On October 14, 2013 a regulatory tree fell in the woods.
Did you hear it?
The “tree” was Indiana’s emergency rule regarding opioids for chronic pain.
The tree will sound again on December 15, 2013 when it actually goes into effect.
In the meantime, I urge all physicians who practice in the Hoosier State to take a look at the document available at:
http://www.in.gov/pla/files/Emergency_Rules_Adopted_10.24.2013.pdf
Indiana Attorney General Greg Zoeller is taking an active role. Here’s his very informative website:
Indiana’s “First Do No Harm” prescriber took kit (more like a textbook) is very good, up to date, and available for download at:
http://www.in.gov/bitterpill/docs/First_Do_No_Harm_V_1_0.pdf
And a fine summary poster is available at:
http://www.in.gov/bitterpill/docs/First_Do_No_Harm_Poster.pdf
The Indiana State Medical Association has had a role in this process as well.
http://www.ismanet.org/news/ViewArticle.aspx?ArticleId=836#.UnhRjJTk-XQ
And the Greater Louisville Medical Society plans on offering educational seminars in Southern Indiana.
I am currently in the process of digesting these new regulations and will soon publish an opinion on what they mean for physicians and patients. My first recommendation is to look at that summary poster.
Trees are falling.
James Patrick Murphy, MD, MMM attended medical school at the University of Louisville, interned in Psychiatry at the San Diego Naval Hospital, studied at the Naval Aerospace Medical Institute, and later served as a Naval Flight Surgeon onboard the aircraft carrier U.S.S. Enterprise. He returned to Louisville in 1989 for residency training in Anesthesiology after which he completed a Pain Medicine Fellowship at the Mayo Clinic in Rochester, MN. Dr. Murphy is Kentucky’s first physician to achieve combined board-certification in Pain Management and certification in Addiction Medicine. Dr. Murphy is President of the Greater Louisville Medical Society, Medical Director of Murphy Pain Center, Assistant Clinical Professor at the University of Louisville School of Medicine, and serves on the board of the International Association for Pain and Chemical Dependency. In May 2013 Dr. Murphy earned a Master of Medical Management degree from the University of Southern California Marshall School of Business.
These are REGULATIONS and not LAWS.
Here is the actual Indiana LAW that prompted the EMERGENCY regulations. The permanent rules have to be adopted by November 1, 2014.
Click to access ch13.pdf
Pat, Thanks for all your continued hard work with legislative issues. I have seen the dedication and determination to have good laws to help everyone. There are definitely people who need these medications and those who abuse it. We will all stand with you to continue to fight the fight.
It is like that big granite ball our in front of Ripley’s Believe It Or Not Museum in Gatlinburg, TN. If enough of us put our hands on it, eventually we can get it going in the other direction, see http://vimeo.com/68703810 at about the 15:30 mark
Click to access OpioidManagerEnJuly2011.pdf
I found a link to this nice guide on page 35 of “First Do No Harm.”
I like it, even if it did come from CANADA.