“The committee recommends that states, with assistance from relevant federal agencies, particularly the Substance Abuse and Mental Health Services Administration, provide universal access to evidence-based treatment for opioid use disorder (OUD), including use of medication, in a variety of settings, including hospitals, criminal justice settings, and substance use treatment programs. Efforts to this end should be carried out with particular intensity in communities with a high burden of OUD. State licensing bodies should require training in treatment for OUD for all licensed substance use disorder treatment facilities and providers (Recommendation 5-6). The committee recommends that schools for health professional education, professional societies, and state licensing boards require and provide basic training in the treatment of opioid use disorder for health care providers, including but not limited to physicians, nurses, pharmacists, dentists, physician assistants, psychologists, and social workers (Recommendation 5-7). The committee recommends that the U.S. Department of Health and Human Services and state health financing agencies remove impediments to full coverage of medications approved by the U.S. Food and Drug Administration for treatment of opioid use disorder (Recommendation 5-8). ”
In the context of the growing opioid problem, the FDA launched an Opioids Action Plan in early 2016. One component of the FDA plan is to reassess the agency’s risk-benefit framework for opioid approval and monitoring. The FDA commissioned this study specifically to inform this reassessment. Read Full Study Here
The Centers for Disease Control and Prevention (CDC) has released proposed guidelines for prescribing opioids for chronic pain. The Montana Medical Association is gathering comments on the guidelines from physician members to potentially submit feedback before the public comment period ends on Jan. 13 2016. The MMA is requesting members submit their comments to Jean Branscum at [email protected] by Monday, January 11th.
In an email that went out the CDC offered this comment, “CDC is developing an opioid prescribing guideline to help primary care providers offer safer, more effective care for patients with chronic pain and help reduce misuse, abuse, and overdose from these drugs. The guideline will provide recommendations to primary care providers about the appropriate prescribing of opioid pain medications to improve pain management and patient safety. Recommendations focus on the use of opioids in treating chronic pain (i.e., pain lasting longer than three months or past the time of normal tissue healing). The guideline is not intended for patients who are in active cancer treatment, palliative care, or end-of-life care.”
Public comments for docket #CDC-2015-0112 can be voiced here.
Prescription drug abuse and diversion is an epidemic – it affects everyone, and the statistics are staggering. Not enough Montanans are aware of the number of lives lost, making prescription painkillers 15 times more deadly than heroine, meth and cocaine combined.
Marc Mentel, D.O. was recently interviewed on Voices of Montana regarding this campaign click play below to listen in. The Montana Medical Association thanks the Northern News Network for their help in promoting the KnowYourDoseMT.org initiative.
As physicians, we are committed to providing compassionate care to our patients following best medical practices. There is not a pill for every ill. When it comes to the management of chronic pain this is a truth, a tough pill to swallow. The MMA is committed to being a positive resource that will encourage more physicians to take on the challenge of treating patients with chronic pain, so that access to care following current “best practices” will be improved, not restricted. With the tools and education on pain management and safe opioid prescribing found on knowyourdosemt.org, physicians and health care providers can be confident in their treatment of patients suffering from pain. We can ethically and reasonably care for patients and help get them to a better place in their life by following safer prescribing practices, monitoring and documenting. As medical best practices evolve bringing new knowledge to light that improves our ability to care for our patients, this website will evolve.
According to the MT Department of Public Health and Human Services, prescription drug overdoses were responsible for at least 369 deaths and more than 7200 hospital inpatient admissions and emergency department encounters in 2013 in our state. The consequences impact our families and friends, the communities we live in, and our workplaces. It also fills our physician offices and emergency departments. The MMA and our partners are committed to providing resources and education to help fight this epidemic while providing needed medical care through our Know Your Dose initiative.
We are committed to playing a pivotal role and applaud our partners — pharmacists, nurses, dentists, public health, and law enforcement officers who are equally committed to tackling the public health crisis of prescription drug abuse. We offer our gratitude to the Montana Medical Association Foundation, Blue Cross Blue Shield of Montana and Montana Department of Justice for providing resources, and to the Northern News Network for increasing awareness about this initiative.
It’s timely for others to step forward in support and for the general public to become more engaged. You can be a partner in reducing supply and stopping diversion by not sharing your medications, securing and disposing unused prescription drugs and watching for signs of diversion. We encourage you to join the fight in ending opioid abuse. Start the conversation in your community. Visit www.knowyourdosemt.org to make a donation and learn about this initiative.
Missoula – Marc Mentel, D.O., Montana Medical Association Prescription Drug Abuse Reduction Chair
Rx drug abuse and diversion is a growing epidemic in Montana, contributing to the deaths of more than 300 Montanans each year. The Montana Medical Association and its partners designed this four module course to help health care teams find the proper balance between providing appropriate treatment for patients while protecting them from opioid addiction.
This short video provides you with just a glimpse into the four module online Prescription Drug Abuse Reduction training.
This series provides valuable information for physicians and non-physicians who are involved in patient care concerning opioid medications. Physicians are encouraged to include all appropriate members of their teams in this training. The program addresses the problem on a state and national level, how to prescribe opioids and how to communicate with patients about the dangers of prescription drugs. Non-physicians who complete the webinar and a post-webinar evaluation will also receive a certificate of completion.
The end of July marked the launch of www.knowyourdosemt.org. The resources now available are a result of the work put forth by many physicians and other health care providers serving on MMA’s Prescription Drug Abuse Reduction Committee. It includes an educational module and a health care provider toolkit containing downloadable forms available at no cost.
The launch started in Billings and ended the following day after its promotion in four towns across Montana. Doctor Bill Gallea, MMA Vice President made a call to have physicians, health care providers and the public help attack this public health crisis in Helena, Montana.
Contact the MMA Executive Office to learn how you can promote The Know Your Dose initiative in your community at [email protected]
Course Intended For All Specialties: Physicians, Dentists, Physician’s Assistants, Pharmacists, Nurses, Nurse Practitioners, Advanced Practice Nurses
Implement recommended prescribing practices and alternate forms of treatment for patients presenting with acute or chronic pain.
Use the toolkit and resources to manage patient treatment.
Apply the state and federal laws as related to prescribing Schedule II drugs.
Examine the prescription drug issue from a state and national level.
On July 30th the Montana Medical Association (MMA), alongside the Department of Justice, Attorney General Tim Fox and local physician champion, Marc Mentel, D.O. announced the release of a Prescription Drug Abuse Reduction online resource center, “Know Your Dose”.
The announcement was made during a press conference held at the Family Medicine Residency of Western Montana. The discussion offered a local physician’s perspective on the prescription drug epidemic in Missoula, an overview of the problem statewide and an introduction to newly accessible resources. The MMA provided a look at the new “Know Your Dose” website, which is designed to build awareness of the public health crisis facing Montana and to offer a one stop resource for health care providers, patients dealing with chronic non-cancer pain and the general public.
Prior to the conference, Marc Mentel, D.O. spent a few minutes with Wake Up Montana in Missoula.