Clouds
~7 Pills

Average opioid use

60%

Reduction in opioids prescribed

92%

Reduction in opioid
refill rate

<2%

Readmission Rate

THE INSPIRATION

Opioid overdoses are at an all-time high.

  • Prescription Drug Monitoring Programs (PDMP) have helped but not solved the problem of too many opioids prescribed.
  • Still in wide use, prescription opioid painkillers lead to addiction and illicit fentanyl overdoses.

Each year there are ~3 BILLION PILLS leftover following surgery.

With a comprehensive yet straightforward approach, billions of opioid pills can be erased from our medicine cabinets, homes and communities.

625% triangle-sm-up

increased risk of opioid overdose with two prescription fills in a home within 6 months

Together we pledge to end this.

THE PROBLEM

First dose prevention is particularly important at key gateways to opioid exposure for patients, families and communities.

SURGERY is a key gateway:

9 in 10

patients receive opioids
after surgery

6-10%

of patients become opioid dependent after surgery

70-80%

of patients have leftover
opioids
after surgery

4 of 5

illegal opioid users began
with prescription
opioids
, either their own or someone else’s

2 OF 3

teens abusing prescription pain meds say they get them from family or friends.

THE SOLUTION

Goldfinch Health - Prepared for surgery tool kit

The Billion Pill Pledge program, powered by Goldfinch Health,
is designed to support community hospitals in enhancing surgical care to best in class protocols and educating on alternate pain management approaches called Enhanced Recovery.

As a part of this program, patients will have access to a Goldfinch nurse navigator who are experts in surgery and recovery. Patients will receive a Prepared for Surgery Tool Kit before surgery. This kit includes a number of items key to optimizing a patient’s surgery experience. Goldfinch nurses will also support patients during the critical period before and after surgery to help increase the use of opioid minimizing surgery protocols.

A 3-Pronged Approach to Pain Management

  1. 1

    Education and implementation support to providers for delivery of care according to opioid-minimizing Enhanced Recovery protocols

  2. 2

    Personalized pain management - emphasizing alternatives to opioids provided before the procedure even begins and on a scheduled basis after the operation - to improve patient outcomes and reduce exposure to opioids

  3. 3

    Appropriate and convenient disposal of leftover opioids after surgery

The program helps hospitals overcome implementation challenges and establish a new baseline of optimized approaches.

3X MORE EFFECTIVE

Ibuprofen and acetaminophen used together are 3x more effective at treating pain than commonly-used opioids (like Percocet)

Implementation of such practices have been shown to improve patient outcomes, save healthcare costs, and dramatically reduce the need for opioid pain medications after an operation.

Together we pledge to be better.

BPP DIRECTORY

Where do patients go to determine if their hospital or provider will be providing opioid-minimizing surgery?

Historically, there has been no such directory available to help drive decisions in care. However, the Billion Pill Pledge has created the first of its kind directory of opioid minimizing surgical providers across the state to better inform patients, family members and employers/payers.

Map Legend

BPP Certified marker

BPP Certified

Hospital has implemented Enhanced Recovery protocols and opioid prescribing in alignment with Johns Hopkins guidelines, and has achieved opioid refill rates under 10%.

BPP Implementing marker

Implementing

Hospital has signed a Letter of Understanding (LOU) and initiated the process to become BPP Certified.

BPP Declined marker

Declined Implementation

Hospital has indicated it does not wish to participate.

THE PLEDGE

With the involvement of Healthcare Providers and Patients, we can do this!

We all have the ability to impact and drive opioid first dose prevention. Through more widespread adoption of clinically-validated, opioid-minimizing Enhanced Recovery care pathways and thoughtful opioid prescribing, we can reduce the number of opioid pills in our homes and communities by a billion pills per year.

Sign the PLEDGE!

I Pledge to help our communities thrive by doing my part to reduce the number of opioid pills in our homes and in our medicine cabinets.

  • Adopt Enhanced Recovery based care, including multimodal analgesia, to treat pain better while minimizing opioids.
  • Provide education to patients about appropriate expectations for pain and pain management after surgery.
  • Prescribe opioids thoughtfully post-surgery, according to industry guidelines, to reduce the number of leftover opioids in my patients’ medicine cabinets.
Signed:
By submitting this form, you authorize a representative from Billion Pill Pledge to contact you by phone or email.

I Pledge to help our communities thrive by doing my part to reduce the number of opioid pills in our homes and in our medicine cabinets.

  • Ask my healthcare providers about surgical protocols that shorten recovery time and minimize opioid use by using this checklist.
  • Advocate to my doctors about thoughtful opioid prescribing after surgery to reduce the number of leftover opioids in my medicine cabinet.
  • Request from leaders at my company and community that programs be made available to help patients like me better find their way through surgery and recovery.
Signed:
By submitting this form, you authorize a representative from Billion Pill Pledge to contact you by phone or email.

Together we can create action.

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