Treatment of Opioid Use Disorder: Waiver Qualifying - ACOG - Marquette, MI - Friday, May 11, 2018

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Friday, May 11, 2018 7:45am - 4:45pm

Peninsula Medical Center 1414 West Fair Avenue
Room 47 (Basement of the Peninsula Medical Center)
Marquette, MI 49855

Cost $25 (Residents and Students are free) 

Conference Schedule

Morning Session

7:45-8:00: Light Breakfast

8:00am- 12:30pm: ASAM/ACOG Treatment of Opioid Use Disorder Course – Cara Poland, MD 

12:30-1:15: Lunch

Afternoon Session (No CME credit for the afternoon session) 

1:15-2:00: The Vermont Hub and Spoke Model for Addiction Medicine Treatment – Sharif Nankoe, MD

2:00-2:30: A Model for an Integrated Prenatal and Addiction Medicine Clinic – Cara Poland, MD

2:30-2:45: Questions for Dr. Nankoe and Dr. Poland

2:45-3:30: Current Trends in Opiate Prescribing in the Upper Peninsula and an Overview of Michigan Regulations on Opioid Prescribing and - Kevin Piggott, MD

3:30-4:00: Needle Exchanges and Harm Reduction Strategies – Katie Brang, MD and Terry Frankovich, MD

4:00-4:10: Break

4:10-4:45: Panel Discussion with Drs Nankoe, Poland (if available), Piggott, and Frankovich 



This course is offered in partnership with the American College of Obstetricians and Gynecologists. The curriculum for this course has been specifically designed for women's health providers but can be attended by all providers. 

Welcome to the ASAM Treatment of Opioid Use Disorder Course online access. This course covers all medications and treatments for opioid use disorder, and provides the required education needed to obtain the waiver to prescribe buprenorphine. ASAM is an approved provider by CSAT/SAMHSA of DATA 2000 training.

This is an 8-hour blended course combining 4 hours of online learning followed by 4 hours of live learning. The live portion of the course builds off the content delivered in the online portion. Course faculty are expecting you to come to the live course with the online portion completed. 

Getting started: To begin the online portion of the course, please log in to your right and locate the box that says Module 1. If you do not know your password, or you have forgotten it, select Forgot Password and you will be emailed a link to reset your password. Detailed instructions for completing the online portion of the course can be found under the tab titled Course Instructions.

Once you have completed the 4-hour online portion and the 4-hour live portion of the course, return here to claim CME for the course. If you have any questions, please contact education@ASAM.org.


Overview of Legislation

Physicians

The Drug Abuse Treatment Act of 2000 (DATA 2000) specifies training is necessary for physicians to obtain a waiver to engage in office‐based treatment of opioid use disorders using drugs approved by the FDA on Schedules III, IV, and V. This course addresses those requirements using a curriculum approved by CSAT/SAMHSA and ASAM, who is one of the national organizations named in the DATA 2000 legislation as eligible to prepare and administer these courses.

Nurse Practitioners & Physician Assistants

On July 22, 2016, President Obama signed the Comprehensive Addiction and Recovery Act (CARA) into law. CARA authorizes qualified NPs and PAs to become waivered to prescribe buprenorphine in office-based settings for patients with Opioid Use Disorder (OUD) for a five-year period expiring in October 2021.    

To qualify, NPs and PAs must: 

  • Be licensed under state law to prescribe schedule III, IV, or V medications for pain  
  • Complete not less than 24 hours of appropriate education through a qualified provider
  • Through other training or experience, demonstrate the ability to treat and manage OUD  
  • If required by state law, be supervised or work in collaboration with a qualifying physician to prescribe medications for the treatment of OUD

HHS' announcement on November 16, 2016, enables NPs and PAs to immediately begin taking the 24 hours of required training. For the full HHS announcement, click here.

NPs and PAs can begin the training immediately by taking the 8-hour buprenorphine course ASAM currently offers or that other stakeholders offer (see below for more information). The remaining 16 hours will have to be completed with one training provider. ASAM is developing multiple 16-hour training course options and formats, including collaborations with:

Apply

SAMHSA reviews waiver applications within 45 business days of receipt. If approved, you will receive a letter via email that confirms your waiver and includes your prescribing identification number.

Waiver applications are forwarded to the DEA. DEA regulations require your prescribing identification number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with your regular DEA number.

If you have not received confirmation of receipt of your application, or if it has been more than 45 business days since submitting it, contact CSAT by email: infobuprenorphine@samhsa.hhs.gov or call 866.287.2728.

Please ensure that your state regulations allow you to prescribe buprenorphine and other medications to treat OUD before you apply for the waiver.  Some states may have overriding state legislation that will prevent NPs and PAs from prescribing these medications even if Federal law allows it.

