Unit 10 Assignment

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Capella University *

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7660

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Medicine

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Feb 20, 2024

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Communicating Results of Drug Diversion and Prevention Program at MWHC Jacques A. Bateko Capella University PSY5140: Program Evaluation Instructor: Dr. Bill Huitt Spring 2023
What is the Drug Diversion and Prevention at MWHC? Protection of Patients and associates from Drug diversion Support and enhance MWHC’s commitment to HRO Raise awareness of controlled substances Enhance accountability in detecting, preventing, and responding to drug diversion and prescription fraud
Drug Diversion Program Needs : - Death of 21,000 individuals in the United States since 2019 - The cost of drug diversion and fraud is about $72 billion per year - More than 1,000 patients protected from prescription fraud
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Introduction Program Background Program Goals and Objectives Program methods and strategies
Program Methods & Strategies Inputs What do they invest Staff Volunteers Time Finance Technology Equipment Facilities/ training Research findings Material Partners Sponsors (donors). Activities What they do Associate training Diversion prevention Diversion detection Diversion Response DEA Accountability Investigation Enhance Knowledge of regulatory and Medstar Health requirements Raise awareness of controlled substances Who they Reach Medstar Health care Recipients Clients Participants Clinicians Associates Professional Community-based organization Local Government Agencies Federal Government Agencies Short term Goals Establish a controlled substance regulatory training Describe the DEA audit accountability Increase program efficacy Improve community safety Decrease prescription fraud Raise awareness of controlled substances Long term Goals End drug diversion and prescription fraud Drug Diversion eradication Establish workplace safety
Stakeholders Stakeholders Activities Users Need/What to know Uses MedStar Washington Hospital Center Whether the program is working or not Determine the cost-benefit of the program Government Agencies/ Sponsors Whether the DEA recommendations are applied or not Determine whether the program needs additional financial support Program Executive leadership How to reinforce and improve the program Evaluate whether the program is effective Associate/patients/community- based partners Clinical outcomes/ Community safety Examine if it is necessary to improve or adjust clinical practice
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Cost-Benefit Analysis Cost-Benefit Analysis Safe work environment Prevention of legal problems Enhance knowledge of controlled substances Prevention of diversion and fraud Establishment of systemwide drug diversion protocol Community safety and wellness Cost-Benefit Analysis
Evaluation Methods Data Collection & Analysis Overview: Data Collection & Analysis Interviews Surveys self-Report Focus groups Direct Observation Records from previous Evaluations Secondary sources
Methodology challenges Challenges Interviewees’ Availability for feedback Accuracy of the information scheduling Challenges
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Implementation Plan Strategies Objectives-based Approach Quasi-experimental approach: interrupted time series analysis Strategies
Ethical considerations Ethical consideration Protection from harm Dignity and respect Prevent Conflict of interest Competence Systematic inquiry Integrity Protection of data
Evaluation Findings 40% (4 in 10) of people interviewed think that some incidents of drug diversion go undetected 67% are confident that the drug diversion program is successful 73% of associates think that training is an effective tool in preventing diversion. 60% of drug diversion incidents were prevented or addressed 87% of legal cases avoid. 78% of associates received proper training on drug diversion prevention
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Recommendation Creating a holistic approach (engaging all functions and all levels of the organization) Using a holistic tech-aid strategy Elaborate clear policies Increase staff in the executive committee of the program Consequent financial support Creating a family-based education subprogram
Conclusion The drug diversion prevention team (DDPT) at MedStar health system is an important program that promotes community safety and wellness. The evaluation of this program allows participants and stakeholders to continue to improve and reinforce the program Different methods and strategies had helped to investigate the effectiveness and functionality of the program
Conclusion The cost-benefit analysis was crucial because it helped to discover that the program is making impactful progress in patients, associates, and community safety. The program has designed and established a controlled substance regulatory program for associates Drug diversion and prevention program is necessary and indisputable for each and all healthcare systems and facilities.
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References American Psychological Association. (2017). Ethical principles of psychologists and code of conduct. http://www.apa.org/ethics/code/index.aspx Berge, K. H., Dillon, K. R., Sikkink, K. M., Taylor, T. K., & Lanier, W. L. (2012). Diversion of drugs within health care facilities, a multiple-victim crime: patterns of diversion, scope, consequences, detection, and prevention.  Mayo Clinic Proceedings 87 (7), 674–682. https://doi.org/10.1016/j.mayocp.2012.03.013 MedStar Washington Hospital Center" US News . Retrieved May 07, 2023.
References Royse, D., Thyer, B. A., & Padgett, D. K. (2015). Program Evaluation: An Introduction to an Evidence- Based Approach (6th Edition). Cengage Limited. https://capella.vitalsource.com/books/9781285227931 Siegel, J., & O'neal, B. (2007). Code N: a multidisciplinary approach to proactive drug diversion prevention.  Hospital Pharmacy 42 (3), 244-248. Crowley, D. M., Jones, D. E., Coffman, D. L., & Greenberg, M. T. (2014). Can we build an efficient response to the prescription drug abuse epidemic? Assessing the cost-effectiveness of universal prevention in the PROSPER trial.  Preventive Medicine 62 , 71-77. Kontopantelis, E., Doran, T., Springate, D. A., Buchan, I., & Reeves, D. (2015). Regression-based quasi-experimental approach when randomization is not an option: interrupted time series analysis.  BMJ 350 .