Pubdate: Sat, 11 Jun 2016
Source: Orange County Register, The (CA)
Copyright: 2016 The Orange County Register
Contact:  http://www.ocregister.com/
Details: http://www.mapinc.org/media/321
Author: Greg Mech
Note: Greg Mech is a resident of Orange County. He serves on the 
Board of Advisors for Shatterproof, a national non-profit 
organization focused on ending addiction, and as managing director at 
the CAPROCK Group.

PRESCRIPTION TO FIGHT ADDICTION

The opioid epidemic facing our state is one of the worst health care 
crises California has ever seen. Currently, California hospitals 
treat roughly one overdose every 45 minutes due to heroin or 
prescription painkillers such as OxyContin, Vicodin and Percocet. In 
2014, California had the largest number of overdose deaths of any 
state in the country: 4,521 of our sons, daughters, and loved ones lost.

This past weekend, the Orange County Register highlighted my personal 
story. I lost my son James to an accidental overdose in 2014 just two 
days before his 27th birthday after a long struggle with both 
depression and addiction. We need to talk about what can be done to 
change these stories and statistics.

Thousands of families in California and across the country, like 
mine, are being shattered by addiction. Thousands more will face the 
same pain if we don't change the system now.

Today, California has the opportunity to reverse this epidemic. Among 
the most effective options is using technology to track a patient's 
prescription history (also known as Prescription Drug Monitoring 
Programs or PDMPs). Earlier this year, California rolled out its new PDMP.

By fully utilizing technology that the state has already invested in, 
doctors can review a patient's history to ensure they are not 
prescribing a drug that could be lethal in combination with another 
medication the patient is currently taking. They can also make sure 
someone isn't "doctor shopping" and receiving an unsafe number of 
prescriptions from multiple doctors.

In California, prescribers are not required to use the technology, 
rendering it almost useless  like offering a seatbelt in a car but 
not mandating drivers and passengers use it.

To solve this, California State Senator Ricardo Lara, D-Los Angeles, 
introduced Senate Bill 482 last year. SB482 would require physicians 
to check the state's PDMP prior to prescribing an opioid and annually 
thereafter to monitor for harmful drug combinations.

Similar requirements enacted in New York, Tennessee and Kentucky led 
to dramatic improvements in prescribing patterns in those states. In 
recent months Connecticut, Wisconsin Massachusetts, Ohio and Maryland 
passed requirements for doctors to check their state database before 
prescribing opioids. Shatterproof, a national nonprofit organization 
focused on ending addiction, recently released a comprehensive report 
calling on state legislatures to require doctors to use PDMPs, 
including 12 best practices for states to use when drafting laws. 
This solution works.

Since losing James, I realized I could not watch idly as other 
families were destroyed by this epidemic. I became actively involved 
with Shatterproof to bring this discussion out of the shadows to help 
the millions of people who are affected by addiction. Shatterproof 
has been a strong advocate for this bill, and will continue to work 
to address prescription drug abuse in California and nationally in 
years to come.

After this bill passes, we will have hit a tremendous milestone that 
will serve as the entry point for making opioid abuse a thing of the 
past. We will continue to work hard to make the use of the PDMP as 
effective a tool as possible in the fight against opioid abuse.

Doctors need to have the most complete picture of a patient's 
prescription history so they can safely prescribe opioids and other 
medications, and Shatterproof will continue to be the voice of 
parents and families who have been touched by addiction as long as 
there is work left to be done.

I urge the Business and Professions Committee and the Assembly to 
pass the strongest and most effective bill possible. California has a 
state-of-the-art PDMP and has the opportunity to once again set the 
standard for the country for effective use of the system. Please take 
every measure available to save lives and protect families.
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MAP posted-by: Jay Bergstrom