A Leader’s Guide – Peer Guidance and Training to Manage Risks from Prescribed Narcotics
Welcome to A Leader’s Guide – Primary Care leadership can access resources on this site to bring organization and reason to challenging and high-risk circumstances.
As physicians, no matter the treatment, our intent is to improve the quality of life for our patients. How do we reconcile the ongoing use of medications otherwise prone to abuse, for conditions like anxiety, attention problems, and pain; against prevalent complications like abuse, misuse, addiction, and death? In the US, unintended deaths from prescription analgesics alone is currently > 16,000 per year.
In addition to bad patient outcomes, clinicians fear an emerging minefield of regulatory requirements, civil action, and awkward communications with patients. Many medications can alter the central nervous system in a manner that reduces short effectiveness of the therapy, and the associated risks become counterproductive. The emergence of physical dependence complicates an otherwise reasonable decision to discontinue therapy.
Trained in primary care Internal Medicine Michael Schiesser, MD has witnessed first hand the transformation within medicine: Initially a sharp increase in the use of opioid analgesics to treat chronic pain, and the explosion of abuse and addiction that ensued.
Michael Schiesser, MD has devoted his professional career to physician education and patient care, focused on the management of high-risk patients with chronic conditions otherwise treated with medications prone to abuse. Michael Schiesser, MD is a national expert in issues of pain care, addiction medicine, and evolving standards of care in clinical delivery involving controlled substances. His patient advocacy resulted in changes in Washington State Law, State licensing commission rules, and a Pulitzer Prize winning collaboration with the Seattle Times. Michael Schiesser, MD has authored and delivered professional education to thousands of physicians across the United States related to patient safety, chronic disease management, and care delivery.
Michael Schiesser MD is the course director of A Leader’s Guide: Eliminating Problems due to Prescribed Narcotics in your Primary Care Clinic. A Leader’s Guide is a shared effort delivered by ControlRx LLC, on behalf of Physician’s Insurance A Mutual Company and its wholly owned subsidiary, Experix LLC. Your course director is Michael Schiesser MD, and Internist and Addiction Medicine Specialist practicing in the State of Washington.
Why our site is so valuable to primary care
Unlike typical CME, that relies on training providers one-by-one (and perhaps expects the education might translate into consistent behaviors), A Leader’s Guide recognizes that the system of support around a provider needs to be properly designed to position physicians and direct care providers like Physician’s Assistants and Advanced Nurse Practitioners, for successful and satisfying patient encounters, to deliver reasonable and prudent care.
Clinic Leaders, administrators, managers, and providers almost universally relay some version of the following:
- I feel pressured by patients, but they dismiss my concerns.
- I feel inadequately equipped.
- Our office is overwhelmed by problems in this area, and our support staff gets verbal abuse by patients.
- I know there are a lot of rules, and I am afraid I am not following them.
I encourage you to get involved with this site. There are some general resources and more posted every week. If you provide your email, we can make sure you are aware of when we begin formal enrollment for A Leader’s Guide, this happens twice a year for a designated clinical leader, administrator, or office manager to learn everything step-by-step that is needed in just a few hours to Eliminate Problems due to Prescribed Narcotics in your Primary Care Clinic. If we are currently not in an enrollment period, check here for interim course offerings.
In Nov 2015 we will post 3 CME’s, and in December a webinar for support staff and call center personnel.
— A Leader's Guide (@ALeadersGuide) October 20, 2015