Colorado Physician Health Program Annual Report July 2002

1
Colorado Physician Health ProgramAnnual Report
July 2002 June 2003

• Executive Director Sarah R. Early, Psy.D.
• Medical Director Michael H. Gendel, MD

2
Table of Contents

• New Referral Case Summary Page 3
• Number of New Referrals - Program History Page 4
• Source of New Referrals - Year-to-Date Page 5
• Primary Presenting Problem -Year-to-Date Page 6
• Specialty of New Referrals - Year-to-Date Pages
  7-9
• License Status of New Referrals
  Year-to-Date Page 10
• New Referrals Geographical Area
  Year-to-Date Page 11
• Referrals Reactivations 1993 2003 Page 12
• Reactivations Year-to-Date Page 13
• Inactivations (Reasons/Outcome) -
  Year-to-Date Page 14
• Program Highlights Pages 15-16
• Community Outreach Page 17
• Services Provided by CPHP Page 18
• CPHP Board of Directors and Staff Page 19
• APPENDIX
• Definition of Terms Page 21

3
Annual New Referral Growth Reaches All-Time High
for License Non-Renewal Year!

• REFERRAL SUMMARY
• New Referrals Fiscal Year 2002-03 represents
  the highest number of New Referrals for a medical
  license Non-Renewal Year! When compared to
  Fiscal Year 2000-01, the last fiscal year that
  was not a BME license renewal year, CPHP
  experienced an actual growth of 40 cases which is
  an increase of 17. CPHP is pleased with the
  continued growth of New Referrals throughout our
  program history. CPHP encountered an expected
  slight decrease in New Referrals of 12 when
  compared to Fiscal Year 2001-02. This was likely
  due to the fact 2002 was not a Colorado Board of
  Medical Examiners (BME) license renewal year.
  Fiscal year 2002-03 represents the second highest
  number of New Referrals in CPHP history! The
  average active caseload at any given period
  during Fiscal Year 2002-03 was 356 clients. This
  represents an increase of 5 compared to Fiscal
  Year 2001-02 (340 active client caseload).
• Primary Presenting Problem of New Referrals A
  primary presenting problem area which best
  represents the participant is identified by a
  CPHP clinician following the completion of the
  initial intake interview. This does not mean
  that other problem areas are not present or being
  addressed with the participant at CPHP. Rather,
  the primary problem is identified for reporting
  purposes. During Fiscal Year 2002-03, the three
  most common primary presenting problems among the
  204 New Referrals were Psychiatric (23),
  Behavioral (20) and Substance Abuse (12).
• Specialty of New Referrals During Fiscal Year
  2002-03, the specialty most frequently seen at
  CPHP was Family Practice (19), followed by
  Internal Medicine (10). In an effort to better
  understand the specialty of CPHP New Referrals,
  CPHP located a comparison data set that
  represents physicians of Colorado. See pages
  7-9. Overall, CPHP has relatively similar New
  Referral Client Specialty percentages when
  compared to Colorado Physicians, with the
  exception of slightly more prevalent CPHP clients
  with the specialties of Family Practice and
  Surgery.
• Overview of New Referrals Of the 204 New
  Referrals, 49 were voluntary and 51 were
  mandatory. Of the total New Referrals this year,
  67 had active Colorado licenses, 11 were
  applicants, 10 had Colorado Training Licenses,
  3 were under investigation or probation, and 2
  had lapsed or inactive licenses. The remaining
  7 of New Referrals did not have licenses, which
  included medical students and physician assistant
  students. CPHP served New Referrals from 23
  counties of residence throughout Colorado with
  the most frequent county of residence among New
  Referrals being Denver County (24.5).
• Outcome Year-to-date, CPHP inactivated
  (closed) a total of 212 cases. Of the 181
  evaluated, 168 (93) were inactivated with an
  outcome considered successful and/or
  satisfactory. CPHP is pleased with the continued
  high satisfaction outcomes.
• Total Referrals in CPHP History Since the
  inception of the program in 1986, CPHP has
  received 2,215 referrals and has served 1,898
  participants. Of 2,215 referrals, approximately
  14 were referred more than once.

