Maine Medicine Weekly Update - 08/06/2018  (Plain Text Version)

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In this issue:
•  MMA Board Votes Opposition to Question One
•  Watch for Next Issue of Maine Medicine
•  CMS Rule Changes Advance Price Transparency & EHR
•  Maine Reinsurance Program Gets 1332 Waiver
•  MaineGeneral Offers X-waiver Training
•  California Insurance Commissioner Opposes CVS-Aetna Merger
•  CMS Releases Proposed 2019 Medicare Payment Rule
•  Licensing Boards Discuss Nursing Home Exception to Opioid Requirements
•  Prescription Monitoring Program User Survey
•  Time to Volunteer for an MMA Committee
•  MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available
•  Maine Quality Counts Offers Project ECHO Medication Assisted Treatment Course
•  Upcoming Specialty Society Meetings
•  MICIS 3-hour Opioid CME Presentations - registration open for August 21 in Brewer
•  17th Annual Downeast Ophthalmology Symposium - September 21-23, 2018
•  Hanley Center Offers New PELI Course Beginning in October
•  Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3
•  Division of Disease Surveillance Annual Infectious Disease Conference - November 14th
•  Hanley Center Offers Next Level Leadership Seminar Series and Advanced Practice Provider Leadership Institute
•  Advanced Hanley Center Training Available for PELI and HLD Alumni
•  Family Nurse Practitioner - Ellsworth
•  Behavioral Health Consultant
•  Clinical Cardiology Opportunity
•  Internal Medicine Outpatient Physician
•  Nurse Practitioner - Nasson Health Care
•  Medical Board Physician
•  Medical Director/Family Practice Physician - Relocate to Beautiful Southwestern Maine
•  Outpatient Internal Medicine Physician Bangor, Maine
•  Maine's Largest FQHC in need of Physician for Geriatric Program
•  Multiple Family Med Opportunities in Beloved Community Health Centers
•  Opportunities at the VA for Volunteer Physicians


Licensing Boards Discuss Nursing Home Exception to Opioid Requirements

A subcommittee of the boards of Medicine, Osteopathy, and Nursing are considering a significant change to rule Chapter 21, governing the prescribing of opioids. It would ease the work of prescribers treating nursing home residents and other in-patient pain patients.

At issue are the significant and, some would say, burdensome rules governing opioid prescribing which require treatment agreements and extensive risk assessment and informed consent procedures. The rule modification, if approved by the three licensing boards, will exempt from all Chapter 21 requirements patients in in-patient facilities and residents of nursing homes, assisted living, and similar facilities if their medications are administered by a licensed, certified, or registered health care professional. The reasoning behind the proposed change is that there is no real risk of patient diversion or misuse of opioids when those drugs are not in the patient’s possession at any time and are administered by a nurse, medical technician, or similar professional.

MMA Board of Directors member Karen Saylor, M.D., was instrumental in bringing the licensing boards’ attention to the problem and in proposing a simple and effective solution.