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Thursday, February 22, 2018
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Opioid Task Force

    MEDCHI STAFF: Yelena Shapiro443-449-2288
    Last Updated: February 22, 2018

      MedChi's Opioid Task Force was formed by Gary Pushkin, M.D., MedChi's 2017 - 2018 President in February 2017. It comprises of physicians from various backgrounds, such as pain management, addiction, family practice, and other specialties, to provide a balanced response to the Opioid Crisis.  Its purpose is to establish a curriculum for Maryland physicians to teach safe opioid prescribing practices, how to recognize risk factors, and to recommend alternative, scientifically-based or evidence-based non-opioid treatments.  Furthermore, the Task Force will work with Maryland's Governor and State Legislature to advocate for policies that protect patients and physicians alike. 

      here for information on additional opioid-related education activities at MedChi.       

      1. New date... March 7, 2018: Maryland Insurance Administration's Webinar: Maryland's Opioid Crisis and how the Maryland Insurance Administration Can Help
      2. March 30, 2018: Educational Breakfast Series continues at MedChi:  The Use of Medical Cannabinoids in Maryland (Click here to register) - added 02/20/18

      Episode One (12/15/17): Medical Cannabinoids in Maryland: An Overview (click here to view material)

      DUR Policy-Related Questions - Maryland Department of Health's Medicaid Opioid Drug Utilization Review (DUR) Workgroup, added 12/08/17

      Disposal of Unwanted Medications 24 Hour Drop-off Locations (Maryland-wide State Police Barracks)
      2. Disposal of Unwanted Medications (Locations in Baltimore County)            
      3. Disposal of Unwanted Medications (Locations in Howard County)
      4. "Maryland Addictions Consultation Service: Offering consultation to primary care and specialty prescribers across Maryland"
      5. Maryland State House Bill 922 
      6. Opioid Prescribing FAQ for Medicaid ONLY 
      7. PDMP Training Video - Released November 2017 (7.5 minutes) - Provides Maryland medical professionals with information on how to use the Prescription Drug Monitoring Program. Maryland law says that all prescribers and pharmacists are required to be enrolled by July 1, 2017. Also, prescribers and pharmacists must use the PDMP by July 1, 2018  whenever prescribing any new course of treatment with opioids or other controlled substances, as well as to check the website at least every 90 days, thereafter, if the course of treatment continues. 
      8. PDMP - How to Register for Maryland's Prescription Drug Monitoring Program (PDMP)?
      9. PDMP - Requirements Deadlines for Physicians and Pharmacists
      10. Physicians' Progress to Reverse the Nation's Opioid Epidemic (Presented by the American Medical Association) 
      11. Policy: CareFirst's Opioid Prescription Policy, added 09/19/17
      12. Recommendations: Pain Management and the Opioid Epidemic - The National Academies of Sciences, Engineering and Medicine, added 07/31/17
      13. Report from Maryland Department of Health: Unintentional Drug- and Alcohol-Related Intoxication Deaths In MD (Data updated through 3rd quarter 2017), added 02/01/18
      14. Strategies: Safe Opioid Prescribing Strategies Assessment Fundamentals Education - CME Resource
      Strategies: Opioid Prescribing: A Case-Based Approach, MARYLAND DEPARTMENT OF HEALTH Pain Management Conference (October 2016), added 12/08/17
      16. Treatment of Opioid Use Disorder Course on 01/12/18 - American Society of Addiction Medicine Course

