Developed by Quality Counts for practices providing chronic pain management and/or for those interested in developing a policy and protocol for the prescribing of controlled medications, Controlled Medication and Chronic Pain Management Playbook is now available. The Playbook provides a step-by-step guide, recommendations and templates for working with patients with chronic pain or those patients who are prescribed controlled medications.
(*Please note this is not intended to be an all-inclusive list of resources; please send suggestions for additional resources to MAFP at: firstname.lastname@example.org )
Deadline for E-Prescribing extended to August 1, 2017! To be clear, this grace period only applies to the e-prescribing mandate. Chapter 488 Law is still fully in effect. After the grace period, penalties for individuals who violate this section of the law will be enacted. If you need to apply for an e-Rx waiver, please visit the SAMHS PMP website to complete and submit your application.
Opioid Issues -
the New Maine Law, Education, Resources:
Webinars on Improving Opioid Prescribing and Patient Safety
Tuesday, October 31, 2017, 12-1 pm: Improving Opioid Prescribing and Patient Safety: Part 1: The Genesis of the Opioid Crisis: “How We Got Here” and Opioid Basics: MMEs & Tapering, with Elisabeth Fowlie Mock, MD, MPH, Register via Zoom
Tuesday, Dec 5, 2017, 12-1 pm: Improving Opioid Prescribing and Patient Safety: Part 2: Practice Transformation & QI for Opioids/Chronic Pain and Harm Reduction: Naloxone & MAT, with Erika Pierce, PA-C, MMSc; Elisabeth Fowlie Mock, MD, MPH Register via Zoom
Wednesday, Dec 13, 2017, 12-1 pm: Improving Opioid Prescribing and Patient Safety: Part 3: Communication Skills & Difficult Conversations/Behavioral Health Integration and Non-opioid/Non-pharm Treatments for acute & chronic pain with Elisabeth Fowlie Mock, MD, MPH Register via Zoom
Presented by the Maine Independent Clinical Information Service (MICIS). In 2017 MICIS has 6 clinical modules on Improving Opioid Prescribing and Patient Safety, with two modules covered in each webinar in this 3-webinar series. These modules are standalone topics and attendees can register for any or all of these webinars. This MICIS activity qualifies for a maximum of 1 CME credits of the 3 CME credit requirements for opioid medication education found in P.L. 2015, Chapter 488, and Maine’s recent legislation to address the opioid drug abuse crisis. Attendees should only claim credit for the hours they attend.
Improving Opioid Prescribing and Patient Safety: 3-hour presentation in Wells on November 1st:
Wednesday, November 1, 5:00 – 8:30 pm at Village By The Sea, Wells
Presenters: Elisabeth Fowlie Mock, MD, MPH and Peter Michaud, JD, RN
FREE program - advanced registration is required.
This 3-hour education session will feature an update on Chapter 488 and clinical content with a compassionate, patient-centered perspective, and will include “blitz” didactics, multi-media components, case-based studies and small group discussions. Presented by the Maine Independent Clinical Information Service (MICIS), a program of the Maine Medical Association.
The topics covered at this session will be:
- The Genesis of the Opioid Crisis: “How We Got Here”
- Opioid Basics: MMEs & Tapering
- Legal and Regulatory Requirements for Opioid Prescribers
- Practice Transformation & QI for Opioids/Chronic Pain
- Harm Reduction: Naloxone & MAT
This MICIS presentation activity qualifies for a maximum of 3 CME credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s recent legislation to address the opioid drug abuse crisis.
The LAW IN MAINE FOR MEDICAL PROVIDERS:
MMA's 2-page summary fact sheet "Implementation of Public Law Chapter 488 Re: Opioid Prescribing" (updated 6/21/17)
Veterinarians - Overview of guidance around opioid prescriptions, exemptions, and special information for veterinarians online: http://www.maine.gov/dhhs/samhs/osa/data/pmp/index.htm
Prescription Monitoring Program (PMP):
FREE WEBINAR - "Maine's Prescription Monitoring Program (PMP) - An Orientation & Diversion Alert: An Orientation - Originally aired August 2,2016 - ARCHIVED HERE
State and National Medical Association Resources:
Maine Quality Counts - Caring for ME - Be Part of the Solution!
