Page 10 - Volume 70 Number 2
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Assisted Treatment, as indicated by national and state
guidelines for treatment.
  Insurance companies should consider providing
health plans that cover the costs of MAT with
reasonable quantity limits on medication used.
  Explore ways to increase the numbers of addiction
specialists practicing in Michigan.
  Require additional training for law enforcement in the
area of recognizing and dealing with addiction for those officers who do not deal directly with narcotics regularly.
  Expand treatment courts as called on by Gov. Snyder in his 2015 Criminal Justice Message, as well as expand the courts’ ability to create pilot programs for use the of Medication Assisted Treatment.
  Requiring a bona-fide physician-patient relationship prior to prescribing controlled substances.
  Review current guidelines for reducing the development of neo-natal abstinence syndrome caused by prescription drug and opioid abuse.
  Consider legislation to better define and identify pain management practice for the purposes of licensing.
  Update regulations to delineate licensing for clinics based on the population being treated and consider a tiered system of licensing that regulates the functions and prescription capabilities of the clinics and their staff.
  Establish an exemption from civil liability when a pharmacist is acting in good faith and has reasonable doubt regarding the authenticity of the prescription or believes the prescription is being filled for non- medical purposes.
  Review the Michigan College of Emergency Physicians policy and then endorse a best practices policy that hospitals and doctors could use as a model.
  Create an ongoing Prescription Drug and Opioid Task Force or Commission to evaluate the efficacy of current proposals and continually develop new solutions to address societal changes.
  Adding outcomes to the State Dashboard to track success.
  Consider mechanisms to ensure patient continuity of care during an abrupt closure of a medical practice to ensure that necessary treatments can continue without interruption.
  Document law enforcement efforts with local coalitions and focus groups that have resulted in a reduction of prescription drug overdose deaths to determine if replication and expansion are possible and warranted.
  Review budgetary requirements for updating or replacing the Michigan Automated Prescription System.
  Require mandatory registration in MAPS by all licensed prescribers to ensure all are registered when the updated or new system comes online.
  Allow broader access to MAPS for law enforcement purposes when investigating questionable business practices by prescribers.
  Require enhanced licensing sanctions for health professionals that violate proper prescribing and dispensing practices.
Washtenaw County Medical Society BULLETIN APRIL / MAY / JUNE 2018

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