4
Annual Number of New Referrals Program History
1986 - Present
This graph shows the steady growth of numbers of
New Referrals in the history of the program.
Fiscal Year 2002-03 represents the highest number
of New Referrals for a medical license
Non-Renewal Year! When compared to Fiscal Year
2000-01, the last fiscal year that was not a BME
license renewal year, CPHP experienced an actual
growth of 40 cases which is an increase of 17.
CPHP is pleased with the continued growth of New
Referrals throughout our program history. CPHP
encountered an expected slight decrease in New
Referrals of 12 when compared to Fiscal Year
2001-02. This was likely due to the fact 2002
was not a Colorado Board of Medical Examiners
(BME) license renewal year. Fiscal Year 2002-03
represents the second highest number of New
Referrals in CPHP history! BME License
Renewal Years
5
Source of New Referrals July 2002 June 2003
Continued High Self Voluntary Referrals
Client Medical Profession
Other Ph.D., DPM
N204
Other Family, Physician Health Programs,
Medical School, Physician Assistant Program, CPEP

• During Fiscal Year 2002-03, the highest single
  source of New Referrals was Self referrals,
  representing 33 of New Referrals. This is a
  slight increase when compared to last year (30).
  CPHP continues to be proud of the amount of Self
  referrals to the program which demonstrates trust
  and confidence in CPHP.
• Significantly, 49 of New Referrals came to CPHP
  voluntarily. 51 were mandatory referrals. Once
  again, CPHP is proud of the high percentage of
  referrals that are voluntary, as this reflects
  the respect for the program among physicians in
  the state and medical community. CPHP attributes
  this high level of voluntary referrals to the
  relationship building efforts made in the
  community, the positive and caring approach of
  CPHPs staff and provision of educational
  materials that normalizes physician experiences
  and illness.
• The second highest single source of New Referrals
  was the Colorado Board of Medical Examiners (BME)
  (22), and Hospital (15) was the third highest
  category of referral source.
• For definitions of referral source categories,
  see page 21.
• The pie chart on the right reflects clients
  medical profession. The majority of clients are
  physicians without a resident status (69).
  Residents (15) comprise the second largest group
  served and physician assistants (PA) (5)
  comprise the third largest group.

6
Primary Presenting Problem of New Referrals
July 2002 June 2003

N204

• A primary presenting problem area which best
  represents the participant is identified by the
  clinical team following the completion of the
  initial intake interview. This does not mean that
  other problem areas are not present or being
  addressed with the participant at CPHP. Rather,
  the primary presenting problem is identified for
  data collection and reporting purposes.
• The three most common primary presenting problems
  among the 204 New Referrals were Psychiatric
  (23), Behavioral (20) and Substance Abuse
  (12). This representation is similar to Fiscal
  Year 2001-02 with the same top three categories
  of Psychiatric (21), Behavioral (16) and
  Substance Abuse (13).

