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Consult Newsletter Summer 2018

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Consult Newsletter Summer 2018 CONSULT A Newsletter for Medical Professionals SUMMER 2018 PIOIDS ARKANSANS ARE DYING – OOpioid overdose deaths are a nationwide epidemic. WHAT CAN WE DO? There were 116 deaths per day from opioid-related drug Program offers pain overdoses in the United States management education, in 2016, according to the U.S AR-IMPACT case consults Department of Health and Human Services. Arkansas UAMS has launched a free weekly improving pain management in Arkansas ranks second in the nation education and consultation service for and the lives of these patients,” said G. for its opioid prescribing health care providers statewide. Richard Smith, M.D., a professor in the rate with an average of 114.6 Arkansas Improving Multidisciplinary Department of Psychiatry in the UAMS prescriptions per 100 people, Pain Care Treatment (AR-IMPACT) College of Medicine who is spearheading according to U.S. Centers for is a live streaming online video the project. “UAMS is an academic Disease Control and Prevention conferencing service staffed by a setting where we stay abreast of the data from 2014-2016. multidisciplinary team from UAMS, latest research and treatments, but these UAMS is fighting the epidemic including a pain physician, addiction physicians across the state are the true on several fronts, and one major psychiatrist, psychologist, two front lines. They are seeing this in their effort includes giving health pharmacists and a physical therapist. clinics every day. It’s time we join forces.” care providers across the state Each conference will include a Topics will include how to taper off access to UAMS expertise and 20-minute presentation on an opioid- opioids, alternatives to opioids for pain resources, through programs related topic and a question-and-answer management, when physical therapy like AR-IMPACT, MATRIARC and session. Participants are encouraged to is appropriate, when to recommend a the Center for Health Literacy. present patient cases for individualized nerve block or an epidural and more. feedback about approaches to treatment. Smith said participant interest will Need to make a referral? Physicians, physician assistants, nurse guide future topic choices. The Center for Addiction practitioners, pharmacists and other Funding for AR-IMPACT’s first year Services and Treatment in the health care providers are welcome to has been provided by $104,000 from UAMS Psychiatric Research use the service. Physicians, physician Arkansas Blue Cross and Blue Shield and Institute provides medication- assistants, nurses, nurse practitioners $49,000 from the office of the Arkansas assisted treatment services and pharmacists will be able to earn drug director. for opioid use disorder. For continuing medical education credits. Visit the AR-IMPACT website at appointments, call 501-526- “We want to partner with health ARIMPACT.UAMS.edu to sign up and find 8400. care providers across the state for an information about continuing medical The Women’s Mental Health exchange of information with the goal of education credits. Program treats pregnant women with opioid use disorder. For (Continued on page 2) appointments, call 501-526- 8201. July 2018 (Continued from page 1) Message from Dr. Jansen Connect with experts for help treating opioid use disorder Dear Colleagues, MATRIARC In 2017, the UAMS and the Arkansas assisted treatment, so many of our Winthrop P. Department of Human Services patients drive hours for treatment Rockefeller have launched a free one-on-one and others never seek treatment Cancer Institute consultation service for health care because of these barriers to care,” partnered with providers who are treating patients said Michael Mancino, M.D., a me through my Arkansas Blue with opioid use disorder. psychiatrist, director of the UAMS Cross and Blue These providers can call the Center for Addiction Services in the Shield, George K. Mitchell, M.D., Medication-Assisted Treatment Psychiatric Research Institute and Endowed Chair in Primary Care to Recovery Initiative for Arkansas leader behind MATRIARC. establish a Rural Health Summit of Rural Communities (MATRIARC) “We think helping community statewide health care stakeholders. hotline for advice on a range of providers gain the knowledge and They identified more than 100 rural health issues that could be topics – anything from determining confidence to treat these patients acted upon in one-two years with dosages of maintenance drugs like close to home will be an important collaborative effort. buprenorphine/naloxone (Suboxone) step in addressing the deadly opioid This group empowered a to connecting patients with support epidemic in Arkansas.” 