HEALTHY D.C. & ME LEADERSHIP COALITION Archive & Advisor's Corner
From the Desk of Dr. Edwin C. Chapman, MD. – Oversight needed on payers’ use of AI in prior authorization | American Medical Association
When it comes to access to buprenorphine and doses greater than 24 mgs to combat synthetics like fentanyl, statistics show that Black men like those in DC and other urban settings have borne the brunt of this regulatory implementation error!ECC Edwin C. Chapman, MDPrivate PracticeWashington, DC
From the Desk of Dr. Edwin C. Chapman, MD. – Precision Buprenorphine Dosing VS Contined Medication Diversion Hysteria
To Whom it may concern,It has now been 8 1/2 years since the 1st Washington Post story (Svrluga 1/13/2015) describing how prior authorizations, dosing caps, and limited access to buprenorphine was hurting opioid use treatment in Washington DC. The 2 attached articles on buprenorphine UNDER-DOSING and LACK of DIVERSION of this medication makes one wonder […]
From the Desk of Dr. Edwin C. Chapman, MD. – Prior Authorization” DC City Council Archives beginning in Nov 2012 !!
GM DC Council Health Chair Henderson, We thank you for holding hearings on “prior authorizations” in showing how both local and national insurers systematically undermine the health of the public under the guise of “safety, fraud, and abuse.” Your gentile, yet probing, questioning of local and national insurance representatives exposed how a small, invisible, closed […]
From the Desk of Dr. Edwin C. Chapman, MD. – Good Morning Dr. Chapman
Hi David,You did a fabulous job in covering so many of the nuances and ongoing aspects of local and national insurance company contributions to this access to treatment fiasco! Edwin C Chapman, MD
From the Desk of Dr. Edwin C. Chapman, MD. – Black communities lost 80 million years of potential life over last 2 decades
FYI,This is why we had to simultaneously create the “Howard University Urban Health Initiative” and “Leadership Council for Healthy Communities” over 10 years ago. The evolving opioid epidemic disparities are just a symptom of our broken public health system. Edwin C Chapman, MDFounding Member, Black Coalition Against Covid
From the Desk of Dr. Edwin C. Chapman, MD. – Letter of Recommendation for Dr. Adaku Ofoegbu
Good morning President Frederick and Provost Wutoh,Adaku Ofoegbu called on May 5, 2023 to notify me that she successfully defended her thesis and will be awarded the degree of Pharm.D at tomorrow’s Howard University 155th Commencement Convocation. Please see the 2 attached publications on which she provided major research input and graphic illustration design. It […]
From the Desk of Dr. Edwin C. Chapman, MD. – Continued Prior Authorizations & Dosing Caps for Buprenorphine in DC
FYI,A new study released today in the NEJM shows how Black patients on Medicare Advantage are dying at a faster rate from opioid/fentanyl overdoses due to patient/provider stigma and a number of well known structural issues likely related to racism, lack of insurance, homelessness, gentrification, and geographical access barriers. Not mentioned as a major problem […]
From the Desk of Dr. Edwin C. Chapman, MD. – [The Washington Post] Analysis | Xylazine Spreads Faster Than Officials Can Act
FYI, Xylazine mixed with fentanyl has now been reported in 48 out of 50 states. Just maybe this report will be the final straw in initiating (1) FREE OUD treatment for anyone in need (2) removing prior authorizations for ALL MOUD treatment modalities as well as removal of dosing caps for buprenorphine and (3) FREE […]
From the Desk of Dr. Edwin C. Chapman, MD. – Does this opioid suicide study apply to DC?
Good afternoon Ambrose, Anxiety and depression (including SDoH = 26% or 113/448 of our OUD deaths are homeless and disproportionately > 55 years old) are major contributors to poor outcomes however I am referring this complex question to the DC Department of Behavioral Health and our expert academic and community psychiatrists for further guidance …ECC […]
Northeast Medical Center Meeting with Deputy Chief Morgan Kane Regarding OUR “Open Air Drug Market
To Whom It May Concern:Please use the attached link below if you are interested in joining the TEAMS MEETING on 4/26/23 at 2:30 pm with DCMP Deputy Chief Morgan Kane. We hope your input will help us collaboratively find a non-punitive solution in helping these family members and neighbors receive the mental health, substance use […]
From the desk of Dr. Edwin C. Chapman, MD – This Innovative Philly Medical Program Uses Housing to Save Lives & Could Become a Model for Other Cities
From the Desk of Dr. Edwin C. Chapman, MD “If the SOUL is left in darkness, sins will be committed. The guilty is not he who commits the sin but he who creates the darkness!”Quote from “The Bishop” in Les Miserables by Victor Hugo We aim to be part of the solution and not align […]
Thank You Chief Kane and DCPD Team!!
Thank you Deputy Chief Kane and Team, Today was a great 1st step in doing our part as community members in assisting your vital work in keeping our communities safe and productive. We know that it “Takes a Village” and that includes our work in breaking the cycle of stigma/rejection, homelessness, unemployment, and lack of […]
SAMHSA Region III Director, Dr. Jean Bennett Site Visit – Benning Road Washington DC, May 2, 2023
Dear Colleagues & Friends, Yesterday (May 2, 2023), we were honored to have been visited on site at our office on Benning Road NE Washington DC by SAMHSA Region III Director, Dr Jean Bennett and our DC State Opioid Response (SOR) Director, Dr Sharon Hunt. This gave us a unique 2 hour opportunity to discuss […]
From the desk of Dr. Edwin C. Chapman, MD – Addendum – Naloxone Now Available Over the Counter
Addendum: By the way, 2 weeks ago I had 5 patients randomly tested for Xylazine and 1:5 came back positive in addition to his fentanyl. The DC chief medical examiner’s report does not mention xylazine or the “nitazenes” so we do not know the contribution of these deadly additives to our local drug supply and […]
Pain Care: The CDC’s New Approach to Opioids
By Alanna Hilbink Throughout history, opium and its derivative opiates and opioids have relieved a lot of pain, but they have also caused a lot of harm. So how do we balance the real, medical need for pain management with opioids’ potential for side effects like abuse and addiction? One way is by calling drug […]
Former Memphis Police officer speaks out about Tyre Nichols case
Link: https://www.youtube.com/watch?v=kUp-60XQbtU