Methadone Maintenance System Performance Measures 2011/2012 Analysis
Explore the performance measures of the Methadone Maintenance System in British Columbia for 2011/2012, including key actions and outcomes related to enhancing and improving the system. Learn about the reach of BC's Methadone Maintenance System through indicators like patient prescriptions and professional participation metrics.
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Presentation Transcript
Methadone Maintenance System Performance Measures 2011/2012 Office of the Provincial Health Officer January 28, 2013 Dr. Eric Young, MD, MHSc, CCFP, FRCPC Deputy Provincial Health Officer 1
Background 2002 Health Canada Best Practices PMMT 2009 BCMA Policy Paper on Addictions 2009 independent review of BC s methadone maintenance system (CARBC & UBC s CHEOS) Methadone Maintenance Treatment in British Columbia, 1996-2008: Analysis and Recommendations (September 2010) Government response PHO follow-up monitoring of MMT key indicators (not including data on-reserve First Nations) 2
HMHP Key actions and outcomes related to BC s Methadone Maintenance System p. 33 - Enhance and improve BC s methadone maintenance treatment system (including medical, pharmaceutical and psychosocial support components) p. 34 By 2015: a) 90 per cent of methadone prescribers will adhere to optimal dose guidelines b) 60 per cent of people started MMT retained at 12 months p. 23 Where appropriate, expand the reach and range of harm-reduction services that prevent and reduce the health, social and fiscal impacts of illegal drug use 4
Introduction Effectiveness of the province s MMS involves three key components: o prescribing o dispensing o counselling and other adjunct services and supports Regulatory Bodies o College of Physicians and Surgeons of BC o College of Pharmacists of BC 5
MMS Measures The reach of BC s MMS can be summarized by reporting on key professional participation indicators o # of patients with methadone maintenance prescriptions (whose meds covered by PharmaCare) o # of physician prescribers o # of methadone-dispensing pharmacists and pharmacies 6
Methadone Maintenance Patients by Health Authority 7
New Methadone Maintenance Patients by Health Authority 8
Methadone Maintenance Active Prescribers by Health Authority 9
Methadone Maintenance Pharmacies by Health Authority 10
System Outcome Measures Retention on Rx Hospitalizations (all cause) Mortality (all cause) 11
Percentage of patients started on MMT retained at 12 months 12
Effect of daily dose on methadone maintenance treatment retention 13
Adherence to minimum effective stabilization dose guideline 14
Hospitalizations per 100 Person Years During MMT 15
All-cause Mortality During Methadone Maintenance Treatment 16
Conclusion MMT significant growth over the past decade > access to MMT and other harm reduction initiatives lower incidence HIV infection among people who inject drugs There are areas of the system where progress is stagnant or reversing! Solutions - needed 17
