Annual Report 2016 - Page 20

PROTECTING G iven the very real evidence that we are in the midst of an opioid crisis, the College began intensifying efforts in 2016 to address the issue of inappro- priate and potentially unsafe prescribing. In 2016, we investigated a significant number of physicians whose prescribing practices had been flagged by the Narcotics Monitoring System (NMS) as potentially concerning. The NMS was developed by the Ministry of Health and Long- Term Care to identify drug utilization patterns and trends and to detect unusual prescribing activities. The Ministry is able to provide information to the College where it appears, based on NMS’ analysis of dispensing data, that physicians are engaging in practice patterns that may not be consistent with the Canadian Guideline and may suggest a possible risk to patients, either by prescribing high doses or prescribing opioids in combination with benzodiazepines. Upon receipt of this information, the College considers the accuracy of the data, and the clini- cal context in which prescribing occurs, and then seeks information from the prescribing physician 20 in order to better understand and evaluate the prescribing. Our concern, from the start, was the potential for these investigations to cause patient termina- tions either as a result of the investigations or as part of a general β€˜chill’ effect. We regularly com- municated to physicians th …ЁΝΥ‘‘•Έέ₯Ρ‘‘Ι…έ…°)½Υ±…ΥΝ”Ν•Ι₯½ΎΑ…Ρ₯•ΉΠ‘…Ι΄…Ή°Ρ‘•Ι•™½Ι”°)Ρ‘”…‰ΙΥΑЁ•ΝΝ…Ρ₯½Έ½˜Αɕ͍Ι₯‰₯ΉœΡΌ„Α…Ρ₯•ΉΠ₯Μ)Ή•Ω•Θ…•ΑΡ…‰±”Έ)%˜Ρ‘” ½±±•—Šé₯ΉΩ•ΝΡ₯…Ρ₯½Έ™₯Ή‘́ё…Ё„)Α‘εΝ₯₯…Έ‘½½Ν•ΜΉ½ΠΡΌΡ…­”…‘Ω…ΉΡ…”½˜Ρ‘”)Ρ½½±Μ…ΉΙ•Ν½Υɍ•Μ…Ω…₯±…‰±”ΡΌ‘₯΄½Θ‘•Θ°Ρ‘•Έ)έ”έ₯±°Ρ…­”…‘‘₯Ρ₯½Ή…°…Ρ₯½ΈΈ]”Ρ…­”Ρ‘”₯ΝΝΥ”)½˜ΥΉΝ…™”Αɕ͍Ι₯‰₯ΉœΩ•ΙδΝ•Ι₯½Υͱ䁅Ή₯˜Ρ‘•Ι”)₯́½Ή•ΙΈΡ‘…Ё„Α‘εΝ₯₯…Έ₯́Ή½ΠΑΙ…Ρ₯Ν₯Ήœ…Π)Ρ‘”•αΑ•Ρ•ΝΡ…Ή‘…ɐ½˜ΑΙ…Ρ₯”°Ν…ΉΡ₯½ΉΜ…Έ)Ι…Ή”™Ι½΄Ι•ΝΡΙ₯Ρ₯ΉœΡ‘”Α‘εΝ₯₯…»ŠéΑΙ…Ρ₯”°)Ι•ΕΥ₯Ι₯ΉœΡ‘”½΅Α±•Ρ₯½Έ½˜Ι•΅•‘₯…Ρ₯½Έ½ΘΡΌ)Ρ‘”΅½ΝЁ͕Ι₯½Ύ½Υэ½΅”½˜Ι•Ω½…Ρ₯½ΈΈ) ΥЁݔΥΉ‘•ΙΝΡ…ΉΡ‘…Ё₯ΉΩ•ΝΡ₯…Ρ₯½Έ₯́©ΥΝΠ)½Ή”Ρ½½°Ρ‘…Ё…Έ‰”ΥΝ•ΡΌ…‘‘Ι•Ν́₯Ή…ΑΑΙ½ΑΙ€΄)…Ρ”Αɕ͍Ι₯‰₯ΉœΈ%Έ€ΘΐΔά°έ”±…ΥΉ‘•…Έ=Α₯½₯)MΡΙ…Ρ•δΡ‘…ЁΑΥΡ́Α…Ρ₯•ΉΠ…ΉΑΥ‰±₯ŒΝ…™•Ρ䁅Ёё”)™½Ι•™Ι½ΉΠΈ]₯Ρ‘₯ΈΡ‘”MΡΙ…Ρ•δ°Ρ‘” ½±±•”‘…Μ)₯‘•ΉΡ₯™₯•…Ή½΅΅₯ΡΡ•ΡΌΝΑ•₯™₯Œ…Ρ₯½ΉΜΡΌ)•ΉΝΥΙ”Ν…™”…Ή…ΑΑΙ½ΑΙ₯…Ρ”Αɕ͍Ι₯‰₯ΉœΈQ‘•Ν”…Œ΄)Ρ₯½ΉΜ₯Ή±Υ‘”₯ΉΩ•ΝΡ₯…Ρ₯½Έ°…ΝΝ•ΝΝ΅•ΉΠ°Υ₯‘…Ή”)…Ή•‘Ս…Ρ₯½ΈΈ)=Υȁݽɬ₯ΈΡ‘₯́…Ι•„έ₯±°‰”₯Ή™½Ι΅•‰δ)Ρ‘”Ή•ά …Ή…‘₯…ΈΥ₯‘•±₯Ή”°…́ݕ±°…́‰δ½ΥΘ)½ΉΡ₯ΉΥ•έ½Ι¬έ₯Ρ „‰Ι½…Ι…Ή”½˜Α…ΙΡΉ•ΙΜΈ)1½Ήœ΅Ρ•Ι΄ΝՍ•Ν́…Ё…‘‘Ι•ΝΝ₯ΉœΡ‘₯́Ι₯Ν₯́έ₯±°)½ΉΡ₯ΉΥ”ΡΌΙ•ΕΥ₯Ι”Ρ‘”½½Ι‘₯Ή…Ρ•…Ρ₯½Έ½˜)΅…Ήδ…Ήέ”…Ι”‘•‘₯…Ρ•ΡΌΥΝ₯Ήœ…±°½Υȁɔ΄)Ν½Υɍ•ΜΡΌ‘•±ΐ‰Ι₯Ήœ…Έ•ΉΡΌΡ‘”Ι₯Ν₯ΜΈ) =11=A!eM% %9L9MUI=9L==9QI%<)=Α₯½₯‘Μ聑‘Ι•ΝΝ₯Ήœ%Ή…ΑΑΙ½ΑΙ₯…Ρ”Aɕ͍Ι₯‰₯Ήœ