SafetyNewsAlert.comStates try to reduce prescriptions of painkillers for worker

States try to reduce prescriptions of addictive painkillers for injured workers

September 13, 2012 by Fred Hosier
Posted in: Alcohol/drugs, In this week's e-newsletter, Injuries, Latest News & Views, Workers' comp


Here’s a frightening statistic: Nearly a third of the prescriptions Ohio’s state insurance fund for injured workers paid for last year were for addictive painkillers. Now Ohio is joining other states in trying to reverse this trend. 

Drug overdoses are now the leading cause of accidental death in Ohio and many other states, a trend experts attribute to the increase in painkiller addiction.

Ohio’s Bureau of Workers’ Compensation (BWC) has seen a 37% increase in the use of such drugs in the past 10 years.

The BWC’s pharmacy director, John Hanna, says the agency is part of the problem because some of its patients have been mistreated by prescribing physicians.

Hanna says the BWC has 7,000 injured workers taking doses of painkillers, often opiates, at levels that meet the definition for being physically dependent on the drugs.

Overzealous marketing of painkillers and doctors who prescribe them too readily are also part of the problem, according to Hanna.

To reverse this trend, Ohio is restricting the drugs that doctors can prescribe after treatment for the initial pain after a workplace injury.

It may be working. From February to April, the BWC marked a 12% drop in patients receiving the most powerful narcotic painkillers.

A statement from the BWC says its main purpose is still to get employees back to their jobs quicker, and over-prescribed opiates stand in the way of that goal.

Ohio’s not alone in this. In Washington state, the workers’ comp agency enacted dosage guidelines in 2010 to combat this problem.

Has the increase in prescriptions for powerful painkillers affected your workplace? What’s the solution to reverse this trend? Let us know what you think in the comments below.

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  • sheralroh

    This is good. I had an injured worker with a broken pinky finger get hooked on Oxy which resulted in him being combative during the WC process. He eventually acknowledged he had a problem with the Oxy and went to rehab. He worked with my company for another year or so and finally quit because he was having problems with injuries received while serving in Afghanistan (2 tours). He was working with the Veterans Administration, as well as with Kaiser Permanente; getting different medications from each facility. He apparently took his medication one night before going to bed and died in his sleep because he had accidently over-dosed. He was 34 years old and his wife was 3 weeks away from having their first baby. So very sad. So Hell Yes… control the addictive medication given to anyone, not just injured workers. However, I do think the decision should be the doctor’s alone with no influence from outside sources.

  • Tim

    Some folks may need the higher pain killers, however, I have witnessed over prescribing by ER doctors just to get the person out of the ER. Had one employee prescribed 3 days of Vicodine and 3 days off work for a simple blood blister to his finger when he got it pinched. If that’s not over prescribing, what is?

  • Guest

    Great. A worker in true pain will not be able to get a strong enough pain killer. He will then blame his employer who he sees as one in the same as the WC carrier.

    This is bad. Nothing like having unaccountable bureaucrats making medical decisions on behalf of Dr’s with degrees/licenses and patients with injuries/symptoms.


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