Opioid Prescribing After Implementation of Single Click Access to a State Prescription Drug Monitoring Program Database in a Health System's Electronic Health Record
Authors
Weiner, Scott GKobayashi, Kimiyoshi
Reynolds, Joshua
Chan, Kit
Kelly, Rodd
Wakeman, Sarah
Reddy, Prabashni
Young, Leonard D
UMass Chan Affiliations
MedicineDocument Type
Journal ArticlePublication Date
2021-02-09
Metadata
Show full item recordAbstract
Objectives: To determine the effect of one-click integration of a state's prescription drug monitoring program (PDMP) on the number of PDMP searches and opioid prescriptions, stratified by specialty. Methods: Our large health system worked with the state department of public health to integrate the PDMP with the electronic health record (EHR), which enabled providers to query the data with a single click inside the EHR environment. We evaluated Schedule II or III opioid prescriptions reported to the Massachusetts PDMP 6 months before (November 15, 2017-May 15, 2018) and 6 months after (May 16, 2018, to November 16, 2018) integration. Search counts, prescriptions, patients, morphine milligram equivalents, as well as prescriber specialty were compared. Results: There were 3,185 unique prescribers with a record of a Schedule II and/or III opioid prescription in both study periods that met inclusion criteria. After integration, the number of PDMP searches increased from 208,684 in the pre-integration phase to 298,478 searches in the post-integration phase (+43.0%). The number of opioid prescriptions dispensed decreased by 4.8%, the number of patients receiving a prescription decreased by 5.1%, and the mean morphine milligram equivalents (MMEs) per prescriber decreased by 5.4%. There were some notable specialty-specific differences in these measures. Conclusions: Integration of the PDMP into the EHR markedly increased the number of searches but was associated with modest decreases in opioids prescribed and patients receiving a prescription. Single click EHR integration of the PDMP, if implemented broadly, may be a way for states to significantly increase PDMP utilization.Source
Weiner SG, Kobayashi K, Reynolds J, Chan K, Kelly R, Wakeman S, Reddy P, Young LD. Opioid Prescribing After Implementation of Single Click Access to a State Prescription Drug Monitoring Program Database in a Health System's Electronic Health Record. Pain Med. 2021 Oct 8;22(10):2218-2223. doi: 10.1093/pm/pnab051. PMID: 33561288; PMCID: PMC8500719.DOI
10.1093/pm/pnab051Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51673PubMed ID
33561288Rights
© The Author(s) 2021. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.ae974a485f413a2113503eed53cd6c53
10.1093/pm/pnab051