December 06, 2017

December Meeting Minutes

• Announcements
• Introductions
• Speaker: Cheryll Moore, Medical Care Administrator at the Erie County Health Department
          She is assisting with the Health Department’s Community Health Improvement Plan
          She also is assisting with coordinating the opioid epidemic effort in Erie County
   o ISTOP Program
      Started in January 2014
      NYS specific
      Health care providers look a patient up in the ISTOP system to see if they have received a prescription for an opioid within the last 30 days. If the patient has, a new prescription will not be written
      • Health care providers send the script electronically to the pharmacy
      Pharmacy workers also check ISTOP before filling a prescription
   o 10-20% of the population has a genetic predisposition for an addiction
   o Pain
      Pain is not a vital sign, it is a symptom
      Have to be asking questions about whether the pain is from the actual injury or from withdrawal symptoms
      • Runny nose, diarrhea, back pain can all be withdrawal symptoms
   o Addiction is a disease of functionality and maintenance
      The body stops producing certain things if it can get something from somewhere else, i.e. a drug
      A person who has an addiction to an opioid needs that opioid to feel ok
   o Treatment
      People who use medications to manage recovery have to have those medications closely monitored and adjusted
      • It can take about 6 months for a person to become stabilized on Methadone
      In-patient vs. out-patient services, the success of treatment depends on several things
      Have to have services available where people are – rural, city, suburban

   o What the current research shows

      Opioids are impacting all races and ethnicities
      Opioid addiction is a male driven disease
      In 2017, it is estimated that there will have been a death a day from an opioid overdose in Erie County
       • Prescription drugs are just as deadly as street drugs
      Research is being done to show that patients should only get a 3-5 day prescription for an opioid from a dentist, for example
      Finding that most people with an addiction want help, but don’t know where to find it
   o Moving forward
      Have to work on changing the public perception and inform the public that addiction is a medical disease
      Working on changing prescribing at the front end by using medications that are more appropriate to treat the issue and lessening the pill count
      The Health Department is working with law enforcement and nursing homes to dispose of the expired medications to protect them from theft
      The Health Department is starting to look into how nursing homes are monitoring older adults and their opioid medications
   o How we can help our clients
      Be sure to use the universal precautions when working with clients in their homes
      Learn the symptoms of withdrawal
      Assist clients with making sure their pills are being monitored
      Recommend that they find a way to dispose of their old and expired medications
• Sarah Duval attended the Elder Justice Coalition Meeting and gave information about the Vulnerable Elder Protection Team (VEPT) that is in a hospital in NYC. It is a 24/7 multi-disciplinary team in an emergency department that can be activated if a doctor suspects elder abuse. The goal is to improve identification, assessment and treatment of elder abuse.
• The date for the next meeting in January is TBD