Side Effects of the Prescription Drug Epidemic Health Care Providers and the DEA s Good Cop/Bad Cop Role
|
|
- Alexander Lawrence
- 5 years ago
- Views:
Transcription
1 Side Effects of the Prescription Drug Epidemic Health Care Providers and the DEA s Good Cop/Bad Cop Role July 25, :00 p.m. 1:00 p.m. Central Web Seminar
2 Continuing Education Information We have applied for one hour of California, Texas and Virginia CLE and New York non-transitional CLE credit. Newly admitted New York attorneys may not receive non-transitional CLE credit. For attendees outside of these states, we will supply a certificate of attendance which can be used to apply for CLE credit in the applicable bar or other accrediting agencies. Fulbright will supply a certificate of attendance to all participants that: 1. Participate in the web seminar by phone and via the web. 2. Complete our online evaluation, which we will send to later today. 2
3 Administrative Information Today s program will be conducted in a listen-only mode. To ask an online question at any time throughout the program, simply click on the question mark icon located on the tool bar. We will try to answer your question during the session if time permits. Everything we say today is opinion. We are not dispensing legal advice, and listening does not establish an attorney-client relationship. This discussion is off the record. Anything we say cannot be quoted without our prior express written permission. 3
4 Speakers Rick Robinson Partner Washington, D.C Ron Buzzeo, RPh Chief Compliance Officer Cegedim Compliance Solutions Machelle Neal Compliance Director Cegedim Compliance Solutions 4
5 Rick Robinson Head of Fulbright s Washington Health Care Practice Co-Chair of Fulbright s Life Sciences Practice Group 5
6 Ron Buzzeo, RPh Chief Compliance Officer, Cegedim Compliance Solutions Powered by BuzzeoPDMA Founder BuzzeoPDMA Retired Deputy Director, Drug Enforcement Administration, Office of Diversion Control 6
7 Machelle Neal Compliance Director, Cegedim Compliance Solutions Powered by BuzzeoPDMA State regulatory liaison 7
8 AGENDA Pharmaceutical Drug Diversion Regulatory Requirements Registration Recordkeeping and Inventory Requirements Reporting Thefts and Significant Losses Physician and Hospital Practice Issues Diversion Surveillance and Prevention Programs Regulatory Impact
9 Pharmaceutical Drug Abuse in the United States
10 Drug Abuse Environment Prescription Drug Abuse a major health care concern Report November 2011 Centers for Disease Control and Prevention More people die from prescription drug abuse than from heroin abuse. Fourfold increase in drug overdose deaths from prescription drug abuse in the last decade.
11 Drug Abuse Environment HB 7095 State of Florida July 2011 Multiple restrictions relating to the control and dispensing of narcotic controlled substances State Health Officer Dr. Frank Farmer characterized the dispensing of controlled substances in Florida as a public health emergency.
12 Drug Abuse Environment May 2011 DEA Administrator Michele Leonhart in testimony before the Senate Sub-Committee on Crime and Terrorism re: the prescription drug epidemic Monitoring the Future Hydrocodone is frequently abused by high school seniors 8% of whom reported non-medical use of prescription drugs during the past year On average to 17 year olds abuse a pain medication every day.
13 Rates of Painkiller Sales, Deaths, and Treatment Admissions SOURCES: National Vital Statistics System, ; Automation of Reports and Consolidated Orders System (ARCOS) of the Drug Enforcement Administration (DEA), ; Treatment Episode Data Set,
14 ARCOS Per Capita Distribution SOURCE: Automation of Reports and Consolidated Orders System (ARCOS) of the Drug Enforcement Administration (DEA), 2010
15 Drug Overdose Death Rates by State
16 National Forensic Laboratories System
17 Regulatory Requirements
18 DEA Regulatory Requirements DEA Registration / Coincident Activities Physician PA / NP Clinic Hospital / Campus Record keeping Receiving Distribution Administration, Dispensing Prescriptions
19 Inventory Biennial Annual Regulatory Requirements Reporting Thefts and Significant Losses Upon discovery within one business day Disposal
20 Institutional and Hospital Practice Issues Impacting Practitioners
21 Recent DEA Actions $50 Million Regulatory Issues Dispensing CS without a prescription signed by a practitioner Dispensing CS without an oral prescription called in by a practitioner Prescriptions missing essential elements Not properly documenting partially filled prescriptions 21
22 Recent DEA Actions $2.75 Million Regulatory Issues Internal thefts Failure to report mail delivery losses Inventory discrepancies Fictitious DEA Registration numbers DEA will continue to aggressively inspect and monitor pharmacies. 22
23 Regulatory Issues Recent DEA Actions $130K Internal thefts Lack of internal surveillance and monitoring program Inventory discrepancies Improper recordkeeping DEA investigation was conducted over a 5 year period DEA has increased enforcement and inspections of hospital practices
24 Improper Registrations Practice Issues Campus Registrations in Hospital Complexes Individual Physician Registrations in Hospital Complexes Use of Power(s) of Attorney to sign the application for registration and to give Power of Attorney to sign DEA Forms 222
25 Practice Issues Recordkeeping CSOS requirements for creating an electronic record of receipts Intercompany Transfer Documents 5% Rule Required Information SOM implications Date of dispensing for will call prescriptions
26 Practice Issues Accountability (Ability to Account for All CS) Issues Hospital Procedures Nursing stations Electronic dispensing systems OR and ER usage Drug compounding Physician Clinic Pharmacy Technician access to on hand balances
27 Thefts and Losses Practice Issues Includes unusual or excessive loss or disappearance Includes in-transit loss Reporting must be made verbally to the local DEA Office upon discover within one business day and followed up with a written report within 15 days.
