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Rules-Committee-Packet-Fall-2015 Assembly Rules Committee Conference Call- Thursday, September 24 8:00 PM- 9:30 PM ET Materials Included in this Packet **PLEASE CLICK ON THE NUMBER TO VIEW THE ITEM** ACTION PAPERS 1: Strengthening the Role of Residency Training to Improve Access to Buprenorphine 2: Addressing the Shortage of Psychiatrists 3: Ad Hoc Workgroup to Explore the Feasibility of Developing an Electronic Clinical Decision Support Product 4: Payer Coverage for Prescriptions from Nonparticipating Prescribers 5: Lowering the Initial Membership Requirements for Newly Applying Established Subspecialties and Section Organizations 6: Advocating for Medicaid Expansion 7: Senior Psychiatrist Seat on the Board of Trustees (BOT) 8: Access to Care Provided by the Veterans Administration 9: Systems to Coordinate and Optimize Psychiatric Inpatient Bed Availability for Referral of Psychiatric Emergencies 10: Need for Position-Specific Email Addresses for Leadership Roles in the APA 11: Need to Gather Information on Physician Health Program (PHP) Performance 12: Parity in Permanent Licensure Policy 13: Partial Hospital Training in Psychiatric Residency 14: Directions to the Area Nominating Committees 15: Inclusion of Racism in ICD-10-CM and DSM 5 16: New Names for Psychiatric Conditions 17: Prior Authorization 18: APA Support for NIMH Funding of Clinical Research 19: Is It Ethical For a Psychiatrist to Serve as a Utilization Management Reviewer When Review Standards Fail to Comply With Parity? 20: Election of Assembly Officers 21: Making Access to Treatment for Erectile Disorder Available Under Medicare REPORT OF THE JOINT REFERENCE COMMITTEE 1: Retain 2012 Position Statement: Recognition and Management of Substance Use Disorders and other Mental Illnesses Comorbid with HIV 2: Retain 2008 Position Statement: Ensuring Access to, and Appropriate Utilization of, Psychiatric Services for the Elderly 3: Retain 2008 Position Statement: Precepts of Palliative Care 4: Proposed Position Statement: Segregation of Juveniles with Serious Mental Illness in Correctional Facilities 5: Proposed Position Statement: Opioid Overdose Education and Naloxone Distribution – Joint Statement of the APA/AAAP 6: Reaffirm APA’s Adoption of the AMA’s 2010 Position Statement: Direct to Consumer (DTC) Advertising of Prescription Drugs and Implantable Devices 7: Proposed Position Statement: Substance Abuse Disorders in Older Adults 8: Revised Position Statement: Bias-Related Incidents 9: Retire 2007 Position Statement: The Right to Privacy 10: Retire 2007 Position Statement: Sexual Harassment 11: Retire 2009 Position Statement: Interference with Scientific Research and Medical Care 12: Revised Position Statement: Hypnosis 13: Retain 2010 Position Statement on Posttraumatic Stress Disorder and Traumatic Brain Injury 14: Retain 2010 Position Statement on High Volume Psychiatric Practice and Quality of Patient Care 15: Proposed Position Statement on Tobacco Use Disorder 16: Retain Position Statement: Psychotherapy as an Essential Skill of Psychiatrists Item 2015A2 Reference Committee Assembly October 30-November 1, 2015 ACTION PAPER TITLE: Strengthening the Role of Residency Training to Improve Access to Buprenorphine WHEREAS: 1. One of the APA’s Strategic Priorities is educating members, patients, families, the public and other practitioners about mental disorders and evidence-based treatment options, and 2. Opioid use disorders (OUD) are reaching epidemic proportions in the United States (past year heroin use has increased by 34% from 681,000 to 914,000 in the past year), resulting in significant mortality and morbidity, and a significant overall societal cost. 3. Buprenorphine is an effective maintenance treatment for opioid use disorders and included as on the World Health Organization’s list of essential medications. 4. 3% of physicians in the United States are licensed to prescribe Buprenorphine, and less than a third of Buprenorphine providers are psychiatrists. 5. The number of Buprenorphine providers in many areas falls below the patient demand for such services, and patients often find themselves unable to locate a Buprenorphine provider. Methadone maintenance is often unavailable or logistically difficult (e.g., some states only have one or two licensed methadone treatment programs and federal law requires daily visits to the methadone clinic for the first 90 days of treatment). This can contribute to continued illicit drug use and increased risk of overdose and its sequelae, including death. 6. Most residency training programs do not require their trainees to complete the Buprenorphine waiver training and waiver certification paperwork; this represents a critical missed opportunity to train tomorrow’s psychiatrists to meet the demands of the growing OUD epidemic and provide services for a growing underserved patient population. 