Comprehensive Controlled Substance Prescribing

in the Age of Increased Regulations, Legal Challenges and Diversion

February 24-25, 2018
Register now! The course is limited to 60 attendees.
Marriott AC Hotel Cincinnati at Liberty Center
7505 Gibson Street, Liberty Township, Ohio 45069
EARLY BIRD REGISTRATION BEFORE DECEMBER 1st 2017 - $750.00

Registration Fee is $1,000 after December 31, 2017
15.25 AMA PRA Category 1 Credit(s)™

The registration fees include tuition, educational materials, breakfast, lunch, breaks, and parking.

GENERAL QUESTIONS
For more information, including general questions about the course, contact:
Michael Staples at 513 | 464-6721 or Michael.Staples@practiceshields.com

QUESTIONS REGARDING REGISTRATION & PAYMENT
For questions regarding registration, including payments, please contact:
Keeley Harding at 937 | 623-5571 or Keeley.Harding@leapponline.com

Who Should Attend?

The course is designed for physicians in all specialties, as well as APRNs and PAs, who prescribe controlled substances. The course may be particularly helpful to prescribers interested in expanding their knowledge of controlled substance prescribing, and those professionals who have been cited for inappropriate prescribing, such as prescribing large quantities. The course is designed to fulfill licensing board or credentialing requirements for remedial education.

Statement of Need

Unintentional drug overdose has become the leading cause of injury-related deaths in Ohio. In the United States, Ohio ranks the 5th highest rate of drug overdose deaths. In response to this growing drug abuse epidemic brought about by the misuse of the controlled substance of opioids, Ohio Governor, John R. Kasich, has put into place one of the nation’s most aggressive and compressive approaches to address opioid addiction and overdose deaths. It includes a strong focus on preventing the non-medical use of prescription drugs. Several state agencies in Ohio have implemented a multi-faceted strategy to improve opioid safety, combat diversion, and reduce unintentional drug overdose deaths. New laws and guidelines have been designed to help the prescriber understand the proper use of controlled substances, the risks associated with controlled substances, and how to safely prescribe these medications. Laws and rules are changing around prescribing controlled substances, and prescribers need to be up-to-date to ensure they not only avoid disciplinary action by regulatory boards, but also to help ensure they safely prescribe controlled substances to their patients. This course will provide prescribers with educational initiatives related to current controlled substance prescribing laws as well as evidence-based resources and tools.

Course Objectives

  • Interpret the state and federal laws governing the prescribing of controlled substances.
  • Identify evidence-based screening tools for screening and assessment of substance use and substance use disorders.
  • Identify local, state and national referral resources for patients with chemical dependency.
  • Describe prescribing guidelines for the safe and effective use of controlled substances, including opioid induced hyperalgesia.
  • Describe legal and malpractice implications when prescribing controlled substances.
  • Describe the laws and rules pertaining to APRNs and PAs who prescribe controlled substances in Ohio.
  • Identify current evidence and best practices when prescribing multiple controlled substances for a patient.
  • Identify and manage aberrant behaviors that are suggestive of prescription drug abuse and diversion.
  • Describe alternatives to prescribing controlled substances, including interventional procedures and non-opioid medications.
  • Discuss documentation best practices when prescribing controlled substances, including informed consent, controlled substance agreements and referrals.
  • Identify controlled substance prescribing guidelines for the safe and effective management of weaning and withdrawals symptoms.
  • Identify methods to prevent abuse, addiction, and diversion of controlled substances, including OARRS, urine drug testing and proper drug disposal.

Agenda

Saturday - February 24, 2018

7:00-8:00 AM
Registration and Breakfast Buffet
8:00-8:15 AM
Welcome and Overview
8:15-8:45 AM
Prescribing Controlled Substances in Compliance with the Laws & Rules
Elizabeth Y. Collis, JD
8:45-9:15 AM
Ohio’s New Acute Pain Prescribing Rules
Humam Akbik, MD
9:15-9:45 AM
Medical Marijuana in Ohio: What You Need to Know
Elizabeth Y. Collis, JD
9:45-9:55 AM
Break
9:55-11:10 AM
Opioids: Prescribing in Today’s Environment, including How to Evaluate and Document the MED (Morphine Equivalent Dose)
Humam Akbik, MD
11:10-12:00 PM
Deadly Mixes: Opioids, Stimulants and Depressants
Michael Staples & Keeley Harding, DNP, APRN, CPNP-AC/PC
12:00-1:00 PM
Lunch
1:00-2:00 PM
Controlled Substance Prescribing: A Legal Perspective
Daniel S. Zinsmaster, JD
2:15-3:15 PM
APRN and PA Controlled Substance Prescribing: Standard Care Arrangement/Supervision Agreement, Quality Assurance & Formulary
Keeley Harding, DNP, APRN, CPNP-AC/PC & Nicole Garritano, DNP, APRN, CPNP-AC
3:15-3:25 PM
Break
3:25-4:00 PM
The Appropriate Use of Opioids in Non-Cancer Chronic Pain: What are the Alternatives?
Gururau Sudarshan, MD
4:00-4:30 PM
How to Assess for and Manage Opioid-Induced Hyperalgesia
Gururau Sudarshan, MD
4:30-5:30 PM
Legal Protections: Minimum Documentation and Controlled Substance Agreements
Daniel S. Zinsmaster, JD

