(*Please note this is not intended to be an all-inclusive list of resources; please send suggestions for additional resources to MAFP at:  maineafp@tdtelme.net )

Opioid Issues - the New Maine Law, Education, Resources:


Maine Prescription Monitoring Program (PMP) website

MMA's 2-page summary fact sheet on the opioid law and rules (6/1/17)

DHHS Rule (3/31/17) on opioid prescribing and use of the PMP 14-118 C.M.R. Chapter 11

Maine Medical Association's Opioid Resource Page

Maine Independent Clinical Information Service (MICIS) Education for the Prescriber Community (including physicians, nurse practitioners, dentists, podiatrists and even veterinarians)

December 2016/January 2017 Updates:

  • Updated Information on Chapter 488 Requirements Taking Effect on Jan. 1 Prescribers of opioid medication prescribed for pain and of benzodiazepines or their delegates must check the PMP prior to writing such scripts, effective Jan. 1, 2017. In addition, the ability to override Chapter 488 by utilizing the medical necessity exception expires Jan. 1 and the 7 day and 30 day limits on scripts for acute pain and chronic pain respectively take effect on the same day.  Because the PMP is transitioning to a new vendor on Tuesday, requiring all delegates to re-enroll (but not prescribers), MMA has asked for a 30 to 60 day grace period before the PMP mandate is enforced. (See also the next article which is the DHHS official statement on the grace period released December 19, 2016.) [ more ]  
  • ALERT: Official Communication from DHHS re: Opioid Prescribing/PMP Rules [ more ]
  • PMP (Prescription Monitoring Program) Changeover 12/20/16--Delegates Must Re-register [ more ]
  • Board of Licensure in Medicine Moves CME Opioid Educational Requirement Back to April 19 [ more ]
  • Significant Change to DEA Registration Renewal Process 1/1/17 [ more ]
  • Family Physicians Needed for Medical Advisory Board [ more ]
  • Diversion Alert Program Seeks Contributions [ more ]

FOR PATIENTS -What You Need To Know About Maine’s New Opioid Prescribing Law


FACT SHEET - LD1646, Chapter 488 - with Timetable for implementation


Improving MAT in Primary Care - Quality Counts Learning Collaborative - enrollment is now closed -
Questions - please contact:  Karyn Wheeler, Project Manager at Maine Quality Counts
O: (207) 620-8526 x1040    F:  (207) 620-8538   kwheeler@mainequalitycounts.org


FREE Webinar -Opioid Dependence vs. Addiction:  Different Conditions, Different Approaches

Date: October 11, 2016, Time: 12:00 PM to 1:00 PM

Participants in this webinar will learn to identify risk factors and distinguish the difference between opioid dependence and addiction, as well as how to best respond to patient needs across these clinical presentations. We'll review  techniques for screening, assessment, and diagnosis as well as strategies for patient engagement and motivational enhancement for implementing the safest plans of care.

Registration is free, thanks to the generous support of Maine Quality Counts Members and Donors.


PCSS MAT - Provider's Clinical Support System for Medication Assisted Therapy -

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. 

For more information on Resources & available Training: http://pcssmat.org/about/goals-objectives/


FREE WEBINAR - "Maine's Prescription Monitoring Program  - An Orientation & Diversion Alert: An Orientation - Originally aired August 2nd - ARCHIVED HERE


FREE WEBINAR - "A Team-Based Approach to Chronic Pain Treatment" (A Quality Counts Lunch & Learn program) originally aired July 12, 2016  ARCHIVED WEBINAR - HERE


Maine Law Passed April 2016 - LD 1646: Act To Prevent Opiate Abuse by Strengthening the Controlled Substances Prescription Monitoring Program 

New Maine Prescribing Law explained - MMA Weekly Update May 2, 2016

Maine’s New Opioid Prescribing Law & the Opioid Crisis: Implications for Providers - Gordon Smith Esq, MMA

Maine Medical Association Opioids Crisis webpage (many resources)


Need training at your Practice Site?  MICIS (Maine Independent Clinical Information Service) will COME TO YOUR PRACTICE!

MICIS, the Maine Independent Clinical Information Service, 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.  3 modules are currently available - Opioids, Naloxone, and Heart Failure. 
Complete information HERE


Caring for ME - Be Part of the Solution!

Supporting Maine Clinicians to Improve Chronic Pain Management and Safe Opioid Prescribing

IntroductionThe current opioid and heroin epidemic in Maine presents an enormous public health challenge and requires creative, collaborative, and innovative approaches.  With 272 Mainers dying and 1013 babies affected by this epidemic in 2015 and thousands of Mainers actively suffering from addiction, this issues calls for immediate and collective action.  Maine is a strong and resilient state and can successfully address this epidemic by bringing together our clinicians and communities, building on our unique strengths, and committing our shared leadership and compassion to protect the health and well-being of people in our state.

LD 1646:   In response to this epidemic and the associated problems of high levels of opioid prescribing, the Maine Legislature passed LD 1646, a bill that mandates limits on the duration and dosage of opioid prescribing. The bill also mandates regular use of the Maine Prescription Monitoring Program (PMP), an important and valuable tool that can help inform health care providers about the controlled medications that their patients are receiving.

Recognizing the need for creative and bold solutions, Maine Quality Counts (QC) is launching “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 -

VISIT QUALITY COUNTS FOR A LIST OF RESOURCES, TRAINING, ETC.

Complete information and resources for "Caring for ME" - HERE


Resources - Articles - Education:

TurnTheTideRx - the Surgeon General's Call to End the Opioid Crisis

Playbook for Controlled Medications and Chronic Pain Management

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. 


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.


Webinar (free): 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 will soon require 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.

Registration is free, thanks to the generous support of Maine Quality Counts Members and Donors.

Featured Presenters:
KariLynn Dowling, PharmD - Pharmacy Resident, Penobscot Community Health Care
Noah Nesin, MD - Family Physician, Vice President of Medical Affairs, Penobscot Community Health Care
Eva Quirion, MSN, RN, FNP - NP, Pain Care Specialist, St. Joseph Internal Medicine


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.

MORE INFORMATION - HERE


Pain Management and Opioid Abuse - a collection of Resources from AAFP

CDC Releases Final Guideline for Prescribing Opioids for Chronic Pain

March 16, 2016 - AAFP News — The latest step in the federal government's accelerated effort to combat the prescription opioid overdose epidemic is the CDC's final guideline for prescribing opioids for chronic pain. The document, issued on March 15, is meant for primary care health professionals in outpatient settings.

FULL STORY

 

 

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