Attention all MHS providers authorized to prescribe controlled substances:
There is mandatory opioid safety training as directed by the 2016 presidential memorandum. If you have not already completed the training, you can find both the memorandum and Prescriber Safety Training here.
Training Material for All Users
LOT Training Slides
*Intended for classroom use
LOT Paper Backup
LOT User Guide
*Intended for individual use
DoD-DHA Opioid Informed Consent
LOT Recent Changes
- No specific changes this update
- Developed by pain management specialists
- Helps PCMs manage LOT patients
- Contains essential references and links
It is well known that LOT patients are not managed in any standardized fashion by primary care providers throughout the MHS. It is also known that primary care providers make up the largest percentage of individuals who prescribe narcotic pain medicines. These facts were recognized by the PCMH board, who made the development of this form their highest priority in 2012-2013. A team of pain management specialists from each service met in December of 2012 and developed the original COT form based on the VA/DoD CPG. The form was then beta tested and piloted at sites around the world for a year, prior to being made available to the entire MHS. Building on that foundation the LOT form has been updated to reflect the most current 2017 VA/DoD CPG.
Mark Kline PA-C MSHS
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