Sunday - February 25, 2018

7:00-8:00 AM
Registration and Breakfast Buffet
8:00-9:30 AM
The Complaint Process: What You Need to Know if You Are Investigated by the Medical Board
Michael Staples & Detective Dennis Luken
9:30-10:30 AM
Interventional Pain Procedures: Reducing the Opiate Epidemic
Sairam Atluri, MD, FIPP
10:30-10:40 AM
Break
10:40-11:45 AM
Addiction & Chemical Dependency: An Overview for Prescribers
Shawn A. Ryan, MD, MBA, ABEM, ABAM
11:45AM-12:45 PM
Lunch
12:45-1:30 PM
Tapering Controlled Substances and Management of Withdrawal Symptoms
Humam Akbik, MD
1:30-2:30 PM
Controlled Substance Prescribing: A Legal Perspective
Eric J. Plinke, JD
2:30-2:40 PM
Break
2:40-3:30 PM
To Prescribe or Not to Prescribe: What Should You Do?
Nicole Garritano, DNP, APRN, CPNP-AC
3:30-5:00 PM
Expert Panel
Detective Dennis Luken | Pharmaceutical Diversion Resources
Sairam Atluri, MD, FIPP | Interventional Spine Specialists
Gururau Sudarshan, MD | Cincinnati Pain Physicians
Humam Akbik, MD | Cincinnati Comprehensive Pain Center
Michael Staples | Owner, Practice Shields, Director of Compliance, Cincinnati Pain Physicians
Nicole Garritano, DNP, APRN, CPNP-AC | APRN Consultant
Keeley Harding, DNP, APRN, CPNP-AC/PC | APRN Consultant
Shawn A. Ryan, MD, MBA, ABEM, ABAM | President & Chief Medical Officer, BrightView
Eric J. Plinke, JD | Attorney at Law & Partner, Dinsmore & Shohl, LLP
Daniel S. Zinsmaster, JD | Attorney at Law, Dinsmore & Shohl, LLP

Faculty

Humam Akbik, MD

Humam Akbik, MD

Cincinnati Comprehensive Pain Center
Owner, Practice Shields
Atul Chandoke, MD

Atul Chandoke, MD

Cincinnati Pain Physicians
Nicole Garritano, DNP, APRN, CPNP-AC

Nicole Garritano, DNP, APRN, CPNP-AC

APRN Consultant
Owner, LEAPP, LLC
Shawn A. Ryan, MD, MBA, ABEM, ABAM

Shawn A. Ryan, MD, MBA, ABEM, ABAM

President & Chief Medical Officer
Brightview
Elizabeth Y. Collis, JD

Elizabeth Y. Collis, JD

Attorney at Law
Partner Collis Law Group, LLC
Sairam Atluri, MD, FIPP

Sairam Atluri, MD, FIPP

Medical Director
Interventional Spine Specialists
Michael Staples

Michael Staples

Owner, Practice Shields
Director of Compliance, Cincinnati Pain Physicians
Gururau Sudarshan, MD, FRCA

Gururau Sudarshan, MD, FRCA

Cincinnati Pain Physicians
Keeley Harding, DNP, APRN, CPNP-AC/PC

Keeley Harding, DNP, APRN, CPNP-AC/PC

APRN Consultant
Owner, LEAPP, LLC
Daniel S. Zinsmaster, JD

Daniel S. Zinsmaster, JD

Attorney at Law
Dinsmore & Shohl, LLP
Eric J. Plinke, JD

Eric J. Plinke, JD

Partner
Dinsmore & Shohl, LLP
Detective Dennis Luken

Detective Dennis Luken

Pharmaceutical Diversion
Resources, Inc.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Ohio State Medical Association (OSMA) through joint providership of TriHealth, LEAPP, LLC, and Practice Shields, LLC. TriHealth is accredited by the OSMA to provide continuing medical education for physicians. TriHealth designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.