7
CPHP 2002-2003 Annual ReportSpecialty of New
Referrals

• In an effort to better understand the data about
  CPHP New Referrals, CPHP created a data table
  (see following page) comparing the data of Fiscal
  Year 2002-03 CPHP New Referral Client Specialties
  with data from the 2001 Colorado Physician Survey
  Results.
• The 2001 Colorado Physician Survey was developed
  by the University of Colorado Health
  Sciences/Colorado Area Health Education Centers
  (AHEC) and the Colorado Board of Medical
  Examiners (BME) as a collaborative effort to be
  able to track the demographics of the physician
  population in Colorado. The statistics from the
  2001 Colorado Physician Survey were calculated
  from a one-time voluntary survey distributed to
  physicians with their licensing materials by the
  Colorado Board of Medical Examiners. The
  following statistics were computed from a
  sub-sample of the data collected in 2001. The
  data set for this analysis includes only
  physicians whose primary practice site is in
  Colorado and does not include any physicians
  identifying themselves as residents or fellows.
  The total sample size for this analysis was 6,352
  individuals.
• CPHP notes caution in interpretation of this data
  for several reasons. First, the CPHP data set
  includes all clients referred during Fiscal Year
  2002-03 (residents, medical students, physician
  assistant students, out-of-state clients, etc.)
  while the 2001 Colorado Physician Survey data set
  contains strictly Colorado physicians. Second,
  the data sets were collected from different
  years. Lastly, while the 2001 Colorado Physician
  Survey data set is not all inclusive of the total
  number of Colorado physicians, CPHP is utilizing
  this data to assist in hypothesizing about CPHP
  clients as compared to the general Colorado
  physician population. To date, CPHP has been
  unable to locate a source that collects complete
  state-wide statistics regarding specialties of
  licensed or practicing physicians within
  Colorado.
• The 2001 Colorado Physician Survey is the most
  complete data set found. CPHP appreciates the
  donation of this data to CPHP in an effort to
  better understand CPHP New Referral Client
  Specialty demographics.

8
CPHP 2002-2003 Annual ReportSpecialty of New
Referrals Data Table
9
CPHP 2002-2003 Annual ReportSpecialty of New
Referrals

• In analyzing the data table (previous page)
  comparing the data of Fiscal Year 2002-03 CPHP
  New Referral Client Specialties with data from
  the 2001 Colorado Physician Survey Results, some
  interesting information is gleaned.
• When examining the percent of clients seen at
  CPHP during Fiscal Year 2002-03, the specialty
  most frequently seen at CPHP is Family Practice
  (19). Clients with the specialty of Internal
  Medicine followed at 10. Twenty-one percent
  remained in progress, which means a specialty had
  not yet been identified at the time of this
  report.
• When examining the valid percent of the
  specialties represented, the majority of
  specialties from the CPHP New Referrals are
  represented to a corresponding percentage when
  compared to the 2001 Colorado Physician Survey
  Results. All of the CPHP New Referral
  specialties are represented within 5 percent of
  the 2001 Colorado Physician Survey Results except
  for 2 specialties. Overall, CPHP has relatively
  similar New Referral Client Specialty percentages
  when compared to the physicians of Colorado (as
  represented in the Colorado Physician Survey
  Results).
• The CPHP New Referral specialties of Family
  Practice and Surgery are slightly more prevalent
  when compared to Colorado Physician Survey
  Results. Specifically, Family Practice
  represents 25.4 of CPHP New Referrals and 16.8
  of the Colorado Physician Survey data set. This
  is a difference of 8.6. Surgery represents
  10.0 of CPHP New Referrals and 3.9 of the
  Colorado Physician Survey data set. This is a
  difference of 6.1.
• CPHP is unsure why this elevation is seen in
  New Referrals with the specialties of Family
  Practice and Surgery, however, the actual
  difference in percent is slight. CPHP is
  cautious in hypothesizing about the relevance of
  this data due to the fact that the difference is
  less than 10 in both specialties. CPHP will
  continue to assess the CPHP data on a yearly
  basis to determine if larger differences will
  occur over time.
• Unfortunately, the University of Colorado
  Health Sciences/Colorado Area Health Education
  Centers (AHEC) and the Colorado Board of Medical
  Examiners (BME) presently do not plan to continue
  to gather this information so the 2001 Colorado
  Physician Survey will become quickly dated. CPHP
  will continue to research sources that may gather
  this information.

10
License Status of New Referrals July 2002 June
2003
N204

• This pie chart shows the medical license status
  of each New Referral to CPHP at the time of
  referral.
• Of the total New Referrals this year, 67 had
  active Colorado licenses, 11 were applicants,
  10 had Colorado Training Licenses, 3 were under
  investigation or probation, and 2 had lapsed or
  inactive licenses. The remaining 7 of New
  Referrals did not have licenses, which included
  medical students and physician assistant students.

