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Learn MoreHealthcare is spending a lot of time thinking about ways to strengthen the regulation of opioids. A team of content experts from HCCS, A HealthStream Company, recently attended the Health Care Compliance Association’s 2018 Enforcement Conference, where some sessions focused on measures to combat the opioid crisis.
Navigating the Changing Regulatory Landscape—Opioids
While the False Claims Act and cybersecurity are hot topics in healthcare compliance, the opioid crisis is seen as a national emergency. Nearly all the sessions presented at the conference contained some reference to the opioid crisis and its toll in the areas of addiction, loss of life – accidental overdose - and financial consequences. This presentation focused on recent enforcement actions, a physician’s perspective on opioids and legislative changes.
A Public Health Emergency
The HHS Secretary has declared a public health emergency in response to increased use and abuse of prescription opioids. Professional licensing boards, federal agencies, local law enforcement and multiple provider types are on the front lines of this serious epidemic. Investigative and enforcement actions are originating from a variety of sources under these agencies including the Opioid Fraud and Abuse Unit, Prescription Interdiction and Litigation (PIL) Task Force and data analytics.
Interesting statistics were presented as follows:
Increasing Volume of Legal Settlements
There have been numerous settlement actions in the past two years ranging from $28,000 to $2 billion against healthcare organizations, providers and pharmacies. States attorneys general are also heavily involved in lawsuit activities including criminal prosecutions and actions by family members.
More Monitoring, More Scrutiny, More Prescription Oversight
In addition, many state legislatures are requiring providers to utilize the Prescription Drug Monitoring Programs (PDMPs) to monitor patients’ previous prescription drug use before prescribing opioids. State licensing boards are using the PDMP as part of licensure renewal by monitoring prescribers’ patterns and some states are releasing data on a providers prescribing practices to an organization’s chief medical officer or director.
Providers’ (physicians, non-physician providers, and dentists, etc.) prescribing behavior is under close scrutiny. Many providers are voluntarily surrendering their DEA numbers to avoid being subject to the increased risks of prescribing opioids. Providers are required to complete mandatory training on opioid prescribing in several states, and this number may increase.
Additional Layers of Provider Requirements for Prescribing
Alternative therapies, establishing goals for treating a patient’s pain and function, recognizing drug-seeking behavior and noting inconsistencies in patient’s symptoms are just a few of the items that providers must become aware of when providing patient care. Providers are now required to education patients on the risk of additional and overdose, as well as educate patients about other forms of pain management. These additional layers of administrative and treatment requirements are concerning to many physicians. Physicians, non-physician providers and all organizations will need to stay up-to-date on the opioid legislative actions in their respective states. There is concern that the amount of legislative and regulatory action may hamper medical decision-making.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
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View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsDelivers everything you need to request, gather, and validate information about a provider to create a single source of truth for downstream processes.
View All CredentialingMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All Scheduling & Capacity ManagementHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
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