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RI Releases Statewide Standards for Treating Overdose & Opioid Use in Hospitals

Thursday, March 09, 2017

 

Governor Gina Raymond’s Overdose Prevention and Intervention Task Force released a set of statewide guidelines for treatment in hospitals on Wednesday. The guidelines are the first such guidelines in the country. “Ensuring that people who are living with the disease of addiction get the same high-quality care at hospitals and emergency departments throughout Rhode Island is essential to preventing overdoses and saving lives. My heart breaks for each and every person who has lost a loved one to this epidemic. We need to come together as families, as communities, and as a state to give people who are living with addictions the resources and support they need. Change is possible, healing is possible, and recovery is never out of reach,” said Raimondo. 

The Guidelines 

The standards establish a three-level system of categorization that defines each hospital and emergency department’s current capacity to treat opioid-use disorder. All emergency departments and hospitals in Rhode Island will be required to meet the criteria for Level 3 facilities. 

As a facility’s capacity to treat opioid-use disorder develops, that facility can apply for a higher designation.

Hospitals and emergency departments will be categorized based on initial self-assessments and follow-up evaluations by the Rhode Island Department of Health (RIDOH) and the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH).

Requirements 

Sample requirements for a Level 3 facility (all Rhode Island emergency departments and hospitals):

  • Dispense naloxone to all patients at risk
  • Educate all patients who are prescribed opioids on safe storage and disposal
  • Provide comprehensive discharge planning to people who overdose
  • Screen all patients for substance-use disorder
  • Report all overdoses within 48 hours to RIDOH
  • Offer peer recovery support services

 

Sample requirement for a Level 2 facility:

  • Maintain capacity for the evaluation and treatment of opioid-use disorder

 

Sample requirement for a Level 1 facility:

  • Maintain a “Center of Excellence” where patients can receive buprenorphine treatment for opioid-use disorder

 

Development of Standards 

The standards were developed by members of Governor Raimondo’s Overdose Prevention and Intervention Task Force, which is co-chaired by Rebecca Boss, Acting Director of BHDDH, and Nicole Alexander-Scott, MD, MPH, Director of Health. The standards were also developed with input from hospitals and emergency departments throughout the state. Leadership from several hospitals, including Butler Hospital, the Miriam Hospital, and Kent Hospital, attended today’s Task Force meeting to show their support for the standards.

“The development of these standards by Governor Raimondo’s Overdose Prevention and Intervention Task Force will ensure that best practices in the treatment of opioid use disorder are replicated at Butler and at each hospital throughout Rhode Island. A public health issue as significant as the overdose crisis demands this kind of careful coordination throughout the state,” said Lawrence Price, MD, President and Chief Operating Officer of Butler Hospital. 

The complete standards, titled Levels of Care for Rhode Island Emergency Departments and Hospitals for Treating Overdose and Opioid Use Disorder, are available here. 

Drug Overdose in RI 

 At least 329 Rhode Islanders died of drug overdoses in 2016.

Approximately 57% of Rhode Island’s overdoses involved fentanyl, compared to 47% in 2015 and 35% in 2014.

 

Related Slideshow: Rhode Island Doctors Getting the Most Drug Company Money

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#25

Doctor: Christopher Born

Specialty: Orthopaedic Trauma

Location: Providence, RI

Amount Paid: $83,353

Payments Exceeding $5,000 From: Stryker Corporation

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#24

Doctor: Robert Marchand

Specialty: Orthopaedic Surgery

Location: Wakefield, RI

Amount Paid: $83,400

Payments Exceeding $4,000 From: Stryker Corporation and MAKO Surgical Corp

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#23

Doctor: Jon Ruel

Specialty: Prosthodontics 

Location: Portsmouth, RI

Amount Paid: $85,412

Payments Exceeding $5,000 From: BIomet 3i LLC

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#22

Doctor: Edward Akelman

Specialty: Orthopaedic & Hand Surgery

Location: Providence, RI

Amount Paid: $86,978

Payments Exceeding $5,000 From: Integra LifeSciences Corporation

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#21

Doctor: Samir Shah

Specialty: Internal Medicine and Gastroenterology

Location: Providence, RI

Amount Paid: $88,840

Payments Exceeding $4,000 From: Takeda Pharmaceuticals America Inc and AbbVie Inc

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#20

Doctor: Robert Bierwirth

Specialty: Internal Medicine & Gastroenterology

Location: Cranston, RI

Amount Paid: $92,107

Payments Exceeding $4,000 From: Janssen Products, LP

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#19

Doctor: Stephen Chabot

Specialty: Neurology & Psychiatry

Location: Pawtucket, RI

Amount Paid: $94,892

Payments Exceeding $4,000 From: Takeda Pharmaceuticals U.S.A. Inc.