11
Colorado Counties Served by CPHP July 2002 -
June 2003






N



































Other Other includes counties that
contain less than 10 physicians, based on 2001-02
BME listing of Colorado licensed physicians.
These counties are grouped into one category
(Other) to protect the confidentiality of clients
residing in those counties. Counties in this
category include Archuleta, Baca, Cheyenne,
Conejos, Crowley, Custer, Dolores, Hinsdale,
Jackson, Kiowa, Lake, Mineral, Park, Phillips,
Rio Blanco, Saguache, San Juan and Sedgwick.

County Served

Region Number Percent
Adams 5 2.5
Alamosa 1 .5
Arapahoe 15 7.4
Boulder 9 4.4
Broomfield 1 .5
Delta 1 .5
Denver 50 24.5
Douglas 9 4.4
Region Number Percent
El Paso 11 5.4
Fremont 1 .5
Huerfano 1 .5
Jefferson 19 9.3
La Plata 4 2.0
Larimer 3 1.5
Mesa 4 2.0
Moffat 3 1.5
Region Number Percent
Montezuma 1 .5
Montrose 3 1.5
Other 1 .5
Pueblo 5 2.5
Summit 1 .5
Weld 5 2.5
Out-of-State 8 3.9
In Process 43 21.1
YR 2002-03 204 100
Broomfield County is not indicated on this
map due to recent designation as a county.

• CPHP served New Referral clients from 23
  counties of residence throughout Colorado during
  Fiscal Year 2002-03. CPHP is pleased with the
  efforts to assist clients throughout the state.
  These results demonstrate the effective promotion
  and utilization of CPHP services state-wide.
• The most frequent county of residence among New
  Referrals was Denver County at 24.5, followed by
  Jefferson County at 9.3 and Arapahoe County at
  7.4.

12
Referrals Reactivations1993 - 2003

• Fiscal Year 2002-03 represents the highest
  number of New Referrals for a Non-Renewal Year!
  When compared to Fiscal Year 2000-01, the last
  fiscal year that was not a BME license renewal
  year, CPHP experienced an actual growth of 40
  cases which is an increase of 17. CPHP is
  pleased with the continued growth of New
  Referrals throughout our program history. CPHP
  encountered an expected slight decrease in New
  Referrals of 12 when compared to Fiscal Year
  2001-02. This was likely due to the fact 2002
  was not a Colorado Board of Medical Examiners
  (BME) license renewal year. Fiscal Year 2002-03
  represents the second highest number of New
  Referrals in CPHP history.
• CPHP experienced the impact of license renewal
  years in 93-94, 95-96, 97-98, 99-00 and 01-02.
  Of the 204 New Referrals, 29 were reactivations.
  This represents 14 of the total New Referrals.
  This percentage is a slight decrease when
  compared to Fiscal Year 2001-02 (19). CPHP
  expects to again realize an increase in New
  Referrals in the upcoming Fiscal Year.

13
Reactivations35 Self-Referred/41 Voluntarily
July 2002 June 2003
Primary Presenting Problem
Referral Source
N29

• Reactivation refers to when a participant
  returns to CPHP after having been inactivated.
• Referral sources of reactivated clients are
  depicted on the left pie chart. Of 29
  participants who were reactivated, 35 Self
  referred. This is similar to Fiscal Year 2001-02
  when 39 Self referred.
• 41 of reactivations came voluntarily to CPHP
  during Fiscal Year 2002-03. Voluntary referrals
  of reactivations have decreased when compared to
  Fiscal Year 2001-02 which had 56 voluntary
  reactivation. CPHP attributes the increase in
  mandatory referrals of reactivations due to
  improved workplace satisfaction. Namely,
  workplaces have been pleased with previous CPHP
  guidance on cases. If issues such as behavior
  problems reoccur, workplaces readily re-refer to
  CPHP.
• Primary presenting problems of reactivated
  clients are illustrated on the right pie chart.
  These statistics reflect that reactivations most
  commonly present with problems with Behavior
  (28), followed by Substance Abuse (21) and
  Psychiatric (17). The distribution of primary
  presenting problem areas was proportionately
  higher in the category of Behavior at 28 when
  compared to percentages of total New Referrals
  for the 2002-03 Fiscal Year (20). Substance
  Abuse was also significantly higher in
  reactivations (21) when compared to Annual New
  Referrals (12). The New Referrals with a
  primary presenting problem of Psychiatric were
  proportionately lower for reactivations (17)
  when compared to percentages of total New
  Referrals for this Fiscal Year (23).

