Law Enforcement & Corrections
Federal and state authorities are increasing actions to address the over-prescribing of opioids across the nation. A multifaceted, collaborative public health and law enforcement approach is urgently needed to prevent an interruption in continuity of care during and after enforcement actions and to mitigate adverse patient outcomes — including increased overdoses and emergency department surges. The Maryland Department of Health (MDH), in coordination with partners, utilizes a public health emergency preparedness approach to plan coordination and deployment of resources at state and local levels to mitigate the impact on the public health and medical system. This approach may be replicated in other state, local, or regional responses.
Since January 2018, MDH has rapidly assessed and responded to three prescriber investigations affecting more than 4,500 patients, spanning on average nine local jurisdictions and at least two neighboring states. Each investigation is unique, requiring a tailored approach for potentially displaced patients who have varied health care coverage and are often being treated for opioid use disorder or are on high doses of opioids. Following notification from federal, state, or regulatory partners that an action against a prescriber or practice has occurred, a rapid assessment team is convened for situational awareness and real-time decision-making to activate the response plan. MDH’s Prescription Drug Monitoring Program is a key partner, leveraging resources to identify affected patients needing care coordination. Law enforcement and regulatory partners’ assistance is also critical in using this approach to respond to enforcement actions or potential spikes of overdoses to prevent morbidity and mortality.
This session is accredited for the following accreditation types: CME, CNE, CPE, APA, AAFP, AAHCPAD*, NAADAC*, ASWB,* GA Bar, GA POST.
*State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.