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#18

Doctor: Damian Dupuy

Specialty: Diagnostic Radiology

Location: East Providence,RI

Amount Paid: $96,840

Payments Exceeding $5,000 From: BSD Medical Corporation

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#17

Doctor: Joseph Renzulli

Specialty: Urology

Location: Providence, RI

Amount Paid: $101,000

Payments Exceeding $4,000 From: Algeta US LLC and Bayer HealthCare Pharmaceuticals Inc

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#16

Doctor: Albert Marano

Specialty: Psychiatry & Neurology

Location: Johnston, RI

Amount Paid: $105,000

Payments Exceeding $2,000 From: Teva Pharmaceuticals USA Inc and Biogen Idec Inc.

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#15

Doctor: David Caldarella

Specialty: Primary Podiatric Medicine

Location: Pawtucket, RI

Amount Paid: $106,000

Payments Exceeding $5,000 From: Biomet Orthopedics LLC and Trilliant Surgical Ltd

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#14

Doctor: J Easton

Specialty: Psychiatry & Neurology

Location: Providence, RI

Amount Paid: $117,000

Payments Exceeding $5,000 From: Novartis Pharmaceuticals Corporation, AstraZeneca Pharmaceuticals LP, Boehringer Ingelheim Pharmaceuticals Inc, Novartis Pharma AG, and Sanofi-Aventis U.S. LLC

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#13

Doctor: Paul Akerman

Specialty: Gastroenterology

Location: Providence, RI

Amount Paid: $121,000

Payments Exceeding $5,000 From: CONMED Corporation, Spirus Medical LLC, Olympus Corporation of the Americas, Covidien LP

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#12

Doctor: Thomas Sepe

Specialty: Gastroenterology

Location: Providence, RI

Amount Paid: $131,000

Payments Exceeding $5,000 From: CONMED Corporation

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#11

Doctor: Anthony Mega

Specialty: Internal Medicine, Hematology & Oncology

Location: Providence, RI

Amount Paid: $133,000

Payments Exceeding $4,000 From: Bayer HealthCare Pharmaceuticals Inc

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#10

Doctor: Russell Settipane

Specialty: Allergy & Immunology

Location:Providence, RI

Amount Paid: $133,000

Payments Exceeding $5,000 From: Mylan Specialty L.P

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#9

Doctor: Jerrold Rosenberg

Specialty: Physical Medicine & Rehabilitation

Location: Providence, RI

Amount Paid: $152,000

Payments Exceeding $4,000 From: INSYS Therapeutics Inc 

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#8

Doctor: Ellen Frankel

Specialty: Procedural Dermatology

Location: Cranston, RI

Amount Paid: $162,000

Payments Exceeding $3,000 From: AbbVie Inc and Merz North America Inc

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#7

Doctor: Joseph Lowney

Specialty: Medicine, Gastroenterology

Location: Warwick, RI

Amount Paid: $172,000

Payments Exceeding $3,000 From: AbbVie Inc and Cubist Pharmaceuticals Inc

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#6

Doctor: Arnold-Peter Weiss

Specialty: Orthopaedic & Hand Surgery

Location: Providence, RI

Amount Paid: $173,000

Payments Exceeding $5,000 From: Medartis Inc and DePuy Synthes Products LLC

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#5

Doctor: Christopher Digiovanni

Specialty: Foot and Ankle Surgery

Location: Providence, RI

Amount Paid: $212,000

Payments Exceeding $5,000 From: Extremity Medical and BioMimetic Therapeutics LLC

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#4

Doctor: Andrew Green

Specialty: Sports Medicine

Location: Providence, RI

Amount Paid: $224,000

Payments Exceeding $5,000 From: Tornier Inc and Encore Medical LP 

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#3

Doctor: Syed Rizvi

Specialty: Psychiatry & Neurology

Location: Providence, RI

Amount Paid: $242,000

Payments Exceeding $5,000 From: Biogen Idec Inc and Teva Pharmaceuticals USA Inc

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#2

Doctor: Michael Bradley

Specialty: Orthopaedic Surgery

Location: Wakefield, RI

Amount Paid: $261,000

Payments Exceeding $5,000 From: Arthrex Inc, Encore Medical LP, Arthrex Inc, 

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#1

Doctor: Warren Ong

Specialty: Psychiatry & Neurology

Location: Johnston, RI

Amount Paid: $304,000

Payments Exceeding $4,000 From: Takeda Pharmaceuticals U.S.A. Inc

 
 

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