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Enhanced Surveillance: New Reporting of Opioid Overdose and Naloxone Use

Posted By Administration, Thursday, June 15, 2017

Arizona Health Alert Network

 

Dear Arizona Partners,

 On June 5, 2017, Arizona Governor Doug Ducey declared a Public Health State of Emergency  due to the opioid epidemic. The declaration directs Arizona Department of Health Services to lead the statewide emergency response.

 Pursuant to A.R.S. §36-782, an Enhanced Surveillance Advisory  has been issued to track opioid morbidity and mortality.   Required reporting within 24 hours of the items below will go into effect June 15, 2017.

Required Reporters

Health condition to be reported

Reporting System

Healthcare professionals licensed under A.R.S. Title 32

  • Suspected opioid overdoses
  • Suspected opioid deaths
  • Neonatal abstinence syndrome

MEDSIS

Training: www.azhealth.gov/opioidtraining

New Account: MedsisHelpDesk@siren.az.gov

Administrators of a healthcare institution or correctional facility

  • Suspected opioid overdoses
  • Suspected opioid deaths
  • Neonatal abstinence syndrome

MEDSIS

Training: www.azhealth.gov/opioidtraining

New Account: MedsisHelpDesk@siren.az.gov

Emergency Medical Services/Ambulance agencies (first response agencies, ground and air ambulance agencies)

  • Suspected opioid overdoses
  • Suspected opioid deaths
  • Neonatal abstinence syndrome

AZ-PIERS

Training:

www.azhealth.gov/opioidtraining

New Account: Anne.Vossbrink@azdhs.gov

Law enforcement officers

  • Suspected opioid overdoses
  • Suspected opioid deaths
  • Naloxone doses administered

AZ-PIERS

Training:

www.azhealth.gov/opioidtraining

New Account: Anne.Vossbrink@azdhs.gov

Medical examiners

  • Suspected opioid deaths

MEDSIS

Training: www.azhealth.gov/opioidtraining

New Account: MedsisHelpDesk@siren.az.gov

Pharmacists

  • Naloxone doses dispensed

Prescription Drug Monitoring Program (PDMP)

Training:
https://azpa.learningexpressce.com/index.cfm?fa=view&eventID=8362

New Account:

https://pharmacypmp.az.gov/

Thank you for your cooperation.  Please forward this message and resources onto other partners and listservs.  It will take a multi-level, multi-agency, collective effort to bring the Arizona epidemic under control.

 

Resources

Arizona's Declaration of Emergency

Arizona Executive Order for Enhanced Surveillance

Arizona Clinical Guidelines and References for Opioid Prescribing

Arizona 2016 Opioid Report

Arizona Opioid Website

Arizona Opioid Training Website

Thank you,
Arizona Health Alert Network

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ASAPA 2017 Election Results

Posted By Administration, Thursday, June 8, 2017
Updated: Wednesday, June 7, 2017

The ASAPA 2017 election results are in!

The results are as follows: 
President Elect: Jennifer Feirstein, PA-C
Treasurer: Chris Davis, PA-C
Directors At Large: There will be a special election in the near future for the DAL positions.
AAPA House of Delegates: Jennifer Feirstein, PA-C and Melinda Rawcliffe, PA-C

Returning Board Members: 
President: Gerry Keenan, PA-C
Past President: John Shaff, PA-C 
Secretary: Lynzi Warner, PA-C
Directors At Large: Bettie Coplan, PA-C and Carla Thompson, PA-C
AAPA House of Delegates: Jacqueline Spiegel, PA-C and Kirsten Bonnin, PA-C

We are grateful to all the candidates for their willingness to serve and welcome the new board members as they begin their new roles in July. 



Best,

Gerry Keenan, MMS, PA-C
Elections Chair 2017

Tags:  Election 

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Public Health State of Emergency - Opioid Overdose Epidemic

Posted By Administration, Tuesday, June 6, 2017

Arizona Health Alert Network

Governor Ducey has declared a state of emergency in response to the opioid abuse epidemic in Arizona.  More than two Arizonans die every day due to opioid overdose. As part of the Governor’s emergency declaration, ADHS will be providing recommendations on elements for required enhanced surveillance of opioid overdoses and deaths, and naloxone administration dispensing and reporting.

There must be a reduction in dangerous opioid use in Arizona.  Clinicians are urged to apply the practices in the Arizona Opioid Prescribing Guidelines (Acute/Chronic Pain) or the CDC Guideline for Prescribing Opioids (Chronic Pain).

