroscopies are reported by year for each cohort. RESULTS: The rate of postoperative opioid prescriptions after ureteroscopy in the MUSIC ROCKS collaborative declined sharply from 2016 to 2021 (86% to 20%) (Figure). This was also reflected in the CDM prescription fill claims for the state of Michigan (55% to 20%). By contrast, postoperative opioid fills across the remainder of the United States declined far more modestly over the same period (56% to 47%). CONCLUSIONS: Opioid prescribing after ureteroscopy in the state of Michigan declined sharply between 2016 and 2021. This decline occurred on a national scale over the same period but was far more modest in scale. This work demonstrates that dedicated efforts by large-scale quality improvement collaboratives such as MUSIC can drive meaningful changes in health care delivery. Download PPT Source of Funding: Blue Cross Blue Shield of Michigan © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1289 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Russell Becker More articles by this author Stephanie Daignault-Newton More articles by this author Anthony Bonzagni More articles by this author Golena Fernandez Moncaleano More articles by this author Jerison Ross More articles by this author Tudor Borza More articles by this author Khurshid Ghani More articles by this author Casey Dauw More articles by this author for the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement PDF downloadLoading ...