Colorado Dental Board: News
- Stakeholder Meeting - February 28
- Rule XIII Stakeholder Meetings
- Latest Opioid Policy Updates
- New PDMP Delegate Training Video
- Changes to Disciplinary Procedures
- Mandatory Reporting Reminder
- Important PDMP Updates
- Training on Opioid Prescribing Available
- Free Access to PainNET System for Colorado Providers
- New CE Requirements
The Colorado Dental Board will hold a stakeholder meeting to obtain input on proposed changes to Rule XXIV - Use of Lasers.
Stakeholder input is crucial to achieving the Department’s missions of consumer protection and effective licensure and enforcement, without unnecessary impediment to the economic market. Please make yourselves heard by joining us at the upcoming stakeholder meeting.
- Wednesday, February 28, 2018, 11 a.m.
Three Ways to Participate
- In Person: Civic Center Plaza, 1560 Broadway, Conference Room 1250A, Denver, CO 80202.
- By Webinar: Register at the following link: https://attendee.gotowebinar.com/register/7398651515451164674
- By Written Comment: Please provide written comments via email in advance or after the meeting to email@example.com by February 28, 2018 at 5 p.m.
Attendees may provide comments, concerns, and proposals to the program in writing in advance, in person at the meeting, or following the meeting. Participants will be able to discuss topics brought forward during the meeting. Program staff will moderate the discussion to ensure there is an equitable opportunity for all stakeholders to actively participate, and comments and suggested changes are collected for Board consideration and future rulemaking. This meeting is not a formal rulemaking hearing.
On January 3, 2018, the Colorado Dental Board held a stakeholder meeting to collect input on potential changes to Rule XIII - Limited Prescriptive Authority for Dental Hygienists, as well as the Corporate Practice of Dentistry as described in §12-35-116 and §12-35-116.5, C.R.S.
Due to a technical problem with the webinar at the January 3 meeting, the Board will hold another stakeholder meeting to collect input on draft revisions to Rule XIII - Limited Prescriptive Authority for Dental Hygienists. We want to make sure everyone has an opportunity to provide input on the proposed changes.
- Thursday, January 11, 2018 at 12 noon.
- Download the notice and draft rules for the meeting.
Three Ways to Participate
- In Person: Civic Center Plaza, 1560 Broadway, Conference Room 1250A, Denver, CO 80202.
- By Webinar: Register at the following link: https://register.gotowebinar.com/register/2867562997006666497.
- Written Comment: Please provide written comments to firstname.lastname@example.org in advance or after the meeting. The deadline for receiving comments is January 11, 2018 at 5 p.m.
January 3, 2018 Recording
Those who attended the 1/3/18 meeting provided valuable input. The recording below includes the entire 1/3/18 stakeholder meeting, and the comments will be part of the information the Board reviews as it considers the final revisions to Rule XIII.
If you would like to participate in the January 11, 2018 stakeholder meeting, please download the official notice for more details.
The Division of Professions and Occupations hosted the following stakeholder meetings in Denver to discuss potential updates to the Policy for Prescribing and Dispensing Opioids.
- Listen to the recording of the August 30 stakeholder meeting.
- Listen to the recording of the October 27 stakeholder meeting.
- Listen to the recording of the November 14 stakeholder meeting.
- Listen to the recording of the December 28 stakeholder meeting.
A new training video is now available to show prescribers and pharmacists how to set up delegate accounts for the PDMP. Any prescriber or pharmacist can create up to three delegate accounts for trained individuals who can check the PDMP on the prescriber or pharmacist's behalf. You can utilize the PDMP more frequently to get the most complete medical history possible.
On June 6, 2017, Governor John Hickenlooper signed House Bill 17-1165 (HB17-1165) Department of Regulatory Agencies Boards Disciplinary Action Resolution Process. The new law became effective upon the Governor’s signature on June 6, 2017, and modifies the disciplinary procedures for six healthcare boards (prescriber boards) within the Division of Professions and Occupations in the Department of Regulatory Agencies (DORA). The prescriber boards affected include:
- Colorado Dental Board;
- Colorado Medical Board;
- State Board of Nursing;
- State Board of Optometry;
- Colorado Podiatry Board; and
- State Board of Veterinary Medicine.
