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Important Information

from the State Medical Board of Ohio

Licensees Invited: A Closer Look at Addiction Treatment - Ideas in Practice Bookmark

Licensees Invited: A Closer Look at Addiction Treatment - Ideas in Practice

Our licensees are invited to join us for a statewide, collaborative meeting about the opioid epidemic in Ohio and the need for a continuum of care for addiction treatment. At this event, we ask you to share your thoughts with other health care leaders from across Ohio as we work to incorporate opioid treatment and evidence-based practices in a range of health care settings.

 

September 25, 2017, 8:30 a.m. to 3:30 p.m.

The Ohio State University’s 4-H conference center, Columbus

-or-

One of 18 additional live-stream locations across Ohio

The opioid epidemic and consequences of substance abuse are devastating the country. We must do more to end this epidemic. The continuum of care models exist to deal with substance abuse, opioid abuse and prescription pill abuse. This conference will highlight best practices, American Society of Addiction Medicine’s (ASAM) Standards of Care, community partnerships and replicable models currently in practice.

 

AMA Credit Designation Statement:

The American Society of Addiction Medicine designates this live activity for a maximum of 5 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

ACCME Accreditation Statement:

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of The American Society of Addiction Medicine and The Office of the Attorney General of Ohio, Substance Use and Populations Health Initiatives. The American Society of Addiction Medicine is accredited by the ACCME to provide continuing medical education for physicians.

 

Please see the image above for information on the day’s agenda. To register for Columbus or one of the other statewide locations, please visit www.OhioAttorneyGeneral.gov/OpiateAbuse.

 

New Limits on Prescription Opioids for Acute Pain Bookmark

New Limits on Prescription Opioids for Acute Pain

Effective August 31, 2017, the State of Ohio will have new rules for prescribing opioid analgesics for the treatment of acute pain.  Please be advised, these rules DO NOT apply to the use of opioids for the treatment of chronic pain. Click here to watch the educational video/overview.

In general, the rules limit the prescribing of opioid analgesics for acute pain, as follows:

  1. No more than seven days of opioids can be prescribed in the initial prescription for adults.

  2. No more than five days of opioids can be prescribed in the initial prescription for minors, and only after the written consent of the parent or guardian is obtained.

  3. Health care providers may prescribe opioids in excess of the day supply limits only if they provide a specific reason in the patient’s medical record.

  4. Except as provided for in the rules, the total morphine equivalent dose (MED) of a prescription for acute pain cannot exceed an average of 30 MED per day.

  5. The new limits do not apply to opioids prescribed for cancer, palliative care, end-of-life/hospice care or medication-assisted treatment for addiction.

NOTE: These rules do not apply to veterinarians.

 

Starting December 29, 2017, rule 4729-5-30 will require prescribers to include the first four characters (ex. M16.5) of the diagnosis code (ICD-10) or the full procedure code (Current Dental Terminology - CDT) on opioid prescriptions, which will be entered by the pharmacy into Ohio’s prescription monitoring program, OARRS.  This requirement will take effect for all other controlled substance prescriptions on June 1, 2018.  NOTE: This requirement does not apply to veterinarians.

Starting December 29, 2017, rule 4729-5-30 will also require prescribers to indicate the days’ supply on all controlled substance and gabapentin prescriptions. NOTE: This requirement does not apply to veterinarians.

 

To assist prescriber’s in calculating a patient’s morphine equivalent dose, the State of Ohio Board of Pharmacy has developed a conversion chart that can be accessed here: www.pharmacy.ohio.gov/MEDtable.

For additional information, please review your licensing board’s respective rules and the Board of Pharmacy’s manner of issuance rule:

 

Medical Board - Rules for Physicians and Physician Assistants

4731-11-01 - Definitions (related to controlled substances)
4731-11-02 - General provisions (related to controlled substances)
4731-11-13 - Prescribing of opioid analgesics for acute pain

Dental Board

4715-6-02 - Prescribing opioid analgesics for acute pain

Nursing Board

4723-9-10 - Formulary; standards of prescribing for advanced practice registered nurses designated as clinical nurse specialists, certified nurse-midwives, or certified nurse practitioners.

Pharmacy Board

4729-5-30 - Manner of issuance of a prescription.  (NOTE: This rule will not go into effect until December 29, 2017.  The Board has adopted a resolution regarding the diagnosis/procedure code provisions of this rule: www.pharmacy.ohio.gov/AcuteResolution)

 

Prescribing Opioids for the Treatment of Chronic Pain

As a reminder, Ohio developed guidelines for the treatment of chronic pain using opioids.  These guidelines can be accessed here.

 

For More Information

If you are a prescriber, please contact your respective regulatory board using the information below.

New Issue of eNews is Available Bookmark

The July 27, 2017 issue of the Medical Board's eNews has arrived. Highlights: 

  • eLicense Conversion Forms

  • Physician Assistant Supervision Agreements in eLicense

  • ODH Grant Funding Opportunity

  • OARRS Connects with Pennsylvania

  • Monthly Formal Action Report

​Click here for all of the details.

 

CT Exam Date Set for August 21 Bookmark

The date of the next Cosmetic Therapy exam is Monday, August 21, 2017. The application must be submitted before 5 p.m. on Monday, August 7, 2017. Click here for information and to submit an application.

Medical Marijuana Public Rules Hearing: July 10 Bookmark

​A public hearing on proposed rules will be conducted on July 10, 2017 at 1:00 p.m. in the Multipurpose Room, State Fire Marshal’s Office, 8895 E. Main Street, Reynoldsburg, OH 43068. Oral and written testimony may be presented by any person affected by the proposed rules.

Notice of July 10, 2017 Public Hearing

Rules in Chapter 4731-32. The rules concern medical marijuana certificates to recommend, standards of care related to recommending medical marijuana, and petitions to request additional qualifying conditions or diseases.

Upcoming Holiday Closure in Observance of Independence Day Bookmark

The Medical Board’s office will be closed on Tuesday, July 4, 2017 in observance of Independence Day. The office will reopen on Wednesday at 8 a.m.

Latest eNews Issue Available Bookmark

The June 21, 2017 issue of the Medical Board's eNews has arrived. Highlights: 

  • eLicense System Transition Complete & Video Instructions Available

  • Extended Customer Service Hours on June 24, 2017

  • Public Rules Hearing Set for Proposed Acute Pain Rules

  • New and Amended Rules Effective June 30, 2017 (podiatric licensure & pain management clinics)

  • Pharmacy Board Extends Deadline for OBOT Licensure

  • Board Seeks Subject Matter Experts

  • Lead Care Devices Alert

Click here for all of the details.

 

Deadline to Apply for CT Exam Approaching Bookmark

The date of the next Cosmetic Therapy exam is Friday, July 7, 2017. The application must be submitted before 5 p.m. on Monday, June 26, 2017. Click here to submit an application.

A Public Rules Hearing Will Be Held on July 26, 2017 Bookmark

A public hearing on proposed rules will be held on July 26, 2017 at 10:00 a.m. in the Lobby Hearing Room, Rhodes State Office Tower, 30 E. Broad Street, 1st Floor, Columbus, OH 43215. Oral and written testimony may be presented by any person affected by the proposed rules.

Notice of July 26, 2017 Public Hearing

Rules 4731-11-01, 4731-11-02 and 4731-11-13

The rules are applicable to the prescribing of controlled substances. Rule 4731-11-13 is proposed as a new rule applicable to prescribing opiate analgesics for acute pain. The rules will be applicable to physicians and physician assistants.