How AHIMA is Responding to the Opioid Crisis

AHIMA hopes data gathering and sharing will help address the issue.

Every day, more than 115 people in the United States die as a result of opioid overdose, according to the National Institute on Drug Abuse (NDA).

Tracing the origin of the crisis to the widespread distribution of opioid pain relievers in the 1990s, when pharmaceutical companies insisted that the drugs were not addictive, the NDA has reported that healthcare providers began prescribing them at greater rates – and that the opioids turned out to be highly addictive indeed.

Enter the American Health Information Management Association (AHIMA) and its data analytics practice council, which today is using data to help address the misuse of prescription opioids, which costs the U.S. an estimated $78.5 billion annually in terms of healthcare, lost productivity, addiction treatment, and the nation’s criminal justice system, according to today the Centers for Disease Control and Prevention (CDC).

So what can healthcare organizations do with this data analysis? And what is AHIMA doing to shed more light on this epidemic? For insight, we interviewed Lesley Kadlec, MA, RHIA, CHDA, who serves as director of Health Information Management (HIM) Practice Excellence at AHIMA, to learn how health data can be used to respond to the crisis and how and when it’s appropriate to share the data.

 

Buck: How can data be used to respond to the opioid crisis? 

AHIMA: Health data analysts can use both real-time and retrospective data to understand physician prescribing patterns, prescription quantities (such as the number of pills prescribed per written prescription), and opioid refill rates – and to compare this data to the types of illnesses and surgeries (for which) opioid painkillers are being prescribed. Health records are rich with data, and data analysts can use their skills to tap into electronic health records and uncover patterns that help make the data actionable.

 

Buck: How is this data being collected?  

AHIMA: The increased use of health IT, including the widespread use of electronic health records (EHRs), has resulted in an increase in data capture, including opioid prescribing information and data on abuse, overdoses, and use of overdose antidotes. Additionally, states that have a Prescription Drug Monitoring Program (PDMP) collect information on filled prescriptions for controlled substances, and that data is being made available to clinicians to assist them in making prescribing decisions.

 

Buck: How is the information from this data being shared in the field? In other words, what’s the feedback loop? 

AHIMA: Clinical decision support tools are being deployed that allow real-time feedback to clinicians at the time of prescribing; for example, this includes integration of PDMPs with EHRs. Interactive dashboards are being used to provide internal and external data on a number of opioid-related statistics, such as emergency department visits, opioid-related deaths, neonatal addictions, etc.

 

Buck: Are there any examples of this? Any field research?  

AHIMA: At least one state (Illinois) has launched a statewide dashboard to share information among healthcare providers, law enforcement, and community organizations to demonstrate how opioids are affecting its population and to get data into the hands of caregivers to help alleviate the crisis.

 

Buck: I assume the discussion is about prescription opioids? 

AHIMA: While our team’s work to date has focused on prescriptive opioids, we recognize that the problem extends beyond prescribing to include nonprescriptive opioid use, though accurate data around nonprescriptive use is more difficult to obtain.

 

Buck: When was the AHIMA data analytics practice council formed, and are there other projects being undertaken at this time? 

AHIMA: The AHIMA Data Analytics Practice Council was launched in January 2018. Many members of the Practice Council had served in volunteer roles on other informatics and data analytics practice councils and task forces in the past as well. The Data Analytics Practice Council is developing a number of articles for publication in the “Advancing Analytics” column for upcoming editions of the Journal of AHIMA, as well as recording Data Dive webinars (complimentary) and writing blog posts for the AHIMA Data Revolution blog


Program Note:

Listen to Lesley Kadlec today on TalkTenTuesdays, 10-10:30 a.m. EST.

Comment on this article

Facebook
Twitter
LinkedIn

Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the program host and executive producer of Monitor Monday.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.

January 29, 2025
Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.

November 21, 2024
Comprehensive Inpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Comprehensive Outpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.

September 5, 2024

Trending News

Featured Webcasts

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.

January 21, 2025
Patient Notifications and Rights: What You Need to Know

Patient Notifications and Rights: What You Need to Know

Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.

December 5, 2024
Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks.  Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.

November 19, 2024
Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.

October 24, 2024

Trending News

Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more

Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24