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#72095 - 12/13/17 08:38 PM For those of you putting off upgrading.....
JamesNT Offline
Member

Registered: 12/30/09
Posts: 975
Loc: North Carolina
_________________________
James Summerlin
My personal site: http://www.dataintegrationsolutions.net

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#72141 - 12/22/17 08:28 PM Re: For those of you putting off upgrading..... [Re: JamesNT]
Tomastoria Offline
Member

Registered: 03/28/11
Posts: 608
Loc: Astoria OR
I don't think there is any requirement to use a computer for medical records.
If you prescribe pain meds, there is a requirement that you access an electronic database.
She could hire a grandkid to do that for all pain patients scheduled that day.
_________________________
Tom Duncan
Family Practice
Astoria OR

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#72149 - 12/24/17 12:30 AM Re: For those of you putting off upgrading..... [Re: JamesNT]
Bert Offline
Admin

Registered: 09/27/03
Posts: 11269
Loc: Brewer, Maine
There are a lot of issues here. She would likely be able to get an exemption and still use paper, but it is hard to get around the PMP requirements. I would think that a doctor competent enough to prescribe opioids or other CII through CV medications should be competent enough to use a computer. Here is all she would have to do:

1. A computer is set up for her so all she needs to do is log on in the morning.
2. One icon on the desktop is all she would need. A shortcut to the PMP. With the username and password remembered by the browser or by a password app, it would log in automatically. You would then type in the patient's name and their DOB and hit enter. Even if you are not using the PMP data to look for signs of diversion, it is enough to cover the requirement.
3. While it seems obvious that she is being very helpful and accommodating to her patients by allowing visits for $50.00, it can look very suspicious with the possibility of a cash for opioid scheme. In fact, the DEA, state medical board and Medicaid/Medicare track that closely. In fact, pharmacists are not required to check the PMP on every script, but in our state, they are required to check the PMP if the patient pays in cash.
4. Not to judge her by age, but I am sure the board of medicine monitors that as far as competency. (I do not mean being 90 does not allow one to have competence), but I would think if she really wants to stay in practice, she would not wish to draw attention to herself.
5. And here is the nail in the coffin. Yes, someone other than she can do the PMP data, but they have to be a delegate of the doctor. Therefore, the doctor has to be the administrator of the PMP website for her practice. Delegates (at least in Maine) must be submitted and approved by the board. Almost goes without saying that they would have to work in her office.
_________________________
Bert
Pediatrics
Brewer, ME

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#72150 - 12/24/17 04:00 AM Re: For those of you putting off upgrading..... [Re: JamesNT]
Rando Offline
Member

Registered: 06/22/11
Posts: 86
I have read more in-depth articles on this doctor, and they tend to portray her as a victim of an uncaring and unreasonable state medical board. Believe me I think state medical boards can be pretty bad, but in this case a doctor who apparently treats a fair amount of chronic pain doesn't have the ability to check the PMP on her patients. She is not doing herself or her patients any favors. If you're going to treat chronic pain, especially in today's opioid-obsessed environment, you have to be able to check the PMP.
_________________________
Randy
Solo FP
Iowa

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#72152 - 12/24/17 04:19 AM Re: For those of you putting off upgrading..... [Re: JamesNT]
Bert Offline
Admin

Registered: 09/27/03
Posts: 11269
Loc: Brewer, Maine
Exactly. This could likely be fixed by giving up one's DEA license. (If that is their wish). But, the only group who have a larger ego than Trump is a state medical board.

Great post.
_________________________
Bert
Pediatrics
Brewer, ME

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