14
176 Participants Inactivated (Reasons/Outcome)
July 2002 June 2003
Length of Active Status at CPHP
N212
License Status License has been inactivated/
surrendered Other Admin. complete, client
request, deceased, non-compliant, referred in
error

• Inactivation refers to when a case is closed at
  CPHP. Definitions of inactivation reasons are on
  page 21.
• For Fiscal Year 2002-03, CPHP inactivated 212
  participants and opened 204 new cases, resulting
  in a net loss of 8 cases. The client load of
  CPHP has virtually remained consistent from
  Fiscal Year 2001-02 to Fiscal Year 2002-03.
• Of 212 inactivations, 31 (15) declined
  evaluation therefore, 181 clients were
  evaluated. Of the 181 evaluated, 168 (93) were
  inactivated with an outcome considered successful
  and/or satisfactory. CPHP maintained its high
  success rate when compared to Fiscal Year
  2001-02, which also was 93. CPHP is pleased
  with our continued high rate of satisfied
  outcomes!
• Length of Active Status at CPHP is depicted on
  the right pie chart. The majority of
  participants (65) completed the necessary
  treatment in one year or less.

15
Program Highlights

• CPHP Team Grows!
• Sarah R. Early, Psy.D., began her new position as
  Executive Director on July 1, 2003. Dr. Early
  brings a professional history of direct care,
  administration and EAP experience.
• CPHP welcomed new Board Directors George Dikeou,
  Esq., Maureen Garrity, Ph.D., and Sandy Maloney!
• CPHP hired a new Associate Medical Director,
  David A. Iverson, MD!
• CPHP expanded to include a position of
  Development Specialist to assist CPHP in the
  management and growth of the Spirit of Medicine
  fundraising campaign. CPHP welcomed Susan Swern
  to this newly created position.
• CPHP Completes Office Expansion CPHP completed
  an office expansion to achieve our newly
  renovated addition of 1,138 square feet for an
  office suite total of approximately 5,000 square
  feet. This new space has been utilized to better
  serve our clients, accommodate our expanding
  staff and to allow for future growth.
• Availability of Services In addition to CPHP
  providing services to Colorado licensed
  physicians and physician assistants, contracts
  exist to provide services for University of
  Colorado Health Sciences Center (UCHSC) Residency
  Program, Medical School, and Physician Assistant
  Program and Red Rocks Community College Physician
  Assistant Program. CPHP was pleased to also
  begin providing services to St. Josephs
  Residency Training Program.
• Spirit of Medicine Campaign CPHP completed the
  annual Spirit of Medicine fundraising campaign
  with successful results that exceeded last years
  campaign! CPHP utilizes fundraising efforts to
  supplement expenses that exceed the Peer
  Assistance Budget. CPHP Board of Directors as
  well as CPHP staff work together to cultivate and
  extend fundraising efforts throughout the
  Colorado medical community. We are pleased with
  the show of support for CPHP and we are planning
  to utilize the funds raised for projects to
  continue improvement of client services.
• HIPPA Through an extensive educational process
  and consultation from numerous sources, it was
  determined that CPHP has met the appropriate
  standards to be in compliance with the Health
  Insurance Portability and Accountability Act
  (HIPPA).

