Reducing Dangerous Prescribing Practices – Ohio

States have taken a variety of approaches toward education and regulation to reduce dangerous prescribing of psychotropic medication to children in foster care. This post summarizes how the Ohio Minds Matter initiative teams with prescribers to reduce dangerous medication practices for foster children.

Ohio – Partnering with and Supporting Providers

The Ohio Minds Matter Initiative and the Ohio State Department of Medicaid are using Pharmacy Benefits Claims data to identify the most dangerous prescribing practices and to educate the state’s prescribers about safer practices.

  1. An expert panel created Ohio’s clinical guidelines.
  2. Pharmacy Benefits Claims Data psych med usage have been analyzed. Three areas of concern were identified:
    1. Psychotropic medications prescribed to children under age of 6
    2. Prescribing two or more antipsychotics for more than 60 days
    3. Prescribing four or more psychotropic medications concomitantly
  3. Pharmacy Benefits Claims data were used to identify providers who prescribe excessively. Providers are participating in regional pilot education programs.
  4. Pilot team managers have produced Excel spreadsheets that indicate when each child was medicated outside safety parameters. Psychiatric consults and supports are offered monthly to review the children’s cases and the prescribers’ progress towards safer prescribing. With these supports, the pilot prescribers have begun to change their practices.
  5. Learning modules are being developed to teach Ohio prescribers about the new clinical guidelines. These learning modules are offered free, and all Ohio prescribers who complete the modules receive CME credits. All prescribers in the pilot project have completed the learning modules. The first learning module is online and can be accessed by anyone in Ohio or elsewhere.

Ohio is teaming with and supporting prescribers with the information they need to increase safety. We hope more states will take a supportive role to change prescribing patterns for foster children. Contact us here [hyperlink] if you’d like to learn more about the Ohio team and how they are accomplishing their goals.

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