28 Prescriptions Practice Issues Requirements of various practice settings Hospital vs. institutional (Long-Term Care) vs. office-based practice When is a prescription required? Medication/administration orders vs. prescriptions What is required for an emergency oral prescription?
29 Other Regulatory Issues Practice Issues DEA Biennial Inventories Will Call prescription medication Inventory format and information Failure to include all Controlled Substances Security/Storage of Controlled Substances Placement of CCTV cameras Employee Access Lack of security for storage Wasting and Disposal 29
30 Practice Issues Diversion Techniques In pharmacy Falsification of records Improper refills Drugs held for disposal Theft In hospitals Falsification of records Substitution Diversion of waste Theft In Clinic and Physician s Office Falsification of records Substitution Theft
31 Diversion Surveillance and Prevention Programs
32 Surveillance and Prevention Programs A surveillance program provides a process that monitors controlled substance product movement and dispensing throughout the registrant s environment Process provides effective controls to guard against theft and diversion Through the involvement of multiple departments and health care providers, it ensures security, compliance and accountability of controlled substance handling and administration Procedure is developed to monitor controlled substance activity and to track and trend in standardized administration and areas where pharmacy dispensing and patient administration is not direct
33 Surveillance and Prevention Programs Prevention Programs Corporate Policies Background Investigations Drug testing For cause and/or random Training for staff Internal Compliance Programs Independent Routine reviews/inspections Liaison with Diversion Officials Accountability of selected controlled substances
34 Surveillance and Prevention Programs Internal Surveillance Programs Dispensing Administration Prescriptions Automated Dispensing Systems CS Variance Investigation Reports Wasting Nurse Overrides Discrepancy Reconciliation Specialty areas
35 REGULATORY IMPACT
36 Compliance Trends DEA, US Attorney and State scrutiny is growing in all areas, particularly in Manufacturing, Distribution, R & D, and Pharmacy Companies not meeting regulatory requirements for controlled substances, prescription drugs and List I chemicals Inconsistent implementation of regulatory (DEA, PDMA and State) requirements Lack of understanding of regulatory requirements Increase inspections by DEA, States and FDA State oversight in licensing, pedigree, gift reporting, counterfeit, outdates and damaged Multi-Million dollar fines and penalties being levied $131,000,000 in fines and numerous registration actions Several large pending cases Pharmacy Manufacturer Distributor Lack of sufficient SOM / know your customer initiatives is a particular DEA hot issue
37 Overview of DEA Programs and Investigations Physician, Pharmacy, Hospital, Distributor and Manufacturer Investigations Not scheduled The DEA will use a Notice of Inspection, an Administrative Inspection Warrant or Subpoena Targeted investigations may result from ongoing diversion or other external complaints or information Typically result in administrative fines and/or penalties
38 Overview of DEA Programs and Investigations Investigative Techniques Notice of Inspection Administrative Inspection Warrant vs Search Warrant DEA Style Accountability Investigation Utilization Records Rx s Records Reports Interviews with key individuals Analysis of books and records Computer and Record Seizures
39 Overview of DEA Programs and Investigations Actions and Prosecutions Letters of Admonition Minor regulatory violations Informal (Section 510) Hearings In person meeting/memorandum of Understanding Civil Prosecution Almost always settled out of court Criminal
40 Know the Future? Expect continued pressure from DEA on all DEA registrants Expect diversion trends to continue to change Expect volume of distributions to continue as one of the primary factors that DEA considers when taking action against a distributor and manufacturer Expect DEA to obtain your SOPs, due diligence files, s, records, reports, etc to determine compliance DEA reviewing entire distribution chain and health care community
41 Continuing Education Information For those attorneys requesting New York State CLE credit for this presentation, please record the number given during the program. You will be asked to repeat this number on an online evaluation regarding the program, which Fulbright will to you later today. If you are viewing a recording of this web seminar, most state bar organizations will only allow you to claim selfstudy CLE credit. Please refer to your state's CLE rules. If you have questions regarding CLE approval of this course in your applicable bar, please contact your bar administrator. 41
42 AUSTIN BEIJING DALLAS DENVER DUBAI HONG KONG HOUSTON LONDON LOS ANGELES MINNEAPOLIS MUNICH NEW YORK PITTSBURGH-SOUTHPOINTE RIYADH SAN ANTONIO ST. LOUIS WASHINGTON, D.C FULBRIGHT [ ]
Crowe Healthcare Webinar Series
Crowe Healthcare Webinar Series Healthcare Providers Ongoing Challenges With Controlled Substances Presented by: Scott Gerard, Healthcare Risk Consulting Partner Eric Jolly, Healthcare Risk Vice President
More informationAHLA. X. Federal Enforcement of Fraud and Abuse Involving Opioid Abuse and Diversion
Fraud and Compliance Forum, October 2017. Click here to access audio. AHLA X. Federal Enforcement of Fraud and Abuse Involving Opioid Abuse and Diversion Michelle Bergholz Frazier Senior Vice President,
More informationThis Chapter Contains:
This Chapter Contains: State and Federal Laws Relating to Controlled Substances and Other Medications Drugs Used in Animal Shelters Acquiring Controlled Substances Record Keeping of Controlled Substances
More informationChanges to the Eighth Edition
Pharmacy Practice and the Law, Eighth Edition Includes Navigate 2 Advantage Access By Richard R. Abood, BS Pharm, JD-Professor Emeritus Pharmacy Practice, Thomas J. Long School of Pharmacy and Health Sciences,
More informationChallenges for U.S. Attorneys Offices (USAO) in Opioid Cases
Challenges for U.S. Attorneys Offices (USAO) in Opioid Cases Overview On August 2, 2017, U.S. Attorney General Jeff Sessions announced a pilot program whereby a new federal data analysis program is being
More informationUse of Controlled Substances in Research.
