PRESCRIPTION DRUG. Mayor Teresa Jacobs Prescription Drug Task Force. Healthcare & Pharmacy Subcommittee Recommendations.
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1 PRESCRIPTION DRUG Mayor Teresa Jacobs Prescription Drug Task Force Healthcare & Pharmacy Recommendations Orange County Underaged Drinking Task Force Report
2 Co-Chairs: Marlin Hutchens, Vice President of Walgreens Charles Chase, D.O. Anesthesiologists of Greater Orlando and Winnie Palmer Hospital Members: George Ralls, M.D., Task Force Member Director Phil Williams, Task Force Member Kevin Sherin, M.D., Task Force Member Meena Morgan, PharmD, Task Force Member Carolann Duncan, Task Force Member Barb Bergin, Task Force Member Alan Villaverde, Task Force Member Jennifer Lalani, Pharmacy Supervisor, CVS Michael Judd, Market Health Wal-Mart Alan Brown, Community Advocate Fred Brown, Community Advocate Dr. Zipper, National Pain Institute Dr. Stacy Seikel, Medical Dir. CFDFL Jennifer Lieberman, National Pain Institute Members: Deputy Chief Charles Robinson, OPD Tom Foy, FDLE Captain Mark Pilkington, OCSO Det. Lloyd Randolph, OPD Angie King, Tax Collector s Office Emily Kilianek, National Pain Inst. Alexander Jungreis, M.D., National Pain Inst. Greg Taboh, M.D., National Pain Inst. Jordan Dershaw, Esq. National Pain Inst. Dr. Bill Brooks, Advantagecare
3 Co-Chairs: Marlin Hutchens, Vice President of Walgreens Charles Chase, D.O. Anesthesiologists of Greater Orlando and Winnie Palmer Hospital Members (Cont d): Dan Frohwein, M.D., Orlando Orthopedic Center Lois Adams, Freedom Pharmacy Kurt Faschnt, Code Enforcement Michelle Mendez, DO, Florida Osteopathic Medical Assoc. Jeff Scott, Florida Medical Association James Shea, MD, Physical Medicine Pain Center Zelda Hanna, Spine & Scoliosis Center Mark Flynn, CVS Matt Imfeld, M.D., Florida Society of Phys. Med Rehab Catherine Jackson, RN, Endo Pharmaceuticals Staff: Dana Crosby, OC Attorney s Office Carol Burkett, OC Drug Free Office
4 Objectives: Healthcare & Pharmacy Examine current training for prescribing opiatebased narcotics for physicians and dentists as well as training on the identification of prescription drug misuse, abuse and diversion for pharmacists Information sharing of prescription drug abuse related data - area hospitals, poison control, treatment providers, and the medical examiner's office to determine trends and patterns Increase awareness on dangers of prescription drug misuse and non-medical use - public health campaigns engaging parents, seniors, hospitals, physicians, pharmacies and schools
5 Physician Training Current training outlined in SB 2272 (PMC) Training Requirements for Physicians Practicing in PMC: Board certification by a specialty board recognized by American Board of Medical Specialties and holds a specialty in pain medicine Board certification in pain medicine by ABPM Successful completion of pain medicine fellowship accredited by the Accreditation Council for Graduate Medical Education
6 Training Requirements for Physicians Practicing in PMC: Successful completion of residency program in physical medicine, rehab, anesthesiology, neurology, family practice, internal, orthopedics or psychiatry approved by the Accreditation Council for Graduate Medical Education Current staff privileges at a Florida-licensed hospital to practice pain medicine or perform pain medicine procedures Three years of documented full-time practice (average of 20 hours a week per year in pain management)
7 Proposed Recommendation: Increase healthcare provider education (Misuse and Abuse of Prescription Drugs Forums & Webinar) Florida Academy of Family Physicians Florida Medical Association General Practitioner Society Emergency Physicians Florida Board of Pharmacy Florida Retail Federation Florida Pharmacy Association UCF College of Medicine Dentists Podiatry Orthopedic
8 Proposed Recommendation (cont d): Increase healthcare provider education (Misuse and Abuse of Prescription Drugs Forums & Webinar) Florida Society of Addiction Medicine Florida Osteopathic Medicine Florida Independent Pharmacy Network Community Health Centers Florida Society of Interventional Pain Medicine Veterans Administration OBGYN/Pediatrics Higher Education Institutions Florida Realtors
9 Proposed Recommendation: Increase Prescription Drug Education & Awareness Drug Retail Industry Independent/Community Pharmacies Develop Prescription Drug Pharmacy Toolkit Increase Prescription Drug Education - Drug Free Workplace Educate workforce on dangers of prescription drug misuse Legislative change required opioids as part of drug screening
10 Proposed Recommendation: Increase training for law enforcement, CIT, prevention and treatment professionals on trends, non-medical use and misuse of prescription drugs Working in partnership with enforcement subcommittee
11 Proposed Recommendation: Information Sharing of Prescription Drug Abuse and Misuse Data Emergency Room Visits/Admissions Medical Examiner s (semi-annual report) Urgent Care Centers Treatment Centers Drug Addicted Babies (DCF) Law Enforcement Poison Control Center Florida Youth Substance Abuse Survey (biannual report) CORE Survey (annual report)
12 Proposed Recommendation: Increase Prescription Drug Education & Awareness Parents Seniors Schools (Secondary/Higher Educ.) Youth/Young Adults Community-Based Agencies Providers Campus Health Professionals Community Develop an Evidence-Based Prescription Drug Public Awareness Campaign National Family Partnership Lock Your Meds
13 Proposed Recommendation: Promote and advertise Prescription Take Back Days in the community to increase proper disposal of unused and unwanted prescription medications Proposed Recommendation: Beta test the Clinical Decision Support System (CDSS) tool for management of opioid therapy on patients with chronic non-cancer pain
14 Questions
TABLE OF CONTENTS. Executive Summary... p. 3. Background on Task Force..p. 6. Task Force Members.. p. 9
MAYOR TERESA JACOBS PRESCRIPTION DRUG TABLE OF CONTENTS Executive Summary... p. 3 Background on Task Force..p. 6 Task Force Members.. p. 9 Prescription Drug Abuse: The Extent of the Problem...p. 10 Orange
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