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Addressing Barriers to Optimal Care of Patients with MDD and GAD in the Long-Term Care Setting: The Pharmacy Perspective
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About QCCPP

The American Society of Consultant Pharmacists in collaboration with other stakeholders has established the Quality Care Coalition for Patients in Pain (QCCPP).  QCCPP seeks to ensure that nursing home residents, hospice patients and others have access to appropriate and timely pain medication by (1) advocating to eliminate barriers to access resulting from laws, regulations and policies governing the prescribing and dispensing of controlled substances;  (2) promoting compliance and best practices by educating providers, prescribers, consumers and their caregivers about appropriate prescribing and dispensing practices.

Changing the Controlled Substances Act will take sustained effort from QCCPP, requiring a multi-stakeholder, multi-disciplinary group.  QCCPP has been structured to ensure broad participation.  Membership is open to all individuals as well as for-profit and not-for-profit organizations and entities.

Report DEA-Related Delays in Pain Management!


Have you seen firsthand how DEA policies cause patients to have pain medication delayed or even denied?  Please tell us!  Click here to submit your incident report online.  (You can also download the form in Word format by clicking here.)  All information collected will be held in strictest confidence. 

News

March 9, 2010
Senate Special Aging Committee to Hold Hearing on DEA and Patients in Pain
ASCP has confirmed that the Senate Special Aging Committee will hold a hearing later this month on the impact of DEA rules on frail, elderly and dying patients in long-term care.   The hearing is open to the public but space may be limited.  The time and place of the hearing have not yet been finalized.  Please watch the ASCP website for further details, or join the QCCPP mailing list for the most up-to-date news!

March 9, 2010
ASCP leads QCCPP delegation to meet with Attorney General Eric Holder's Office

On March 9, ASCP Director of Policy and Advocacy Claudia Schlosberg led a delegation representing the Quality Care Coalition for Patients in Pain (QCCPP) to meet with Attorney General Holder's office.  The purpose of the meeting was to educate the Attorney General's key advisors regarding the impact of the DEA policies on patient care.  The meeting was cordial and the AG's staff asked several questions particularly about the role and presence of physicians in long-term care. Other members of the delegation included Rebecca Elon, MD, a geriatrician with Greater Geriatrics at the Greater Baltimore Medical Center,  Ross Brickley, RPh, the President of CCRX of North Carolina,  Ron Buzzeo RPh  and Ralph Breitfeller.

December 11, 2009
DEA Responds to Sen. Kohl and Sen. Whitehouse's Letter--and QCCPP Writes Back!
The DEA has responded to Senator Kohl and Senator Whitehouse's letter, which had raised concerns about the inability of nursing home and hospice patients to receive timely, adequate access to pain medication and other controlled drugs.  DEA did not address the Senators' concerns; instead, DEA's response states that it has discovered that some pharmacies affiliated with long-term care facilities are violating the Controlled Substances Act and its implementing regulations.  Among practices cited are reliance on chart orders and hospital discharge summaries.

The Quality Care Coalition for Patients in Pain wasted no time in responding to the Drug Enforcement Administration's letter to Senators Kohl and Whitehouse.  In its letter to Attorney General Eric Holder, dated December 10, 2009, QCCPP points out the differences between what DEA allows in hospitals and in nursing homes, and the resulting impact on patients.  The letter explains how strict compliance with DEA rules and policies adds additional steps that can significantly delay treatment.  The letter goes on to state:

"While we respect and support DEA's mission to ensure that controlled drugs are not being diverted and are only used for legitimate medical purposes, the needless suffering that patients are now enduring demands that a balance be achieved that addresses these legitimate law enforcement concerns without causing harm to patients." 
December 10, 2009
Grassroots Alert! Help Secure Support to Fix DEA -- Meet With Key Members of Congress in December and Early January!


The Senate Special Aging Committee staff is interested in holding a hearing on the DEA's impact on long-term care and hospice patients.  It is critically important that we continue to educate key Members of Congress and ask for their support on our proposed legislative changes. Our legislation would require DEA to treat long-term and hospice settings like hospitals and permit prescribers, nurses and pharmacists to prescribe and dispense controlled drugs efficiently and safely.  Specifically, our legislation would require DEA to recognize chart orders as valid prescription orders for controlled drugs for long-term care residents, hospice and home health patients and to recognize that nurses in long-term care, hospice and home health act as agents of practitioners for purposes of documenting, transmitting and communicating prescription orders to the pharmacy.

Please review this list of targeted Senate and House Members.  If you are a constituent or have significant ties to any these members, please schedule meetings with them in December and early January in their district offices.  Ask these key Members to support our efforts and ask if they are willing to sponsor/cosponsor our legislation.  We are particularly looking to engage Senators on the Senate Special Aging (in advance of the anticipated hearing on this issue in late January) and Judiciary Committees and to identify House Members on the committees of jurisdiction to take the lead and sponsor our bill.   The committees of jurisdiction in the House are the Energy and Commerce Committee and the Judiciary Committee.  If you are interested in setting up meetings, please do the following:
  1. E-mail us and tell us the names of the members with whom you plan to meet.  That way we can connect you to other members who live/work in the same district/state.
  2. Once you have a confirmed appointment, let us know so that we can track how many members we are reaching. 
  3. After the meeting, please complete the member meeting feedback form (or send us an e-mail with the information). 
  4. Please read and print the following reference and leave behind materials to help you to have an effective visit:
Please feel free to forward this action alert to your colleagues, customers and members! If you need any additional information or any assistance, please contact Claudia Schlosberg at cschlosberg@ascp.com, 703-739-1316, etc 128 or Kathy Gavett at kgavett@ascp.com. 703-739-1316, ext 141.

Join Today!

Click here to sign up! Be a part of our efforts and help us promote the appropriate, safe, effective and timely use of pain medications for these patients.  We also invite to you make a financial contribution to the coalition.  Your voluntary contribution helps support QCCPP's efforts. 
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