3341-7-09 Use of Controlled Substances in Research. Applicability Faculty and staff who hold federal Drug Enforcement Administration (DEA) licenses to use controlled substances for research purposes. Responsible
More informationUNIVERSITY POLICY. Revised: Contact:
UNIVERSITY POLICY Policy Name: Policy for Controlled Substances Section #: 90.2.3 Section Title: Compliance Approval Authority: Responsible Executive: Responsible Office: Formerly Book: President Adopted:
More informationNYSHFA/NYSCAL 16 th Annual Nurse Leadership Conference. Timothy J. Dewey Sr. Investigator NYS Bureau of Narcotic Enforcement.
NYSHFA/NYSCAL 16 th Annual Nurse Leadership Conference Timothy J. Dewey Sr. Investigator NYS Bureau of Narcotic Enforcement May 2, 2018 1 May 2, 2018 2 Bureau Overview May 2, 2018 3 HISTORY 1850--Bureau
More informationCDC s Approach to Addressing the Opioid Overdose Epidemic
CDC s Approach to Addressing the Opioid Overdose Epidemic Sarah Bacon National Center for Injury Prevention and Control Division of Unintentional Injury Prevention June 23, 2016 500,000 drug overdose deaths
More informationHEB Pharmacy Conference October 25, 2014
Texas State Board of Pharmacy Laws and Rules Update Allison Benz, R.Ph., M.S. Director of Professional Services Central Texas Society of Health-System Pharmacists Annual Seminar October 25, 2014 Texas
More informationToday s Presenters. Pills, Providers, and Problems: How to Investigate Drug Diversion in Long-Term Care
Pills, Providers, and Problems: How to Investigate Drug Diversion in Long-Term Care 203 - Monday, April 16, 2018 Today s Presenters Ben Purser Former F.B.I. Special Agent Donna Thiel ProviderTrust Chief
More informationThe Wisconsin Prescription Drug Monitoring Program
The Wisconsin Prescription Drug Monitoring Program DHS 2018 WI Opioid Forum April 12, 2018 Learning Objectives 1. How the WI epdmp supports healthcare professionals in making informed prescribing, dispensing
More informationPharmaceutical Producer Responsibility Ordinances
Pharmaceutical Producer Responsibility Ordinances SAN FRANCISCO, SAN MATEO, SANTA CLARA & MARIN COUNTIES NOVEMBER 4, 2015 WEBINAR This webinar is being recorded PLEASE BE ADVISED Information provided in
More informationThe Wisconsin Prescription Drug Monitoring Program. WI PDMP Timeline. PDMP Overview. What is a PDMP? PDMPs Across the Nation. Wisconsin.
The Wisconsin Prescription Drug Monitoring Program Wisconsin Nurses Association Jail Health Care Conference May 21, 2018 WI PDMP Timeline PDMP Overview January 2013 WI PDMP operational April 2017 WI epdmp
More informationPrescription Drug Abuse Task Force Rx Report Card
San Diego County Prescription Drug Abuse Task Force 2016 Rx Report Card October 2016 Key Measures of Prescription Drug and Heroin Problems in San Diego County. Visit www.sandiegorxabusetaskforce.org for
More informationUniversity of Pittsburgh
Learning Objectives Participants will be able to: Associate the history of prescription drug use in America with the current trend of prescription drug abuse; Differentiate between the three most commonly
More informationASPMN Conference Baltimore, Maryland
ASPMN Conference Baltimore, Maryland Prescribing Controlled Substances Managing Risk and Optimizing Outcomes September 13, 2012 Tracey Fremd, NP Tracey Fremd Consulting, Inc. Most Common Uses for Controlled
More informationLUNCH AND LEARN. January 8, CE Activity Information & Accreditation
LUNCH AND LEARN Pharmacy Law: The Ins and Outs of Controlled Substances January 8, 2016 Featured Speaker: Joseph J. Bogdan, Pharm.D., R.Ph., J.D. Pharmacist Attorney Lisle, Illinois 1 CE Activity Information
More informationPREREQUISITES: VETA 1104, VETA 1201 and MATH This class must be taken before or in conjunction with VETT 2100.
