CDC Guidelines for Opioid Prescription

HSPP members strive to uphold the highest standards in medical ethics regarding pain management. Our organization has adopted the ethics charter from the American Academy of Pain Medicine. This document serves as a guide for the proper ethical considerations of doctor/patient care, interdisciplinary interactions among colleagues as well as pharmacists and any conflict of interest or bias in patient care.

Hawaii Prescription Drug Monitoring Program 

In 2012 the Department of Human Health Services in conjunction with the NIH came together through the Interagency Pain Research Coordinating Committee (IPRCC) to oversee creation of the National Pain Strategy (NPS). Expert individuals on the committee identified six key areas for the NPS to address: population research, prevention and care, disparities, service delivery and payment, professional education and training, public education and communication. In 2016, an updated National Pain Strategies Guide was published to help provide information and guidelines for pain management.

Hawaii Revised Statutes (HRS), Chapter 329, Part VIII, Electronic Prescription Accountability System requires the Hawaii Narcotics Enforcement Division to establish and maintain an electronic controlled substances prescription database for the reporting of dispensed prescriptions for all Schedule II-IV controlled substances under federal law. The Hawaii Prescription Drug Monitoring Program (HI PDMP) is necessary for physicians to monitor their patients' medication use and properly prescribe opioids for their chronic pain.

The Narcotics Enforcement Division (NED) is a statewide law enforcement agency that serves and protects the public by enforcing State laws pertaining to controlled substances and regulated chemicals. Contact information: 3375 Koapaka Street, STE. D-100 Honoulu, Hawaii 96819; 808-837-8470;

Hawaii Narcotics Enforcement Division

Hawaii Board of Medical Examiners Pain Management Guidelines

In March 2016, the CDC released its Guidelines for Prescribing Opioids for Chronic Pain. ​ The guidelines are for primary physicians prescribing opioid medications for chronic pain outside acute cancer treatment, palliative care or end of life care. The guidelines address: 1) when to initiate or continue opioids for chronic pain; 2) opioid selection, dosing, duration, follow up and discontinuation; and 3) assessing risks and addressing harms of opioid use. This information is important for understanding proper prescribing techniques and when to refer to  a pain specialist for opioid management.

                 Hawaii Society of Pain Physicians, LLC


Pursuant to section 453-1.5, Hawaii Revised Statutes, the Board of Medical Examiners has established guidelines for physicians with respect to the care and treatment of patients with severe acute pain or severe chronic pain. These pain management guidelines are considerations that the Board will take into account in the proper treatment of pain.

HHS National Pain Strategy

Professional Ethics