Skip Navigation

A longtime leader in healthcare improvement, we’re developing new ways to revolutionize the industry.

We deliver transformative solutions that power real results. See how we can help.

Optimizing Supply Chain
Integrating Pharmacy
Maximizing Value-Based Care
Awards and Recognition

Transforming healthcare is more than our objective, it’s in our DNA. We’re dedicated to ensuring better health is just the beginning.


Guided by our values, our employees work every day to make meaningful differences in healthcare. At the core of what we do is our most valuable resource - our people. Learn more about us.

Board of Directors
Speakers Bureau

Premier is more than a GPO. Combining robust analytics with consulting and advocacy, we’re changing the healthcare landscape for the better.

Collective purchasing power lowers costs across your organization.

Intelligence plus unparalleled analytics equals data-driven solutions.

It’s only impossible until it’s not. Premier and our team of experts are transforming care delivery.

Work with Premier members to lower costs, improve quality and safety and succeed in value-based care.

A voice for better healthcare policy is a voice for you.

Working closely with our members, we’re developing products and services to solve your most complex challenges.

Lower costs, greater efficiencies and a healthier bottom line.

Proven practices that result in better outcomes.

Intersecting specialty drugs with better management and data-driven best practices.

Controlling your future with integrated care delivery practices.

More savings and ROI is a win-win.

Data diving to deliver insights you can act on.

Supporting healthcare transformation through the generation of real-world evidence.

Working closely with our members, we're developing products and services to solve your most complex challenges.

Discover what leading healthcare providers are achieving through Premier membership.

Stay informed with our white papers, webinars and e-books.

Browse our blog for a taste of what’s new and what’s next in healthcare.

Premier’s perspectives have been solicited by nationally renowned publications. Read on.

Read Premier’s latest announcements.

Catch our policy statements and perspectives on the latest in DC.

Compelling stories from the front lines of America’s health systems.

The proactive, predictive and behind-the-scenes insights you need to stay ahead in healthcare delivered monthly to your inbox.

PINC AI™ Data: Urgent Hospital Care for Opioid Use Disorders Varies Heavily by State


Key Takeaways:

  • Serious opioid use disorders (OUDs) that require emergency department (ED) care and subsequent inpatient or outpatient care are not evenly distributed across the states.
  • Fourteen states and the District of Columbia provided emergency care for a larger percentage of patients with OUD than the national average.
  • New Mexico (7.09 percent) and New Jersey (5.54 percent) had the highest proportion of hospital inpatient visits with OUD diagnosis, followed by Washington, Oregon, Massachusetts, Maryland, Connecticut, West Virginia and Arizona.

New data from PINC AI™ Applied Sciences (PAS) shows that the prevalence of opioid use disorder (OUD) is not evenly distributed across states.

Across the country, PINC AI™ data shows about 2.28 percent of ED inpatient admissions had OUD diagnoses. However, in New Mexico, the percentage of inpatients with OUD was nearly triple the national average at 7.09 percent. In New Jersey, the percentage was about two times higher than the national average, while states like Washington, Oregon, Massachusetts and Maryland had percentages nearly double the national average.

Additionally, 14 states and the District of Columbia provided emergency outpatient care for a larger percentage of patients with OUD than the national average of 0.58 percent with New Jersey having the highest proportion of 2.29 percent.

States with higher-than-average OUD encounters are more likely to serve a higher population of patients living in poverty (defined as those living below the poverty line and qualifying for Medicaid, the uninsured and/or homeless) and indigenous people, which have the highest prevalence of OUD-related healthcare needs.


States in bold treated a higher percentage of OUDs than the national average. Note: There was insufficient data to determine the prevalence of OUDs in Idaho, Maine, New Hampshire, Rhode Island, Utah and Vermont.

Behind the Numbers: A Nation in Crisis

OUD is a complex illness characterized by chronic, compulsive pattern of opioid drug use even when the person wants to stop, or when using the drugs creates physical impairment and/or distress.

Though opioids can be prescribed by a doctor to treat pain, misuse of opioids (including morphine, codeine, oxycodone, hydrocodone, fentanyl and heroin) may lead to an opioid use disorder. According to the U.S. Centers for Disease Control, more than 932,000 people have died since 1999 from a drug overdose, and nearly 75 percent of drug overdose deaths in 2020 involved an opioid.

The devastating effect of OUD on individuals, families, society and healthcare system led to the declaration of the opioid crisis as a public health emergency by the U.S. Department of Health and Human Services in 2017.

How Leading Health Systems are Innovating for Change

Leading hospitals are taking control of the OUD epidemic situation in various ways.

  • Advocating for solutions. Premier and its members are strong advocates for improving regulations and policies to help tackle the opioid epidemic, including legislation to remove limits around care coordination for addiction. For example, the passage of the Overdose Prevention and Patient Safety Act in June 2018 is paving the way to modernize a 40-year-old regulation that has impeded healthcare providers' ability to diagnose, treat and prevent addiction and other opioid-related disorders.
  • Using high-quality services and solutions to support better pain management practices. By understanding which products most safely and effectively help patients recover from pain and prevent addiction, hospitals can ensure their patients receive the right care from the onset. Using learnings from its members, Premier developed a Safer Pain Management Toolkit that provides easy-to-access information and an aggregated inventory of products, solutions and resources that support pain management methods to improve patient safety.
  • Applying business intelligence to understand how these patients are cared for in the hospital. Hospital data that shows opioid visits, utilization and prescribing practices in various units, and especially the emergency department (ED), can help providers understand where they have opportunities to build new care models for these patients. PAS conducted an analysis looking at these factors in the ED across nearly 750 hospitals to understand national trends, affected populations and national costs of treatment.
  • Leveraging technology to monitor and track patients in real time. Technology makes it easier than ever to monitor patients’ statuses across units, even between in-person clinical rounds, to help prevent adverse outcomes. For example, medication surveillance solutions can fire real-time alerts when a patient receives a potentially high-risk drug or a drug that could cause a dangerous interaction. Also useful are clinical decision support tools, which help clinicians select the correct dosage and duration of drugs, and solutions that monitor patients who are prescribed high-dose, extended-release opioids, to help screen for signs of overdose.

There is an urgent need to provide health systems and emergency caregivers with frontline solutions to stem the tide of opioid addiction in our communities. Providers leveraging these best practices are creating focused initiatives to reduce pain management and addiction specifically for the patients who need them.


Leveraging the largest hospital discharge database in the U.S., the PINC AI ™ Healthcare Database (PHD), data scientists analyzed all discharges for ED outpatient visits and inpatient admissions occurred during Q1 of 2017 and Q1 of 2022. OUD was defined as having a principal or secondary discharge diagnosis of opioid abuse (ICD-10 diagnosis codes: F11.2 percent), opioid dependence (ICD-10 diagnosis codes: F11.2 percent), or unspecified opioid use (ICD-10 diagnosis codes: F11.9 percent) disorder. Prevalence of OUD was estimated for ED outpatient visits and inpatient admissions separately. Mean total cost of care was also reported for ED outpatient visits and inpatient admissions separately by OUD status. National estimates were created by leveraging prevalence and cost estimates from the PHD analysis and the total number of ED outpatient visits reported from the 2018 National Hospital Ambulatory Medical Care Survey and the total number of inpatient visits from the 2020 American Hospital Association Annual Survey.  

Read the additional blogs in the PINC AI™ opioids data series:
Login Register Change Registration