  • Consider non-opioid pain treatment alternatives first; opioids are not the first-line therapy for most chronic pain.    
  • If initiating opioids, use the lowest effective dosage and limit initial prescriptions to 7 days (per AHCCCS Policy) or 3 days (per CDC Guidelines).
  • Check the Arizona Controlled Substances Prescription Monitoring Program prior to prescribing opioids.  
  • Take a detailed medication history. Avoid combined use of opioids and benzodiazepines, and advise patients of the risk of adverse events.
  • Co-prescribe naloxone to patients at higher risk for overdose, including history of overdose or substance use, opioid dosages ≥50 MME/day (calculate) or concurrent benzodiazepine use. 

To help Arizona meet the demand for opioid treatment, clinicians can also consider becoming a buprenorphine –waived provider.  An eight-hour buprenorphine training course is required.

 

Resources
Arizona's Declaration of Emergency

Arizona Clinical Guidelines and References

Online Arizona CME: Safe and Effective Opioid Prescribing while Managing Acute and Chronic Pain

CDC Opioid Guide Mobile App

 

Thank you,
Arizona Health Alert Network

Tags:  ADHS 

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June Newsletter Call for Content

Posted By Administration, Wednesday, May 10, 2017

Hello ASAPA members!  I am currently planning ASAPA’s June Newsletter and invite you to submit an article for inclusion in the newsletter.  I am looking for clinically relevant information, editorials, or other information you think your PA colleagues may find useful.  Articles can be submitted via email to newsletter@asapa.org. Please submit by May 19, 2017.

Look forward to hearing from you!

 

Nicole Ferschke, PA-C

Communication Committee Chair

Tags:  Newsletter 

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Swimmer's Itch Alert

Posted By Administration, Tuesday, May 9, 2017

Maricopa County Public Health Alert

Click here

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Confirmed Mumps in Arizona

Posted By Administration, Thursday, April 20, 2017

Arizona Health Alert Network

There have been four confirmed cases of mumps in Arizona over the past month. Nationally, there has been a dramatic increase in reported mumps, with four states reporting recent outbreaks. There were 5,700 cases in 2016, and already 2,000 in 2017.

Mumps can cause pain, tenderness, and swelling of one or both parotid salivary glands as well as other complications including:

  • Orchitis
  • Oophoritis
  • Encephalitis
  • Meningitis
  • Deafness

Providers should report suspect mumps cases to the local health department as well as collect specimens for testing, including: 

  • Buccal swab
  • Urine
  • Serum

Ensure your patients are fully vaccinated against mumps.

To report cases or for additional information, contact the local health department

(azhealth.gov/localhealth)

For more information on mumps, visit https://www.cdc.gov/mumps/hcp.html

 

Thank you,
Arizona Health Alert Network

Tags:  ADHS 

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ASAPA 2017 Candidates

Posted By Administration, Wednesday, April 19, 2017
Updated: Tuesday, April 18, 2017

The 2017 Nominations are Complete and Available for Viewing! 

This year's slate of candidates is currently on the ASAPA website for general viewing.

To view the slate of candidates click here or:
1.  Mouse over the Members Only tab  
2.  Click on the link 2017 ASAPA Candidates

We strongly encourage you to look through the candidates and their platform statements. Unfortunately there were no nominations for President Elect, Treasurer, or Director at Large positions. If you are interested in any of these positions, please contact John Shaff, azbonepa@gmail.com, or Gerry Keenan, gkeenan@atsu.edu.                         

Elections will begin May 8th and end June 1st. They will be conducted electronically. An email will be sent from Survey Monkey to each eligible member with an individualized, but anonymous link to the 2017 ASAPA ballot. 

Election results will be available within 1 week of the election closing. 

Tags:  candidates 

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2017 AAPA HOD Resolutions

Posted By Administration, Tuesday, April 4, 2017

The resolutions for the 2017 AAPA House of Delegates meeting are now available at https://www.aapa.org/about/aapa-governance-leadership/house-of-delegates/meeting-materials/.  You must be logged into the AAPA website to view the material. 

Please take some time to review the resolutions, and share your thoughts with any of the Arizona delegates.

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2017 ARBoPA Officers

Posted By Administration, Tuesday, February 28, 2017

At the ARBoPA quarterly meeting, Mr. Myles Whitfield was elected Chair of the Board. Dr. Geoffrey Hoffa, outgoing Chair, hands over the gavel to Mr. Whitfield. Dr. Randy Danielsen was also elected as Vice-Chair. These officers serve one year terms on the board.

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History of the PA Profession

Posted By Administration, Monday, February 6, 2017
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