Apply

SAMHSA reviews waiver applications within 45 business days of receipt. If approved, you will receive a letter via email that confirms your waiver and includes your prescribing identification number.

Waiver applications are forwarded to the DEA. DEA regulations require your prescribing identification number to be included on all buprenorphine prescriptions for opioid dependency treatment, along with your regular DEA number.

If you have not received confirmation of receipt of your application, or if it has been more than 45 business days since submitting it, contact CSAT by email: infobuprenorphine@samhsa.hhs.gov or call 866.287.2728.

Qualify 

To qualify for a waiver to treat patients with Opioid Use Disorder, NPs and PAs must: 

  • Be licensed under state law to prescribe schedule III, IV, or V medications for pain
  • Complete no less than 24 hours of appropriate education through a qualified provider
  • Through other training or experience, demonstrate the ability to treat and manage OUD
  • If required by state law, supervision or working in collaboration with a qualifying physician to prescribe medications for the treatment of OUD may be required.

 

CME Information and Disclosure Listing

Date of Release: July 2015
Approved Through: July 2018

The American Society of Addiction Medicine (ASAM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Society of Addiction Medicine designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits. Physicians should claim only credit commensurate with the extent of their participation in the activity.

The American Society of Addiction Medicine designates this live activity for a maximum of 4 AMA PRA Category 1 Credits. Physicians should claim only credit commensurate with the extent of their participation in the activity.

The combined online enduring material and live activity will provide the required 8 hours needed to obtain the waiver to prescribe buprenorphine in office-based treatment of opioid use disorders.

This course has been designated as an approved CME Activity by the American Board of Addiction Medicine (ABAM). Physicians enrolled in the ABAM Maintenance of Certification (MOC) Program can apply a maximum of 8 AMA PRA Category 1 Credit(s)™ to the CME requirement for Part II: Lifelong Learning and Self-Assessment.

In accordance with the disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all educational activities. These policies include resolving all conflicts of interest between the CME Committee, Planning Committee and faculty, and commercial interests that might otherwise compromise the goal and educational integrity of this activity. All CME Committee, Planning Committee and faculty participating in the activity have disclosed all relevant financial relationships with commercial interests. The CME Committee has reviewed these disclosures and determined that the planning committee and faculty relationships are not inappropriate in the content of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.

ASAM CME Committee

Name

Nature of Relevant Financial Relationship

Commercial Interest

What was received?

For what role?

Catherine R. Friedman, MD, FASAM Chair

None

Edwin A. Salsitz, MD, FASAM

None

Herbert Malinoff, MD, FACP, FASAM

None



Noel Ilogu, MD, MRCP

None

Abigail Kay, MD

None

John Tanner, DO, FASAM

Reckitt Benckiser

OREXO

BDSI

Honorarium

Honorarium

Honorarium

Speaker

Speaker

Speaker and Consultant

Catherine Friedman, MD

None

ASAM Buprenorphine Program Planning Committee

Name

Nature of Relevant Financial Relationship

Commercial Interest

What was received?

For what role?

Dan Alford, MD, MPH

None

Andrew J. Saxon, MD

UpToDate

Royalties

Section Editor, Drug Use Disorders

Colleen LaBelle, BSN, RN-BC, CARN

None

Edwin Salsitz, MD, FASAM

None

Jeffrey D. Baxter, MD

None

Kelley Saia, MD

None

Sharon Levy, MD, MPH

None

Paula J. Lum, MD, MPH

None


ASAM Buprenorphine Course Faculty

Name

Nature of Relevant Financial Relationship

Commercial Interest

What was received?

For what role?

Edwin Salsitz, MD, FASAM

None

Andrew J. Saxon, MD

UpToDate

Royalties

Senior Editor, Drug Use Disorders

Colleen LaBelle, BSN, RN-BC, CARN

None

Dan A. Alford, MD, MPH

None

Jeffrey D. Baxter, MD

None

Kelley Saia, MD

None

Sharon Levy, MD, MPH

None

Paula J. Lum, MD, MPH

None

Sarah Bagley, MD

ASAM Millennium Fellowship Award

Partial Salary Support

Awardee

Alexander Y. Walley, MD, MSc

None

ASAM CME Committee Reviewers

Name

Nature of Relevant Financial Relationship

Commercial Interest

What was received?

For what role?

