Physician Resource Center
ISMA is in a unique position to take the lead in educating the state’s physicians about opioid prescribing and addiction. As the largest physician organization in Indiana advocating for the well-being of physicians and their patients, and as the Indiana recognized accreditor of continuing medical education (CME) for 31 institutions, including hospitals and medical specialty societies, ISMA is committed to implementing solutions to combat Indiana's opioid crisis.

This page serves as an education and resource center for Indiana physicians who want to learn more about opioid addiction and treatment. Check back often for updates.

Attend a Free Webinar

Medication Assisted Treatment for Opioid Use Disorders
The MAT “whole patient” approach to the treatment of substance use disorders has been found to substantially improve the odds of successful recovery for people who misuse opioids, including heroin and prescription painkillers.
Oct. 18
Noon - 1 pm EDT
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Changing the Game: How Sports Medicine Can Help with the Opioid Crisis
Sports medicine physicians play a key role in pain management for musculoskeletal injuries. In this program, we will discuss the role of the “team behind the team” and how sports medicine physicians can help reduce the misuse of prescribed opiate medications, as athletes are not untouched by this epidemic.
Sept. 20
Noon - 1 pm EDT
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Screening and Treating Adolescents with Substance Use Disorders
Substance use disorder among adolescents is devastating many youth, their families and their communities. This disorder is treatable, but more health care professionals must know how to screen, intervene and refer these young people for treatment. Leslie Hulvershorn, MD, will share clinical guidance on how to do this in various settings in which adolescents receive health care. 
Archived 
(on-demand)
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Chronic Pain Management and Integrative Pain Methods
Palmer Mackie, MD, a clinical assistant professor of medicine at IU School of Medicine and director of the Integrative Pain Program (IPP) at Eskenazi Health, will discuss integrative approaches to relieving chronic pain, such as physical and occupational therapy, hypnosis, cognitive-behavioral training, relaxation techniques, counseling, acupuncture, trigger point injections, nutritional medicine and exercise. He will also discuss research validating these methods
Archived 
(on-demand)
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A Collaborative Approach to Treating Controlled Substance Use and Abuse in the ED
Webinar participants will hear from IU School of Medicine’s Krista Brucker, MD, and learn about a collaborative model for preventing recurring overdoses 
by ED patients who misuse opioids and what makes the program successful, as well as lessons learned and plans for the future.
Archived 
(on-demand)
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Legislative and Legal Update on Opioid Prescribing
The opioid epidemic continues to be the focus of legislation and administrative rulemaking in Indiana. Join our team of ISMA representatives as they discuss Indiana’s legislative priorities surrounding opioid prescribing and dispensing. They will give an overview of state legislation that sets guidelines for opioid prescriptions and the expansion of treatment options in our state. 
Archived 
(on-demand)
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Strategies for Safe and Compassionate Opioid Weaning
Participants will learn how to develop a plan for compassionate weaning, ways to manage possible withdrawal symptoms and how to educate and engage the patient. The speakers will also discuss how St. Vincent Hospital Network has implemented and monitored a policy to limit opioid prescribing, as well as resources needed to support the policy, such as consultative education and weaning support.
Archived 
(on-demand)
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The Least, Last & Lost: Pregnant Women with Opioid SUD
Webinar attendees will be able to identify disease defining pathophysiologic changes of Opioid Use Disorder, describe therapeutic options available and barriers to treatment in pregnant patients with opioid use disorder, understand the challenges in caring for pregnant women with Opioid Use Disorder, and recognize the growing rates of neonatal abstinence syndrome in our community.
Archived
(on-demand)
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The Opioid Epidemic: Impact on Peri-Operative Care
This webinar will teach attendees how to conduct candid pre-operative discussions with patients about post-procedure pain and to set expectations and assess the risk for opioid misuse. Participants will also learn to recognize the benefit of using INSPECT as part of routine post-operative practice and identify peri-operative pain management strategies for inpatients and outpatients.
Archived
(on-demand)
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Changing the Culture of Prescribing
The webinar will review current evidence for the use of opioids to treat chronic pain, identify strategies for safer use of opioids in the opioid-tolerant population, and demonstrate how to implement compassionate opioid-weaning protocols. Presenters will also discuss a lifestyle-change paradigm for patients in treatment for chronic pain and ways to help patients to be proactive and adherent in their own care.
Archived
(on-demand)
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Difficult Conversations with Patients Seeking Opioids
This webinar will help attendees recognize red flags and understand the skills needed to manage discord in interactions between patient and provider. The presenters will share some empathetic responses to help manage discord. They will also discuss how to "Ask-Provide-Ask" to impart clinical information. And, they will review other guidelines and best practices for keeping patients safe.
Archived
(on-demand)
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INSPECT Integration: Data for Critical Prescribing Decisions
In August 2017, Indiana took the first steps toward implementing a comprehensive, statewide platform for health care professionals to review patients' controlled-substance prescription history more quickly and efficiently. This platform supports Indiana's prescription drug monitoring program (INSPECT) and transfers data into electronic health records (EHRs) and pharmacy management systems. Statewide integration of the INSPECT platform is a key component of Indiana's ongoing efforts to attack the opioid crisis.
Archived
(on-demand)
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Recent Articles

The newest weapon in the fight against opioid abuse is education that fits into a physician's palm. Thanks to $230,000 from the Richard M. Fairbanks Foundation, the Indiana State Medical Association is developing an app that will help doctors stay on top of the latest information geared toward stemming the addiction crisis. Read more in this Indianapolis Star article.

Indiana University plans to join the governor’s initiative to attack the state’s opioid crisis by donating $50 million and dedicating 70 researchers to the issue. The money will be spent over the course of five years and will focus on decreasing overdose deaths due to opioids, the number of babies born with neonatal abstinence syndrome (NAS) and the incidence of substance use disorder. Read more about the plan and areas of focus here.

Indianapolis Mayor Joe Hogsett announced that the city would take legal action against makers and distributors of opioids. More than 75 similar lawsuits have been filed nationwide. Read more at IndyStar.

Resources

The Providers Clinical Support System (PCSS) has developed an overview on identifying and treating substance use disorders so that administrative and clinical staff in your practice can gain a better understanding of substance use disorders and the patients you treat. We recommend all staff in a clinical setting – from the front desk, administrators, and even senior leadership – take this course.

The Indiana Family and Social Services Administration (FSSA) addiction treatment website includes links to treatment options and contacts. Another link leads to resources for providers. A third FSSA web resource, “Know the O Facts,” 
aims to eliminate the stigma surrounding opioid use disorder based on three key facts: it is a disease; there is treatment; and recovery is possible. 

Developed by ISMA, the Indiana Hospital Association and the Indiana State Department of Health, The Indiana Guidelines for the Management of Acute Pain provide an outline for the safe, appropriate and effective prescribing of self-administered medications for pain.

These guidelines are an additional resource to supplement previous work in other settings:
The Indiana State Department of Health (ISDH) offers many online educational resources, safety information and links to addiction services.

The U.S. Drug Enforcement Administration released the 2017 edition of Drugs of Abuse to show and describe the most commonly abused and misused drugs. The guide also includes information on the science of drug use, the effects of each drug’s effect on the body and mind, overdose potential, origin, legal status and other factors.

The National Center for Health Statistics provides provisional drug overdose death counts at the national and state level to help improve data quality and visualization of current trends. The data includes: a provisional count of deaths due to drug overdose, a provisional count of drug overdose deaths involving specific drugs or drug classes, a map of the percentage of total deaths due to drug overdoses and a map of the percentage change in provisional drug overdose deaths for the current 12-month period compared with the previous year.