The Pennsylvania Board of Osteopathic Medicine refused Wednesday to let Thomas C. Barone, a pain management physician whose prescribing practices were linked to the deaths of four patients, return to his Center City practice.

The decision continues a license suspension that began two years ago, after investigators accused Barone of inappropriately prescribing tens of thousands of pills, most of them highly addictive opioid painkillers, to four patients who later died of overdoses, one of them due to heroin.

The medical board gave no reason for its decision, which will be followed by a written order. But a hearing examiner had recommended after a September hearing that Barone’s reinstatement petition be denied. She said that while Barone had completed a required training and skills assessment program, he did not follow up on 10 recommendations that the program had made. Among them was enrollment in a medical ethics course at Rutgers University after he scored in the lowest percentile on an ethics assessment.

Barone testified at the hearing that he believed the recommendations were unnecessary and not cost-effective.
Reached on Wednesday, Barone said only that he did not know whether he would reapply for his medical license.

No criminal charges have been brought against Barone. Prosecutors pursue criminal counts involving prescribing practices only in extraordinary cases.

– Don Sapatkin
Philly.com

Follow Prescription Advisory

What prescribers can do to safely and effectively use opioids for CNCP (includes the following)

  • Screen for prior or current substance abuse/misuse
  • Do not use concomitant sedative–hypnotics or benzodiazepines
  • Track daily MED using an online dosing calculator
  • Use the state Prescription Drug Monitoring Program to monitor all sources of controlled substances

Neurology, 2014; 83; 1277-1284, September 2014

PDMPs have many limitations in their current format, including complex access issues, timeliness, and whether the data are presented to the physician automatically or require physician effort to retrieve.

ACEP - Annals of Emergency Medicine – 525
Rick Bunker

Rick Bunker

Rick Bunker is a co-founder, and the CEO of Prescription Advisory Systems and Technology (P.A.S.T.). In this role, he is responsible for capital formation and corporate development.
Rick Bunker
Prescription Advisory Systems & Technology

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