COURSE: VETT 2102 - Pharmacology for Veterinary Technicians CRN: CREDIT HOURS (Lecture/Lab/Total): 3/0/3 CONTACT HOUR (Lecture/Lab/Total): 45/0/45 INSTRUCTOR INFORMATION Name: Shawna Guidry Email: shawnaguidry@northshorecollege.edu
More information6/19/2012. Disappearing Drugs. Disappearing Drugs: Protect Yourself from Diversion. Disappearing Drugs: Protect Yourself from Diversion
Disappearing Drugs: Protect Yourself from Diversion Disappearing Drugs Mark Gann CEO Paladin Risk Control How long does diversion take? How long does diversion take? It only takes a few seconds to make
More information11/11/2015. MVAs Suicide Firearms Homicide. Where Can I Find A Copy of the PDMP Law? Why Was the Law Established? Why Was the Law Established?
Where Can I Find A Copy of the PDMP Law? Alabama Uniform Controlled Substances Act Code of Alabama 1975 20-2- (Article 10) -210 through 220 and Rules 420-7-2-.11 through.13 1 Why Was the Law Established?
More informationEnemy at the Gate: Why and How Best to Prepare for & Manage an OSHA Inspection
Enemy at the Gate: Why and How Best to Prepare for & Manage an OSHA Inspection Eric J. Conn Chair, OSHA Workplace Safety Practice at Conn Maciel Carey PLLC Eric J. Conn econn@connmaciel.com / 202.909.2737
More informationControlled Substance Prescribing and Diversion. Pamela Polk, R. Ph., Inspector DHEC Bureau of Drug Control
Controlled Substance Prescribing and Diversion Pamela Polk, R. Ph., Inspector DHEC Bureau of Drug Control In 2010, approximately 38,329 unintentional drug overdose deaths occurred in the United States,
More informationRESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO DECLARING MARCH AS PRESCRIPTION DRUG ABUSE AWARENESS MONTH
Resolution No. 14-031 Meeting Date: 03/11/2014 (29) RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO DECLARING MARCH AS PRESCRIPTION DRUG ABUSE AWARENESS MONTH WHEREAS, More deaths were
More informationACCG Mental Health Summit
ACCG Mental Health Summit Sheila Pierce, Opioid Program Coordinator Director, Prescription Drug Management Program Discussion 1. Overview Opioid Problem in GA - Video 2. DPH Opioid Program 3. Priorities
More informationPharmacy Law Disclosure Statement. Objectives 6/11/2016. I have no conflicts of interest to disclose related to this presentation.
Pharmacy Law 2016 Ronda H. Lacey, J.D., M.S. Pharm Disclosure Statement I have no conflicts of interest to disclose related to this presentation. Objectives At the conclusion of this continuing education
More information4/24/15. New Mexico s Prescription Monitoring Program. Carl Flansbaum, RPh. PMP Director New Mexico Board of Pharmacy. New Mexico and the PMP
New Mexico s Carl Flansbaum, RPh. PMP Director New Mexico Board of Pharmacy New Mexico and the PMP In 2012, New Mexico had the 3 nd Highest Overdose Death Rate in Nation.! 492 Deaths or a rate of 23.6
More informationOpioids And DEA Compliance
Opioids And DEA Compliance Don L. Bell, II Senior Vice President & General Counsel National Association of Chain Drug Stores (703) 837-4231 DBell@NACDS.org Agenda The Opioid Abuse Crisis - Distinguishing
More informationMichigan Legislative and Regulatory Pharmacy Initiatives Update
Michigan Legislative and Regulatory Pharmacy Initiatives Update Michigan Association of Health Plans Summer Conference Carrie Germain, R.Ph. Health Alliance Plan Senior Director, Pharmacy, Quality and
More informationPresentation Overview
Navigating the Changing Regulatory Enforcement Landscape Relating to Opioids Anna M. Grizzle Tizgel K.S. High Jerry Williamson, M.D. Presentation Overview Recent Enforcement Actions Physician s Perspective
More informationControlled Substances Program. For Academic Units
Brigham Young University Page 1 Provo, Utah Controlled Substances Program For Academic Units Last Revised: November 30, 2009 Brigham Young University Page 2 TABLE OF CONTENTS Section Title Page 1.0 Overview
More informationTechnical Assistance Guide No Recommended PDMP Reports to Support Licensing/Regulatory Boards and Law Enforcement Investigations
Technical Assistance Guide No. 02-14 Recommended PDMP Reports to Support Licensing/Regulatory Boards and Law Enforcement Investigations This project was supported by Grant No. 2011-PM-BX-K001 awarded by
More informationStatement Of. The National Association of Chain Drug Stores. For. United States Senate Caucus on International Narcotics Control.
