AffirmHealth Blog


The Rural-Urban Opioid Divide and the Space In-Between

Mar 26, 2019 10:00:00 AM by Mario Ramirez, MD posted in Opioid Epidemic, fentanyl, controlled substances

In my day to day emergency medicine practice, I routinely treat and manage opioid related overdoses, sometimes as frequently as three or four patients a day. And while the emergency clinical care of an opioid overdose is the same in rural, suburban, and urban emergency departments, I’ve often felt myself wondering what it is that drives the differences in these groups.

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Image showing that a prescription drug monitoring program communicates both ways with pharmacies, allows health care providers to obtain information. In addition, state insurance programs, healthcare licensure boards, state health departments, and law enforcement can also get information from the program.

PDMP's: A discussion For and Against a State By State Monitoring Program

Sep 18, 2018 10:00:00 AM by Jody Lutz posted in Healthcare, PDMPs, Clinician Perspective, chronic pain, Pain Management, Clinical Tools, State Opioid Prescibing Guidelines, Opioid Prescribing Guidelines, prescriber compliance, opioid prescribing, clinical practice improvement activities, patient risk, opioid legislation, Healthcare Databases, controlled substances, electronic decisions support

Pharmacy Times reports that, "The first PDMP program was enacted by New York State in 1918 and was used to monitor prescriptions for cocaine, codeine, heroin, morphine, and opium. With this program, pharmacists were required to report copies of prescriptions to the health department within 24 hours."

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Legislative Update for the Sunshine State. New laws took effect in Florida on July 1, 2018.

Aug 6, 2018 8:46:44 AM by Jody Lutz posted in Pharmacy, State Opioid Prescibing Guidelines, opioid prescribing, Medical Necessity, opioid prescribing compliance, prescription drug monitoring, prescribing protocols, opioid legislation, florida, controlled substances

On July 1, 2018 the Controlled Substance Bill became effective in the state of Florida. “There is nothing about this law that means legitimate patients cannot get legitimate medicine for legitimate reasons,” Dr. John Ellington, who is in charge of risk management at the 200-physician Watson Clinic in Lakeland, Florida is quoted as saying.

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What Kentucky Clinicians Should Know About Prescribing Opioids: A Legislative Update

Jul 17, 2018 10:01:00 AM by Jody Lutz posted in medication combinations, patient safety, Kentucky, opioid legislation, addiction treatment, controlled substances

Last year, 1,404 people died of drug overdoses in Kentucky, according to the Kentucky Office of Drug Control Policy.  Of those, roughly half  involved fentanyl, a powerful synthetic painkiller that we originally discussed in "The Word on the Street."   In response to this ongoing trend, Kentucky is one of a handful of states that have been at the forefront of PDMP improvement as well as increased opioid legislation.   Here, we discuss the enhancements to Kentucky's PDMP system, KASPER, as well as some of these important pieces of legislation.

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Weekend Round Up

Weekend Round Up: Healthcare Databases, Chronic Pain Patients Feel Caught in Debate and State Updates for Florida, and Connecticut

Jul 8, 2018 7:57:02 PM by Jody Lutz posted in Healthcare, Opioid Epidemic, Opioid Misuse, chronic pain, Integrated Pain, Opioid Therapy, Opioid Doses, Smarter Pain Management, Guidelines, Clinical Tools, State Opioid Prescibing Guidelines, Opioid Prescribing Guidelines, Chronic Pain Guidelines, prescriber compliance, regulations, compliance, opioid prescribing, opioid prescribing compliance, prescription drug monitoring, weekend round up, Medication Assisted Treatment Protocols, tapering, patient safety, Arizona, opioid legislation, opioid abuse, florida, Healthcare Databases, Connecticut, controlled substances

With opioid prescribing regulations being updated, national policy announcements, state guidelines as well as daily commentary regarding the opioid epidemic flooding news outlets, the AffirmHealth Weekend Round Up looks at the top headlines that caught our team’s eye. From controlled substance protocols to research focusing on pain management, addiction medicine, the ER and more provided to you in an easy to access summary. News you can use. Welcome to the Weekend Round Up.

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