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Beyond the Bite

The Official Blog of the Florida Dental Association

Tag: licensure

E-FORCSE Registration Tutorial

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Do you want to see how easy it is to register for the E-FORCSE database? Watch FDA President Dr. Jolene Paramore complete her registration in the video below.

 

E-forcse Registration Video from Florida Dental Association on Vimeo.

For technical assistance, please call ​877.719.3120. If you have questions specific to state policy, you may contact E-FORCSE 850.245.4797 or e-forcse@flhealth.gov.

Controlled Substances Legislation Goes Into Effect July 1

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On July 1, new laws and rules go into effect for the prescribing and dispensing of controlled substances in Florida. Below is a snapshot of the changes and how they will affect you.

Limits Prescribing of Controlled Substances for Acute Pain

  • Three-day limit prescription for acute pain
    • Acute pain: the normal, predicted, physiological and time-limited response to an adverse chemical, thermal or mechanical stimulus associated with surgery, trauma or acute illness.
    • Exceptions for acute pain includes cancer, a terminal condition, palliative care and traumatic injury.
  • Exception to three-day limit is a seven-day limit prescription for acute pain (dentists can write a seven-day prescription using their professional judgement that their patient needs more than a three-day limit). Must write on prescription “acute pain exception” and document in patient’s record their acute medical condition and lack of alternative treatment.
  • For treatment of pain other than acute pain, a prescriber must indicate “non-acute pain” on a prescription for an opioid drug listed as a Schedule II controlled substance.

Dispensing Limits on Practitioners

  • Dispensing controlled substances listed in Schedule II, for the treatment of acute pain, may not exceed a three-day supply, or a seven-day supply based on the same parameters listed above for prescribers.
  • Dispensing controlled substances listed in Schedule III, for the treatment of acute pain, may not exceed a 14-day supply.
  • Verifying the identity of an individual must be done prior to dispensing a controlled substance, if not already known to the dentist.

Mandatory Two-hour CE Training on Controlled Substances

  • All health care providers who are authorized to prescribe controlled substances and are registered with the United States Drug Enforcement Agency (DEA) to prescribe controlled substances must complete a board-approved two-hour continuing education (CE) course by Jan. 31, 2019, and at each subsequent licensure renewal. Failure to take the two-hour CE course could impact licensure renewal.
  • The new law limits approved providers authorized to offer the two-hour CE course to include only statewide professional associations of physicians in Florida that are accredited to provide such educational courses (some collaborative efforts have been granted, but are limited, and must have approval from appropriate health care boards). The ONLY approved CE providers are: the Florida Medical Association, Florida Osteopathic Medical Association, Florida Academy of Family Physicians and Florida College of Emergency Physicians.
  • This two-hour CE course is now available online. To access the course, please click here.

Mandates Checking the Prescription Drug Monitoring Program (PDMP) Database

  • Florida’s PDMP database is known as E-FORCSE (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), which is administered through the Department of Health. To register, please click here. For step-by-step instructions on how to register, please click here.
  • Providers must check the PDMP database (E-FORCSE) before prescribing or dispensing Schedules II, III, IV and V controlled substances for patients 16 years old or older starting on July 1, 2018. For a list of controlled substances, please click here. For step-by-step instructions on how to search for a patient in the PDMP, please click here. For step-by-step instructions on how to search for multiple patients at once, please click here.
  • Providers are exempted from checking the PDMP database for “non-opioid” Schedule V controlled substances (does not contain any amount of a substance listed as an opioid).
  • Health care providers are authorized to designate multiple staff members to check the PDMP on their behalf. For more information on designate/delegate management, please click here.
  • Failure to check the PDMP database prior to the prescribing of a controlled substance could be subject to a non-disciplinary citation from the appropriate licensing board.

For more information, please visit flhealthsource.gov/FloridaTakeControl or floridadental.org/e-forcse.

The Florida Board of Dentistry — More Than Just Discipline

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The Florida Board of Dentistry (BOD) was established to ensure that every dentist and dental hygienist practicing in Florida meet the minimum requirements for safe practice. The practice of these professions is a privilege, not a right.

So what is the function of the BOD? It may surprise you, but the BOD is responsible for more than just discipline. They promulgate rules covering licensure and the regulation of the dental profession. They also monitor dentists and dental hygienists in their service to the people of Florida. For example, they cover sedation permitting and inspections, and dental laboratory registration — and you may remember the recent records rule revision.

The full BOD meets quarterly, but the BOD has different committees and councils that meet in the interim to discuss and debate issues before sending them to the full BOD for a vote. The committees and councils include: the anesthesia committee, rules committee, council on dental assisting, council on dental hygiene, ADEX committee, CDCA committee and a board budget liaison. The councils and committees usually meet via conference call throughout the year. The anesthesia committee and hygiene council are by far the most active.

All BOD meetings and conference calls are open to the public and dentists are encouraged to attend. It can be an eye-opening experience! And remember, it is much better to be a spectator than a participant in BOD disciplinary cases. All meetings, times and locations are posted on the BOD website at www.floridasdentistry.gov.

The board consists of 11 members appointed by the governor and confirmed by the Senate. Seven members must be licensed dentists actively engaged in clinical practice; two members must be actively practicing dental hygienists; and two members must be consumers employed in a field or occupation that is not related to the dental profession. The current members include: Dr. Robert Perdomo, chair; Dr. Joe Thomas, vice chair; Drs. Joe Calderone, Naved Fatmi, Bill Kochenour, Claudio Miro and T.J. Tejera; hygienists Ms. Cathy Cabanzon and Ms. Angie Sissine; and, consumer member, Mr. Tim Pyle. There is one consumer member position open on the BOD that the governor has not yet filled. To learn more about becoming a member of the board, visit the Governor’s Appointments Office website or email appointments@eog.myflorida.com.

Dr. Don Ilkka serves as the full-time FDA liaison to the BOD. The FDA also is represented at all meetings and conference calls by Director of Third Party Payer and Professional Affairs Ms. Casey Stoutamire. The FDA’s Governmental Action Committee monitors all BOD activities and holds conference calls to discuss issues and strategies before each meeting of the board. Please feel free to contact Ms. Stoutamire at cstoutamire@floridadental.org or 850.224.1089 with any questions about the BOD and its work protecting the citizens of Florida.