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Controlled Substance
Utilization
Review and
Evaluation
System
Paul Boynay Sr. Clinical Informaticist
Rady Children’s Hospital – San Diego
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Patients discharged/released from an emergency department of a general acute care hospital or from Licensed Clinic, Outpatient Setting, and Health Facility where a surgical procedure is performed.
• Emergency Care practitioners may prescribe up to a 7-day non-refillable supply.
• Practitioners prescribing a controlled substance for a post-surgical procedure may prescribe up to a 5-day non-refillable supply for initial pain prescription.
Hospice Care patients are exempt. There are no limitations on the day supply for providers prescribing controlled substances for a Hospice Care patient.
Exemptions for consulting
CURES
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Order Question & CURES URL
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• 794 Ambulatory controlled substance orders entered into Epic from 10/2-10/8
• 117 were for Opioid medications • 61.5% 1-3 day supply • 15.3% 4-5 day supply • 5.1% 6-7 day supply • 18.1% > 8 days up to 75 days
Ordering Statistics
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Prescriber Registration
CURES Registration:
CURES 2.0 provides a web-based registration process that can be accessed from the Office of the Attorney General website. Applicants should complete the two step registration process. Step One: Submit completed application form. An approval or denial notification will be sent via email with 24 – 48 hrs. Step Two: If approved, the notification email will contain the User ID and Temporary Password. Upon first-time login, users must reset their Password and complete their profile.
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Questions?
Thank you!