Transcript Controlled Substance and Drug Diversion Training

Controlled Substance and Drug
Diversion Training
Tracy Hendershot, MD
President-Elect -- WVAFP
Allopathic and Osteopathic Physicians
and Physician Assistant Requirements
- Requirement began May 2014
- Unless a PHYSICIAN has completed a wavier attesting that
they have not prescribed, administed or dispense a CS during
the entire previous reort period OR
- PHYSICIAN must complete a minimum of 3 credit hours of Drug
Diversion and Best Practice Prescribing of CS Training,
APPROVED by their respective licensing board prior to their 2
year renenwal
- PHYSICIAN ASSISTANT must be appropriate license under their
supervision PHYSICIAN
Reference: WV Code 30- 1-7a and Legislative Rules
11CSR6 and 11CSR1B.
Pharamcist
• Q. Do I still need to complete the "End of Life Care"
CPE that was mandatory for all first time license
renewals?
A. No, the end of life CPE requirement was deleted
from the law. The statute now requires the Drug
Diversion CPE each reporting period. So, you will have
to get 3 hours of this CPE every 2 years going forward
as part of your 30 hours, but end of life care is no longer
required.
WV Prescription Drug Monitoring Program
Registering with BOP
WV PDMP
When to Use It
– Authorized prescribers writing
prescriptions for controlled
substances are required to access
and query the Board of Pharmacy
Controlled Substance Monitoring
Database for a specific client prior to
writing a prescription for a controlled
substance.
Code Chapter 60A-9-4
Required Information
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
The name, address, pharmacy prescription number and Drug Enforcement Administration
controlled substance registration number of the dispensing pharmacy or the dispensing
physician or dentist;
The full legal name, address and birth date of the person for whom the prescription is
written;
The name, address and Drug Enforcement Administration controlled substances
registration number of the practitioner writing the prescription;
The name and national drug code number of the Schedule II, III, and IV controlled
substance dispensed;
The quantity and dosage of the Schedule II, III and IV controlled substance dispensed;
The date the prescription was written and the date filled;
The number of refills, if any, authorized by the prescription;
If the prescription being dispensed is being picked up by someone other than the patient
on behalf of the patient, the full legal name, address and birth date of the person picking up
the prescription as set forth on the person’s government-issued photo identification card
shall be retained in either print or electronic form until such time as otherwise directed by
rule promulgated by the board of pharmacy; and
The source of payment for the controlled substance dispensed.
Code Chapter 60A-9-4
Required Information
(d) Reporting required by this section is not required
for a drug administered directly to a patient by a
practitioner. Reporting is, however, required by this
section for a drug dispensed to a patient by a
practitioner: Provided, That the quantity dispensed
may not exceed an amount adequate to treat the
patient for a maximum of seventy-two hours with no
greater than two seventy-two-hour cycles dispensed
in any fifteen-day period of time.
REQUIREMENTS PRIOR TO
DISPENSING OR PRESCRIBING
CONTROLLED SUBSTANCES
•
If less than 50% of your
patients are on controlled
substances for chronic
non-malignant pain, you
are responsible for
following the 7 national
guidelines, developed by
the Federation of State
Medical Boards, that
support rational and
transparent opioid
prescribing
1)
2)
3)
4)
Patient evaluation (H&P)
Creating a Treatment Plan
Informed Consent
Periodic Review (file BOP
report in chart annually)
5) Referral & Pain
Management
6) Documentation
7) Compliance with State
Laws
WV Code 16- 5H-1
• Defines and establishes operational guidance,
training and ownership requirements for Pain
Management Clinics
Pain Management Clinics
• If more than 50% of
your practice patients
are on controlled
substances for chronic
non-malignant pain,
you will be required to
becomes licensed as a
Pain Management
Clinic.
• Code Chapter
16-5H
Licensed by:
-DHHR
-Secretary of
State
-State Tax
Department
Inspection required
prior to licensing
Pain Management Clinics
WV Code Chapter 16-5H-4
-Must have a designated physician who shall:
(A)Have a full active license to practice medicine, surgery or
osteopathic medicine or surgery in this state
(B)Meet one of the following training requirements:
(i) Complete a pain medicine fellowship accredited by the
ACGME or other similar program approved by the
Secretary of WVDHHR
(ii) Hold board certification by the American Board of Pain
Medicine or current board certification by the American
Board of Anesthesiology or such other board certification
as may be approved by the Secretary of WVDHHR
Pain Management Clinics
• EXEMPTIONS:
- Facility affiliated with an accredited medical
school
- Hospital licensed in WV or facility located on the
campus of a licensed hospital
- Hospice program
- Nursing home
- Ambulatory Surgery Center
- Clinical Research Facility
Hydrocodone Combo
Products
Source: http://www.aafp.org/news/health-of-the-public/20140917hcps-sked2.html
WV 2015 Session
• Relates to opioid antagonists (SB 335, SB 231, HB
2009)
• Overdose Prevention Act (SB 18, SB 230, HB 2045)
• Permits certain optometrists, APRNs and
PAs to prescribe Schedule II
hydrocodone combination drugs for up to
three days (SB 428, HB2776)
• Permits school nurses to possess and
administer opioid antagonists (SB 497)
FDA APPROVED ER/LA
https://rems.community360.net/default.aspx