Medical Marijuana Registry August 15, 2018 Document 8 Presentation - - PowerPoint PPT Presentation

Medical Marijuana Registry

August 15, 2018

Document 8 Presentation 1 of 17

• Marij uana in Colorado – Registry’ s Role
• Functions of the Registry
• Foundation of the Registry
• Process Improvement
• Application process
• Future

Overview

Document 8 Presentation 2 of 17

Medical Marij uana in Colorado

Bureau of Investigation (CBI) CCIC– Law Enforcement Verification Interface

• Dept. of Public

Health & Environment (CDPHE)

• Dept. of

Revenue (CDOR)

• Dept. of

Regulatory Agencies (DORA)

Medical Marij uana Registry Medical Marij uana Research Grant Program Laboratory

Certification/ Testing

Marij uana Enforcement Division Board of Medicine

Retail Marij uana Education Marij uana S urveillance

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Marij uana at CDPHE

CDPHE Marij uana Internal S teering Committee

CHED

Center for Health and Environmental Data

Medical Marij uana Registry. Data on retail use.

PS D

Prevent ion services Division

Retail marij uana, youth prevention and education, resources, campaigns.

DCEED

Disease Cont rol and Environment al Epidemiology Division

Use, health effects surveillance, and research grants program.

LS D

Laborat ory S ervices Division

Consults on lab regulations and certification.

DEHS

Division of Environment al Healt h and S ust ainabilit y

Consults with DOR

• n rules related to

edibles.

HMWMD

Hazardous Mat erials and Wast e management Division

Consults on marij uana disposal.

HFEMS

Healt h Facilit ies and Emergency Medical S ervices

Guidance for assisted living and

• ther health

facilities.

Document 8 Presentation 4 of 17

Regist ry Funct ions

• 1. Maintain confidential database of registered

patients.

• 2. Issue Medical Marij uana Caregiver Registry

identification cards to qualifying caregivers.

• 3. Issue Medical Marij uana Registry identification

cards to qualifying patients.

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Cust omers and Part ners

Medical Marij uana Registry Customers

2,100

Caregivers S tate & local law

enforcement

90,000

patients Regulatory agencies (DORA, DOR, CBI)

Other

400

Physicians

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Medical Marij uana Regist ry

Colorado voters passed Constitutional Amendment 20. S B 15-014 “ Caregiver Bill” passed. Development

• f the online

registration system began.

2000 2001

The Medical Marij uana Registry was implemented. HB 10-1284 Medical marij uana centers and regulations established. S B 10-109 Regulations for physicians.

2010

Amendment 64 Retail marij uana S B 14-155 S B 14-215

2014 2015 2017

Online registration systems and customer support services

2018

Improved customer support. Enhanced system functionality.

Registry audited.

2013

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Average number of pat ient s by year

94 106 217 504 713 1,026 1,737 4,819 41,089 116,198 82,089 108,526 110,979 114,774 113,274 103,908 88,417 89,462* 20000 40000 60000 80000 100000 120000 140000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Average number of patients

Y ear 2010- Medical marij uana centers established. 2011- Application processing backlog. 2014- Recreational marij uana legalized. * 2018 average as of July, 2018.

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Process improvement

Then

• 56 touchpoints.
• 9 months processing time.
• 1-3 week response time for phone

calls and emails.

Now

• 2 touchpoints.
• 1 business day processing for
• nline applications.
• 1 business day response time for

phone calls and emails.

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Regist ry S t af f ing

2013 2014 2015 2016 2017 2018 33 employees 32 employees 25.9 employees 24.3 employees 18.6 employees 14 employees Process Improvement Process Improvement Launch of Online System System Enhancements

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Fees and Yearly Expendit ures

2013 2014 2015 2016 2017 2018 $35 fee $35 fee $15 fee $15 fee $15 fee $25 fee

FY Expenditures FY Expenditures FY Expenditures FY Expenditures FY Expenditures FY Expenditures

$2,517,624 $2,555,394 2% $2,420,194 5% $2,300,095 5% $2,032,165 7% $1,538,167 12 %

Process Improvement Process Improvement Launch of Online System System Enhancements

Fee History:

• 2014 – Cash surplus from $35 fee
• 2015 –Temporary fee reduction to $15 to spend down cash surplus.
• 2018 – S

tabilized fee of $25

Reductions in operational costs:

• Less paper
• Less office supplies
• Less postage
• Elimination of card stock

Document 8 Presentation 11 of 17

Cust omer Request s

On average the Registry processes 1,000 requests per day. Types of requests

• Online
• Mail
• Phone calls
• Emails
• Walk-in customers

Online users

80,000 online applicants 8,500 mail applicants

Online 78%

0%

Mail 4% Phone calls 9% Email 9% Walk in

Column1

Online Mail Phone calls Email Walk in

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Applicat ion process

S tep 1 Patient examined by physician. S tep 2 Patient completes and submits application. S tep 3 Application processed. S tep 4 Print card or receive in mail.

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Physician requirement s

• M.D. or D.O.
• In good standing and licensed to

practice medicine in Colorado

• Valid, unrestricted DEA

certificat ion Physicians do not prescribe medical marij uana, they recommend it.

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Pat ient applicat ion requirement s

Must be

• Colorado resident
• 18 or older

Parents or legal reps may apply on behalf of a minor under the age of 18.

• Diagnosed with qualifying condition

Cancer, Glaucoma, HIV or AIDS , Cachexia, seizures, persistent muscle spasms, severe nausea, severe pain, Post Traumatic S tress Disorder (PTS D).

Application materials

• Completed application
• Colorado ID or driver’ s license
• Physician certification
• $25 application processing fee

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Cont inuous Improvement s

• Customer S

ervice

• S

ystem Enhancements

• Monthly statistics and data

Document 8 Presentation 16 of 17

Quest ions?

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