Document 8 Presentation 1 of 17 Medical Marijuana Registry August 15, 2018
Document 8 Presentation 2 of 17 Overview • Marij uana in Colorado – Registry’ s Role • Functions of the Registry • Foundation of the Registry • Process Improvement • Application process • Future
Document 8 Presentation 3 of 17 Medical Marij uana in Colorado Dept. of Public Dept. of Dept. of Bureau of Health & Regulatory Revenue Investigation Environment Agencies (CDOR) (CBI) (CDPHE) (DORA) CCIC– Law Medical Marij uana Marij uana Board of Enforcement Registry Enforcement Medicine Verification Division Interface Medical Marij uana Research Grant Program Retail Marij uana Education Marij uana S urveillance Laboratory Certification/ Testing
Document 8 Presentation 4 of 17 Marij uana at CDPHE CDPHE Marij uana Internal S teering Committee DCEED DEHS HMWMD HFEMS PS D LS D CHED Disease Cont rol and Hazardous Mat erials Division of Healt h Facilit ies and Prevent ion services Laborat ory S ervices Center for Health and Environment al Environment al Healt h and Wast e Emergency Medical Environmental Data Division Division Epidemiology Division and S ust ainabilit y management Division S ervices Retail marij uana, Medical Marij uana Guidance for Use, health effects Consults on Consults on lab Consults with DOR youth prevention Registry. assisted living and surveillance, and marij uana regulations and on rules related to and education, other health Data on retail use. research grants disposal. certification. edibles. resources, facilities. program. campaigns.
Document 8 Presentation 5 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.
Document 8 Presentation 6 of 17 Cust omers and Part ners 400 90,000 Physicians patients 2,100 Regulatory agencies Caregivers (DORA, DOR, CBI) Medical Marij uana S tate & Other local law Registry enforcement Customers
Document 8 Presentation 7 of 17 Medical Marij uana Regist ry HB 10-1284 Medical marij uana centers and regulations Colorado voters Online registration established. passed systems and Amendment 64 Constitutional customer support S B 10-109 Retail marij uana Amendment 20. services Regulations for physicians. S B 14-155 S B 14-215 2014 2001 2015 2000 2017 2018 2010 2013 The Medical S B 15-014 Marij uana Registry Improved “ Caregiver Registry was customer audited. Bill” passed. implemented. support. Enhanced Development system of the online functionality. registration system began.
Document 8 Presentation 8 of 17 Average number of pat ient s by year 140000 114,774 116,198 113,274 120000 110,979 108,526 103,908 89,462* 100000 82,089 88,417 Average number of patients 80000 60000 41,089 40000 20000 4,819 1,737 1,026 713 504 94 106 217 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Y ear 2010 - Medical marij uana centers established. 2011 - Application processing backlog. 2014- Recreational marij uana legalized. * 2018 average as of July, 2018.
Document 8 Presentation 9 of 17 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 online applications. • 1 business day response time for phone calls and emails.
Document 8 Presentation 10 of 17 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 Process Launch of System Improvement Improvement Online System Enhancements
Document 8 Presentation 11 of 17 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 $2,420,194 $2,300,095 $2,032,165 $1,538,167 2% 5% 5% 7% 12 % Process Process Launch of Online System Improvement Improvement 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 12 of 17 Cust omer Request s On average the Registry processes 1,000 requests per day. Column1 Walk in Types of requests • Online Email • Mail 9% Phone calls • Phone calls 9% • Emails Mail 4% • Walk-in customers 0% Online users Online 80,000 online applicants 78% 8,500 mail applicants Online Mail Phone calls Email Walk in
Document 8 Presentation 13 of 17 Applicat ion process S tep 2 S tep 3 S tep 1 S tep 4 Patient completes Application Patient examined Print card or and submits processed . by physician. receive in mail. application.
Document 8 Presentation 14 of 17 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.
Document 8 Presentation 15 of 17 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
Document 8 Presentation 16 of 17 Cont inuous Improvement s • Customer S ervice • S ystem Enhancements • Monthly statistics and data
Document 8 Presentation 17 of 17 Quest ions?
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