As part of the bill’s implementation, we want to make sure you are aware of certain deadlines that affect the prescriber boards’ complaint processes and how you may need to respond to a board request. The following deadlines now apply unless a prescriber board has more protective provisions in current state law:
- Within 15 days of receipt of a complaint, the boards must provide the complainant with a written notice that includes contact information for the board, a summary of the complaint process and the complainant's rights, including a patient's right to receive a copy of his or her patient records.
- If relevant to a complaint, licensees must provide the board with patient records within 30 days of a board request for the records in the form of the response to a 30-day letter.
- If an investigation was initiated as a result of a complaint, and the board took public, formal action, the board must provide the complainant with written notice of the action within 30 days of the action.
- If a complaint is still pending after six months, the board must notify the complainant that the complaint is still pending, subject to applicable restrictions in state law.
- Each prescriber board is required to update its website within 30 days after suspending or revoking a license, listing each licensee subject to the suspension or revocation separately.
Finally, insurance carriers must now update their participating provider lists every 30 days to remove providers whose licenses have been suspended or revoked.
These deadlines are now in effect as required by state law. If you have questions about the new requirement or any other aspect of House Bill 17-1165, please contact Jo Donlin at email@example.com or 303-894-7434.
Did you know you are a mandatory reporter? Under Colorado law, more than 40 professions are required to report suspected child abuse and elder abuse. These professions include many regulated through the Division of Professions and Occupations (DPO) at DORA, such as:
- Physicians (including physician assistants and physicians in training);
- Dentists and dental hygienists;
- Nurses (including registered nurses, licensed practical nurses, and nurse practitioners);
- Nursing home administrators;
- Occupational therapists;
- Physical therapists;
- Mental health professionals (including psychologists, social workers, professional counselors, marriage and family therapists, registered psychotherapists and all candidates for licensure);
Online trainings help mandatory reporters recognize and report abuse, neglect and exploitation. Licensees of the regulatory boards at DPO may accrue credit towards continuing education and continuing competency requirements for completing the trainings (should they exist for their profession).
Section 19-3-304, C.R.S. outlines the persons required by law to report child abuse and/or neglect. To assist mandatory reporters, a training is available on the Colorado Department of Human Services website at http://coloradocwts.com/mandated-reporter-training.
Section 18-6.5-108, C.R.S outlines the persons required by law to report abuse and exploitation of at-risk elders and at-risk adults with intellectual and developmental disabilities. Further information and an online training can be found on the Colorado Department of Human Services website at http://www.coloradoaps.com/about-mandatory-reporting-update.html.
If you have further questions regarding these requirements, please contact the Colorado Department of Human Services.
For questions regarding mandatory reporting of at-risk elders and at-risk adults with intellectual and developmental disabilities, please contact the Office of Community Access and Independence’s Division of Aging and Adult Services at firstname.lastname@example.org.
As we work together to tackle prescription drug misuse, abuse and diversion, we see PDMP utilization rates continue to increase as the database continues to serve as an important tool for meeting the standard of care for safe prescribing.
We are pleased to announce a new and improved PDMP website: colorado.gov/dora-pdmp. We listened to your challenges and ideas and hope you’ll find the new website easier to navigate and more relevant to your needs. You will be able to link to your PDMP account and access other information directly from the homepage. We also selected a new vendor, APPRISS, and will be utilizing the PMP AWARxE system. The database interface will look different and make PDMP queries easier and quicker. We encourage your continued feedback for ongoing improvement efforts.
New State Law Improves Access to PDMP
To make the PDMP more accessible and easier for health professionals to incorporate into daily use, the Colorado General Assembly passed legislation in 2017. On April 6, 2017, Governor John Hickenlooper signed Senate Bill 17-146 Access To Prescription Drug Monitoring Program, which clarifies health professionals' access to the PDMP database by:
- Allowing a health care provider with prescribing authority to query the PDMP about a current patient, including checking on drug interactions and side effects, thus making the PDMP an even more useful tool for health professionals in their clinical decision-making for patients;
- Allowing a veterinarian with prescribing authority to query the PDMP about a current client if the veterinarian has a reasonable basis to suspect the client has committed drug abuse or has mistreated an animal; and
- Allowing a pharmacist to query the PDMP about a current patient for whom the pharmacist is dispensing any prescription drug, rather than only patients receiving controlled substances.
