70 doctors are writing one-third of the scripts for opioids in California.
Most of those scripts are for conditions where opioids are NOT appropriate treatment.
Those claimants that get opioids are off work 3.6 times longer; litigation is 60 percent higher, and their claim costs are twice as high as claimants who don’t receive opioids.
Hopefully you’re not so jaded by the flood of bad news about opioids that you yawn and move on to updating your facebook status; given the ongoing flood of bad news about opioids that wouldn’t be surprising. Most fortunately, California’s state workers comp fund (SCIF), is on this issue like white on rice.
Here’s some of what SCIF is doing:
- educating injured workers about the dangers of opioids, particularly Schedule 2s
- educating prescribing docs using peer-to-peer counseling about appropriate prescribing
- identifying claimants on opioids for more than 60 days, and reviewing their claims
- requiring physicians in their MPN obtain prior approval for opioid scripts longer than 14 days
- limiting in-office dispensing of opioids to a maximum 3 day supply