12-member committee to refine the services to handling billing. To connect with the service, call focus and provide recommendations. “There are few people in the 1-833-872-7404 or 501-526-8459. The goal was not to find a silver bullet state who are providing medication- but to create a network to take action and leave rural Arkansas health care incrementally better, year after year. Services foster clear At the 2018 meeting, we CENTER FOR determined how to meet two-, five- communication with and ten-year goals to double the HEALTH LITERACY patients number of rural providers; increase residency slots and board certified physicians; form a rural health When the Department of director of programs and services. association; create a community Orthopaedic Surgery at UAMS “We use plain language best health workers certificate program; overhauled its opioid-prescribing practices to create and evaluate our address non-emergent transport practices, they called on the UAMS materials, and our team members issues; and develop early education Center for Health Literacy for help. have assessed and edited thousands outreach for health care professions. To follow along or become a part The research shows that patients of pages of health information. We of this important work to improve recover from surgery better when know what helps you communicate the future of rural health in Arkansas, they take fewer opioids. The clearly with patients.” visit RockefellerInstitute.org/blog/ department set a goal to standardize The Center for Health Literacy category/health. and reduce its opioid prescriptions. provides these services and others to They wrote new protocols and entities on and off the UAMS campus. Sincerely, educated their team members. Examples of services include “However, we knew that many assessing and editing existing patients were going to still expect health-related content for readability Mark T. Jansen, M.D. big opioid prescriptions after a and understanding, and translating Medical Director surgery,” said Simon Mears, M.D., an documents into Spanish while UAMS Physician Relations & Strategic orthopaedic surgeon who helped retaining plain language features. Development lead the effort. “We knew that if we They can do on-site assessments of were going to be successful, patient clinics’ policies and practices and Please visit our website for referring education would be key.” provide consultation and training providers: The Center for Health Literacy for staff on communicating clearly UAMShealth.com/MD created documents to facilitate with patients. They create new Content includes: these conversations, including clear, patient education materials and tools • 2018 Referring Physician Quick easy-to-read bulleted lists and to help engage patients, such as Reference charts with what to expect before programming to help them get the • CME Outreach – LearnOnDemand and after surgery. most out of their doctor visits. • Consult “We created the documents, For more information, visit • EpicCare Link • Find a Physician evaluated them for readability and HealthLiteracy.UAMS.edu or • Online Appointment Requests field tested them with real patients,” PlainPages.org, call 501-686-2595 • Physician Call Center said Alison Caballero, the center’s or email [email protected]. • Physician Recruitment & Provider Placement 2 • UAMS Library News to Know: Updates from UAMS Physician Relations Comprehensive Epilepsy topics between researchers on Center Earns Highest campus, assist residents and Physician Relations medical students with publishing & Strategic Development Accreditation Level Mark T. Jansen, M.D. The UAMS Comprehensive their research, increase the number [email protected] Epilepsy Center has been of clinical trials in the department, accredited with a Level 4, and pursue grant funding. Michael Manley, RN, MNSc the highest King has an M.D./Ph.D. in [email protected] designation molecular and cellular biology and available from pathobiology from the Medical Director the National University of South Carolina in Melanie Meyer, M.Ed. [email protected] Association of Charleston. She completed an Epilepsy Centers. internship in general surgery and a surgery residency in Manager Bashir Sami Carla Alexander, M.Ed. Shihabuddin, otolaryngology-head and neck [email protected] M.D., is medical surgery, both at UAMS. director of the Byron Jarrett & Brian Mann Comprehensive Epilepsy Center. Paul, M.D., Joins Pain Clinic [email protected] UAMS is capable of performing Christopher Paul, M.D., has the most complex surgeries joined the UAMS Pain Clinic. for the treatment of epilepsy, Paul completed his residency made possible with the hiring of in anesthesiology at Saint Louis CONSULT fellowship-trained neurosurgeon University. He is produced by the UAMS Office Viktoras Palys, M.D. underwent of Communications & Marketing Palys completed his general fellowship training
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