Posts Tagged ‘physicians’

Safe Prescribing Medical Education

March 27th, 2013

The number of prescriptions filled for opioid pain relievers has increased dramatically along with deaths from overdoses from painkillers (more than 1000 in AZ last year), leading the CDC to identify prescription drug abuse a problem of “epidemic” proportions.  To better equip physicians against this crisis, the National Institute on Drug Abuse offers two free online continuing medical education courses: 

 

  • Safe Prescribing for Pain (1.25 credits) teaches the prevalence of prescription opioid abuse and explores ways to effectively screen for and prevent abuse in patients with pain. 
  • Managing Pain Patients Who Abuse Rx Drugs (1.75 credits) identifies the prevalence of opioid addiction and dependence in patients with chronic pain, and assists physicians in identifying emerging abuse behaviors.

Doctor Shortage – a Public Health Concern

January 30th, 2013

Public Health tracks the number of healthcare workers – physicians, dentists and psychiatrists – to make sure we have enough to take care of the community.  In Arizona we’ve been challenged to recruit and keep those professionals – and we have numerous Health Professional Shortage Areas.  Just to eliminate the current shortages, we’d need an additional 313 primary care physicians, 250 Dentists, and 136 Psychiatrists… and a new study shows that we’ll need even more as AZ aligns Medicaid eligibility with the Affordable Care Act.  The study estimates the country will need about 52,000 more primary care physicians to meet the nation’s health care needs through 2025.  The biggest reason for the increase is the growing population, but the number of people getting older and the insurance change impact the number too. 

Fortunately, we have some creative people working on solutions here in Arizona.  This month our Health Systems Development shop along with the Arizona Alliance of Community Health Centers and the UA’s Center for Rural Health brought together folks from the healthcare industry, academia, Arizona Area Health Education Centers, and clinicians to discuss strategies to address the shortage of healthcare workers in Arizona.  The group showed strong support for the National Rural Recruitment and Retention Network (3RNet) – a tool that helps businesses solve healthcare workforce issues.  The 3RNet Program invites healthcare facilities in Arizona to register and use 3RNet as a recruitment tool.  Agencies that use 3RNet can post and update vacancies and post videos or pictures of their facility or their community to better market and attract candidates.  If you have questions about the program, you can contact Ana Roscetti, Workforce Section Manage, at Ana.Lyn.Roscetti@azdhs.gov or 602-542-1066.

Prescription Painkiller Forum

July 17th, 2012

We’re committed to reducing substance abuse in Arizona and we’re consistently reminding the public to get rid of old medication to reduce the number of unintentional poisonings.  With more Arizonans dying every year from misuse and abuse of prescription painkillers than car crashes- it’s more important than ever to educate health care providers… so we’re hosting a forum to discuss this increasingly urgent public health issue.  About 30% of all prescriptions painkillers are written in emergency rooms…  so we’ve set up the all-day event with partners from emergency rooms, physicians, nurses, hospital management and Indian Health Services Wednesday, July 18th  at the Fiesta Resort Conference Center, 2100 South Priest Drive in Tempe to help increase awareness and identify solutions. Here’s a fact sheet with more info about this increasingly dangerous public health threat.

Doctor/Patient Density- Our Online Gap Analysis Map

April 30th, 2012

In public health it’s good to know where the resources are – and where they’re short. Our Health Systems Development team created an excellent online tool to help our partners keep track of resources –  to see where we have enough physicians and where we could use more.  It also shows how much of an area is at the poverty level and where the underinsured and uninsured live in AZ.  You get to choose the geographic break down – Community Health Analysis Areas, Counties and even by census tracts.  

This type of data can be useful in your programs as you determine the best places for interventions.  We’ll update the Designation Mapper quarterly to keep you updated on changes in status.  Also, Health Systems is putting together a webinar to help folks learn to use the new tool.

AZ Leads the Way in Emergency Care for Kids

April 17th, 2012

One of the best ways to improve outcomes for kids that have a medical emergency is to have a statewide network of emergency departments that focus on specific “kid-based” criteria for training, equipment, and facilities.  Arizona is now one of only 5 states that have implemented a specialized pediatric emergency care system- a system that was developed in partnership with us, the Arizona Academy of Pediatrics Arizona Academy of Pediatrics, hospitals, physicians, nurses, and emergency personnel. 

The system is called “Pediatric-Prepared Emergency Care”, and it’s a voluntary program that recognizes hospitals that have demonstrated their ability  to stabilize and/or manage pediatric medical emergencies. The AzAAP’s voluntary certification program recognizes hospitals that meet specific  Pediatric-Prepared Emergency Care.  Certification is available for 1) Prepared Care; 2) Prepared Plus Care; and 3) Prepared Advanced Care.  The AzAAP approved certification of 9 facilities for the top category including: Arizona Children’s Center at Maricopa Medical Center; Banner Thunderbird Medical Center; Cardon Children’s Medical Center; Phoenix Children’s Hospital; Scottsdale Healthcare –Shea Medical Center; Tucson Medical Center for Children; and the U of A Medical Center/Diamond Children’s Medical Center. 

Congratulations to these progressive hospitals for stepping up and for their commitment to Arizona families.

AZ Kicks off the “No Place Like Home” Campaign

March 16th, 2012

Kathy McCanna, Alan Oppenheim, and Connie Belden (from Licensing) and Kristy Benton (from Behavioral Health) recently jumped head-first into a new Arizona health-care initiative called No Place Like Home which is Arizona’s approach to the Partnership for Patients: Better Care, Lower Costs project.  The project aims to prevent hospital-acquired conditions and hospital re-admissions.  The name No Place Like Home means that it’s better to be at home than back in a hospital. 

The (public-private) Partnership for Patients brings together leaders of major hospitals, employers, health plans, physicians, nurses, and patient advocates along with State and Federal governments in a shared effort to focus on preventing hospital-acquired conditions and decreasing hospital re-admissions.  The No Place Like Home Campaign engages hospitals, rehabilitation and skilled nursing facilities, hospices, home health agencies, community pharmacies, clinician offices, community-based organizations and other care providers in an intense collaborative to: 

  • Prevent 4,000 readmissions within 30 days of hospital discharge by June 30, 2013;
  • Reduce the overall readmission rate for Medicare beneficiaries by 20%; and
  • Decrease health-care expenditures related to these re-admissions. 

Our partners are the Health Services Advisory Group, Inc. (HSAG), the Arizona Partnership Implementing Patient Safety (APIPS),  the Arizona Hospital and Healthcare Association (AzHHA) & AHCCCS.  HSAG will manage the day-to-day operational aspects of the Campaign by providing staffing and resources to support participants. Our Licensing team (in their role with Medicare Surveys and Certification) will be an asset in providing assessment data that can be used for quality improvement strategies in Arizona. This Campaign is totally in keeping with the ADHS Vision of “Health and Wellness for all Arizonans” as well as our Strategic Map overarching goal to “Achieve targeted improvements in health outcomes”.