Page 19 - Volume 70 Number 2
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■ Mandate education and training in pain management, safe prescribing, and addiction
for all prescribers of controlled substances (physician assistants, nurses, physicians, dentists, oral surgeons, and veterinarians).
■ Pass laws to impose limits on the number and amount of opioids that can be prescribed.
What are Some of the Local Guidelines?
MSQC/OPEN Recommendations
The Michigan Surgical Quality Consortium/Opioid Prescribing Engagement Network is a statewide group involving surgeons from many hospitals working collaboratively to improve surgical care. Their recommendations, as of September 2017, are shown in the ensuing tables.
*Note: a 100 mg morphine-equivalent dose equals 100 mg hydrocodone or 65 mg oxycodone.
MSQC sponsored studies showing the surprising amount of overprescribing that has gone on regularly at academic institutions, such as University of Michigan, and how that
can be changed. (See WCMS article by Ryan Howard linked here: http://pageturn.vpdemandcreationservices. com/WCMS/1Q17/mobile/index.html#p=14.)
MQIC Recommendations
Michigan Quality Improvement Consortium makes general recommendations based on CDC Guideline. See the relevant table.
Michigan Blue Cross/Blue Shield
Short-acting opioid prescriptions limited to five days for first fill – Starting Feb. 1, 2018, patients new to opioid therapy and receiving a short-acting opioid will be limited to a five-day supply for their first fill. Subsequent prescriptions and refills will be limited to a 30-day supply.
Opioids limited to 30-day supplies – Blue Cross will limit supplies of opioids to a 30-day fill, starting Feb. 1, 2018. This includes new prescriptions and any refills your patient may have left on a current prescription. These changes won’t apply to oncology patients or those who are receiving end-of-life care.
 Volume 70 • Number 2 Washtenaw County Medical Society BULLETIN 19

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