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Topic starter
Anyone have any workflow or solutions for this?
- On or after July 1, 2018, any person initially prescribing a schedule II opioid or any benzodiazepine shall seek and review a patient’s PDMP information, then at least once every 90 days thereafter
the PDMP is basically a website. But also sends emails when opiods or benzos are prescribed.
Going to be a pain to do the initial check, but not sure how in the world to meet the every 90 day check.
Maybe getting the emails is enough to cover the 90 days, but everything needs to be documented in the chart of course.
Posted : May 6, 2018 3:05 am
What a pain. We can upload lists of patients so we upload today's schedule before the start of the day and then the prescribers can easily select each patient. Could you do a bulk upload as well every 90 days and have someone review and document in Centricity?
Posted : May 7, 2018 12:00 am
Not sure if your process will be anything like ours, but in New York State, we have to check our Prescription Monitoring Program website every time we write a controlled substance. Our providers are permitted by the state to delegate the check process to any nurse in the office so long as they are listed in the program. So, the nurse checks and documents that the check was done. (We just use a quick text for it.) We also let our patients know that d/t the new regulations, controlled substance Rx requests would require additional time. The process of changing to this was actually very smooth for us. I agree, it sounded terrible at first, but now we are also able to see if patients are filling control scripts from other providers. Our staff is very used to it now, and it actually doesn't add much time to the process at all. It might even be easier for you to check each time you fill a control. Yes, you're spending time doing the check, but you're not spending time digging through records to see if it has been done within 90 days. It also helps you avoid the risks of having an issue if someone accidently misses the 90 day timeframe.
Posted : May 7, 2018 1:18 am
We have to do this in Florida as well. In our pain Management department we routinely print a PDMP for every patient coming in the next day and scan it into their chart. We are just beginning to do that in our Neurology and Neurosurgery Department for those patients that are already being prescribed opioids. The dilemma is making sure e run it for the new prescriptions. Also if we are getting a refill request for our chronic pain patients the clinical staff run one when they are working the Rx. It is a bit of a pain until you establish your workflow and then it is just another task. In Pain Management we can run a full day's schedule in about an hour to an hour and a half and they see about 150 patients a day. We also use the clinical staff to run the reports not the providers and they are set up as delegates in the system. Good Luck
Posted : May 8, 2018 2:23 am
You could leverage Qvera to run a check and send a flag if a review needed to be done. A Qvera interface can run a SQL query and convert the results to flags.
Posted : May 9, 2018 5:13 am
Topic starter
Feasible idea, yet one of those things my EMR vendor has known is coming and wish they had done something about it.
maybe you should develop the channel and market it.
Posted : May 9, 2018 12:20 pm
