NYSHFA/NYSCAL 16 th Annual Nurse Leadership Conference. Timothy J. Dewey Sr. Investigator NYS Bureau of Narcotic Enforcement.

Transcription

1 NYSHFA/NYSCAL 16 th Annual Nurse Leadership Conference Timothy J. Dewey Sr. Investigator NYS Bureau of Narcotic Enforcement May 2,

2 May 2, Bureau Overview

3 May 2, HISTORY Bureau of Habit Forming Drugs Department of Narcotic Drug Control Bureau of Narcotic Control Bureau of Narcotic Enforcement Bureau of Controlled Substances Bureau of Narcotic Enforcement

4 May 2, Bureau of Narcotic Enforcement Investigations & Enforcement Regulatory Compliance (Licensing and Drug destruction) Public Health Initiatives Data Management & Analysis (PMP) Medical Marijuana

5 May 2, Bureau of Narcotic Enforcement Narcotic Investigations Conducts investigations, inspections, outreach Partners with law enforcement and regulatory agencies Regulatory Compliance Issues licenses, certifications, and permits

6 May 2, Bureau of Narcotic Enforcement Public Health Initiatives & Administration Administers Official Prescription Program, Prescription Monitoring Program (PMP), Electronic Prescribing Mandate, Mandatory Provider Training and grants Conducts education and outreach Helps formulate policy and regulations Data Analysis Reviews incoming data to ensure timeliness and accuracy Works with IT on all new initiatives Conducts data analysis for Bureau initiatives

7 May 2, Bureau of Narcotic Enforcement Medical Marijuana Oversight on producers and dispensaries Oversees Training and education Maintains the Medical Marijuana ID Card Registry

8 May 2, Scope There were 43,982 drug overdose deaths in the United States in Of these, 22,767 (51.8%) were related to prescription drugs. 16,235 (71.3%) involved opioid painkillers, and 6,973 (30.6%) involved benzodiazepines.

9 May 2, Scope In 2016 there were 64,070 Overdose deaths in the United States. Sharpest increase deaths from Fentanyl and Fentanyl over 20,000 deaths associated.

10 May 2, Connection

11 May 2, Street Drugs vs Prescriptions - Better Potency - Consistency - Purity - Availability - Resale Value - Perception of Lawfulness

12 May 2, Street Prices Hydromorphone $50-$100 Valium $2.00-$6.00 Alprazolam $2.00 Methadone $1.00/mg Secobarbital $6.00 Methylphenidate $4.00-$8.00 Hydrocodone $1.00-$5.00 Oxycodone $20- $80 ($1.00/mg) Oxymorphone $1.00/mg Fentanyl Patch $20 - $75 Buprenorphine (Suboxone) $25-$35

13 May 2, Profit Example Roxicodone Pharmacy Cost Per Tablet = $1.45 Consumer Cost Per Tablet = $1.63 Street Cost Per Tablet = $30

14 May 2, Profit Example Roxicodone #240 Tabs $ Drugs + $ Provider Visit = $ Street Sales #240 X $30 = $7,200

15 May 2, Trafficking Investigations Theft and Unlawful Sale of Drugs & Prescriptions Forgery Rings Doctor Shoppers Impairment Impairment of Practitioners, Pharmacists, Nurses, Technicians, EMT S

16 May 2, Investigations Institutional Diversion Thefts False Entries in Patient Charts Drug Substitution Patient Endangerment

17 May 2, Who Diverts? All facets of society; prescription drug abuse knows no social or economic boundaries. Rule of thumb: All you need is a prescription or know someone with one. It s estimated that more than 100,000 physicians, nurses, pharmacists, techs and other healthcare employees are drug addicts, according to federal data. Studies estimate that 1 in 10 healthcare workers have suffered from substance abuse during their lives.

18 May 2, Loss Requirements Report all losses to DOH via DOH Form 2094 Loss of Controlled Substances Report. - DEA Requires 106 Report on significant Losses. Get BNE or Law Enforcement involved early. Records reviews Secure any evidence. Interview and take statements early and keep good notes/timelines. Verify Verify Verify

19 NYS BNE 100 Washington Street, Suite B-18 Elmira, New York May 2, Bureau of Narcotic Enforcement Timothy J. Dewey, Senior Investigator (607) Office (607) Fax Website:

20 May 2, Questions?