Statement Of The National Association of Chain Drug Stores For United States Senate Caucus on International Narcotics Control Hearing on: Improving Management 10:00 a.m. 226 Dirksen Senate Office Building
More informationPrescription Drugs: Issues in Treatment, Supervision and Case Management
Prescription Drugs: Issues in Treatment, Supervision and Case Management National Association of Drug Court Professionals Washington, DC July 16, 2013 Agenda Overview of prescription drug diversion and
More informationFatal Overdose Review Panels: Overview of Laws in Six States
OVERDOSE REVIEW PANELS Issue Brief Fatal Overdose Review Panels: Overview of Laws in Six States Introduction The overdose crisis continues unabated. While the epidemic was originally fueled largely by
More information2017 NASCSA Conference
2017 NASCSA Conference Drug Trends & Investigations Eric Griffin Director of Compliance & Enforcement Eric.griffin@pharmacy.ohio.gov 614-466-4143 www.pharmacy.ohio.gov Ohio Quick Facts 2006 Ohio established
More informationWhite Collar Courier: Delivering News and Providing Guidance in White Collar Matters
White Collar Courier: Delivering News and Providing Guidance in White Collar Matters By Adam Overstreet The new DOJ initiative aggressively investigating and prosecuting pain management practitioners Part
More informationSAFE OPIOID PRESCRIBING C.U.R.E.S. PROGRAM
Sorin Buga, MD Associate Clinical Professor Department of Supportive Care City of Hope National Medical Center SAFE OPIOID PRESCRIBING C.U.R.E.S. PROGRAM Click to edit Master Presentation Date Disclosure
More informationPlanning For The FDA s 'Deeming Rule' For E- Cigarettes
Law360, New York (September 21, 2015, 3:39 PM ET) -- The 2009 Family Smoking Prevention and Tobacco Control Act (TCA)[1] gave the U.S. Food and Drug Administration the authority to oversee the manufacture,
More informationDEA: Combating the Supply
Drug Enforcement Administration DEA: Combating the Supply 2nd Annual Opioid Abuse and Heroin Overdose Solutions Summit Cathy Gallagher Diversion Program Manager Detroit Division May 11, 2017 1 Prescription
More informationPHARMACY 543 PHARMACY LAWS & ETHICS MIDTERM EXAMINATION October 29, 1998
PHARMACY 543 PHARMACY LAWS & ETHICS MIDTERM EXAMINATION October 29, 1998 Questions 1 20 are multiple choice; please record answers on Side 2 of a Standard Answer Sheet, Form 1158. Follow the instructions
More informationSUBJECT: Effective Date: Policy Number: Controlled Substance and Prescription Drugs 11/30/
Division of Research SUBJECT: Effective Date: Controlled Substance and Prescription Drugs 11/30/2018 Supersedes: Page Of 12/04/2015 04/25/2007 1 6 Responsible Authorities: Vice President, Research Institutional
More informationSANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery
Section Sub-section Policy Policy# Pharmacy SANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery Pyxis MedStation Controlled Substances 17.102 Page 11 of 5 Programmatic
More informationPrescription Audits: When the DEA or AG Come Knocking Anticipating and Responding to Heightened Investigations of Prescribing and Dispensing Practices
Presenting a live 90-minute webinar with interactive Q&A Prescription Audits: When the DEA or AG Come Knocking Anticipating and Responding to Heightened Investigations of Prescribing and Dispensing Practices
More informationNorth Carolina, like the rest of the nation, has been experiencing
INVITED COMMENTARY The North Carolina Controlled Substances Reporting System: A Valuable Tool for Combating Prescription Drug Misuse William D. Bronson Prescription drug misuse is a growing problem that
More informationRhode Island. Prescribing and Dispensing Profile. Research current through November 2015.
Prescribing and Dispensing Profile Rhode Island Research current through November 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy. Points
More informationDRUG-FREE UNIVERSITY COMMUNITY AND WORKPLACE
DRUG-FREE UNIVERSITY COMMUNITY AND WORKPLACE Overview The purpose of this statement is to comply with the federal Safe and Drug-Free Schools and Communities Act Amendment of 1989 and the Drug-Free Workplace
More informationSECTION PRESCRIPTIONS
SECTION.1800 - PRESCRIPTIONS 21 NCAC 46.1801 EXERCISE OF PROFESSIONAL JUDGMENT IN FILLING PRESCRIPTIONS (a) A pharmacist or device and medical equipment dispenser shall have a right to refuse to fill or
More informationCardinal Health s Commitment to Opioid Anti-Diversion, Education and Misuse Prevention
Cardinal Health s Commitment to Opioid Anti-Diversion, Education and Misuse Prevention The people of Cardinal Health care deeply about the devastation opioid abuse has caused American families and communities
More informationCHSP, CPSO RN, BSN, JD,
Presented by: Ann Lambrecht, RN, JD, FASHRM and John Lee, CHSP, CPSO Opioid Prescribing and the Substance Abuse Epidemic: Statistics and One Hospital s Success Story Coverys Risk Management Disclaimers/Disclosures
More informationTed Yeshion, Ph.D. Science Subcommittee Chair Professor of Forensic Science Edinboro University of Pennsylvania
Ted Yeshion, Ph.D. Science Subcommittee Chair Professor of Forensic Science Edinboro University of Pennsylvania Responsible for approximately 50% of wrongful convictions that were eventually overturned
More informationAlcohol/Drug Abuse and Prevention Statement (Updated, January 2016)
