It’s not news that America is facing a crisis with opioids and narcotic abuse—public service announcements are running on every network; the president has declared it a health emergency; and an increasing number of Americans have had personal experiences with a family member or friend who has become addicted.
Laws have been put in place or are being considered at every level of the government to help address the problem. One approach to helping doctors continue to care for their legitimate patient requests while identifying drug seekers or “doctor shoppers” is the PDMP, or Prescription Drug Monitoring Program.
1 Interstate Data Sharing: http://www.pdmpassist.org/pdf/Interstate_Data_Sharing_20170920.pdf
2 PDMP Hub-to-Hub Interoperability Updates: http://www.pdmpassist.org/pdf/Interstate_Data_Sharing_20170920.pdf
3 PMP Gateway: https://apprisshealth.com/solutions/pmp-gateway/
PDMPs are state-run databases containing patients’ prescription histories. PDMPs now exist in all states, and more than 40 states have laws making it mandatory to check the PDMP before prescribing a narcotic. Some states require documentation that the doctor not only checked the PDMP, but also counseled the patient. And some states are starting to identify doctors who prescribe high numbers of narcotics, and are putting programs in place to counsel those providers. The College of Healthcare Information Management Executives (CHIME), a branch of HIMSS, recently met and recommended that the Center for Medicare and Medicaid Services (CMS) include the use of Electronic Prescribing of Controlled Substances (EPCS) as part of the MIPS portion of the Quality Payment Program (QPP) in 2019. They also recommended that CMS and Office of the National Coordinator (ONC) focus on interoperability and removing the burden for clinicians.
Another method to help control the crisis is the use of EPCS. Unfortunately only 17 percent of physicians in the US are EPCS enabled.  While 90 percent of standard prescriptions are processed electronically, only 14 percent of controlled substance prescriptions are electronically delivered. 
Does your EHR offer PDMP connectivity? Does it allow for EPCS? The technology to automatically complete PDMP checking and documentation does exist—today—providing physicians with the option of making their prescribing and compliance workflows seamless. Providers who use EPCS with PDMP should automatically be presented with the patient’s prescription history any time they prescribe a narcotic. The system should also automatically connect to the state database, retrieve the history, display it to the physician, and record that the physician checked the PDMP. This can be up to a 67 percent time savings over the current process of logging into the PDMP directly. 
SRS has committed to joining the fight by being the first specialty EHR to offer PDMP checking and documentation integrated within the prescribing workflow. This is a great step in keeping our clients ahead of the curve.
What are you doing to address the opioid crisis?
-  Health Current, https://healthcurrent.org/wp-content/uploads/2016/03/Webinar-Electronic-Prescriptions-for-Controlled-Substances-September-2017-Final.pdf
-  Surescripts CEO Tom Skelton, at HIMSS March 2018
-  DrFirst case study, 2018
Prior to becoming the Director of Product Management at SRS, Barbara was with GE Healthcare (now GE Digital), where she held the positions of Senior Product Marketing Manager for Centricity imaging products, Product Marketing Manager and Customer Collaboration Leader for what is now Caradigm, and Upstream Marketing Manager for Centricity Laboratory. Barbara also worked at the University of Arizona Medical Center, where she managed a team that was responsible for implementing and maintaining 27 departmental IT solutions, the ambulatory EMR and the patient safety initiatives.
Originally from New Jersey, Barbara now lives with her husband in Tucson, AZ. She is a graduate of the West Virginia University College of Medicine and is a registered Medical Technologist. When not at work, she loves traveling, taking photographs, watching football and spending time with her two Brittanys.
Latest posts by Barbara Mullarky (see all)
- The Opioid Crisis, PDMP, and Interoperability - January 22, 2019
- Are You Preparing for Appropriate Use Criteria Compliance? - June 13, 2018
- The Opioid Crisis - April 17, 2018