CMS Finalizes Hospital Outpatient Prospective Payment Changes for 2017

November 23rd, 2016

Last week, the Centers for Medicare and Medicaid Services (CMS) announced the removal of the Pain Management dimension of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The survey questions regarding how patients’ pain was treated in the hospital remain part of the survey; however, their answers no longer have an impact on the hospital’s funding.

Learn more about the Prospective Payment System Changes

Learn more about the Administration’s Efforts to Address Opioid Misuse and Overdose

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HHS Takes Additional Steps to Expand Access to Opioid Treatment

November 23rd, 2016

The U.S. Department of Health and Human Services (HHS), administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), has enabled nurse practitioners (NPs) and physician assistants (PAs) to immediately begin taking the 24 hours of required training to prescribe the opioid use disorder treatment, buprenorphine, and may begin prescribing in early 2017. Specific training details to meet the 24-hour requirement have not yet been outlined, but training information and the waiver application will be available soon on SAMHSA’s medication-assisted treatment webpage.

SAMHSA Website          

Announcement

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Buprenorphine Trainings Scheduled in Western NC for Prescribers and Clinical Staff on February 16 or June 26, 2017

November 23rd, 2016

The Mountain Area Health Education Center (MAHEC) is taking an innovative approach to buprenorphine training in NC. MAHEC is offering buprenorphine waiver training to prescribers, while concurrently offering companion training for other providers and office staff so they are better equipped to successfully implement buprenorphine treatment.

Prescribers: To obtain the waiver to prescribe, providers are required to take 8 hours of training. This training will use the half-and-half format, 3.75 hours of on-your-own-training combined with 4.25 hours of face-to-face training with an instructor.

Details and Registration for Prescribers

Non Prescribers: One consistently cited barrier preventing OBOT expansion is lack of adequate clinical support given the additional needs for patient monitoring. Successful Medicated Assisted Treatment (MAT) requires a team based approach just like treatment for other chronic diseases. MAHEC is offering an amazing companion program to increase the comfort level and expertise of the healthcare team by outlining a team approach and recommendations for implementation of Buprenorphine Office Based Opioid Treatment.

Details and Registration for Healthcare Team

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Surgeon General’s Landmark Report on Addiction Released Mid November

November 23rd, 2016

The U.S. Surgeon General Vivek Murthy, has released his comprehensive landmark report; Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. The Office of the Surgeon General and SAMHSA collaborated to develop this report.

Nearly 21 million people in America have a substance use disorder involving alcohol or drugs, an astonishing figure that is comparable to the number of people in our country with diabetes and higher than the total number of Americans suffering from all cancers combined. In spite of the massive scope of this problem, only 1 in 10 people with a substance use disorder receives treatment.

By adopting an evidence-based public health approach, America has the opportunity to take genuinely effective steps to prevent and treat substance-related issues. This approach will help promote much wider adoption of appropriate evidence-based prevention, treatment and recovery strategies needed to address the epidemic as a top public health priority.

Report          Toolkit

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NC Medical Board Gives Preliminary Nod to CDC Opioid Prescribing Guidance

November 10th, 2016

At its September meeting, the NC Medical Board (NCMB) tentatively decided to adopt the CDC Guideline for Prescribing Opioids for Chronic Pain in place of NCMB’s current opioid prescribing position statement. The Board recognizes that the US Centers for Disease Control and Prevention (CDC) guidance, which was published in March 2016, reflects more current thinking than NCMB’s Policy for the use of opiates for the treatment of pain, which was adopted in June 2014. The NCMB is expected to finalize its decision at its November Board meeting.

View CDC Guideline for Prescribing Opioids for Chronic Pain

View Current NCMB Opioid Position Statement

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New App Supports Medication-Assisted Treatment of Opioid Use Disorders

November 10th, 2016

matx-flyerMATx, a free mobile app by SAMHSA that supports practitioners in providing medication-assisted treatment for opioid use disorder, is now available for download.

The app provides information on treatment guidelines, helplines, and other resources. Individuals receiving Medication-assisted treatment for an opioid use disorder, often demonstrate dramatic improvement in addiction related behaviors and psychosocial functioning.

Info Sheet          

Download App

Video

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A Family Physician on the Front Lines of Opiate Addiction

November 10th, 2016
Dr. Leslie Hays at El Centro Family Health in EspaƱola New Mexico on Friday, Oct. 14, 2016.

Dr. Leslie Hays at El Centro Family Health in EspaƱola New Mexico on Friday, Oct. 14, 2016.

Leslie Hayes, MD, has practiced family medicine for the past 22 years. In 2005, she heard about Project ECHO’s training on addictions treatment and immediately signed up.  Read Leslie’s first-hand account on treating patients with addiction, and the role of primary care in the growing opiate epidemic.

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A Project of the Governor's Institute on Alcohol & Substance Abuse and the North Carolina Society of Addiction Medicine.
Funded wholly or in part by the federal Substance Abuse Prevention and Treatment Block Grant Fund (CFDA #93.959) as a project of the NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services.