Thursday, October 19, 2017

CMA

PHYSICIANS: Did You Receive a Letter From the Medical Examiner’s Office?

You may have received a courtesy communication from the San Diego County Medical Examiner Office to let you know that your patient died and that prescription overdose contributed to the death. The intent of the letter is informational as well as educational. Following are informational items:

  1. CURES Registration: Click Here 
  2. CURES Access: Click Here
  3. CDC Guidelines for Prescribing Opioids for Chronic Pain: Click Here
  4. CDC Checklist for Prescribing Opioids for Chronic Pain: Click Here
  5. Tips on How to Safely Taper Patients Off of Prescription Opioids: Click Here
  6. Clinical Consultation Center for providers by providers for recommendations on individual difficult cases: Monday–Friday • 7am–3pm • (855) 300-3595 • Click Here
  7. SAMHSA Medication-Assisted Treatment Physician Locator: Click Here
  8. "The Art and Science of Tapering" by Dr. Andrea Rubinstein, Pain Specialist: Click Here
  9. San Diego Addiction treatment Resource: Addiction Treatment: 211
  10. San Diego Addiction Treatment Resource: Crisis Line for San Diego County Addiction Services: (888) 724-7240
  11. Naloxone Provider Guide Click Here
  12. Naloxone Patient Guide: Click Here
  13. ME Study Results: Click Here
  14. One San Diego Principles for Safe Prescribing: Click Here


San Diego Safe Prescribing:

Introduction

Friday, September 13, 2013, News Conference:

 

The San Diego and Imperial County Prescription Drug Abuse Medical Task Force is a coalition of medical leaders who have joined efforts to reduce deaths and addiction due to prescription drugs. The number one cause of unintentional deaths in San Diego County is from unintentional drugs deaths. Almost one person a day in our county dies from this preventable cause.

The task force includes pain specialists, internal medicine physicians, emergency physicians, psychiatrists, dentists, pharmacists, hospital administrators, health department administrators, and our local DEA. The task force also includes broad health partners, including Kaiser Permanente, Scripps Health, Sharp HealthCare, UC San Diego Health System, Palomar Health, and the Community Clinics.

The task force encourages all medical practitioners to use the materials provided to improve patient care.

The documents listed are officially endorsed by the:

Provider Guidelines for Anyone Who Prescribes Controlled Substances

We encourage all practitioners who prescribe pain medications to review these guidelines (right-click link to download document directly to your computer). They include information for acute and chronic prescribing, weaning, accessing CURES, working with DEA, and educational materials. This document is endorsed by the County of San Diego Health & Human Services Agency, the Imperial County Public Health Department, the San Diego County Medical Society, and the Hospital Association of San Diego and Imperial Counties.

Guidance for Dispensing Controlled Prescriptions • Developed for www.SanDiegoSafePrescribing.org by the Prescription Drug Abuse Task Force Pharmacy Committee

Pharmacy Clinical Calling Guidelines for Controlled Medications

Health Plan Rx "Safe Prescribing" Guide

From the Centers for Disease Control and Prevention:

What You Need to Know About CURES

What Is CURES?

The Controlled Substance Utilization Review and Evaluation System (CURES) is a database containing information on Schedule II through IV controlled substances dispensed in California. It is a valuable investigative, preventive, and educational tool for the healthcare community, regulatory boards, and law enforcement.

Who Should Use CURES?

It is highly recommended that each provider check CURES before writing a prescription for controlled substances. There is a learning curve to using this website, but once you learn how, it will take you less than one minute to learn a great deal about your patients. By checking CURES you can find out:

  1. If your patient is not getting enough medication
  2. If your patient has other doctors, and prescriptions should be coordinated
  3. If your patient is getting extra medications that you are not aware of
  4. The dosing and type of prior medications
  5. The names of other providers

California County-by-County CURES Data: Click Here

Patient Medication Agreement

Patients who require controlled medication for more than three (3) months should have a Patient Medication Agreement. Patients who need long-acting opioids also meet the definition of chronic pain and warrant a pain agreement. The agreement sends an important message to both the patient and the provider that the medications can be dangerous and that there are laws and regulations related to these prescriptions. The agreement does not protect from liability.

The Prescription Drug Abuse Medical Task Force has created two versions of the Patient Medication Agreement that can be used for opioids, benzodiazepines, stimulants, or any controlled substance. The long version is two pages and the short version is one page. The San Diego County Medical Society, Imperial County Medical Society, Hospital Association of San Diego and Imperial Counties, County of San Diego Health & Human Services Agency, and Imperial County Public Health Department endorse the agreements. 

Note: Right-click Links Below to Download Documents Directly to Computer

Safe Pain Medication Prescribing in Emergency Departments

This document has been endorsed by all the emergency departments in San Diego and Imperial counties, as well as the Hospital Association and Health Departments. The document has undergone health literacy and reads at a sixth-to-seventh-grade level. We ask that every emergency department give a copy of these guidelines at discharge (or after a screening exam) to EVERY patient that comes to the emergency department. This can be part of the general discharge instructions given to patients.

