A THREAD.

Looking for guidance on caring for patients with #OUD on #bupe during #COVID19?

Head to http://bit.ly/MontefioreBupe ">https://bit.ly/Montefior... 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

Setting the stage:

-PWUD are at https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Upwards arrow" aria-label="Emoji: Upwards arrow"> risk of exposure to #COVID19 and at https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Upwards arrow" aria-label="Emoji: Upwards arrow">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

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.deadiversion.usdoj.gov/coronavir... href=" https://www.samhsa.gov/coronavirus 

-NYS">https://www.samhsa.gov/coronavir... Medicaid and Medicare currently cover telemedicine visits, so document appropriately!

Coronavirus (COVID-19)

SAMHSA Resources and Information NEW: COVID-19 Information for SAMHSA Discretionary Grant Recipients COVID-19 Public Health Emergency Response and 42 CFR Part 2 Guidance (PDF | 168 KB) TAP 34:

https://www.deadiversion.usdoj.gov/coronavirus.html

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

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 arehttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Upwards arrow" aria-label="Emoji: Upwards arrow">for #overdose and other complications with social isolation.

6. Offer #virtualsupport options in the era of physical distancing.
https://www.samhsa.gov/sites/default/files/virtual-recovery-resources.pdf

Lots">https://www.samhsa.gov/sites/def... to learn with #telemedicine, but excited to be able to offer our patients MORE

@MontefioreNYC now taking new patients for #bupe tx w/ telemedicine. Seehttps://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Down pointing backhand index" aria-label="Emoji: Down pointing backhand index"> for how to refer!

Thanks to many for informing the above!

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