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Unbalanced approaches

• Don’t stock it

• Reduce the dose

• Discontinue patients

• Refer pain patients to specialists

• Contracts and urinalysis for all

patients

Are we doing this

Pain & Policy Studies Group

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Unbalanced approaches • Don’t stock it • Reduce the dose • Discontinue patients • Refer pain patients to specialists • Contracts and urinalysis for all patients Are we doing this Pain & Policy Studies Group

How to achieve balanced outcomes 1. Use existing information to identify sources – Medicaid – Pharmacy theft – PMP 2. Intervene – Educate, treat, decertify, lock-in, discipline, criminal charges – Proportionate responses 3. Evaluate outcomes for effectiveness and safety Are we doing this

Page 1 and 2: Diversion, risk management and the
Page 3 and 4: Consequences of diversion • Illic
Page 5 and 6: The Principle of “Balance” •
Page 7 and 8: Outcomes of a “balanced” approa
Page 9: Balanced Approaches • Educate cli
Page 13 and 14: Pharmacy theft in the USA 1984: Con

Presentation - Tufts Health Care Institute

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