True, but if they don’t disclose we often won’t know. And if they test positive and then produce a prescription it is difficult to ensure that there are not more than one.

Ron

Ron Teichman, M.D., M.P.H., FACOEM, FACP

Division Medical Director

Banner Occupational Health and Wellness

1300 N. 12^th Street, Suite 610

Phoenix, AZ 85006

602-747-7294

Ron.teichman@bannerhealth.com

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Cockrum, MD David S
Sent: Wednesday, January 29, 2020 3:24 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] Accessing state PMP for safety sensitive job applicants and DOTs

Nor in NE or TX. It’s actually more common to restrict it to treating providers, mostly for privacy reasons. If a “client-patient” fails to disclose use of an opioid to an examiner during an exam, the onus is on that client…at least, it should be.

David

DAVID

COCKRUM

Physician

Faith Regional Physician Services

Occupational Health

(402) 844 8300

2024 Pasewalk Avenue, Suite 2

Norfolk

68701

Click on the logos to learn more about our services.

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Cc: Swift, Melanie D., M.D., M.P.H. <Swift.Melanie@mayo.edu>
Subject: Re: [MCOH-EH] Accessing state PMP for safety sensitive job applicants and DOTs

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Also cannot be accessed for non-patient-care use in MN. Nor last I checked in TN.

Thanks,

Melanie

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Teichman, Ron F
Sent: Tuesday, January 28, 2020 8:53 PM
To: mcoh-eh@mylist.net
Subject: [EXTERNAL] [MCOH-EH] Accessing state PMP for safety sensitive job applicants and DOTs

Hi all,

My newly adopted state of Arizona has a Controlled Substances Prescription Monitoring Program, but restricts access to treating providers and dispensing pharmacists, thus making it illegal for occupational health providers to access the information with regards to post-offer pre-placement exams, fit-for-duty exams, return to work exams, firefighter and other public safety exams, and DOT exams. I am trying to ascertain whether other states with similar programs/registries allow access for the protection of public safety. Obviously nobody wants providers, nurses, pharmacists, residents, law enforcement, truck drivers and others working in safety sensitive positions to be working while impaired, but this important resource is closed to providers in AZ.

TIA for whatever information you can share,