NCMS Morning Rounds 11-2-21

Happy Tuesday! Enjoy your NCMS Morning Rounds!

November 2, 2021

NC DHHS Letters Warn of Noncompliance with STOP Act-Mandated NC CSRS Checks 

The North Carolina Medical Board (NCMB) is aware that the NC Department of Health and Human Services (NC DHHS) recently sent letters to some licensees about noncompliance with the mandatory requirement to review the NC Controlled Substances Reporting System (CSRS) prior to prescribing certain controlled substances.

State law requires that prescribers review a patient’s 12-month prescription history in the NC CSRS before prescribing a Schedule II or Schedule III opioid. The requirement went into effect July 7. The full text of the law that mandates NC CSRS use can be read here.

The NC DHHS letters inform prescribers that information about their possible noncompliance has been shared with the appropriate licensing board, which has prompted multiple licensees who believe they have been inappropriately flagged as noncompliant to reach out to NCMB. NCDHHS has provided a report to NCMB and the information is under review. No determinations have been made about how to use the reported information.

Read more here.

CMS Takes Decisive Steps to Reduce Health Care Disparities among Patients with Chronic Kidney Disease and End-Stage Renal Disease

CMS is taking action to close health equity gaps by providing Medicare patients living with End-Stage Renal Disease (ESRD) with greater access to care. Through the ESRD Prospective Payment System (PPS) annual rulemaking, CMS is making changes to the ESRD Quality Incentive Program (QIP) and the ESRD Treatment Choices (ETC) Model, and updating ESRD PPS payment rates. The changes to the ETC Model policies aim to encourage dialysis facilities and health care providers to decrease disparities in rates of home dialysis and kidney transplants among ESRD patients with lower socioeconomic status, making the model one of the agency’s first CMS Innovation Center models to directly address health equity.

Read the full press release here.

New on the Podcast: Urgent Need for Expert Reviewers

The October episode of NCMB’s podcast, MedBoard Matters, takes an up close look at how the medical board determines whether medical care is consistent with current and accepted standards of care when it receives a complaint about a licensee.

The answer, in any case where regulatory action is contemplated, is to seek the opinion of an outside expert medical reviewer who is familiar with standards of care in North Carolina. But recently, NCMB has had an increasingly difficult time finding enough experts to weigh in on cases that need review.

Listen to the episode to learn how NCMB uses outside reviewers, why they are so critical to the Board’s regulatory work and how you can offer your services to review quality of care cases.

In the News

A Smart Knee Implant Promises To ‘Help Write the Future of Orthopedic Technology.’ Surgeons Aren’t So Sure, STAT, 11-1-21

Learning Opportunity 

HCCN Webinar Series on Remote Patient Monitoring, Wednesday, November 3, 2021 from 1:00 PM – 2:00 PM, Webinar #1- Remote Patient Monitoring: An Overview

In this session:

  1. What is Remote Patient Monitoring
  2. Difference between Low Tech Devices (self-reporting devices) & Hi Tech Devices (connected)
  3. Best practices in selecting the appropriate devices for your patient population
  4. Aligning RPM with organizational strategic initiatives
  5. Understanding RPM Program Financial Sustainability
  6. Why Data & Trends are important in helping to improve patient outcomes

Register here.


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