Alcohol/Drug Abuse and Prevention Statement (Updated, January 2016) Introduction / Standards of Conduct While Lee College recognizes that a substance abuse disorder is an illness requiring intervention
More informationUpdate on the Opioid Crisis
Update on the Opioid Crisis Robert A. Alldredge Jr Fort Worth Police Deputy Chief Homer Robertson Fort Worth Fire Department Assistant Chief Chris Mosley Sr. Assistant City Attorney/Section Chief Opioid
More informationStrategies to Manage The Opioid Crisis
Strategies to Manage The Opioid Crisis Matt Feehery, LCDC Senior Vice President & CEO PaRC (Prevention & Recovery Center) Behavioral Health Services February 1, 2018 A Pill for Your Pain But my doctor
More informationPrescription Drug Importation: Can it Help America's Seniors? Safety of Imported Medications: I-SaveRx Case Study
Prescription Drug Importation: Can it Help America's Seniors? Safety of Imported Medications: I-SaveRx Case Study Presented By: Scott McKibbin Special Advocate For Prescription Drugs State Of Illinois
More informationTHE FDA DRUG APPROVAL PROCESS Under the Federal Food, Drug, and Cosmetic (FD&C) Act, FDA is responsible for ensuring that all new drugs are safe and
THE FDA DRUG APPROVAL PROCESS Under the Federal Food, Drug, and Cosmetic (FD&C) Act, FDA is responsible for ensuring that all new drugs are safe and effective. Before any drug is approved for marketing
More informationArkansas Pharmacy Law Update. John Clay Kirtley, Pharm.D. Assistant Director Arkansas State Board of Pharmacy
Arkansas Pharmacy Law Update John Clay Kirtley, Pharm.D. Assistant Director Arkansas State Board of Pharmacy Objectives Analyze recent changes in Pharmacy regulations in Arkansas Discuss the reasoning
More informationSchedules of Controlled Substances: Placement of Furanyl fentanyl, 4- Fluoroisobutyryl fentanyl, Acryl fentanyl, Tetrahydrofuranyl fentanyl, and
This document is scheduled to be published in the Federal Register on 11/29/2018 and available online at https://federalregister.gov/d/2018-26045, and on govinfo.gov Billing Code 4410-09-P DEPARTMENT OF
More informationBoard of Pharmacy Update
Board of Pharmacy Update Gay Dodson, R.Ph. Executive Director/Secretary Texas Pain Society s 6 th Annual Scientific Meeting October 26, 2014 Goals Review some recent changes to federal law. Review some
More informationSTATE & FEDERAL EFFORTS TO COMBAT THE OPIOID EPIDEMIC & IMPACT ON COMPLIANCE PROGRAMS GRACE E. REBLING OSBORN MALEDON P.A.
STATE & FEDERAL EFFORTS TO COMBAT THE OPIOID EPIDEMIC & IMPACT ON COMPLIANCE PROGRAMS GRACE E. REBLING OSBORN MALEDON P.A. Arizona Corporate Counsel Presentation May 8, 2018 Agenda 1. Overview of the Opioid
More information9/3/2013. Presentation Objective. Prescription Drug Abuse Statistics Prescription Drug Abuse Statistics. Pharmaceutical Drugs and the Environment
Presentation Objective Background - Why do we need a regulation for the disposal of controlled substances. Disposal of Controlled Substances DEA Notice of Proposed Rulemaking AHMP 2013 National Conference
More informationThe Controlled Substances Act: Regulatory Requirements
Order Code RL34635 The Controlled Substances Act: Regulatory Requirements August 22, 2008 James E. Nichols Law Clerk American Law Division Brian T. Yeh Legislative Attorney American Law Division The Controlled
More informationMISSOURI BOARD OF PHARMACY NEWSLETTER
MISSOURI BOARD OF PHARMACY NEWSLETTER FEBRUARY 2018 CONTENTS FY17 Annual Report...1 What Takes So Long?...3 Did You Know?...3 Inspection Tip...3 Rule Updates...5 Meet Our New Inspector!!...6 Disciplinary
More informationDispensing and administration of emergency opioid antagonist without a
68-7-23. Dispensing and administration of emergency opioid antagonist without a prescription. (a) A pharmacist may dispense an FDA-approved emergency opioid antagonist and the necessary medical supplies
More informationHigh-Decile Prescribers: All Gain, No Pain?
High-Decile Prescribers: All Gain, No Pain? Len Paulozzi, MD, MPH National Center for Injury Prevention and Control Centers for Disease Control and Prevention National Center for Injury Prevention and
More informationARKANSAS STATE UNIVERSITY GOVERNING PRINCIPLES FOR THE USE OF CONTROLLED SUBSTANCES IN RESEARCH
ARKANSAS STATE UNIVERSITY GOVERNING PRINCIPLES FOR THE USE OF CONTROLLED SUBSTANCES IN RESEARCH 1.0 INTRODUCTION Arkansas State University (ASU) is committed to enhancing the growth of research and other
More informationBOARD OF PHARMACY- REGULATORY UPDATE. Kimberly Grinston, J.D., Executive Director
BOARD OF PHARMACY- REGULATORY UPDATE Kimberly Grinston, J.D., Executive Director Disclosure and Conflict of Interest I declare no conflicts of interest, real or apparent, and no financial interest in any
More informationDPH Priorities and Statewide Initiatives
DPH Priorities and Statewide Initiatives School and Community Health Leadership Conference/ Sara Kroening/ November 7, 2018 Georgia Public Health 159 County Boards of Health 18 Public Health Districts
More informationWisconsin Statewide Substance Abuse Prevention Training Wisconsin Dells June 12, 2015
Wisconsin Statewide Substance Abuse Prevention Training Wisconsin Dells June 12, 2015 1 Presenter Andrea Magermans Program Analyst of the Wisconsin PDMP Wisconsin Department of Safety and Professional
More informationC U S T O M E R D R I V E N. B U S I N E S S M I N D E D.