16
Program Highlights continued

• Federation of State Physician Health Programs
  (FSPHP) CPHP continued active national
  involvement with the FSPHP during Fiscal Year
  2002-03.
• CPHP Medical Director, Michael Gendel, MD, was
  elected President of FSPHP in May, 2003. He will
  serve a two year term. CPHP is proud to have
  Colorado representative, Michael Gendel, MD,
  provide his leadership and expertise as President
  to this national organization.
• CPHP representatives Michael Gendel, MD, Sarah
  Early, Psy.D, Stephen Dilts, MD, Doris Gundersen,
  MD, and Scott McClure, MD, attended the FSPHP
  Annual Meeting in Chicago, IL in May, 2003.
  Presentation topics addressed at this meeting
  included toxicology and methodology of random
  testing, diversity of state programs, pain
  management for professionals, boundaries
  prescribing and professional relationships,
  workplace behavioral monitoring and spirituality
  and mindfulness. CPHP representatives welcomed
  the opportunity to network with colleagues from
  other Physician Health Programs and gain valuable
  information about physician health related
  issues.
• In October 2002, CPHP hosted the Annual
  Conference and Meeting of the Western Region of
  the FSPHP in Vancouver, British Columbia, Canada.
  The theme of this conference was Cultivating
  Effective Relationships. In addition to many
  presentations, a panel presentation and
  discussion on Strengthening Relationships Between
  Regulatory Boards and Physician Health Programs
  was initiated by representatives from Colorado,
  New Mexico and British Columbia. Colorado was
  represented by Susan Miller, Program
  Administrator of the Colorado Board of Medical
  Examiners and Michael Gendel, MD, Medical
  Director of the Colorado Physician Health
  Program. CPHP was pleased to host this
  informative and collaborative conference.
• CPHP Establishes New Policy for Credentialing and
  Status Reports Due to increasing demand on CPHP
  to provide the indirect service of assisting
  medical entities and organizations in the
  credentialing process through the provision of
  credentialing and status reports, CPHP has
  established a new policy that will charge a 35
  fee per ongoing report of this nature, effective
  July 2003. Thus far feedback has been accepting,
  as charging for these types of reports tend to be
  standard practice.
• Finance and Peer Assistance Budget CPHP
  finished Fiscal Year ending June 30, 2003, with a
  Program Operations Year-to-Date Net Loss of
  33,150.12. This can be attributed to increased
  Corporate insurance expense, costs associated
  with office expansion and increased computer
  service expense. This Net Loss was supplemented
  with cash reserves from the annual Spirit of
  Medicine Campaign.

17
Community Outreach Highlights

• Executive Director Community Outreach Sarah
  Early, Psy.D., made a concentrated effort to meet
  the medical community of Denver and Colorado.
• An Open House was held on August 23, 2002 for
  CPHP treatment providers and various community
  members.
• Individual and group meetings were held for the
  Colorado Board of Medical Examiners staff,
  Attorneys General, hospital administrators and
  medical office staff, medical and physician
  assistant training programs and various other
  medical organizations. Annual reports were
  prepared and presented to appropriate agencies.
• Additional meetings were conducted with COPIC,
  Colorado Medical Society, Colorado Society of
  Osteopathic Medicine, Center for Personalized
  Education for Physicians (CPEP) and other
  professional peer assistance programs for other
  licensing agencies, Employee Assistance
  Professionals Association, and treatment
  facilities.
• Physician Stress and Stress Management Seminars
  CPHP and COPIC have continued to partner to
  provide the second series of Physician Stress and
  Stress Management Seminars to educate physicians
  about the importance of stress management to
  attain good health. The first series of
  presentation were completed in Aurora, Colorado
  Springs, Denver, Fort Collins, Grand Junction,
  Greeley, Longmont, Thornton, Trinidad, and Wheat
  Ridge. The second series of presentation have,
  thus far, have been presented in La Junta,
  Loveland, Metro Denver and Sterling. The second
  series will be completed in Steamboat Springs,
  Louisville, and Boulder.
• Additional Community Presentations In addition
  to the presentations on Physician Stress, CPHP
  conducted presentations and exhibits about CPHP
  and related physician health topics. Audiences
  included Residency Programs, Medical and
  Physician Assistant Programs, Medical Societies,
  Medical Staff Offices and Group Practices.
• Community Meetings Referral source meetings were
  held with community entities including hospital
  administration and medical staff offices medical
  and physician assistant training programs
  residency programs and affiliate organizations.
  Issues addressed included, how CPHP and the
  organization may work best together, building
  relationships with referral sources and improving
  CPHP services. Workplace consultation continues
  to be an important element of CPHP services.
  CPHP participants or participants potential
  workplaces seek assistance from CPHP on
  identifying problems, interventions strategies,
  how to make referrals, and documentation.
  Lastly, CPHP made participant monitoring visits
  to various areas in the state outside of Metro
  Denver including Boulder, Colorado Springs,
  Durango, Fort Collins, Grand Junction and Pagosa
  Springs.