The law became effective immediately, and the Division is working with the appropriate Boards to implement the new law including rulemaking, outreach and education. If you have questions about the Colorado PDMP, please contact Division staff at 303-894-5957 or email@example.com. If you need technical assistance with the PMP AWARxE system, please contact the vendor help desk at 1-855-263-6403.
For dentists prescribing/dispensing opioids, the Colorado Dental Board recommends completing a continuing education course titled “The Opioid Crisis: Best Practices in Dentistry (for oral surgeons and dentists)”. The training program was developed by the Center for Health, Work & Environment at the Colorado School of Public Health in partnership with the Colorado Consortium for Prescription Drug Abuse Prevention and with input from several interested stakeholders. This 1-hour online, self-paced course will provide information to help you understand the significance of the opioid epidemic, understand the role of dentists, learn best practices and strategies for preventing prescription drug diversion and abuse, and identify tools and resources.
To access the training:
- Visit the Center for Health, Work & Environment website
- Scroll to the section labeled "Course for Dentistry Providers" and click "Enroll"
Opioid Prescribing Policy
Effective July 24, 2014, the Board adopted a policy for the prescribing and dispensing of opioids, part of a collaborative effort with the Quad-Regulator Boards as one part of a statewide solution to reduce prescription drug abuse and misuse. The Quad-Regulator Boards include the Colorado Medical Board, the Colorado State Board of Nursing, the Colorado Board of Pharmacy, and the Colorado State Board of Dental Examiners, facilitated by the Nurse-Physician Advisory Task Force for Colorado Healthcare (NPATCH). Other boards that license prescribers of controlled substances also adopted the policy, including the State Board of Optometry and the Colorado Podiatry Board, while the State Board of Veterinary Medicine endorsed the policy.
The development of a joint policy by multiple regulatory boards is a first. For that reason, the policy was drafted through an open process that allowed for full consideration of stakeholder views through multiple public meetings held from February to July 2014.
View the Opioid Policy unanimously adopted by the Quad-Regulators and other boards:
The Colorado Department of Health Care Policy and Financing (HCPF) worked with the vendor of its Project ECHO Pain Management Program, Community Health Center, to expand access to the program website known as PainNET.
The PainNet website is an online learning community that aims to improve pain care expertise among primary care providers. The website is also available to other Health First Colorado (Colorado’s Medicaid Program) primary care medical providers (PCMPs) for free.
The PainNET learning community enables PCMPs to develop expertise to treat patients with complex chronic pain through a combination of archived Project ECHO Pain case presentations, resource libraries, community forums and expert consultations. Providers and specialists are able to communicate through discussion boards, chat rooms and direct messaging.
This is a great resource for Colorado providers to access resources that can increase their knowledge on how to manage chronic pain more effectively.
Learn More About PainNET
- Download the PainNET Access flyer.
- Watch the Introduction to PainNET video.
- Sign up for access by contacting Agi Erickson at firstname.lastname@example.org.
- Contact JD Belshe, Consultant/Policy & Program Analyst for HCPF, at email@example.com for any other questions about the PainNET program.
New continuing education requirements are now in place! Every licensed dentist or licensed dental hygienist must now complete 30 hours of Board approved continuing education during the two years preceding the next renewal period, which ends February 28, 2018. All licensed dentists, dentists with an academic license, and licensed dental hygienists who are renewing an active license must meet these new requirements. Licensees can start accumulating Board approved CE hours on or after March 1, 2016 and they must be completed by February 28, 2018 in order to apply them to the 2018 renewal period.
We will conduct additional outreach and education on the new requirements in 2016. Currently, anyone interested in learning about the detailed requirements should review Rule III(G), including the types of continuing education that are accepted.
If you have questions, please contact the Colorado Dental Board staff at firstname.lastname@example.org.