MAPS Update May 4, 2018 Presented by Kim Gaedeke, Acting Deputy Director Department of Licensing and Regulatory Affairs Andrew Hudson, Manager Drug Monitoring Section BPL-MAPS@Michigan.gov 517-373-1737
More informationSUPPLEMENTAL NOTE ON HOUSE BILL NO. 2217
SESSION OF 2017 SUPPLEMENTAL NOTE ON HOUSE BILL NO. 2217 As Amended by House Committee on Health and Human Services Brief* HB 2217, as amended, would enact new law and amend the Kansas Pharmacy Act (Act)
More informationChairwoman Bono Mack, Vice-Chairwoman Blackburn, Ranking Member Butterfield and
United States House of Representatives Committee on Energy and Commerce Subcommittee on Commerce, Manufacturing and Trade Hearing on Chairwoman Bono Mack, Vice-Chairwoman Blackburn, Ranking Member Butterfield
More informationOpioid Use and Misuse: History, Trends, And The Oregon Opioid Initiative
Opioid Use and Misuse: History, Trends, And The Oregon Opioid Initiative John W. McIlveen, Ph.D., LMHC, State Opioid Treatment Authority, Oregon Health Authority, Addictions and Mental Health Division
More information9/5/2011. Outline. 1. Past and Current Trends re: RX Abuse 2. Diversion Methods 3. Regulatory Reporting Requirements 4. Q/A
Prescription Drug Abuse Crises Outline 1. Past and Current Trends re: RX Abuse 2. Diversion Methods 3. Regulatory Reporting Requirements 4. Q/A 1 1970s 1980s 2 The 1990s OXYCODONE Oxycodone/APAP OxyContin
More informationDo not open the test booklet prior to being told to do so.
Last Name: Pharmacy 4054 Pharmacy Law Exam II Do not open the test booklet prior to being told to do so. I, the undersigned student, agree to do my best on the exam and that I have only used resources
More informationDISCLOSURE AGENDA. I have nothing to disclose
DRUG DIVERSION TIPS AND PRACTICES TO PREVENT, DETECT AND RESPOND TO POTENTIAL DIVERSION IN YOUR PHARMACY J O A N N E M Y H R E C P H T, B A D R U G D I V E R S I O N P R O G R A M M A N A G E R A L L I
More informationRisk Evaluation And Mitigation Strategies:
Risk Evaluation And Mitigation Strategies: The Experts Answer Questions from Health-System Pharmacists A midday symposium about the risk evaluation and mitigation strategies (REMS) required by the Food
More informationSUBJECT: Opioid Overdose and Intranasal Naloxone Training for Law Enforcement: Train the Trainer Session: Queens County October 17, 2014
ANDREW M. CUOMO GOVERNOR STATE OF NEW YORK DIVISION OF CRIMINAL JUSTICE SERVICES Alfred E. Smith Office Building 80 South Swan Street Albany, New York 12210 http://criminaljustice.ny.gov MICHAEL C. GREEN
More informationWhat is the strategy?
What is the strategy? Multi-pronged approaches to reducing the health consequences of opioid use, New York City Northeast Epidemiology Conference Public health approach Track drug use and associated health
More informationThe Controlled Substances Act: Regulatory Requirements
The Controlled Substances Act: Regulatory Requirements Brian T. Yeh Legislative Attorney December 13, 2012 CRS Report for Congress Prepared for Members and Committees of Congress Congressional Research
More informationSchedules of Controlled Substances: Temporary Placement of U into. AGENCY: Drug Enforcement Administration, Department of Justice.
This document is scheduled to be published in the Federal Register on 11/14/2016 and available online at https://federalregister.gov/d/2016-27357, and on FDsys.gov Billing Code 4410-09-P DEPARTMENT OF
More informationNASD REGULATION, INC. OFFICE OF HEARING OFFICERS
NASD REGULATION, INC. OFFICE OF HEARING OFFICERS : DEPARTMENT OF ENFORCEMENT, : : Complainant, : Disciplinary Proceeding : No. C02980051 v. : : J. ALEXANDER SECURITIES, INC. : Hearing Panel Decision (BD
More informationDrug Diversion from the Healthcare Workplace A Multi-Victim Crime. Keith H. Berge MD
Drug Diversion from the Healthcare Workplace A Multi-Victim Crime Keith H. Berge MD Consultant in Anesthesiology- Mayo Clinic Rochester, MN Chair- Mayo Clinic Medication Diversion Prevention Committee
More informationMinnesota. Prescribing and Dispensing Profile. Research current through November 2015.
