A THREAD.
Looking for guidance on caring for patients with #OUD on #bupe during #COVID19?
Head to http://bit.ly/MontefioreBupe for resources!
Together with @TiffanyLuMD & @DrChinazo, we hosted a webinar on Bupe Treatment during COVID & put together the following
#Addictiontwitter
Looking for guidance on caring for patients with #OUD on #bupe during #COVID19?
Head to http://bit.ly/MontefioreBupe for resources!
Together with @TiffanyLuMD & @DrChinazo, we hosted a webinar on Bupe Treatment during COVID & put together the following
#Addictiontwitter
Included
-Bupe Provider Tip Sheet w/ #DEA @samhsagov @ASAMorg guidance
-Bupe Patient Tip Sheet w/ #onlinesupport tools
-Template tip sheets for your clinic
-Telehealth tips
-Regulation updates
-Bupe televisit #EPIC templates
-Mental health resources
-Home Induction Toolkit
-Bupe Provider Tip Sheet w/ #DEA @samhsagov @ASAMorg guidance
-Bupe Patient Tip Sheet w/ #onlinesupport tools
-Template tip sheets for your clinic
-Telehealth tips
-Regulation updates
-Bupe televisit #EPIC templates
-Mental health resources
-Home Induction Toolkit
Setting the stage:
-PWUD are at
risk of exposure to #COVID19 and at
risk of suffering a poor outcome from this disease
-We should offer #telemedicine as much as possible to promote #socialdistancing while providing ongoing support & access to care & life-saving medication
-PWUD are at


-We should offer #telemedicine as much as possible to promote #socialdistancing while providing ongoing support & access to care & life-saving medication
Keep up to speed:
-Regulations are CONSTANTLY CHANGING so check in frequently to #DEA and @samhsagov sites
https://www.deadiversion.usdoj.gov/coronavirus.html
https://www.samhsa.gov/coronavirus
-NYS Medicaid and Medicare currently cover telemedicine visits, so document appropriately!
-Regulations are CONSTANTLY CHANGING so check in frequently to #DEA and @samhsagov sites
https://www.deadiversion.usdoj.gov/coronavirus.html
https://www.samhsa.gov/coronavirus
-NYS Medicaid and Medicare currently cover telemedicine visits, so document appropriately!
General pointers:
1. Pick a telemedicine platform, it does NOT have to be #HIPAA compliant & can use #Audio only for NEW BUPE patients during the emergency
2. New methadone patients still require a face-to-face
3. Opt for longer Rxs to ensure access to these LIFE SAVING meds
1. Pick a telemedicine platform, it does NOT have to be #HIPAA compliant & can use #Audio only for NEW BUPE patients during the emergency
2. New methadone patients still require a face-to-face
3. Opt for longer Rxs to ensure access to these LIFE SAVING meds
3. Consider refills for stable patients
4. Consider pausing urine drug screening given risk/benefit of exposing patients and HCWs
5. Engage in #HarmReduction always, ensure #naloxone is accessible! Our patients are
for #overdose and other complications with social isolation.
4. Consider pausing urine drug screening given risk/benefit of exposing patients and HCWs
5. Engage in #HarmReduction always, ensure #naloxone is accessible! Our patients are

6. Offer #virtualsupport options in the era of physical distancing.
https://www.samhsa.gov/sites/default/files/virtual-recovery-resources.pdf
Lots to learn with #telemedicine, but excited to be able to offer our patients MORE
@MontefioreNYC now taking new patients for #bupe tx w/ telemedicine. See
for how to refer!
https://www.samhsa.gov/sites/default/files/virtual-recovery-resources.pdf
Lots to learn with #telemedicine, but excited to be able to offer our patients MORE
@MontefioreNYC now taking new patients for #bupe tx w/ telemedicine. See

Thanks to many for informing the above!
Post any pointers below!
@YaleADM @BridgeToTx @laila_PMD @JoelBumol @m_masyuko @DrBriannaNorton @einsteinmedicin @EinsteinMed @montefioreIM @MontefioreDFSM
Post any pointers below!
@YaleADM @BridgeToTx @laila_PMD @JoelBumol @m_masyuko @DrBriannaNorton @einsteinmedicin @EinsteinMed @montefioreIM @MontefioreDFSM
Any other pointers from our #addiction colleagues? @HarmReduction @NYHarmReduction @DrMelissaWeimer @ZoeWeinstein @JessicaTaylorMD @DrKimSue @JonGiftosMD @kelseycpriest @honoraenglander @opioidlibrary