7. Many psychiatrists do not feel comfortable treating psychiatric patients with co-occurring substance use disorders. This exacerbates the vulnerability of this underserved population. 8. The APA Position Statement on “Residency Training Needs in Addiction Psychiatry for the General Psychiatrist” approved in 2014 was supported by background information that “Appropriately dosed Buprenorphine is superior to placebo in diminishing illicit opiate use and treatment retention. All psychiatry residents should receive appropriate didactic training to obtain the DATA 2000 waiver to prescribe Buprenorphine and sufficient clinical supervision to assure competency in managing patients on Buprenorphine maintenance.” BE IT RESOLVED: That the APA liaise with ACGME/Residency Review Committee (RRC) to integrate Buprenorphine training during general adult psychiatric residency training. AUTHORS: Jessica Abellard, M.D., RFM Representative, Area 3 [email protected] Elie G. Aoun, M.D., ACORF mentor Melissa Arbuckle, M.D., Ph.D., APA Member Lama Bazzi, M.D., ECP Trustee-at-Large Mirabela Bodic, M.D., ECP Representative, Area 2 Stephen Buie, M.D., Representative, North Carolina Psychiatric Association Consuelo C. Cagande, M.D., APA Member David Clements IV, M.D., APA Member Mary Helen Davis, M.D., Representative, Kentucky Psychiatric Medical Association Anish Dube, M.D., APA Member Robert Feder, M.D., Representative, New Hampshire Psychiatric Society William Greenberg, M.D., Deputy Representative, Area 3 Sarit Hovav, M.D., ACORF Chairperson, RFM Representative, Area 4 Justin Hunt, M.D., ECP Representative, Area 5 Adia Kelly, M.D., APA Member Mohamad Asif Khan, M.D., APA Member Jeremy Kidd, M.D., RFM Deputy Representative, Area 2 Steve Koh, M.D., ECP Representative, Area 6 David Lott, M.D., AAAP Representative Joseph C. Napoli, M.D., Representative, Area 3 Meredith Adaora Okwesili, M.D., APA Member Roger Peele, M.D., DLFAPA, Representative, Washington Psychiatric Society Loreen Pirnie, M.D., RFM Representative, Area 1 Raúl J. Poulsen, M.D., RFM Deputy Representative, Area 3 Parna Prajapati, M.D., APA Member Simha Ravven, M.D., ECP Representative, Area 1 John Renner, M.D., APA Member Hannah Scott, M.D., RFM Deputy Representative, Area 5 Michael Shore, M.D., APA Member Joshua Sonkiss, M.D., ECP Representative, Area 7 Shreekumar Vinekar, M.D., Representative, Oklahoma Psychiatric Physicians Association Kimberly Yang, M.D., Deputy Representative, Asian-American Psychiatrists Erin Zerbo, M.D., APA Member ESTIMATED COST: Author: $680 APA: ESTIMATED SAVINGS: $0 ESTIMATED REVENUE GENERATED: $0 ENDORSED BY: Assembly Committee of Residents and Fellows (9/1/15), New Jersey Psychiatric Association (9/2/15), Council on Addiction Psychiatry (9/11/15) KEY WORDS: Buprenorphine, Opioid Use Disorders, Access to Care APA STRATEGIC PRIORITIES: Advancing Psychiatry, Education REVIEWED BY RELEVANT APA COMPONENT: Council on Addiction Psychiatry Council on Medical Education and Lifelong Learning References: Drug Alcohol Depend. 2006 Feb 1; 81(2):103-7. Epub 2005 Jul 14. Barriers to Primary Care Physicians Prescribing Buprenorphine Eliza Hutchinson, BA; Mary Catlin, BSN, MPH; C. Holly A. Andrilla, MS; LauraMae, Baldwin, MD, MPH; Roger A. Rosenblatt, MD, MPH, MFR Ann Fam Med. 2014;12(2):128133. Substance Abuse and Mental Health Services Administration, Results from the 2014 National Survey on Drug Use and Health: Summary of National Findings, Page 120, NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015. http://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs2014/NSDUH-DetTabs2014.pdf Summary - Author 9/16/2015 American Psychiatric Association Action Paper Worksheet 2015 Budget Estimate - AUTHOR/MEMBER PREPARED Title: Strengthening the Role of Residency Training to Improve Access to Buprenorphine Action Paper Author(s): Jessica Abellard, M.D., RFM Representative, Area 3 Contact Information: [email protected] 2015 Budget Request: $ 680.00 Budget Summary Travel Expense $ - Number of Component Members: 3 Non-Staff Costs $ - Number of Staff: 0 Staff Costs $ - Number of Non-Staff: 0 Conference Calls $ 680.00 Total: 3 Postage $ - Total Budget Estimate $ 680.00 Travel Budget No. of Ground No. of Nights Airfare Hotel/PD Meals Total Attendees Transportation Meeting 1 - - - - - - - Meeting 2 - - - - - - - Meeting 3 - - - - - - - Meeting 4 - - - - - - - Meeting 5 - - - - - - - Total Travel Budget - $ - $ - $ - $ - Other Non-staff Budget Items Description Cost 1 - $ - 2 - $ - 3 - $ - 4 - $ - 5 - $ - Total Other Non-Staff Budget Items: $ - Staff Costs Total Existing: Salary $ - Fringe $ - $ - New / PT:
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