      Opioid Resources for Hospitals (Maryland Hospital Association Website), added 10/31/17
      Five-part Webinar Series "Hospitals' Role in Addressing the Opioid Crisis" (Presented by the Maryland Hospital Association and the Maryland Department of Health and Mental Hygiene between June 28 and November 14, 2017) NOTE: Scroll down the page once the website opens to view this material, added 06/26/17
      Encourage Safe Storage & Disposal of all Rx Medications, added 06/26/17
      Drug Disposal Recommendations - Drug Enforcement Administration, 06/26/17
      Scope of Pain - Website developed by primary care physicians, pain specialists and addiction medicine physicians at Boston University's Boston Medical Center; provides free resources, including how to effectively say no and manage difficult conversations with patients, opioid-use disorder screening and treatment resources, added 11/01/17
      6. UC Davis Opioid Abuse Resource Center - Similar to "Scope of Pain" website, added 11/07/17
      Project ECHO (Extension for Community Health Outcomes), added 11/14/17
      Opioid DUR Policy for FFS and MCOs - Maryland Department of Health, added 12/08/17

      . ARTICLES - Research, Special Reports and Current Events
      February 14: Marijuana Use Impedes Pain Control Following Trauma - Pain Management News - added 02/21/18
      February 13: Trump's Budget Shows He is Serious About Opioid Crisis - The Washington Post
      January 24: The Not-an-Opioid Epidemic - Proto, Massachusetts General Hospital
      January 18: Guest Commentary: Science, Not Ideology Should Drive Health Policy - Maryland Matters
      January 16: Emergency Departments Not a Major Source of Opioid Prescriptions, New Study Shows - American College of Emergency Physicians
      January 01: Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures - JAMA Surgery

      December 21: Prescription Drug Monitoring Program House Bill 437, Chapter 147, Section 8 Contingency Determinations - Response letter by Gene Ransom, III
      December 17:
      'We feel like our system was hijacked': DEA Agents Say a Huge Opioid Case Ended in a Whimper - The Washington Post
      December 13:
      Effect of Perioperative Gabapentin on Postoperative Pain Resolution and Opioid Cessation in a Mixed Surgical Cohort - JAMA Surgical
      December 13:
      Physicians Took Multifaceted Approach to Opioid Epidemic in 2017 - AMA Wire
      December 06:
      Stopping Opioid Addiction at One Key Source: The Hospital - Kaiser Health News
      December 05:  Testimony on Addressing the Opioid Crisis in America: Prevention, Treatment, and Recovery before the Senate Subcommittee
      - National Institutes of Health
      November 30:
      FDA Approves First Once-Monthly Buprenorphine Injection, a Medication-Assisted Treatment Option for Opioid Use Disorder - FDA
      November 29:
      Updated Medicare Part D Opioid Drug Mapping Tool Unveiled - CMS
      November 14: Statement from FDA Commissioner Scott Gottlieb, M.D. on FDA advisory about deadly risks associated with kratom - FDA
      September 27:
      Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures - JAMA Surgery
      September 17:
      Amid Opioid Crisis, Insurers Restrict Pricey, Less Addictive Painkillers - The New York Times
      September 08:
      Clinical Dividends For Primary Care Pain Telemedicine - Pain Management News
      August 14:
      Study: More Opioid Prescriptions Come from Lower-Ranked Med Schools - The Daily Record
      August 01:
      Marshaling FDA Benefit-Risk Expertise to Address the Current Opioid Abuse Epidemic - JAMA
      July 21:
      Diazepam Offers No Benefit Over Placebo For Acute Low Back Pain - Pain Medicine News
      July 20:
      Survey Elucidates Chronic Pain Patient Household Member Perceptions of Long-Term Opioid Therapy - Pain Medicine News
      July 13:
      Multidimensional Evidence Generation and FDA Regulatory Decision Making Defining and Using "Real World" Data - JAMA
      July 07:
      Hogan-Rutherford Administration Announces Over $22 Million to Fight Heroin and Opioid Epidemic - Press Release
      July 07:
      Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015 - Morbidity and Mortality Weekly Report, CDC
      May 04:
      MedChi Releases an Opioid Prescription Rate Study: Maryland Physicians are Writing Fewer Opioid Prescriptions
      March 17: Opioid Talking & Hope - Op-ed in Center Maryland by Gene Ransom, III
      March 07:
      Opioid Agonist Treatment for Patients with Dependence on Prescriptions Opioids - JAMA