Controlled Substance Monitoring Database Quiz

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Questions and Answers

What is the CSMD?

Controlled Substance Monitoring Database

What is the definition of dispense?

To physically deliver a controlled substance with the intent that it be consumed away from the premises.

What is the definition of a healthcare practitioner?

A person licensed or permitted to prescribe, distribute, or dispense a controlled substance.

What is the definition of a healthcare practitioner delegate?

Any authorized person allowed to check the CSMD on behalf of a healthcare practitioner. Signup and view all the answers

Who makes up the CSMD committee?

Governor appointed members from each relevant board and two consumer members. Signup and view all the answers

What is the director of the CSMD committee's purpose?

Responsible for determining staffing in consultation with the executive director of the BOP. Signup and view all the answers

What data is gathered from the CSMD?

All drugs CII-V. Signup and view all the answers

When is reporting to the CSMD NOT required?

Drug administered to the patient, drug sample, dispensed by veterinarian (48 hour max), DEA registered narcotic treatment program, dispensed by licensed healthcare facility (48 hour max). Signup and view all the answers

What are the maximum allowed drug sample amounts that are not required to be reported?

Max of 48 hours of CII and CIII drugs for regular clinics; max of 72 hours for CIV and CV for pain management clinics; max of 14 days for non-narcotic CV. Signup and view all the answers

Who submits data to the CSMD?

Prescribers with DEA# and dispensers providing direct care >15 days per calendar year. Signup and view all the answers

What information is required to submit to the CSMD?

Prescriber identifier, dispensing date, patient identifier, controlled substance identifier, quantity dispensed, strength, days supply, dispenser identifier, prescription issue date, new or refilled status, source of payment, ICD 10 code, medical necessity. Signup and view all the answers

When must data be submitted to the CSMD?

No later than the close of business the following day; vets every 14 days. Signup and view all the answers

Who are you allowed to disclose information to?

Current patient, bona fide patient, practitioner/dispenser involved in treatment, law enforcement (with warrant or subpoena). Signup and view all the answers

How often do you need access to the CSMD?

At all times. Signup and view all the answers

How often must prescribers check the CSMD?

Prior to a new episode of treatment, each new controlled substance Rx during the first 90 days, then every 6 months. Signup and view all the answers

How often must a dispenser check the CSMD?

Prior to the first time a patient is dispensed a controlled substance, and every 6 months thereafter. Signup and view all the answers

When should the dispenser/prescriber check the CSMD?

When aware or reasonably certain of potential substance abuse, with every opioid or benzo Rx. Signup and view all the answers

What are some exemptions to checking the CSMD?

Hospice patients. Signup and view all the answers

Study Notes

Controlled Substance Monitoring Database (CSMD)

CSMD stands for Controlled Substance Monitoring Database, tracking prescriptions of controlled substances.
Compiles data on all drugs classified as CII-V.

Dispensing Controlled Substances

Dispensing refers to the physical delivery of a controlled substance for consumption away from the dispensing location.
Exemptions from reporting include drugs administered directly to patients and samples dispensed by veterinarians.

Definition of Healthcare Practitioners

Healthcare practitioners include individuals licensed to prescribe, distribute, or dispense controlled substances.
Institutions such as pharmacies and hospitals fall under the same definition when authorized to handle controlled substances.

Delegation in Healthcare Practice

A healthcare practitioner delegate can be authorized to check the CSMD on behalf of the practitioner.
Up to two unlicensed persons can assist a healthcare practitioner in this role.

CSMD Committee Structure

Governor appoints members from various boards with interests in controlled substances.
The committee includes two consumer members, one from the Board of Pharmacy (BOP) and one from the Board of Medical Examiners.

Data Management and Reporting

The director of the CSMD committee is responsible for staffing decisions in conjunction with the BOP's executive director.
Specific information required for CSMD data submission includes prescriber and patient identifiers, dispensing dates, controlled substance details, and medical necessity codes.

Reporting Requirements

Reporting to CSMD is mandated by the next business day, with exceptions for specific instances like veterinary prescriptions (up to 48 hours).
Drug samples have reporting limits: 48 hours for CII and CIII in regular clinics; 72 hours for CIV and CV in pain management clinics.

Prescriber and Dispenser Responsibilities

Prescribers are required to check the CSMD before initiating a new treatment episode and before each new controlled substance prescription for the first 90 days, then every six months.
Dispensers must check the CSMD at the first dispensing visit for a new patient and every six months thereafter.

Check Requirements

CSMD should be consulted if there's suspicion of substance abuse, particularly with opioids or benzodiazepines.
Disclosure of information from the CSMD is allowed for current and bona fide patients, treating practitioners, and in certain legal circumstances.

Exemptions

Patients in hospice care are exempt from certain reporting and checking requirements.

Access Frequency

Continuous access to the CSMD is essential for compliance and patient safety.

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Description

Test your knowledge of the Controlled Substance Monitoring Database (CSMD) with this flashcard quiz. Learn the key definitions and concepts related to dispensing controlled substances and the roles of healthcare practitioners. Ideal for students and professionals in the healthcare field.