Summary of the Opioid Epidemic Act

Effective April 26, 2018, The Opioid Epidemic Act (OEA) changes drastically the requirements for healthcare professionals licensed to prescribe Drug Enforcement Agency (DEA Schedule II opioid medications. Here is a summary of the changes:

 

  • An initial prescription for scheduled to opioids in circumstances following a surgical procedure, which is defined as medications not prescribed in the previous 60 days, is limited to a fourteen (14)-day supply.1

 

  • An initial prescription for scheduled to opioids in circumstances NOT following a surgical procedure, which is defined as medications not prescribed in the previous 60 days, is limited to a five (5)-day supply. 1

 

  • Healthcare professionals are prohibited from issuing a new prescription that exceeds 90 morphine milligram equivalents (MME) day.1,2

 

  • If a new prescription for greater than 90 MME is issued, the prescriber must also issue a prescription for naloxone or another opioid antagonist.

 

  • E–prescribing for all DEA Scheduled II opioids will be REQUIRED in Arizona Maricopa and Pima Counties on January 1, 2019, and in all other Arizona Counties on July 1, 2019.

 

  • Healthcare professionals authorized to prescribe DEA Schedule II opioids are required to complete a minimum of 3 hours of opioid–related continuing medical education (CME) each license renewal cycle.

 

  • The exemption from review in the Arizona Prescription Monitoring Program (PMP) for patients receiving a prescription for DEA Schedule II opioids for less than five (5) days if the PMP had been checked within the previous thirty (30) days has been eliminated.

 

These changes will significantly alter the prescribing practices of all licensed healthcare professionals who choose to treat acute and chronic pain syndrome with opioid medications.  All healthcare professionals and their patients should become keenly familiar with the new requirements in the Opioid Epidemic Act to avoid interruption of care.

 

The Summit Team

 

 


 

1      Exemptions: Active oncology diagnoses, traumatic injury, palliative care, hospice or end–of–life care, skilled nursing facility care, treatment of burns, treatment of infant’s being weaned off of steroids after hospital discharge, and treatment of substance abuse

 

2      Ninety (90) Morphine Milligram Equivalents (MMEs): Oxycodone 60 mg, hydrocodone 90 mg, fentanyl transdermal patch 37.5 mcg/hr, hydromorphone (oral) 18 mg, codeine 600 mg; healthcare professionals who are board–certified in pain management may prescribe greater than 90 MME; healthcare professionals who are NOT board–certified in pain management may prescribe greater than 90 MME only after consultation with healthcare professionals who are boards–certified in pain management (If a consulting healthcare professional who is board–certified in pain management is unavailable within 48 hours of request for consultation, a healthcare professional may prescribe greater than 90 MME and subsequently arrange the consultation; teleconference consultation is permissible.)

 

Dr. Mike Will Be Out-of-Town!

IMPORTANT ALERT TO OUR PATIENTS:

Dr. Mike will be out-of-town from Monday, May 7th through Sunday, May 20th (2 weeks)

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2017.06.01 Traveling

Dr. and Mrs. Mike will be celebrating their daughter’s graduation from college from MONDAY, MAY 7th through SUNDAY, MAY 20th (2 weeks). They will be in Columbia, SC and in Orlando, FL for the celebration. During this time, our staff will be available to answer your telephone calls at 480-981-9000 during routine office hours.

Although there is no ‘on-call’ doctor while he is away from the office, Dr. Mike, as always, remains available 24/7 to receive your urgent, direct call on his Summit mobile telephone 480-828-XXXX… even while on vacation!


WHAT YOU SHOULD DO RIGHT NOW…

In preparation for Dr. Mike’s vacation, please review and complete the following important tasks:

  • MEDICATION REFILLS: Determine if you need prescription medication refills. If you will require authorization of refills of any of your prescription medications within the next 6 weeks, let us know now so that Dr. Mike may do so prior to his departure.
  • APPOINTMENTS: Determine if you need an office visit. If you have ongoing or emerging medical concerns for which you would like to see Dr. Mike, let us know now so that Dr. Mike can see you in the office prior to his departure.
  • LABS AND TESTS: Determine if you are due for labs or tests. If you have blood work or radiology testing that are either ordered already or will be due in May, schedule and complete them now so that Dr. Mike can review the results with you prior to his departure.
  • MAJOR MEDICAL EVENTS: Determine if you are having major procedures or surgeries. If you are scheduled to have a major procedure (e.g. colonoscopy, cardiac catheterization, etc.) or surgery (e.g. cholecystectomy, knee replacement, etc.) within the next several weeks, let us know so that Dr. Mike may notify your physician or surgeon to contact him directly for concerns that may arise while he is out-of-town.

