Colorado Physician Health Program CPHP Mission and Services

Colorado Physician Health Program (CPHP) Mission and Services Boulder County Medical Society May 10. 2018 Donald A. Misch, M. D. Associate Medical Director Colorado Physician Health Program © Colorado Physician Health Program 2018 All Rights Reserved Please do not reproduce or use without written permission of CPHP

Serving the Medical Community Since 1986 CPHP’s Mission is to promote the health and well-being of physicians and physician assistants through evaluation, treatment referral, support, education and research CPHP’s Vision is a healthy Colorado through the well-being of Colorado physicians and physician assistants Healthy Doctors Give Better Care CPHP because…. .

What is CPHP? n n CPHP is the Peer Assistance Program for licensed physicians and physician assistants in Colorado A nonprofit 501(c)(3) corporation, independent from all other organizations u Not a branch of the Colorado Medical Board u Governed by the Colorado Peer Assistance Act u Funded by a surcharge on physician and physician assistant licensing as well as community contributions

CPHP Services CPHP’s direct services are free to Colorado licensed physicians and physician assistants n CPHP has contracts to serve many Colorado residents, medical students, and physician assistant programs n Participants are responsible for costs of any additional evaluations and treatment if those services are necessary n

Program Services n Client Services u u u Assessment Treatment Referral Monitoring and Support Family Support Documentation n Workplace and Referral Source Services u u Consultation on identifying physicians who need assistance Consultation on making effective referrals Workplace consultations Consultation on back-towork issues

Colorado Medical Board (CMB) Relationship CMB makes referrals to CPHP u Applications for licensure u Licensure renewal applications u Complaints n CPHP provides “treatment monitoring” for individuals with license stipulations n Approximately 13% of CPHP cases are known to the CMB n Safe Haven Provision n

“Safe Haven” n When (re)applying for license, physicians and PAs have opportunity for certain medical or psychiatric matters to remain unknown to the CMB … under certain conditions u May answer “No” to license (re)application questions referring to medical or psychiatric health t e. g. , alcohol/substance abuse, mental health disorders, chronic medical illness, cognitive dysfunction

“Safe Haven” n Safe Haven encourages individuals to proactively and confidentially seek and receive needed health care u CMB is comfortable that patient safety is assured with CPHP involvement/monitoring

“Safe Haven” Rules n Individual must be “known to CPHP” u CPHP has been informed of health matters u (Re)applicant has attended initial CPHP appointment u Compliance with all CPHP requirements for evaluation, treatment, and/or monitoring

“Safe Haven” Rules n Safe Haven applies only to CMB (re)application u It does not apply to … t Hospital/credentials applications t Other state applications for licensure t Legal issues

Confidentiality CPHP guidelines consistent with 42 CFR, Part 2 guidelines, the strictest confidentiality guidelines u CPHP must also follow standards of practice outlined in Colorado Medical Practice Act n CPHP does not disclose identity or information about any current or former participant without a written release of information u Exceptions: t Imminent risk to self, others, or patients t Judicial subpoena n

CPHP Evaluation n Timeline u Initial appointment usually scheduled in 24 weeks, often sooner u Initial intake evaluation typically 2. 5 hours u Full assessment typically 30 -45 days

CPHP Evaluation n Components u Electronic questionnaire u Full psychiatric assessment u Execution of materials such as confidentiality agreement, releases u Phone interviews with collateral sources u Drug and laboratory testing as appropriate u Referral for outside evaluation or testing

New Referral Types Voluntary: 65% n Mandatory: 35% n

New Referral Sources Self: 29% n CMB: 23% n Training Program: 15% n Administration: 11% n Hospital: 9% n Other (Malpractice, State PHP, Anesthesiology Program): 4% n Treatment Provider: 3% n Proactive: 3% n Peer: 1% n

New Referral Primary Presenting Problems n n n n Psychiatric: 23% Behavioral: 21% Substance Abuse: 10% Physical/Medical: 9% DUI/DWAI: 8% Work Stress: 7% Legal: 7% Professional Boundaries: 4% n n n Stress: 3% Career: 3% Psychiatric/Substance Abuse: 2% Family: 1% Emotional: 1% Other: 1%

THANK YOU Healthy Doctors Give Better Care!