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Dec. 17, 2011- More than a year ago, St. Bernard Parish sheriff’s deputies conducting an insurance checkpoint in Chalmette arrested a man who had hundreds of narcotic pills because he had just traveled to another state and returned after getting prescriptions from various doctors.
He was also carrying nearly $3,000 cash and apparently had sold many pills.
St. Bernard sheriff’s officials for years have battled prescription drug abuse that has led to many overdose deaths in the parish.
Now, such “road trips’’ like the suspect made outside Louisiana to get prescriptions from doctors who couldn’t check his medical history is being targeted for elimination. Creation of regional hubs among states is being sought – with a system that would track attempts to go from one state to another and get prescriptions.
Ending the practice of “doctor shopping,’’ which allowed easy access to prescription drugs for re-sale, including getting them from other states, has been a long-time goal of St. Bernard Parish Sheriff Jack A. Stephens.
The sheriff led the successful fight to start up a statewide prescription drug monitoring program that kicked off in 2008, after years of seeing St. Bernard Parish residents die from abusing prescription narcotic pills obtained improperly.
In one three-year period before Hurricane Katrina, more than 100 St. Bernard residents died after overdosing through mixing prescription drugs or using them with alcohol.
The prescription statewide monitoring board set up has been steadily tightening the requirements for keeping records of prescriptions issued and filled at pharmacies.
St. Bernard sheriff’s officials were among the original core group in the state that met and began working with the state Pharmacy Board, researching how monitoring programs worked in other states, seeking and receiving federal grants for software and hardware, and working for legislation to begin the program in Louisiana.
There was also input from numerous other groups, including pharmacists, physicians, pharmaceutical representatives, State Police and the state districts attorney association.
Sheriff Stephens, who is the Louisiana Sheriff’s Association representative to the Prescription Monitoring board, said the board has begun stopping doctor-shopping and the result will be the end of needless deaths.
“This single piece of legislation will be the best thing I and the Sheriff’s Office have done to save lives in St. Bernard Parish’’ and the rest of Louisiana, Sheriff Stephens has said. “Prescription drug abuse is one of the biggest problems law enforcement deals with within the overalll drug problem of this country.”
The monitoring system has a computerized database system in which pharmacies are required to enter all fillings of prescriptions of scheduled narcotics and drugs of concern that are delivered within the state of Louisiana.
Physicians who have the ability to write a scheduled narcotic prescription can access the data base to find a patient’s pharmaceutical profile before issuing a prescription.
More than 35 million entries have been recorded in a data base in its three years in operation.
Col. Pete Tufaro of the St. Bernard Sheriff’s Office, who, on behalf of Sheriff Stephens is the Louisiana Sheriff’s Association representative on the state’s Prescription Monitoring Board, is now in his second year as Vice-Chairman of its advisory council.
Col. Chad Clark of the Sheriff’s Office who heads the Special Investigation Division including narcotics enforcement, also works closely with the monitoring board and attends its meetings.
Tufaro said the idea of creating the monitoring program was to start a data base that could check the disbursement of narcotic pills and make it harder for someone to obtain the same prescriptions from multiple physicians, who wouldn’t otherwise know a patient was receiving them from other sources.
He said the Louisiana monitoring board has made great progress in cracking down on people who go from doctor to doctor in to obtain prescriptions for narcotic pills.
“It’s working,’’ Tufaro said. “There is no question about it.’’
“The monitoring board is getting more and more doctors inquiring about patients’ medical histories’’ to make sure they aren’t duplicating prescriptions to them, he said.
”The system has the ability to spit out the names of patients and doctors of concern,’’ Tufaro said, “and thereby alerting prescribing physicians and law lenforcement that a patient may be duplicating prescriptions from several doctors.’’
Based on that, Tufaro said, law enforcemrent agencies are making more requests for information, which in turn has led to some arrests based on irregularities found by those trying to obtain duplicate prescriptions.
Also, companies that want to do business in Louisiana involving prescription medication must agree to abide by the rules of the Prescription Monitoring board, Tufaro said.
“At present we have the model program other states are trying to duplicate – a fully automated data base of every prescription written and filled within Louisiana,’’ Tufaro said. “This fulfills the goal of Sheriff Stephens to address these problems.’’
Now, he said, the monitoring program is addressing the issue of the loophole that allowed people to travel to other states that don’t have the same type monitoring system - go to numerous doctors there, - and get prescriptions to bring drugs back to Louisiana.
Tufaro said Louisiana officials are working on legislation that would eventually establish regional monitoring hubs among states, so recording the dispersal and filling of precriptions can be done in a similar manner.
Sheriff Stephens, who is retiring after 28 years in office and will be succeeded by Sheriff-elect James Pohlmann next July 1, said the monitoring board has already helped law enforcement enormously and will go further.
Pohlmann said he will support the work of the Prescription Monitoring program as the best way to eventually end the practice of doctor-shopping and reduce drug overdose cases.
“Prior to this legislature an investigator would spend countless hours trying to identify which doctors and which pharmacies a patient would use,’’ Stephens said. “Law enforcement may now obtain this information through an Administrative Warrant or Judicial Document, giving us a single place to gather evidence pertaining to prescription abuse.’’
“The next step after regional hubs would be trying to get a national prescription drug monitoring system,” Stephens said.
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