As many of you may know in March, the Department of Health and Senior Services (DHHS) and Department of Mental Health (DMH) announced a new program, the Opioid Prescribing Intervention (OPI). The plan was to send letters to physicians if a prescription they wrote was flagged due to violating 1 of 12 quality indicators for prescribing opioids and benzodiazepines. In actuality, the program was not new. The state had previously been sending letters due to concerning prescriptions, but you were free to either never read them or just throw them away. What was new was that they required a response within 20 days of receiving the letter or they could refer you to the Board of Healing Arts (BHA) or the Bureau of Narcotics and Dangerous Drugs (BNDD).
Following the August primary, we know there will be 50+ new state representatives due to term limits and resignations. This upcoming, larger than normal, turnover in the legislature was overshadowed by the big blockbuster saga of the year – a new Governor in the absence of a gubernatorial election year. Eric Greitens resigned and Mike Parson was sworn in.
Christopher Sampson, MD, FACEP, and MOCEP’s Vice President, is the recipient of the 2018 ACEP National Faculty Teaching Award. Dr. Sampson is with the University of Missouri – Columbia School of Medicine and is an Associate Clinical Professor of Emergency Medicine, and Program Director for the Emergency Medicine Residency program.
Re-printed by permission of the Missouri Physicians Health Program, article published in the July, 2018 Physician Lifeline newsletter.
By Luther Philaya, MD
I am a physician in recovery and just celebrated my fifth-year anniversary on October 11, 2017.
The summer is coming to a close just as the political activity is starting back up again. Although, the political activity in Jefferson City really hasn’t slowed down much since the 2018 Legislative Session ended. We are gearing up to bring in a large number of new legislators with the upcoming elections, and we will need your help to educate them on emergency medicine. As Jorgen stated in the legislative update, before the session begins is the best time to introduce yourself and begin that relationship with the lawmakers. Also, don’t forget to get out and vote in November!
Emergency physicians regularly apply for hospital credentials to perform emergency procedures including emergency ultrasound. Theoretically, ultrasound training, credentialing and billing should be no different than other emergency procedures where training occurs in residency and an attestation letter from the residency is sufficient for local credentialing. When such training occurs outside of residency, “proctored pathways” often serve to assure competency. There is still a lack of understanding and awareness in the general medical community that emergency physicians routinely train in and perform point-of-care ultrasound.
Sam Shahid, MBBS, MPH
Practice Management Manager, ACEP
ACEP would like to provide you with very brief synopses of the latest articles in Annals of Emergency Medicine. Some of these have not appeared in print. These synopses are not meant to be thorough analyses of the articles, simply brief introductions. Before incorporating into your practice, you should read the entire articles and interpret them for your specific patient population.