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In a new research letter in the New England Journal of Medicine, a team from the Michigan Opioid Prescribing Engagement Network reports the results of a collaborative effort to help surgical teams follow evidence-based opioid prescribing guidelines developed at the University of Michigan.

In just one year, teams at 43 hospitals across the state reduced the number of opioid pills they prescribed to patients having nine common operations by nearly one-third, from an average of 26 per patient to an average of 18, without causing patients to feel more pain or less satisfied with their surgical experience.

Sixty percent of privately insured children undergoing tonsil removal received opioids -with average prescriptions lasting about six to 10 days ---- a new study in JAMA Otolaryngology from Kao-Ping Chua, M.D., Ph.D., assistant professor of pediatrics, finds. Having a filled opioid prescription wasn't associated with a difference in risk of return visits for pain or dehydration, the study found, but it was linked to an increased risk of constipation and in at least one case, an opioid overdose.

U-M physicians Ken Langa, M.D., Ph.D., and James Burke, M.D., wrote a Viewpoint in a recent edition of JAMA Internal Medicine about the potential for overdiagnosis and high costs if treatment for preclinical Alzheimer's disease becomes widely used.


Brahmajee Nallamothu, M.D., M.P.H., professor of cardiovascular medicine, has been appointed to serve on the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC). The MEDCAC examines the evidence on the benefits, harms, and appropriateness of medical items and services that are covered under Medicare, providing independent expertise and guidance to the Centers for Medicare & Medicaid Services.


In response to the two mass shootings in El Paso, Texas, and Dayton, Ohio, in early August 2019, U-M's Academic Innovation office created an interdisciplinary and timely discussion about gun violence and safety in the United States. A group of experts from the Firearm-safety Among Children and Teens (FACTS) Consortium, including IHPI members Rebecca Cunningham, M.D., Patrick Carter, M.D., and Marc Zimmerman, Ph.D., M.S., discuss the state of gun violence and injury prevention in the U.S., and how data may inform possible solutions to these issues.


WATCH: Dr. Costa discusses her research focused on improving the effectiveness of ICU teams
What can critical care learn from football? When it comes to training and teamwork, quite a bit. With football season kicking off soon, Deena Costa, Ph.D., R.N., assistant professor of nursing, considers these questions in an article published online in the Annals of the American Thoracic Society.

Christina Chapman, M.D., M.Sc., assistant professor of radiation oncology, studies ways to improve equity in health care systems and the medical workforce to better meet the needs of the population.

In June, Chapman, a physician-researcher at Michigan Medicine and the VA Ann Arbor Healthcare System, served as a discussant on a panel on workplace inequities at the 2019 American Society of Clinical Oncology's annual meeting in Chicago.

About IHPI
The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services.

To carry out our ambitious mission, our efforts are focused in four areas:

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IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.

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