Adam J. Gordon, MD, MPH, FACP, FASAM

None

Herbert Malinoff, MD, FACP, FASAM

None

Learners will be able to:

  1. Apply for a waiver to prescribe buprenorphine to their patients with opioid use disorders
  2. Identify and assess patients who are appropriate for treatment with medications
  3. Have specific knowledge concerning the use of medications to manage patients with addiction involving opioid use
  4. Discuss the psychiatric and medical co-morbidities associated with opioid addiction
  1. Locate the box on the right that says “Module 1" and click “View Web Content On-Demand"
  2. Locate the box on the right that says “Certificate code" and enter the code given upon completion of Module 1 Part 1
  3. Continue to Module 1 Part 2 and Module 1 Part 3
  4. Once you have completed the entire module, locate the box called “Module 1 Quiz" and choose “Take Quiz"
  5. After you have completed Module 1 Quiz, continue to modules 2 and 3
  6. You will be required to pass all 3 Module Quizzes with a grade of 70% or higher
  7. Upon completion of both the 4 online hours and 4 live hours of the course, you will be able to claim CME Credit through the ASAM e-Learning Center
  1. Physicians, Nurse Practitioners, and Physician Assistants who wish to obtain a waiver to prescribe buprenorphine in office based treatment of opioid use disorders.
  2. Clinicians and health care team members working with physicians who prescribe buprenorphine in office based treatment of opioid use disorders.

Key:

Complete
Failed
Available
Locked
Pre-Course Survey
5 Questions
5 Questions Please answer the following
Module 1 Part 1
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover the neurobiology of opioid use disorders, epidemiology of heroin use and prescription opioid misuse, the Drug Addiction Treatment Act of 2000, opioid pharmacology and treatment with medications.
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 1, Part 1.
Module 1 Part 2
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover the neurobiology of opioid use disorders, epidemiology of heroin use and prescription opioid misuse, the Drug Addiction Treatment Act of 2000, opioid pharmacology and treatment with medications.
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 1, Part 2.
Module 1 Part 3
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover the neurobiology of opioid use disorders, epidemiology of heroin use and prescription opioid misuse, the Drug Addiction Treatment Act of 2000, opioid pharmacology and treatment with medications.
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 1, Part 3.
Module 1 Quiz
7 Questions  |  10 attempts  |  5/7 points to pass
7 Questions  |  10 attempts  |  5/7 points to pass Module 1 Quiz
Module 2 Part 1
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover an overview of implementing Office-Based Opioid Treatment (OBOT) including: patient assessment, office management, medication management, role of nonpharmacotherapy and patient monitoring.
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 2, Part 1.
Module 2 Part 2
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover an overview of implementing Office-Based Opioid Treatment (OBOT) including: patient assessment, office management, medication management, role of nonpharmacotherapy and patient monitoring.
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 2, Part 2.
Module 2 Quiz
8 Questions  |  10 attempts  |  6/8 points to pass
8 Questions  |  10 attempts  |  6/8 points to pass Module 2
Module 3 Part 1
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover adolescents and young adults, pregnancy, neonatal abstinence and breastfeeding, medical co-morbidities, psychiatric co-morbidities and managing acute and chronic pain (requiring opioid analgesics) in patients on Opioid Agonist Treatment (OAT).
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 3, Part 1.
Module 3 Part 2
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover adolescents and young adults, pregnancy, neonatal abstinence and breastfeeding, medical co-morbidities, psychiatric co-morbidities and managing acute and chronic pain (requiring opioid analgesics) in patients on Opioid Agonist Treatment (OAT).
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 3, Part 2.
Module 3 Part 3
Recorded 12/31/1969
Recorded 12/31/1969 This module will cover adolescents and young adults, pregnancy, neonatal abstinence and breastfeeding, medical co-morbidities, psychiatric co-morbidities and managing acute and chronic pain (requiring opioid analgesics) in patients on Opioid Agonist Treatment (OAT).
Certificate code
Enter code to continue.
Enter code to continue. Please enter the certificate code given at the end of Module 3, Part 3.
Module 3 Quiz
11 Questions  |  10 attempts  |  9/11 points to pass
11 Questions  |  10 attempts  |  9/11 points to pass Module 3
The ASAM Treatment of Opioid Use Disorder Course Online Portion Evaluation
15 Questions
15 Questions CME Evaluation for the Online Portion of the ASAM Treamtent of Opioid Use Disorder Course
The ASAM Treatment of Opioid Use Disorder Course Live Portion Evaluation
17 Questions
17 Questions CME Evaluation for the Online Portion of the ASAM Buprenorphine Course
CME Certificate
Up to 8.00 medical credits available  |  Certificate available
Up to 8.00 medical credits available  |  Certificate available 8 Credits

The ASAM Treatment of Opioid Use Disorder Course has been made available in part by an unrestricted educational grant from Indivior Inc.