Recognizing the need for creative and bold solutions, Maine Quality Counts (QC) launched “Caring for ME”, a collaborative effort that aims to bring together a wide set of partners to promote shared messages, educational resources, and practical tools for health care providers.
Complete information and resources for "Caring for ME" - HERE
Chronic Pain Collaborative Collaborative (Maine Quality Counts) - Many resources including recorded Webinars
Need training at your Practice Site? MICIS will COME TO YOUR PRACTICE! Education for the Prescriber Community (including physicians, nurse practitioners, dentists, podiatrists and even veterinarians)
MICIS, is an innovative educational outreach program designed to provide independent clinical information to Maine physicians and other prescribers of medications. By aligning prescribing practices with the best scientific evidence on the treatment of common clinical problems, patient outcomes can be improved Complete information HERE
The microsite, www.end-opioid-epidemic.org, includes nearly 300 education and training resources across three major categories: Recommendations from the AMA Opioid Task Force, State medical society resources,and Medical specialty society resources. Physicians can use the site's "State Selector" and "Specialty Selector" to find tailored education and training resources.
Medical Assisted Therapy (MAT) & Compassionate Tapering - RESOURCES:
LIVE & RECORDED webinars and online learning modules - Chronic pain management, safe opioid prescribing and medication assisted treatment (MAT) for the treatment of opioid dependence through Quality Counts
A national training and mentoring project developed in response to the prescription Opioid misuse epidemic and the availability of pharmacotherapies to address opioid use disorder.
Webinar: Compassionate Tapering of Opioids: Why and How ARCHIVED WEBINAR - HERE (Originally Aired on June 14, 2016)
A major provision of Maine's new opioid prescribing law requires providers to limit the daily opioid dosages of chronic pain patients. But how can providers meet this legal requirement while also limiting their patients' distress?
This webinar offers answers by exploring the effectiveness of high dose opioids, looking at pain control alternatives, delving into Morphine Milligram Equivalents and sharing techniques for effectively and compassionately tapering opioid dosages to below legal limits and, ultimately, to zero.
Pain Management Education & Resources:
FREE WEBINAR - "A Team-Based Approach to Chronic Pain Treatment" (A Quality Counts Lunch & Learn program) originally aired July 12, 2016 ARCHIVED WEBINAR - HERE
AAFP Sponsored - FREE Webcast for AAFP/MAFP Members: Chronic Opioid Therapy -
Chronic pain management is a public health concern with significant increases in the use of opioids for pain relief. Watch this hour-long presentation and earn 1 AAFP Prescribed credit. This activity is free for AAFP members. Enhance your patient care today and earn up to 2 additional AAFP Prescribed credits when you complete the Translation to Practice® (t2p™) process. SIGN IN HERE
AAFP Chronic Pain Management Toolkit (have your AAFP ID# and Password available to sign in)
Practice Based Tools to: Ask Your Patient - Assess Your Patient - Create a Plan
The toolkit includes an action plan, pain inventory, work questionnaire, medication agreement between patient and physician, an opioid risk tool and links to additional AAFP and external resources for physicians. These tools can be used together or separately, depending on practice need. And everything included in the toolkit is consistent with key recommendations in the CDC and Federation of State Medical Board guidelines. The toolkit is a dynamic resource and will evolve as more resources are added in order to provide the most up-to-date information to Academy members.
FREE - ON-LINE COURSE: The Opioid Prescribing: Safe Practice, Changing Lives
Online course was developed by nationally known experts in the ER/LA opioid field and is hosted by Medscape at: http://www.medscape.org/clinicaladvances/long-acting-opioids-cafp. Participants can earn up to 2 Prescribed credits by the American Academy of Family Physicians. *you must sign in to Medscape to access* MORE INFORMATION - HERE
FREE - ON-LINE COURSE - CO*RE partners, Research-Based Clinical Strategies to Prevent and Address Adolescent Substance Use and Prescription Medication Misuse, which has been approved for 1 AAFP Prescribed Credit as well as AOA 2B Credit and is available here: http://bit.ly/CME_TeenSU
Other Resources - articles, etc:
CO*RE Newsletters - Summer 2017