SLIDE 2 9/15/14 ¡ 2 ¡
} Licensee’s history } Length of sobriety } Recommendation of clinical evaluator } Scope and pattern of use } Treatment history } Nature, duration, and
severity of substance abuse
} No Financial, Personal, or Familial
Relationship
} Cannot be an Employee or Supervisee } Must be a Licensed Physician, Health Care
Professional, or Position of Authority
} Face-to-Face Contact } Report within 1 Business Day Suspected
Substance Abuse
} Monthly Report to Board } BFT on Any Day at Any Time } 52 – 104 random tests per year for 1st
year of probation
} 36 – 104 random tests per year for the
duration of probation
} Positive Test Result – Cease Practice/
Leave Work Place
} Notify Employers, Supervisors, and
Worksite Monitor
Diversion Program vs. Current Process
Committee Assessed Physician Physician Undergoes Independent Developed Rehabilitation/Recovery Medical/Psychiatric Evaluation to Plan Determine Rehabilitation Needs Physician Expected to Comply With Recommendations for Ongoing With Plan Treatment Must be Complied with During Probation Failure to Comply with Treatment During Probation is Considered Grounds Failure to Comply with Treatment is a for Discipline Violation of Probation and Grounds for further Disciplinary Action Diversion Staff Monitors Compliance No Referral Made to Enforcement unless Probation Unit Monitors Compliance by: Physician Considered “Unsafe to 1) Quarterly Reports from Treating Practice” Physicians; and 2) Random Biological Fluid Testing } Evaluation and treatment made by an independent
medical specialist
} Non-compliance with treatment can be identified and
acted upon quickly rather than waiting until the practitioner is deemed “unsafe”
} Positive biological fluid tests can be acted upon quickly
rather than waiting until the practitioner is deemed “unsafe”
} The Guidelines authorize issuance of a “cease practice”
- rder following a positive test result
Biological Fluid Testi ting ¡
July 2012-June 2013 ¡ July 2013-June 2014 ¡ Total No. of CA Licensed Physicians 104,422 (In-state) 24,219 (Out-of-state) 106,610 (In-state) 24,107 (Out-of-state) Total No. of Physicians on Probation 498 466 Total No. of Physicians Being Tested* ¡ 137 ¡ 135 ¡ ¡ Cease Practice Orders 3 3 Total No. of Petitions to Revoke based on Positive BFT ¡ 7 7
*Excludes tolled probationers
