CDC and CMS Opioid Guidelines

CDC’s comprehensive resources on Applying CDC’s Guideline for Prescribing Opioids: An Online Training Series for Healthcare Providers can be found at https://www.cdc.gov/drugoverdose/training/online-training.html.

CMS has published “Myths and Facts” about their new Medicare Part D Opioid Overutilization Policies that became effective effective January 1, 2019 (https://www.cms.gov/Medicare/Prescription-Drug-coverage/PrescriptionDrugCovContra/RxUtilization.html).

Myth: “Medicare is forcing all Part D enrollees to taper prescription opioids below a certain amount.”

Facts:

    • Prescribers and their patients must carefully consider decisions to taper or stop prescription opioids
    • It can be especially challenging to taper opioid use in patients who have been on high dosages of opioids for many years
    • The intent of the new opioid policies is to address opioid overuse without a negative impact on the patient-doctor relationship
    • Medicare Part D opioid policies are not prescribing limits
    • In general they do not apply to enrollees who have cancer; get hospice, palliative, or end-of-life care; or who live in a long-term care facility
    • The new policies encourage collaboration and care coordination among Medicare drug plans, pharmacies, prescribers, and patients to improve opioid management, prevent opioid misuse, and promote safer prescribing practices.

For More Information see:

4/30 CCCC Webinar on Pain Management

CCCC will present an April 30, 2019 webinar on A Patient Perspective on Opioids for Chronic Pain Management: A Double-Edged Sword for Patients and Their Clinicians. For details and registration see https://www.eventbrite.com/e/webinar-a-patient-perspective-on-opioids-for-chronic-pain-management-a-double-edged-sword-for-tickets-57466785703?mc_eid=67e1ad4c31&mc_cid=0a293b1699.

5/8-12 NKF Spring Clinical Meetings, Boston

The National Kidney Foundation 2019 Spring Clinical Meetings (SCM19) present a unique opportunity for renal health care providers to learn new developments related to all aspects of nephrology.  An important objective of SCM19 is to present the latest insights into CKD care through a combination of interesting courses, practical workshops, thought-provoking symposia and insightful debates.  SCM19 will be held May 8-12, 2019 in Boston MA.  In-person registration is allowed, but many registration fees are discounted if you register online before May 6.

Extra-cost pre-conference course topics on May 8 include dialysis success, vascular access, ultrasound, supportive care, and updates on new developments in transplant, critical care, and glomerular disease.  Topics for extra-cost lunch workshops during the conference will include vascular access, electrolytes, hyponatremia, glomerular disease, reproductive health, hypertension, communication, and board review.  For those unable to attend in person, live-streamed conference sessions will be available on burnout, obesity, safety, fluid management, opioids, social media, diabetes, community, lifestyle interventions, palliative care, and KDOQI update.

For more information and registration, see https://www.kidney.org/spring-clinical.

NW16 5/16+ CNSW Educational Conference

The CNSW Northwest Chapter will hold their Spring 2019 Educational Conference in Issaquah WA May 16-17, 2019.  Topics include self care, low mood, depression, rage, despair, suicide, and involuntary discharge.  Find Conference details and registration by check at https://s3-us-west-2.amazonaws.com/nwrn.org/files/CNSW/CNSW0519.Brochure.pdf, and registration by credit card at https://s3-us-west-2.amazonaws.com/nwrn.org/files/CNSW/CNSW0519.Register.pdf.  Registration must be postmarked by May 10, 2019.

11/12-18 Antibiotic Awareness Week

The CDC has announced that US Antibiotic Awareness Week is November 12–18, 2018.  Antibiotics are life-saving drugs and critical tools for treating infections like those that can lead to sepsis.  However, when antibiotics aren’t needed, they won’t help you, and the side effects could still cause harm.  Additionally, any time antibiotics are used in people or animals, they can lead to antibiotic resistance.  Everyone has a role to play to improve antibiotic prescribing and use.  CDC recommends four ways to participate in Antibiotic Awareness Week:

  • Use and share Be Antibiotics Aware educational materials, including graphics for print and social media from CDC’s national educational effort to keep patients safe, decrease adverse drug events, and help fight antibiotic resistance.  See https://www.cdc.gov/features/antibioticuse/index.html.
  • Make a commitment to The AMR Challenge.  Join leaders worldwide to combat antibiotic resistance by improving antibiotic use, including ensuring access to these drugs globally.  See https://www.cdc.gov/drugresistance/intl-activities/amr-challenge.html.
  • Join the Global Twitter Storm on Thurs., November 15 from 9-10 am ET using the hashtag #AntibioticResistance.  Use social media to spark conversation throughout the week using #USAAW18 and #BeAntibioticsAware.
  • Follow CDC’s Safe Healthcare Blog for daily stories on Antibiotic Awareness; see https://blogs.cdc.gov/safehealthcare/.

This annual one-week observance helps raise awareness of the importance of appropriate antibiotic use to combat the threat of antibiotic resistance.  CDC is a global leader in efforts to improve antibiotic prescribing and use practices.  Improving the way we prescribe and take antibiotics helps keep us healthy now, helps fight antibiotic resistance, and ensures that these life-saving drugs will be available for future generations.

NW16 10/7-8 ANNA Meet & Greets

ANNA Chapter 503 will hold evening Meet & Greet meetings in Portland OR on November 7, 2018 and in Chehalis WA November 8, 2018, providing opportunities to meet your ANNA 503 Chapter Officers and Education Planning Committee, and local Nephrology Colleagues.  Registration is required by noon on November 7 (tomorrow), but a $5 donation will buy you dinner during the scheduled talk on The Role of Parsabiv in the Treatment of Secondary Hyperparathyroidism (HPT) in Adult Patients on Hemodialysis.  For all the details see:

We apologize for the short notice.

11/13+ CCCC Pediatric Webinars

The Coalition for Compassionate Care of California will host two more presentations this year in their Pediatric Webinar Series.  The first will be 13 November on Getting a Better Handle on Parents’ Bereavement: Supporting Parents Anticipating Their Child’s Death and Afterwards, and the second 6 December on Deep in the Weeds: Medical Marijuana and Pediatric Palliative Care.  Find out more and register at https://mailchi.mp/coalitionccc.org/2018-spring-education-schedule-744635?e=67e1ad4c31.

Along with the Children’s Hospice Palliative Care Coalition, CCCC will also co-sponsor the 2019 Palliative Care Summit April 8-9, 2019 in San Francisco.  For more information see http://ccccsummit.org/.  Registration gets progressively more expensive after January 31, March 7, and April 1, 2019.