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I can think of very few reasons to place chronically ill people into electronic handcuffs because of their diagnosis and care needs. Can you?
fullpower.com/news/wp-conten…
This is extreme and extremely invasive. ImageImage
prnewswire.com/news-releases/…
I can see digital tools being actually helpful with pump monitoring for brittle diabetes or even heart failure monitoring. Life and death issues. There the presumption is diagnostic and emergency assistance.
But not opioid prescribing.
I have 35 years in rehabilitation and mental health. Behavioral health and behavioral health mgmt is important and necessary. But the best therapy of all is the relationship you build with your team, your people, the people who know you and your community.
AI may in certain instances be a wonderful adjunctive tool. But it's not a substitute.
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Terri Lewis, PhD 和平抵抗
@tal7291
Are you being coded by your physician w/ a dx of opioid use disorder (F11.--), when you are a compliant chronic care patient under physician supervision? Z79.891

This might be why you're having trouble getting Rxs filled.

ajmc.com/printer?url=/j…
One of these things is NOT like the other -
✔️F11.-- mild, moderate, severe or remission assumes your use of pain medications is a substance disorder;
✔️Z79.891 recognizes that you are reliant on the long term use of opioids to treat 2 or more long term chronic medical conditions
Z79.891 is a billable non hospital encounter code that places you into the chronic care category with a host associated services including but not limited to medication management, case management, referrals, and more.
Read 6 tweets
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Terri Lewis, PhD 和平抵抗
@tal7291
DEA Guidance links on prescribing of controlled substances during a national health emergency deadiversion.usdoj.gov/coronavirus.ht… Image
Virtual checkins and evisits medicare.gov/coverage/virtu… Image
Coverage determination for telehealth. Image
Read 28 tweets
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Terri Lewis, PhD 和平抵抗
@tal7291
1/Okay. This is going to be a long thread about the variability in DEFINITIONS in play across federal agencies that are leading to SYSTEMATIC ERROR.
Buckle up!
2/INS PLAN QUALITY METRIC
HEDIS Measure: Use of Opioids at High Dose (OUD) [sic]
ncqa.org/hedis/measures…
For members 18 yrs+, the rate per 1,000 receiving RX opioids at a high dosage for ≥15 days during the measurement year (average morphine equivalent dose [MED] >120 mg).
3/CFR42.1 § 8.2 Definition Opioid use disorder
law.cornell.edu/cfr/text/42/8.2
(A) A cluster of cognitive, behavioral, and physiological symptoms in which the individual continues use of opioids despite significant opioid-induced problems.
Read 24 tweets

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