Treatment of Opioid Use Disorder: Waiver Qualifying - Denver, CO - Friday, December 7, 2018

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Friday, December 7, 2018 | 8:30am - 12:30pm

Denver Health Administration Building
601 Broadway Street
Room 480
Denver, CO 80203

Hosted by ITMATTTRs

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 live learning followed by 4 hours of online learning. The online portion of the course builds off the content delivered in the live portion. You must complete both portions to receive credit for the course. 

Getting started: To begin the online portion of the course, please log-in to your right and locate the box that says "View Module 2." 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.

 If you have any questions, please contact education@ASAM.org.

CME Information and Disclosure Listing

Date of Release: July 2015 

Approved Through: December 2019

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. ASAM has been awarded the highest level of Accreditation with Commendation by the ACCME as a provider of continuing medical education.

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

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

This program has been reviewed and is approved for a maximum of 8.00 AAPA Category 1 CME credits by the PA Review Panel. Approval is valid for one year from the issue date of 01/01/2018. Participants may submit the post-test at any time during that period.

This program was planned in accordance with AAPA's CME Standards for Enduring Material Programs and for Commercial Support of Enduring Material Programs.

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 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 Treatment of Opioid Use Disorder Course Program Planning Committee

Name

Nature of Relevant Financial Relationship

Commercial Interest

What was received?

For what role?

Dan Alford, MD, MPH, DFASAM, Chair

None

Paula J. Lum, MD, MPH, FASAM, Vice Chair

None

Edwin Salsitz, MD, DFASAM, Curriculum Director

None

Soraya Azari, MD

None 

Jill Mattingly, DHSc, MMSc, PA-C

None

Debra Newman, PA-C, MPAS, MPH

None

Mary McMasters, MD, DFASAMNone

Yngvild K. Olsen, MD, MPH, DFASAM

None
Shawn Ryan, MD, MBA, FASAMAdapt Pharma OrexoConsulting Fee HonorariumContent Expert Speaker
Kristin Smith, DNP, FNP-C, AAHIVSNone
Tricia E. Wright, MD, MS, FACOG, FASAMNone

ASAM CME Committee

Name

Nature of Relevant Financial Relationship

Commercial Interest

What was received?

For what role?

Catherine Friedman, MD, FAPA, DFASAM, Chair

None

R. Jeffrey Goldsmith, MD, DLFAPA, DFASAMNone
Adam J. Gordon, MD, MPH, FACP, DFASAMNone
Zwaantje Hamming, FNP-C, CARN-APNone

Herbert L. Malinoff, MD, FACP, DFASAM

None

Noel Ilogu, MD, MRCP, DFASAM

None

Edwin A. Salsitz, MD, DFASAM

None

ASAM Staff and Consultants

Arlene C. Deverman, MA, CAE, CFRENone

Marcia Jackson, PhD

None
Sandy MetcalfeNone

ASAM Medical Education Council

Name

Nature of Relevant Financial Relationship

Commercial Interest

What was received?

For what role?

Peter Selby, MBBS, CCFP, FCFP, MHSc, DFASAM, Chair

Pfizer  Johnson & Johnson Pfizer CanadaGrant funding Consulting Fees Consulting FeesPrincipal  Investigator Consulting Consulting
Daniel P. Alford, MD, MPH, DFASAMNone
Michael Fingerhood, MD, FACP, FASAMNone
Catherine R. Friedman, MD, FAPA, DFASAMNone
Adam J. Gordon, MD, MPH, FACP, DFASAMNone
Miriam S. Komaromy, MD, FACP, DFASAMNone
Edwin A. Salsitz, MD, DFASAMNone
Mark P. Schwartz, MD, DFASAMNone
Mark A. Weiner, MD, FASAMNone
ASAM Staff and Consultants
Penny S. Mills, MBANone
Arlene C. Deverman, MA, CAE, CFRENone
Marcia Jackson, PhDNone
Dawn C. HowellNone
Molly S. MazukNone
Alexandra (Alli) UngerNone
Jennifer L. ButchartNone


Learning Objectives

Module 1

1. Assess patients for the full spectrum of harmful opioid use including misuse and use disorders
2. Describe the current epidemiologic trends in opioid misuse including overdose and use disorders
3. Recall opioid use neurobiology as it applies to the development of an opioid use disorder and relapse risk
4. Summarize the laws regulating office-based opioid treatment including the Drug Addiction Treatment Act of 2000 and the Comprehensive Addiction and Recovery Act of 2016
5. Summarize the clinical pharmacology, efficacy and safety of methadone, buprenorphine and naltrexone in treating opioid use disorders

Module 2

6. Identify and assess patients who are appropriate for treatment with medications for an opioid use disorder in an office-based setting
7. Describe procedures for setting up office systems to support medication prescribing for opioid use disorders
8. Describe procedures for initiating, stabilizing, maintaining, monitoring and modifying treatment of patients on buprenorphine or naltrexone

Module 3

9. Summarize the assessment and management of patients with psychiatric and medical co-morbidities associated with opioid use disorders
10. Describe unique issues of treating adolescents, young adults, pregnant and postpartum patients maintained on medications for opioid use disorders
11. Summarize acute and chronic pain management strategies for patients with an opioid use disorder

Overall

12. Apply for a waiver to prescribe buprenorphine to patients with opioid use disorder

  1. Locate the box on the right that says “View Module 2" and click “View Course"
    1. A new window will open with the course. Be sure your pop-up blocker is turned off.
  2. Complete the Module 2 CME Quiz located in Module 2
  3. Continue to Module 3 and Module 4
  4. You will be required to pass all three Module CME Quizzes with a grade of 70% or higher
  5. Upon completion of both the 4 live hours and 4 online 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.

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


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.

Key:

Complete
Failed
Available
Locked
Pre-Course Survey
4 Questions
4 Questions Please answer the following
Live In-Person Event
12/07/2018 at 8:30 AM (MST)   |  4 hours
12/07/2018 at 8:30 AM (MST)   |  4 hours
The ASAM Treatment of Opioid Use Disorder Course Live Portion CME Evaluation
17 Questions
17 Questions Complete the evaluation to earn CME credit.
View Module 2
Begin self-paced component package.
Begin self-paced component package. Complete the remainder of Module 2 by clicking the View Course button and complete all activities using the instructions provided. NOTE: Module 2 contains all items not covered in the live class as follows: Module 2.2: Case Study A, Emma Module 2.5: Case Study B, Robert Module 2.6: Case Study C, Paula Module 2.7: Patient Monitoring, Assessing and Managing Relapse Module 2.8: Case Study D, Jonathan
View Module 3
Begin self-paced component package.
Begin self-paced component package. Complete Module 3 by clicking the View Course button and complete all activities using the instructions provided.
View Module 4
Begin self-paced component package.
Begin self-paced component package. Complete Module 4 by clicking the View Course button and complete all activities using the instructions provided.
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
CME Certificate
Up to 8.00 medical credits available  |  Certificate available
Up to 8.00 medical credits available  |  Certificate available 8 Credits

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.

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: