![]() ![]() Work with your hospital’s EHR system vendor to ensure that the system will meet requirements to integrate with the PMP.If necessary, plan to seek a waiver from DOH for this requirement. If your hospital does not already have a method for complying with the requirements for electronic prescribing of controlled substances, determine next steps with your technology department.The allowance for remote dispensing sites applies to pharmacies licensed under RCW 18.64. The electronic prescribing requirement applies to prescriptions for a controlled substance included in Schedules II through V, or refills for a controlled substance included in Schedules III through V, with certain exceptions (see more information below). Critical Access Hospitals as defined in RCW 74.60.010 are exempt from these provisions. The provisions governing the integration of the state’s Prescription Drug Monitoring Program (PMP) with electronic health records (EHR) systems apply to all facilities, entities, offices, and provider groups with 10 or more prescribers that use a federally certified EHR system. The new laws related to opioid prescribing include two requirements that directly impact opioid and controlled substance prescribing practices and processes at hospitals and one option specifically relating to pharmacies that dispense opioid use disorder medication. This bulletin also contains information on a new law allowing certain pharmacies to add remote dispensing sites to their existing pharmacy license where technology, such as automated drug dispensing devices, is used to dispense medications for the treatment of opioid use disorder. Further waivers beyond September 30, 2021, for the PMP-EHR integration or electronic prescribing mandates will also be available if certain narrow conditions are met (discussed further below). While these changes do not go in effect until 2021, hospitals will need to plan ahead to comply with these mandates. The requirement for dispensers to submit information to the PMP “as soon as readily available, but no later than one business day from the date of distribution” is effective January 1, 2021.The electronic prescribing of controlled substances requirement has been extended and is now effective Septem(originally January 1, 2021).The Prescription Monitoring Program (PMP) Electronic Health Records (EHR) integration mandate has been extended and is now effective Septem(originally January 1, 2021).The purpose of this bulletin is to inform hospitals about new deadlines for important changes related to the prescribing of opioids and controlled substances: New Requirements on Opioid and Controlled Substances Prescribing and New Allowance for Remote Dispensing Sites for Treatment of Opioid Use Disorder ![]() Jaclyn Greenberg, JD, LLM | Policy Director, Legal | (206) 216-2506 Hospital Chief Executive Officers, Chief Medical Officers, Legal Counsel and Government Affairs Staff ![]() Change of Law: Hospital Action Required To: ![]()
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