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Mission Statement

To protect the public from the unprofessional, incompetent, or impaired practice of medicine.

The Board of Medicine issues licenses to qualified Allopathic and Osteopathic physicians and physician assistants based on nationally recognized credentialing standards. The Board regulates the minimum standards for professional conduct and continued competence and takes disciplinary action against licensees who fail to meet these standards.

Announcements and Notices
Emergency Rules approved by the Board of Medicine regarding opioid prescribing.
November 4, 2015

The Board approved emergency rules regarding opioid prescribing at its meeting on November 4, 2015. These rules do not apply to cancer patients or patients receiving palliative care.

 

Use of a morphine dose equivalent calculator is recommended for prescribers of opioids.

Acute Pain Patient Information
The emergency rules require licensees who prescribe an opioid for acute pain to provide the patient with certain information. The Board’s Acute Pain Patient Information document can be used for this purpose, although licensees may choose a different method of communicating this information.
Chronic Pain
The emergency rules require licensees who prescribe opioids for chronic pain to utilize the following:

1. An informed consent with specific elements. The Board does not endorse a specific informed consent, but samples can be found on the NH Medical Society website, and The National Institute on Drug Abuse website. Adobe Acrobate
2. A risk assessment with specific elements. The Board does not endorse a specific risk assessment tool, but samples can be found on the NH Medical Society website, American Academy of Pain Medicine website and the Washington State Agency Medical Directors’ Group. Adobe Acrobate
3. A written pain agreement. The Board does not endorse a specific pain agreement, but samples can be found on the NH Medical Society website and the Washington State Agency Medical Directors’ Group. Adobe Acrobate
4. Appropriate toxicology screens.

These licensees must also adhere to the principles outlined in the Federation of State Medical Boards Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain. Adobe Acrobate

For questions or concerns, please contact Sarah Blodgett at (603) 271-6985 or sarah.blodgett@nh.gov.

Press Release from the Board of Medicine
Disposing of Unused Opioids
Opioid and Substance Related Resources
I. Naloxone

• The Board has issued a Statement on Naloxone Prescribing Adobe Acrobate, informing licensees of the authority to engage in third party prescribing and standing orders for this drug.
• The Board, in conjunction with the Department of Justice, is providing a sample Naloxone Standing Order Form Adobe Acrobate. Individual licensees may wish to consult with their own legal counsel or risk management prior to issuing a standard order.
Frequently asked questions about Naloxone Adobe Acrobate are available for review.
• Additional information about Naloxone can be found at prescribetoprevent.com.

 

II. Clinical Resources

 

Screening, Brief Intervention and Referral to Treatment (SBIRT) is a strategy in the healthcare sector for reinforcing healthy behaviors, identifying problematic drug and alcohol use early, reducing substance misuse, and referring to treatment those who need it. This evidence based practice is a process with three main elements - Screening, Brief Intervention, and Referral to Treatment in medical settings.
The NH Prescription Drug Monitoring Program offers prescribers and pharmacists a valuable tool for improving both patient care and the health and safety of our communities. By taking advantage of this resource, prescribers will not only better manage patients' health and prescription usage, but also promote public health and safety through the prevention and treatment for controlled substance abuse, and assist in the reduction of the diversion of controlled substances.
• The Federation of State Medical Boards offers a free CME entitled Extended-Release and Long-Acting Opioids: Assessing Risks, Safe Prescribing.

• The Massachusetts Medical Society offers a free Opioid Prescribing Series for CME credit.

 

III. Treatment Tools

 

Buprenorphine providers are available to assist patients in need of medication assisted treatment for a substance use disorder.
Find providers offering withdrawal management, outpatient counseling, residential treatment, recovery supports and other types of services for people experiencing problems with alcohol and other drug use, including addiction.
• Additional resources for providers and patients can be found at drugfreenh.gov.

 

Press Release
10/21/2015

Governor Hassan has issued a press release including the working draft of the opioid prescribing rules.

 

 

 Adobe Acrobate Adobe Acrobat Reader format. You can download a free reader from Adobe.


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