18
Services Provided by CPHP

• Client Services
• Assessment
• Treatment referral
• Monitoring and support
• Family support
• Documentation
• Workplace and Referral Source Services
• Consultation on identifying physicians who need
  assistance
• Consultation on making referrals
• Workplace consultations
• Educational presentations
• Medical Community Services
• Promote physician health awareness
• Educational presentations
• Partnership with organizations to meet special
  needs
• Develop meaningful research on physician health

19
CPHP Board of Directors and Staff
20
APPENDIX
21
Definition of Terms

REFERRAL SOURCES For the purpose of this report,
the following definitions are applied Self
Voluntary referrals who request services on their
own and there are not consequences with other
entities or organizations if they do not follow
through. Board of Medical Examiners (BME)
Any written referral made by the BME or required
evaluations as part of the application or renewal
process to Colorado Administrative (Admin)
Dept. Heads, Directors, Partners, Presidents,
CEOs (which are not part of a hospital system).
For example, Vail Clinic, CFO of a Radiology
group, managed care such as Kaiser
Permanente Hospital MEC, Medical Staff
Offices, Quality Management, Chief of Staff,
Credentialing Committees Resident Program
(Res Prog) Any referrals made by Residency
Directors and personnel Peer Any MD, DO, or
PA that does not fit into another
category Treatment Provider (Tx Prov)
Professionals in community that provide treatment
to CPHP participants Malpractice A
malpractice company Attorney Referrals made
by a physicians attorney Medical School Any
referrals made by the Medical School Faculty,
administration and personnel Physician
Assistant Program Any referrals made by a
Physician Assistant School Faculty,
administration and personnel REASONS FOR
INACTIVATION Treatment Completed (Tx Comp)
Client has completed the CPHP recommended
treatment and/or monitoring   Evaluation
Completed (Eval Comp) Client referred for
evaluation, no treatment or monitoring
recommended. Used for most out of state
referrals Evaluation Declined (Eval Declined)
Client referred for evaluation and refused or
declined to have evaluation. Client self-referred
and did not follow through with evaluation and/or
cannot be located Relocated Client relocated,
typically out of state Client Request (Client
Req) Client is self-referred or voluntarily
referred for evaluation. Client does not follow
through with treatment because the circumstances
have changed and the client does not feel
services are necessary Declined Treatment
(Declined Tx) Client declined the treatment
recommendations. Typically used for self
referrals who have an evaluation, treatment is
recommended however client does not follow
through Other Any reason that does not fit
another category License Denied Client was
involved with CPHP as license applicant and
license was denied Non-Compliance Client
inactivated by CPHP because client did not comply
with CPHP treatment and/or monitoring
recommendations. Typically used for voluntary
referral with no concern for patient safety
issues. Admin Completed Used historically
for reactivations who are opened for
documentation requests