Note: Right-click Links Below to Download Documents Directly to Computer

Got Copies? How to Print Handouts:

  • Handouts Are 5½" x 8½", Double-sided
  • Print Two on One 8½" x 11" Page and Cut for Two Copies
  • 80# Gloss Coated Book
  • Offset Printed 4 Over 4 With UV Coating on Both Sides

Sheriff Department Print Shop: The Law Enforcement Partners of the Prescription Drug Abuse Task force provided a three-month supply of handout to each emergency department at no cost. You may use your own printer for future copies. The San Diego Sherriff Department is able to make limited copies for nonprofit organizations — contact Joe Jack at Joseph.Jack@sdsheriff.org (50,000 for $1,227).

Safe Pain Medication Prescribing in Urgent Cares

This document has been endorsed by the County of San Diego Health & Human Services Agency and the Imperial County Public Health Department, as well as the Hospital Association of San Diego and Imperial Counties. All emergency departments in San Diego and Imperial counties have agreed to distribute a similar document to all patients at discharge. The document has undergone health literacy and reads at a sixth-to-seventh-grade level.

Note: Right-click Links Below to Download Documents Directly to Computer

Got Copies? How to Print Handouts:

  • Handouts Are 5½" x 8½", Double-sided
  • Print Two on One 8½" x 11" Page and Cut for Two Copies
  • 80# Gloss Coated Book
  • Offset Printed 4 Over 4 With UV Coating on Both Sides

Sheriff Department Print Shop: The Law Enforcement Partners of the Prescription Drug Abuse Task force provided a three-month supply of handout to each emergency department at no cost. You may use your own printer for future copies. The San Diego Sherriff Department is able to make limited copies for nonprofit organizations — contact Joe Jack at Joseph.Jack@sdsheriff.org (50,000 for $1,227).

Safe Prescribing Guideline Participants

The following emergency departments and urgent cares have made commitments to follow the Safe Prescribing Guidelines. This means that the providers are educated and follow the guidelines and that patients are provided with these guidelines.

Please contact the San Diego County Medical Society for additional information and to be included in this list.

  • Alvarado Hospital
  • Arch Health Partners
  • Camp Pendleton Emergency Department
  • El Centro Hospital
  • Fallbrook Hospital
  • Kaiser Hospital
  • Kaiser Urgent Care Clinics
  • Naval Medical Center
  • Palomar Downtown Hospital
  • Palomar West Hospital
  • Paradise Valley Hospital
  • Pomerado Hospital
  • Rady Children's Hospital
  • Scripps Chula Vista Hospital
  • Scripps Encinitas Hospital
  • Scripps Green Emergency Department
  • Scripps La Jolla Hospital
  • Scripps Mercy Hospital
  • Scripps Urgent Cares (four locations)
  • Sharp Chula Vista Hospital
  • Sharp Community Urgent Care
  • Sharp Grossmont Hospital
  • Sharp Memorial Hospital
  • Tri-City Medical Center
  • UC San Diego Health System, Hillcrest
  • UC San Diego Health System, La Jolla
  • Urgent Care & More 
  • VA Hospital Medical Center

Educational Materials for Practitioners

Note: Right-click Links Below to Download Documents Directly to Computer

Educational Opportunities for Practitioners

"The Last Line of Defense in the Healthcare Team" — California Pharmacists Opioid Safety Training: More than 2,000 people in California die every year from overdoses related to opioids. Pharmacists are literally the last line of defense in the healthcare team. Click here to register for this one-hour CME class for pharmacists on safe dispensing of opioid medications. You’ll learn more about the extent of the opioid epidemic; how to identify red flags in handling opioid prescriptions; details about the CURES 2.0 registration requirements; and regulations about furnishing Naloxone and more.

Free Online CME Opportunity, Recommended on the California Medical Board Website: Click Here

Patient and Community Resources

Note: Right-click Links Below to Download Documents Directly to Computer

Relevant Reports & Articles

Note: Right-click Links Below to Download Documents Directly to Computer

 

Prescription Drug Abuse Medical Task Force Newsletters

March 2017

 

 

 

 

 

 

 

January 2017

 

 

 

 

 

 

 

April 2016

 

 

 

 

 

 

 

January 2016: Pages 1–3Pages 4–5

 

 

 

 

 

 

 

July 2015

 

 

 

 

 

 

 

April 2015

 

 

 

 

 

 

 

January 2015

 

 

 

 

 

 

 

October 2014

 

 

 

 

 

 

 

July 2014

 

 

 

 

 

 

 

March 2014

 

 

 

 

 

 

 

Fall 2013

 

 

 

 

 

 

 

 

Summer 2013

 

 

 

 

 

 

 

May 2013


 

 

 

 

 

 

Naloxone

Note: Right-click Links Below to Download Documents Directly to Computer

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