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Related Experiment Videos

Prescribing controlled substances in Tennessee: progress, not perfection

A Spickard1, D Dodd, G L Dixon

  • 1Center for Professional Health, Vanderbilt University School of Medicine, and the Tennessee Medical Foundation, Nashville 37232, USA.

Southern Medical Journal
|February 5, 1999
PubMed
Summary

Tennessee implemented new prescribing guidelines and physician education programs, leading to a significant improvement in its Drug Enforcement Administration (DEA) ranking for controlled substance consumption. These initiatives aimed to reduce physician misprescribing and enhance public health.

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Area of Science:

  • Public Health
  • Medical Education
  • Substance Abuse Prevention

Background:

  • Tennessee historically ranked high in controlled substance consumption.
  • Addressing non-criminally motivated physician misprescribing was a key concern.

Purpose of the Study:

  • To describe initiatives aimed at reducing physician misprescribing in Tennessee.
  • To present changes in Tennessee's Drug Enforcement Administration (DEA) rankings.
  • To suggest methods for physicians to decrease misprescribing.

Main Methods:

  • Collaboration between the Tennessee Board of Medical Examiners (BME) and the Tennessee Physician Health Program (PHP).
  • Referral of physicians to a continuing medical education (CME) program at Vanderbilt University School of Medicine.

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  • Publication of prescribing guidelines by the BME.
  • Main Results:

    • A low recurrence rate of prescribing infractions among CME participants (2 out of over 160).
    • Improvement in Tennessee's DEA ranking from 7th to 17th between 1994 and 1997.

    Conclusions:

    • While causality is unproven, ranking improvements coincided with BME, PHP, and Vanderbilt CME collaborations.
    • Ongoing efforts aim to promote professional and patient health in the region.