The Pennsylvania Academic Detailing Program

AHRQ INNOVATIONS EXCHANGE WEB CONFERENCE

October 13, 2010

Thomas Snedden

Director, Pennsylvania PACE Program

tsnedden@state.pa.us

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Educational Modules

Cox-2’s / NSAIDs Acid suppression therapy Antiplatelet therapy Lipid-lowering therapy Antihypertension therapy Management of type 2 diabetes Depression

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Educational Modules

Falls and Mobility Cognitive Impairment Chronic obstructive pulmonary disease Incontinence Osteoporosis Insomnia (planned) Atrial fibrillation (planned)

Complete set of educational materials found at rxfacts.org

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SURVEY ITEM (n = 106, MAY – NOV 2006) MEAN ± SD

1=Strongly disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree

The program provides me with useful information about commonly used medications.

4.6 ± .5

The content represents unbiased and balanced information about drugs.

4.6 ± .5

The program provides a perspective on prescribing that is different from what I get from other sources.

4.4 ± .6

My Drug Education Consultant is a well-informed source of evidence-based information about drugs I prescribe.

4.6 ± .5

I find the patient materials useful in my practice. 4.3 ± .8

Being able to get Continuing Medical Education credits from Harvard is a valuable component of the service.

4.0 ± 1.2

It makes sense for the Commonwealth of Pennsylvania to devote resources to this activity.

4.5 ± .6

I would like to see this program continue. 4.6 ± .6

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SURVEY ITEM (n = 180, OCT 2009 – SEP 2010) MEAN ± SD

1=Strongly disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree

The program provides me with useful information about commonly used medications.

4.7 ± .4

The content represents unbiased and balanced information about drugs.

4.8 ± .5

The program provides a perspective on prescribing that is different from what I get from other sources.

4.3 ± .8

My Drug Education Consultant is a well-informed source of evidence-based information about drugs I prescribe.

4.8 ± .4

I find the patient materials useful in my practice. 4.6 ± .5

Being able to get Continuing Medical Education credits from Harvard is a valuable component of the service.

4.5 ± .7

It makes sense for the Commonwealth of Pennsylvania to devote resources to this activity.

4.6 ± .6

I would like to see this program continue. 4.8 ± .4

The program has provided me the information that will help me in the care of my patients.

4.7 ± .5 7

0

200

400

600

800

1000-1

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-17

-16

-15

-14

-13

-12

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-10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 6 7

MONTHS BEFORE AND AFTER INTERVENTION

CO

XIB

SP

EN

DIN

G P

ER

P

HY

SIC

IAN

Internal control cohort

Intervention cohort

IDIS INTERVENTION MONTH

EFFECT ON DRUG UTILIZATION AFTER COX-2 / NSAID MODULE

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PPI COST SAVINGS ANALYSIS

PRESCRIBING STRATUM PHYSICIANS 6-MO. PPI SAVINGS

Very low (≤ 19 PPI scripts in past year) 60 $23,436Low (20 – 40 scripts) 68 $53,285Medium (41 – 75 scripts) 71 $69,197High (76+ scripts) 92 $139,9836-mo. total, weighted by distribution $285,901

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http://www.rxfacts.org/pdf/iDiS%20eval_PPI_2007%2010%2004.pdf

QUESTIONS

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