Board of Nursing: News
- Latest Opioid Policy Updates
- New PDMP Delegate Training Video
- Changes to Disciplinary Procedures
- Mandatory Reporting Reminder
- Sunset Review Begins - Psychiatric Technician
- Important Nurse Compact Info
- Important PDMP Updates
- New Articulated Plan Toolkit & Templates
- Free Access to PainNET System for Colorado Providers
- Opioid Prescribing Policy
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 firstname.lastname@example.org 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 email@example.com.
The Colorado Office of Policy, Research and Regulatory Reform (COPRRR) is conducting a sunset review of the Psychiatric Technician program. Analysis in a sunset review is performed to determine whether the regulatory program is necessary and should be continued, modified or eliminated. This review will produce a report with recommendations to the Colorado General Assembly and result in subsequent legislation based on the recommendations in the report.
Your input is an important component of a successful sunset review. If you would like to submit comments online, please submit the COPRRR online comment form.
As of January 19, 2018, the 21 states in the original Nurse Licensure Compact (NLC) that enacted the new Enhanced Nurse Licensure Compact (eNLC) will cease to be members of the original NLC.
This means that beginning January 19, 2018, a nurse with a license from Wisconsin, Colorado, New Mexico, and Rhode Island will hold a multistate license valid in only those four states rather than the original 25 states. These nurses will need to obtain additional licensure in order to practice in any of the new eNLC states. Conversely, it also means that nurses in the new eNLC states will no longer have the authority to practice in Colorado and will need to obtain a Colorado single-state license in order to continue practicing in Colorado after January 19, 2018.
As a Colorado practicing nurse, it is very important you understand how this change will impact where you are able to practice. Nurses practicing in Colorado fall into one of the following four scenarios and should act accordingly:
- Nurses practicing exclusively in Colorado with a Colorado-issued nursing license are not impacted by the change and no action is needed.
- Nurses who will maintain a multistate compact license from a state that is leaving the current NLC, and plan to practice in Colorado after January 19, 2018, will need to obtain a Colorado single-state license.
- Nurses who have a Colorado-issued multistate license will no longer be able to use their Colorado license to practice in any state that is leaving the current NLC. Please remember that you must have a license to practice in the state where your patient is located for telehealth practice.
- Advanced Practice Nurses in Colorado using a Registered Nurse license issued by a state that is leaving the the current NLC will need to obtain a Colorado single state license. All Colorado issued “C-Type” APRN authorities with an RN license from a state that is leaving the current NLC will be expired after January 19, 2018.
Please review the Frequently Asked Questions (FAQ) document related to the changes to the nurse compact. If you have questions not addressed in this notice or the Frequently Asked Questions, please contact the Colorado Board of Nursing at firstname.lastname@example.org.
The Colorado Board of Nursing does not regulate employers. If your employer has questions about the new Enhanced Nurse Licensure Compact (eNLC) they can visit the National Council of State Boards of Nursing website at www.ncsbn.org/nlc, or contact the National Council of State Boards of Nursing at email@example.com or 312-525-3600.
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 firstname.lastname@example.org. If you need technical assistance with the PMP AWARxE system, please contact the vendor help desk at 1-855-263-6403.
The Colorado Department of Health Care Policy and Financing (HCPF) has 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 now 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 email@example.com.
- Contact JD Belshe, Consultant/Policy & Program Analyst for HCPF, at firstname.lastname@example.org for any other questions about the PainNET program.
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: