AUSN

SUMMER 2017

Navy magazine is distributed on Capitol Hill,the Pentagon and naval bases around the world. It provides information that impacts Sailors, their families and the Navy. Navy is published quarterly by the Association of the United States Navy (AUSN).

Issue link: http://digital.ausn.org/i/873128

Contents of this Issue

Navigation

Page 36 of 51

35 Association of the United States Navy ation System — California's electronic monitoring system known as CURES. Kentucky Database Triggered Decline in Drug Abuse Research from the University of Kentucky Institute for Pharmaceutical Outcomes and Policy shows a decline in the number of prescriptions for commonly abused medications, a reduction in "doctor shop- ping" and an increase in the number of Kentuck- ians seeking treatment for prescription medication addiction. e research specifically measured the effect of a law enacted in 2012. Among other things, the new law required all physicians and pharmacists to register with and use the state's recently upgraded electronic system for monitoring prescription drugs. e Kentucky All Schedule Prescription Electronic Reporting, or KASPER, system is similar in scope and intent to CURES. According to the study, the number of patients in Kentucky who "shop around" for doctors to obtain prescriptions declined by 52%, opioid prescriptions to doctor-shopping individuals dropped by 54% and over- dose-related deaths declined in 2013 — the first drop in such deaths in six years. Other states have reported similar results. Earlier this year in a report to the Tennessee General Assembly: • 41% of prescribers in Tennessee reported they are less likely to prescribe controlled substances aer checking a prescription database; • 34% said they were more likely to refer a patient for substance abuse treatment; and • 86% of prescribers believe the database is useful for decreasing doctor shopping. CURES, California's Prescription Drug Monitoring Program CURES stores and reports Schedule II, III and IV prescription dispen- sation data reported by dispensers to the California Department of Justice (DOJ). CURES contains the following information: patient name, patient date of birth, patient address, prescriber name, prescriber DEA number, pharmacy name, pharmacy license number, date prescription was dispensed, prescription number, drug name, drug quantity and strength, and number of refills remaining. CURES provide registered prescribers and dispensers with a Patient Activity Report (PAR) up to one-year patient prescription history to assist health practitioners prescribe safely and to identify patients at risk of addiction. CURES provides CA Department of Consumer Affairs Regulatory Board staff with PARs and Prescriber & Dispenser History Reports (PPH) up to 7 years. Additionally, CURES data is available to appropriate state, local, and federal public agencies, law enforcement, and regulatory boards for disciplinary, civil, or criminal purposes. e Department of Justice (DOJ) may also provide data to other agencies and enti- ties for educational, peer review, statistical, or research purposes, provided that patient identity information is not disclosed. As a retired Federal Drug Enforcement Adminis- tration Diversion Investigator, I made extensive use of the CURES data base in the discovery and prosecu- tion of prescribers and pharmacies that were illegally providing controlled substances. Most of these individ- uals had their DEA registration revoked and many lost their California medical license. e most satisfying of my cases was Doctor Lisa Tseng. Convicted on three counts of contributory manslaughter, Dr. Tseng was sentenced to thirty years in prison. None of this would have been possible without the help of the searchable CURES data base. n LCDR David M. Bradley, USN (Ret.) is AUSN's National President and a retired Federal Drug Enforce- ment Administration Diversion Investigator.

Articles in this issue

Archives of this issue

view archives of AUSN - SUMMER 2017