Prescribing and Dispensing Profile Minnesota Research current through November 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy. Points
More information4/26/2018. Bureau of Professional Licensing. MAPS Updates & Opportunities. MAPS Background. Registration. MAPS Update
Bureau of Professional Licensing MAPS Updates & Opportunities April 28, 2018 Presented by Andrew Hudson, Manager Haley Winans, Analyst Drug Monitoring Section Bureau of Professional Licensing BPL-MAPS@Michigan.gov
More informationPRODUCTS: All products containing ephedrine (EPH) and pseudoephedrine (PSE). (IC )
INDIANA PRODUCTS: All products containing ephedrine (EPH) and pseudoephedrine (PSE). (IC 35-48- 4-14.7) PRODUCT EXEMPTIONS: EPH or PSE products dispensed pursuant to a prescription (IC 35-48-4-14.7); Sale
More informationNEW MEXICO DEPARTMENT OF HEALTH Administrative Manual ADMINISTRATION
Chapter NEW MEXICO DEPARTMENT OF HEALTH Administrative Manual ADMINISTRATION EFFECTIVE: Policy REVISED: 4/13/9 draft NALOXONE DISTRIBUTION POLICY I. PURPOSE: This New Mexico Department of Health (NMDOH)
More informationNational Institute on Drug Abuse
National Institute on Drug Abuse Community Epidemiology Work Group (CEWG) NIDA Community Epidemiology Work Group 62 nd Semi- Annual Meeting June 2007 Seattle Honolulu Jim Hall Center for the Study and
More informationPFC Training Courses & Programs. Course Descriptions. 1. Core Cannabis Training (CCT) [pre-requisite for all PFC Courses]
PFC Training Courses & Programs Core Cannabis Training (CCT) National Cannabis Standards Courses (NCST) State Specific Compliance Training (SSCT) PFC Enrichment Courses (PFCEC) PFC Verified Professional
More informationINDUSTRIAL WASTEWATER PERMIT APPLICATION (SHORT FORM DENTAL OFFICE OR CLINIC)
CITY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUREAU OF SANITATION INDUSTRIAL WASTEWATER PERMIT APPLICATION (SHORT FORM DENTAL OFFICE OR CLINIC) FOR BUREAU OF SANITATION USE Received Date: Receipt Number:
More informationWikiLeaks Document Release
WikiLeaks Document Release February 2, 2009 Congressional Research Service Report RL34635 The Controlled Substances Act: Regulatory Requirements James E. Nichols and Brian T. Yeh, American Law Division
More informationCorporate Sponsorship Packages for
Corporate Sponsorship Packages for 2019 www.wwcda.com Sponsorship Levels: $25,000 Diamond $15,000 Platinum $10,000 Gold $5,000 Silver The Women s White Collar Defense Association has 34 chapters in locations
More informationArkansas Department of Health
Arkansas Department of Health 4815 West Markham Street Little Rock, Arkansas 72205-3867 Telephone (501) 661-2000 Governor Mike Beebe Nathaniel Smith, MD, MPH, Interim Director and State Health Officer
More informationNC General Statutes - Chapter 90 Article 5E 1
Article 5E. North Carolina Controlled Substances Reporting System Act. 90-113.70. Short title. This Article shall be known and may be cited as the "North Carolina Controlled Substances Reporting System
More informationReferred to Committee on Health and Human Services. SUMMARY Establishes an opioid overdose prevention policy for Nevada.
S.B. SENATE BILL NO. COMMITTEE ON HEALTH AND HUMAN SERVICES (ON BEHALF OF THE GOVERNOR) MARCH, 0 Referred to Committee on Health and Human Services SUMMARY Establishes an opioid overdose prevention policy
More informationLEGAL ASPECTS of MEDICAL MARIJUANA Florida Nurse Practitioner Network Annual Conference September 17, 2018
LEGAL ASPECTS of MEDICAL MARIJUANA Florida Nurse Practitioner Network Annual Conference September 17, 2018 DISCLAIMER The material presented is general legal information and is not legal advice. Specific
More informationAn Informational Outline of the Controlled Substances Act. Revised 2010¹
United States Department of Justice Drug Enforcement Administration Office of Diversion Control An Informational Outline of the Controlled Substances Act Revised 2010¹ ¹ This manual replaces all previous
More informationMandatory PDMP Use PDMP Use STATE Prescriber Dispenser Conditions, if applicable
Arizona Amends worker s compensation statute to require physicians to request PMP information within two (2) business days of writing or dispensing prescriptions for at least a 30 day supply of an opioid
More informationSecure Medicine Return in King County, WA. Margaret Shield, Local Hazardous Waste Management Program in King County October 16, 2013
Secure Medicine Return in King County, WA Margaret Shield, Local Hazardous Waste Management Program in King County October 16, 2013 1 Local Hazardous Waste Management Program in King County (LHWMP) Program
More informationEMERGENCY DEPARTMENT MODEL PRACTICES DEALING WITH THE PRESCRIPTION OPIOID EPIDEMIC
EMERGENCY DEPARTMENT MODEL PRACTICES DEALING WITH THE PRESCRIPTION OPIOID EPIDEMIC RAMI R KHOURY, MD, FACEP ASSISTANT MEDICAL DIRECTOR EMERGENCY CARE ALLEGIANCE HEALTH ADVERTISING AT ITS BEST! OVERDOSE
More information