At any time, you may contact the office and speak to Marion or Tasha for more information on how to prepare for Dr. Mike’s being out-of-town from Monday, May 7th to Sunday, May 20th, 2018.

And remember… whenever Dr. Mike is away from the office, all current patients may still contact him directly on his Summit mobile telephone 480-828-XXXX if they are experiencing medical concerns that require his attention… even when he is on vacation!


Direct Access Medicine® care makes your healthcare experience and mine both valuable and enjoyable. Call me when you need me!” — Dr. Mike

— The Summit Team

Special Olympian: Sawne Rippey

Summit Medicine and Pediatrics is proud to support our Tasha and her son, Sawne, for their accomplishments and advocacy of autism awareness. They have been featured recently by the Arizona Department of Economic Security as they train and prepare for participation in national competition in Seattle, WA in July 2018 and in international competition in Abu Dhabi in March 2019 in the Special Olympics.

Watch this…

For those who understand the unique challenges of raising a child with special needs, this recognition is a welcomed acknowledgment of the love, kindness, patience and perseverance it takes to achieve even the most basic success in life. And we know that their devotion to one another and to family will help them achieve every goal they have in life.

We invite our friends and neighbors who are able to do so to join us in helping them offset the costs associated with their travel, accommodations, and necessary expenses by making a TAX-DEDUCTIBLE donation online. Click on the following link: https://www.classy.org/team/128646

In donating, PLEASE make sure that you provide the following information to ensure that your donation is awarded to Sawne and Tasha:

HONOREE: Sawne Rippey
RECIPIENT: Tasha Crofton
RECIPIENT EMAIL: shotikangirl42@gmail.com

Donors will receive via email the information and documentation necessary for tax reporting and accounting purposes.

BRING HOME THE GOLD 🥇 SAWNE and TASHA!

The Summit Team

Open House: Spring 2018 Schedule

Is someone you know dealing with a health issue that they can’t seem to get the right treatment for? Do you know someone who has been dissatisfied with the level of service their doctor provides? Bring them to meet Dr. Mike so they can discuss their concerns and see how Direct Access Medicine® care can help. Our Open Houses are always informal, and there is no fee or obligation when you stop by.


Don’t delay! As of April 1, 2018, we only have 28 openings remaining for new patients!


Once our practice is full, we will begin receiving non-refundable deposits on a first-come-first-serve basis for future opportunity to participate in our innovative Direct Access Medicine® practice, a form of Direct Primary Care and Concierge Medicine that is guaranteed to make your healthcare experience both affordable and satisfying.

Spring 2018 Open House Schedule: All Open Houses are held on Saturdays from 9 AM to 12 Noon at Summit Medicine and Pediatrics.

  • April  7th, 2018
  • April 14th, 2018
  • April 21st, 2018
  • April 28th, 2018
  • May 5th, 2018 — NO OPEN HOUSE; VACATION
  • May 12th, 2018 — NO OPEN HOUSE; VACATION
  • May 19th, 2018 — NO OPEN HOUSE; VACATION
  • May 26th, 2018 (Memorial Day Weekend)
  • June 2nd, 2018
  • June 9th, 2018
  • June 16th, 2018
  • June  23rd, 2018
  • June 30th, 2018 — NO OPEN HOUSE; VACATION

Congratulations Sawne, Tasha and Anthony!

Summit Medicine and Pediatrics is proud to support Sawne, Tasha​ and Anthony in their once-in-lifetime opportunity to participate in both the USA Games in Seattle, WA in July 2018 and the World Games in Abu Dhabi in March 2019.

We invite our friends and neighbors who are able to do so to join us in helping them offset the costs associated with their travel, accommodations, and necessary expenses by making a TAX-DEDUCTIBLE donation online (click on the following link:

https://www.classy.org/team/128646

In donating, PLEASE make sure that you provide the following information to ensure that your donation is awarded to Sawne, Tasha and Anthony:

HONOREE: Sawne Rippey
RECIPIENT: Tasha Crofton
RECIPIENT EMAIL: shotikangirl42@gmail.com

Donors will receive via email the information and documentation necessary for tax reporting and accounting purposes.

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BRING HOME THE GOLD 🥇 SAWNE, TASHA AND ANTHONY!

The Summit Team

Dr. Mike’s Skincare Pampering Party

Your skincare is a vital part of your overall healthcare. We have invited Mary Ellen Lucherini, Mary Kay Independent Consultant, to pamper the Summit Family with select, complimentary skincare products from the Mary Kay line. At our spa party, you’ll learn how to care for the skin on your face, hands and legs in an informal and fun environment, and sample the newest products for healthy skin.

