Pain Management Resources
Electronic Prescribing and EHR/PMP Integration Mandate
Washington State law mandates all health care practitioners communicate prescriptions and prescription refills for Schedule II-V controlled substances to the pharmacy electronically.
Washington State law requires all facilities, entities, offices, or provider groups with ten(10) or more prescribers using a federally certified electronic health records (EHR) system to demonstrate that EHR system is able to fully integrate data to and from the prescription monitoring program using a mechanism approved by the Department of Health.
The law also allows the department to grant practitioners a waiver from complying with the mandate under certain circumstances. More information and attestation forms can be found on the DOH website.
Washington Clarification Letter on 2017 Opioid Rules
Washington State Boards, Commissions and the Department of Health have composed a letter to clarify the 2017 opioid prescribing rules. We have received reports of patients on chronic opioid therapy whose opioids have been rapidly tapered or discontinued. We are also hearing reports of patients on chronic opioid therapy who are unable to find providers willing to care for them. The purpose of this letter is to help you better understand the existing rules around prescribing opioids and managing existing patients on chronic opioid therapy so that you feel comfortable continuing to care for these individuals. Read the letter in its entirety here and contact us if you have any questions.
Center for Disease Control and Prevention (CDC) Issues Key Clarification on Guideline for Prescribing Opioids for Chronic Pain.
Read the press release from the American Society of Hematology here.
“The Guideline is not intended to deny any patients who suffer with chronic pain from opioid therapy as an option for pain management. Rather, the Guideline is intended to ensure that clinicians and patients consider all safe and effective treatment options for patients. Clinical decision-making should be based on the relationship between the clinician and patient, with an understanding of the patient's clinical situation, functioning, and life context, as well as a careful consideration of the benefits and risk of all treatment options, including opioid therapy. CDC encourages physicians to continue to use their clinical judgment and base treatment on what they know about their patients, including the use of opioids if determined to be the best course of treatment. Providers should communicate frequently with their patients to discuss both the benefits and risks of opioid therapy and revisit treatment plans for pain regularly to achieve the most positive outcomes for patients.”
Read the full letter from the CDC here.
Opioid Rules Resources
Full Rules for Physicians include WAC 246-919-850 through 246-919-985
Full Rules for Physician Assistants include WAC 246-918-800 through 246-918-935
Handouts that meet the requirement of WAC 246-919-865 and WAC 246-918-815 are located on the DOH site under Public/Patient
New Rules for Opioid Prescribing and Monitoring presentation
Important Information about the Prescription Monitoring Program (PMP)
Other Professional Resources
EXTRA! EXTRA! Read All About It!
The Medical Commission has created a special set of resources specifically about opioids and the changes that will occur as a result of 1427. Read the full version here.
- Medical Commission Chair Response to the New Opioid Rules
- Changes to Opioid Prescribing and Monitoring One Sheet
- Important Information about the Prescription Monitoring Program
- Opioid Rules FAQ
- Program Manager Words of Wisdom
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We encourage you to send us specific questions on the pain management rules for physicians and physician assistants.
Opioid Speaker Request
If you are part of a health care organization, hospital, association or patient group, request an educational presentation for your organization through the Medical Commission Speaker's Bureau