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Prescription Monitoring Program

Influenza surveillance provides public health officials and healthcare providers with data on the onset, duration, geographic location, and level of influenza activity in order to guide the local use of interventions. The Influenza Sentinel Provider Surveillance Network tracks influenza-like illness (% ILI) across the U.S. population. Objective: This presentation describes the use of influenza antiviral data from retail pharmacies to supplement influenza surveillance.

Referenced File
Submitted by elamb on

This is a preliminary Chronic Pain-Related Syndrome, created to search relevant ICD10 and a few key terms in emergency department visits in ESSENCE. The codes and terms are specific to non-cancer related chronic pain with exclusions of cases receiving cancer-related ICD10.

ICD10 codes were selected by translating the following ICD9 codes for Chronic Pain contained in this PDF (https://www.cdc.gov/drugoverdose/pdf/pdo_guide_to_icd-9-cm_and_icd-10_c…)

Submitted by ZSteinKS on

Prescription Drug Monitoring Programs (PDMPs) can help clinicians improve decisions regarding opioid prescribing. However, since state laws and regulations governing access to these systems often apply only to providers licensed in the states in which the PDMP is located, and many federal health care workers are not so licensed, many federal providers are not subject to requirements. This fact sheet outlines the policies of the three federal health care institutions with regard to the use of PDMPs when prescribing opioids.

Submitted by ctong on

Prescription Drug Monitoring Programs (PDMPs) are operating in 49 states and several U.S. territories. Current methods for surveillance of prescription drug related behaviors, include the mean daily dosage of morphine milligram equivalent (MME) per patient, annual percentage of days with overlapping prescriptions per patient, and annual multiple provider episodes for multiple controlled substance prescription drugs per patient that are described elsewhere.1,2 This work builds on these efforts by extending longitudinal methods to prescription drug behavior surveillance in order to predict risks associated with prescription drug use. 

Objective

This study aims to show the application of longitudinal statistical and epidemiological methods for building a proactive prescription drug surveillance system for public health.

Submitted by uysz on

Drs. Arens, Vo, van Wijk, and Coffin will present a cluster of opioid-related poisoning cases and deaths in San Francisco following ingestion of counterfeit pills designed to look like prescription medication. They will describe the clinical cases and detailed the coordinated public health response, which included the local PCC, a toxicology lab, a public health officer, the local medical examiner, and affected hospitals.

Presenters:

Ann Arens, MD and Kathy Vo, MD, Medical Toxicology Fellows, California Poison Control System, San Francisco Division 

Washington State experienced a five-fold increase in deaths from unintentional drug overdoses between 1998 and 2014. The PMP collects data on controlled substances prescribed to patients and makes the data available to healthcare providers, giving providers another tool for patient care and safety. Optimal impact for the program depends on providers regularly accessing the information to review patients’ dispensing history. We have found through provider surveys and work with stakeholders that the best way to increase use is to make data seamlessly accessible through electronic health record systems (EHRs). This approach does not require a separate login to the PMP portal. This linkage works through the Health Information Exchange (HIE) to make PMP data available to providers via EHRs. The HIE facilitates electronic communication of patient information among organizations including hospitals and providers. In addition to the PMP, another resource to address the prescription drug abuse problem is the Emergency Department Information Exchange (EDIE), a web-based technology that specifically connects emergency departments statewide to track patients who visit multiple EDs. We also developed a connection between EDIE and PMP data through the HIE.

Objective

Demonstrate that use of the Washington State health information exchange (HIE) to facilitate access to prescription monitoring program (PMP) data enhances the effectiveness of a PMP. The increased accessibility will lead to improved patient care by giving providers more complete and recent data on patients’ controlled substance prescriptions.

Submitted by elamb on
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