Space is limited to 6 people. RSVP today! Call Marion at 480-981-9000 to reserve and confirm your place at our spa party!

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We look forward to caring for you!

The Summit Team

Our Medical Practice is Almost Full!

We are excited to announce that effective February 17, 2018, there are only fifty (50) openings remaining for patient participation in our Direct Access Medicine® medical practice.

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In keeping with our goal of ensuring the highest level of service for every patient and the consistency of access to and availability of Dr. Mike and his staff, we have determined that the engagement of 50 additional participants will bring us to optimal capacity.

Unlike standard medical practices in which doctors see their patients enter and leave routinely as though walking through a “revolving door”, Summit Medicine and Pediatrics enjoys strong, lasting professional relationships with patients who are committed to optimizing their health, and are experiencing the security and satisfaction of personalized, comprehensive, and affordable healthcare delivery. We make sure that the medical needs of every patient in our Direct Access Medicine® practice are managed with prompt efficiency, and, in order to continue to do so, we’ve determined that we must set a limit to those who may engage with us.

Once we have engaged at full capacity in the coming weeks, we will establish a ‘Summit Future Patient List’ through which those who wish to see Dr. Mike may hold their place in cue to join our practice as opportunity arises in maintaining our optimal capacity. Each person who wishes to join our Summit Future Patient List will be required to:

  • Meet with Dr. Mike ahead of time to discuss the principles of Direct Access Medicine® care to ensure that the practice goals and objectives will meet the needs and desires of the individual;
  • Establish or continue to participate in a professional relationship with another physician or extended healthcare provider until the individual is moved from the Summit Future Patient List to active engagement with Dr. Mike; and
  • Provide a non-refundable $250 Future Patient Fee (FPF) to maintain their place in cue on the Summit Future Patient List; upon engagement in the practice, individuals’ FPF will be applied to the required Participation Fee as payment in full.

It is important to note that listing on the Summit Future Patient List does not constitute establishment of a professional medical relationship and confers responsibility neither for patients to make payment for services provided nor for Dr. Mike and his staff to provide healthcare services.

As soon as the next 50 patients engage for services at Summit medicine and Pediatrics, we will announce that our practice is “closed” for participation of new patients and establish the Summit Future Patient List. In the interim, we will not provide updates on the number of patients we may accept to achieve optimal engagement, and we therefore encourage all those who are currently considering participation in Direct Access Medicine® care with us to do so promptly in the coming weeks.

On behalf of all of us at Summit Medicine and Pediatrics, we thank our patients, our colleagues and our many supporters for having made our medical practice so successful in the last 4 years. We look forward to many more years of dedication to our health and wellness, to our medical community, and to our healthcare industry as true Pioneers in Direct Access Medicine®.

The Summit Team

UPDATE:  March 23, 2018

We now have a limit of 40 additional places available for new patients. Our Direct Access Medicine® medical practice has grown remarkably, and we are very grateful for the opportunity to care for each of our patients. If you are considering becoming part of our unique practice, don’t delay! Stop by soon to learn more and join our practice before we are full!

The Summit Team

Open House: Winter 2018 Schedule

Is someone you know dealing with a health issue that they can’t seem to get the right treatment for? Do you know someone who has been dissatisfied with the level of service their doctor provides? Bring them to meet Dr. Mike so they can discuss their concerns and see how Direct Access Medicine® care can help. Our Open Houses are always informal, and there is no fee or obligation when you stop by.

Winter 2018 Open House Schedule: All Open Houses are held on Saturdays from 9 AM to 12 Noon at Summit Medicine and Pediatrics.

  • January 6th, 2018 — NO OPEN HOUSE; DR. MIKE’S BIRTHDAY
  • January 13th, 2018
  • January 20st, 2018
  • January 27th, 2018
  • February 3rd, 2018
  • February 10th, 2018
  • February 17th, 2018
  • February 24th, 2018
  • March 3rd, 2018
  • March 10th, 2018
  • March 17th, 2018 — NO OPEN HOUSE; SPRING BREAK
  • March 24th, 2018
  • March 31st, 2018

Happy New Year!

Happy and Healthy New Year to all of our patients, colleagues, friends, neighbors and family from all of us at Summit Medicine and Pediatrics!

“In 2017, we experienced both cherished and bitter times. They are now memories that we shall carry with us for the rest of our lives as we look back in love and gratitude for the privilege of caring for our patients.

“In 2018, we look forward to challenges and victories, which will become the memories that shall sustain us when the need is greatest and our strength wanes, until the new year–another year of renewal–arrives.” — Dr. Mike