Archive for the 'Advocacy' Category

The New York State Plan to End AIDS: What Every Medical Provider Needs to Know

by Varsha Koripella, M2, Wayne State Medical School, Terri L. Wilder, MSW, Mt. Sinai Institute for Advanced Medicine, Antonio E. Urbina, MD, Mt. Sinai Institute for Advanced Medicine

New York State (NYS) has made tremendous strides in decreasing HIV infection rates over the past decade. In order for the AIDS epidemic to be brought to sub-epidemic levels and the first ever decrease in HIV prevalence, NYS must aim to decrease new HIV infections from 3,300 to 750 annually, and reduce the rate at which persons diagnosed with HIV progress to AIDS by 50%. In June of 2014, Governor Andrew M. Cuomo announced a three-point plan to end the AIDS epidemic in NYS by the end of 2020. The plan’s stated goals involve:

  • Identifying persons with HIV who remain undiagnosed and linking them to health care. There are approximately 22,000 people living with HIV in NYS who are unaware of their status. It is critical that access to voluntary HIV testing be increased so individuals can access treatment if they test HIV-positive. Since 2010, NYS Public Health Law has required that medical providers offer HIV testing to all patients ages 13 to 64 as a routine part of health care.
  • Linking and retaining persons diagnosed with HIV to health care and getting them on anti-HIV therapy to maximize HIV virus suppression so they remain healthy and prevent further transmission. In NYS, approximately 64,000 of the 132,000 persons living with HIV are receiving sub-optimal treatment. It is imperative that medical providers identify and link patients to care as soon as possible.
  • Providing access to pre-exposure prophylaxis (PrEP) for high-risk persons to keep them HIV-negative. PrEP is a biomedical intervention for high-risk individuals who are currently HIV-negative. It involves the person taking Truvada, a once-daily pill consisting of tenofovir and emtricitabine. In order to expand on the utilization of PrEP as a prevention tool, the Governor’s plan recommends focusing on education and awareness, affordability, and enhanced availability.


Are you up-to-date on the Governor’s Plan to End AIDS?

The NYS Department of Health Clinical Education Initiative (CEI) provides free CME/CNE trainings for medical providers in NYS. To request a training or to view on-line HIV courses, please visit www.ceitraining.org. To speak with a clinician experienced in managing HIV or PrEP, call the CEI Line toll-free at 1-866-637-2342.

References

  1. “2015 Blueprint to End AIDS.” NYS Department of Health, 30 Mar. 2015.
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Unlicensed Medical Residents and the NY Prescription Monitoring Program

Laurie Cohen, Esq.

Laurie Cohen, Esq.

By: Laurie Cohen, Esq. Partner at Nixon Peabody and the Chapter’s Legal Counsel

On August 27, 2013, New York’s enhanced prescription monitoring program is slated to take effect.  The program will require real time reporting of controlled substances dispensed by pharmacists and practitioners and also require most practitioners to consult a prescription monitoring program (PMP) registry prior to writing a prescription for a controlled substance listed on Schedule II, III or IV.   The NYS Department of Health (DOH) recently issued proposed regulations which address, among other aspects of the program, the duty to consult the PMP registry.    The proposed regulations treat unlicensed medical residents differently than licensed residents.  As a result and as more fully explained below, hospitals and clinics with residency training programs and other training sites for medical residents will need to take additional steps to authorize unlicensed medical residents to consult the PMP registry. Continue reading ‘Unlicensed Medical Residents and the NY Prescription Monitoring Program’

What’s the Impact of New York’s Prescription Monitoring Program on Hospitalists?

Laurie Cohen, Esq.

Laurie Cohen, Esq. Partner at Nixon Peabody and the Chapter’s Legal Counsel

By: Laurie Cohen, Esq. Partner at Nixon Peabody and the Chapter’s Legal Counsel

New York’s enhanced prescription monitoring program is slated to take effect August 27, 2013.  The program will require real time reporting of controlled substances dispensed by pharmacists and practitioners and also require most practitioners to consult a prescription monitoring program (PMP) registry prior to writing a prescription for a controlled substance listed on Schedule II, III or IV.   The NYS Department of Health (DOH) recently issued proposed regulations which address, among other aspects of the program, the duty to consult the PMP registry.

Hospitalist’s Duty to Consult PMP Registry Continue reading ‘What’s the Impact of New York’s Prescription Monitoring Program on Hospitalists?’

Your Controlled Substance Prescriptions: NYS Department of Health Issues Proposed Regulations to Implement Enhanced Prescription Monitoring Program

Laurie Cohen, Esq. Partner at Nixon Peabody and the Chapter's Legal Counsel

Laurie Cohen, Esq. Partner at Nixon Peabody and the Chapter’s Legal Counsel

With the stated goals of reducing “doctor shopping” and the “over prescribing” of controlled substances, New York enacted legislation in 2012 that will require real time reporting of controlled substances dispensed by pharmacists and practitioners and also require most practitioners to consult a prescription monitoring program (PMP) registry prior to writing a prescription for a controlled substance listed on Schedule II, III or IV.   To implement the new law which is effective August 27, 2013, the NYS Department of Health (DOH) has issued proposed regulations which address the duty to consult the PMP registry as well as the reporting requirements. Continue reading ‘Your Controlled Substance Prescriptions: NYS Department of Health Issues Proposed Regulations to Implement Enhanced Prescription Monitoring Program’

Effect of the Internet System for Tracking Over-Prescribing (I-STOP) Act on Physicians

By: Laurie T. Cohen Esq. and Jason M. LaFlam, Esq.

On June 11, 2012 the New York State Legislature passed the “Internet System for Tracking Over-Prescribing (I-STOP) Act in response to concerns over the diversion of controlled substances.  I-STOP requires the creation of an electronic Prescription Monitoring Program Registry containing data about controlled substances dispensed to individuals and reported on a real time basis.  The Act will require practitioners to review a patient’s controlled substance prescription history on the Registry prior to prescribing a controlled substance and to report prescriptions issued for controlled substances to the Registry at the time of issuance.  The stated goal of I-STOP is to identify and assist those who suffer from addiction to controlled substances and to prevent potential addictions, while enabling physicians to provide prescription medications and other controlled substances to patients who actually need them.

Pursuant to I-STOP, the Commissioner of Health is charged with establishing and maintaining a prescription monitoring program Registry, which will include information reported by pharmacies and prescribers on a real time basis.  Additionally, the database will include patient specific data such as: Continue reading ‘Effect of the Internet System for Tracking Over-Prescribing (I-STOP) Act on Physicians’

Support Patient Safety and Submit a Near Miss Event

In honor of National Patient Safety Foundation Week, physicians can help support patient safety efforts by submitting a near miss event into the anonymous confidential NYACP Near Miss Registry.

Near Misses are those events that might have resulted in harm to a patient but were discovered and corrected before they reached the patient.

You can enter information on a near miss by visiting www.nearmiss.org and entering the word near miss as the password.


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