Federation of State Physician Health Programs

FSPHP Homepage About the FSPHP State Programs Meetings Publications Contact Us	Ohio Demographics and staff - member Program Name: Ohio Physicians Health Program, Inc. Address: 5900 Roche Drive, Suite 440 Columbus, OH 43229 Telephone: (614) 841-9690 Fax: (614) 841 9680 E-mail: info@ophp.org Staff: David D. Goldberg, DO, Medical Director Kelley Long, BA, Operations Manager Mark D. Lutz, M.A., LCDC III, Clinical Director Jennifer Vecchio, LPN, Clinical Services Coordinator Samantha Allen, B.A., Executive Assistant Program structure The program is operated by: Independent corporation: 501(c)(3) and endorsed by the Ohio State Medical Association Do you have a formal contractual relationship with the state medical board? No Program services Types of disease, illness, or conditions monitored: Chemical dependency Mental health Physical Illness Behavioral health  Sexual misconduct and/or boundary violations Services provided to which populations: Physicians - MD Physicians - DO Families of physicians Medical students Dentists Residents Veterinarians Physician assistants Podiatrists Funding Please indicate the primary sources of funding for your program: Grants:  Ohio Medical Quality Foundation and the Ohio Department of Alcohol and Drug Addiction Services Participant fees Hospital and medical staffs Individual contributions Supporting professional associations - Ohio Veterinary Medical Association Monitoring requirements Chemical dependency Length of contract: 5 years Random Urine Drug Screen Frequency: (1-5 years) = Minimum 24 per year         Voluntary Extension Agreement (>5 years) = Minimum 4 per year Random urine drug screen frequency Support (mutual help) group requirements: AA NA Caduceus Other: CA Support (mutual help) group frequency: (1-5 years) 3 per week   *may be altered based on individual case requirements Therapy or treatment requirement: Must follow tx discharge recommendations of treatment facility in addition to weekly group therapy for 2 years. Work or practice monitor requirement:  Yes Other provisions: Report any relapse to state medical board Requirements of medical board order or consent agreement Mental health Length of contract: Variable and case specific Support (mutual help) group requirements: Variable and case specific Support (mutual help) group frequency: Variable and case specific Therapy or treatment requirement: Treating professional required Work or practice monitor requirement: Individualized Other provisions: Individualized plus requirements of medical board order or consent agreement if applicable Please describe any other monitoring services provided: