Opioid Turmoil: Addressing the Link between PDMPs and e-Prescribing

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With a nationwide opioid epidemic upon us, states are starting to insist that prescribers conduct a bit of research before writing prescriptions for addictive medications like pain medications or benzodiazepines. States have therefore created statewide Prescription Drug Monitoring Programs (PDMPs) to monitor an individuals’ controlled substance dispense trends which are meant to assist a prescriber in making smarter treatment decisions. The goal here is to check a patient’s medication history to determine if the patient is doctor shopping or if they may have potential complications with medication(s) they are taking or have taken. Ultimately, PDMPs aid a prescriber in understanding the risks involved in prescribing these powerful medications for their patients.

“Databases known as Prescription Drug Monitoring Programs show doctors all controlled-substance prescriptions patients get and should be linked with the electronic health records (EHRs) that allow doctors to e-Prescribe.” USA Today

In most states, healthcare professionals who prescribe at least one controlled substance are encouraged, not required, to use PDMPs. The USA Today article addresses the fact that only five states promote the use of PDMPs and less than 20% of doctors use the databases when it isn’t required. On the other hand, e-Prescribing of controlled substances has proven to be an effective tool in combating this crisis, yet only three states have mandated the use of e-Prescribing, and one doesn’t enforce its own law.

Click here to learn more about e-Prescribing and how to stay ahead of this opioid crisis

All 50 States (and D.C) have now passed legislation allowing the e-Prescribing of both controlled and non-controlled substances, which is a drastic change from only a few years ago with federal regulations prohibiting the e-Prescribing of controlled substances.

Let’s take a look at the states that have mandated e-Prescribing:

New York: The first state to mandate and enforce its e-Prescribing laws as of March 2016, New York requires prescribers to check their state PDMP database and prescribers who continue to write paper prescriptions are subject to fines, jail time, or both. Since implementing, total numbers of opioid analgesics prescribed fell by 78%.

Minnesota: Technically the first state to deploy mandatory e-Prescribing, they currently do not enforce the use of such technology. The MN Department of Health recently reported that drug overdose deaths jumped 11% between 2014 and 2015 and more than half were related to prescription drugs, specifically opioid pain relievers, rather than illegal street drugs. Minnesota Health Commissioner Dr. Ed Ehlinger said, “The new data show the need for a broader approach to addressing the root causes of drug addiction and overdoses.” Stay tuned.

Maine: Experiencing one of the highest death rates in the country due to opioid overdose, Maine recently mandated e-Prescribing for schedule II controlled substances and will be put into effect come June 2017. Similar to New York, prescribers will face fines, jail time, or both if they choose to utilize paper prescription pads.

New Jersey is also on the horizon to mandate e-Prescribing in due time. As a collective nation, we can no longer sit back and overlook the link between opioid overprescribing and opioid overdose. E-Prescribing and PDMPs should work hand in hand; the benefits are exceedingly visible and with 3-9% of opioid abusers using forged written prescriptions, it’s a commonsense solution. Protect your company, protect your providers, but more importantly, protect your patients. They depend on it.

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

4 Signs Your Company is Ready for e-Prescribing

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In a recent post, we discussed that mandatory e-Prescribing is the commonsense solution for opioid addiction across the country, but that may ignite some anxiety in companies that have yet to embrace the technology. Don’t worry, we’re here to help! With 50 states and the District of Columbia on board and ready to e-Prescribe both controlled and non-controlled substances, more and more companies and pharmacies are quickly becoming certified for electronic prescribing. Let’s take the deep dive together and evaluate your clinical workflows with these four reasons your company may be ready to upgrade to e-Prescribing:

You want to ensure patient safety and quality of care to the highest degree

When a patient comes into a provider’s office, of course the purpose is to help this patient in any which way, however how can you be absolutely certain that this patient has good intentions or yet, can remember every medication they may be taking or have taken? With e-Prescribing, you can take the guesswork out by having access to their full medication history and you will also be alerted about any potential drug-to-drug and drug-to-allergy interactions.

You want to simplify clinical workflows and enable providers to spend more time with patients

The implementation of an e-Prescribing system will reduce the time spent on pharmacy calls and faxes, while also reducing clinical errors and time spent deciphering a provider’s handwriting. The automation and electronic efficiency put in place will allow providers to do what they do best and spend more time with their patients, while also improving the value of treatment relative to patient outcomes and medication adherence.

Click here to learn more about e-Prescribing and start saving time and money today!

You want to lower costs

Not only will you have access to a patient’s full medication history, you will also have visibility into their pharmacy benefits and associated formulary at point of care. This encourages the use of generic medications or lower cost equivalent medications which in turn has a lower out-of-pocket cost for the patient. E-Prescribing also reduces costs associated with both providers and pharmacies by saving time and resources. A study conducted by the Medical Group Management Association shows that more than $247,500 per year was spent on unnecessarily complex or redundant administrative tasks and $19,444 per year was spent on phone calls with pharmacies resolving drug formulary issues.

You want to combat prescription drug abuse

We see it on the news, we hear about it from a family member or friend, and the truth of the matter is, the controlled substances abuse epidemic, particularly with opioids, is not slowing down. The good news is, e-Prescribing can help. No longer will a patient have access to a paper prescription where it can easily be lost, stolen, or tampered with since the prescription will be sent directly to the pharmacy. Having access to their medication history will also assist providers in knowing if this patient is doctor shopping for such substances.

The benefits that electronic prescribing has to offer both providers and their patients greatly eliminates risk regarding fraud and drug abuse, as well as associated costs. Here at DoseSpot, we understand that making any type of change can be difficult, but we’ll be with you every step of the way. Our platforms are not only affordable, intuitive and easy to use, but they’re designed to integrate with any healthcare software whether it be medical, dental, or digital. Contact us today to learn more!

About DoseSpot
DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

Is Telehealth Changing the Game for Healthcare?

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A study recently published by The New England Journal of Medicine stated that telehealth is positioned to revolutionize medical care. It’s fair to say that technologies are making a lot of things possible that wouldn’t have happened even a few years ago, but it’s also fair to say that this new age of telemedicine poses new risks and a few hurdles to overcome for the healthcare industry, providers, and patients alike.

One limitation that the industry is currently experiencing is the adoption of reimbursement for medical delivery systems by payers across the country, specifically the lack of coverage and “unequal” treatment of receiving care via technological advances. Luckily, certain states have put telehealth parity laws into place, thus requiring coverage and reimbursement for telehealth under private insurance, Medicaid, and workers compensation as though services were provided in person. Medicare, on the other hand, seems to be last to join the party which makes sense considering the population it serves.

Want to learn more? Download our free telehealth whitepaper!

Throughout the article, the biggest issue rings loudly: the digital divide between the industry and the populations they serve, whether that be the elderly, lower income individuals, or the less educated. These groups are less likely to have the means to participate in telehealth options. No computer or smartphone = no digital health adoption.

While there are a few bumps in the road, telehealth does serve up some benefits as well:

• Doctors across several specialties are easily accessible for patients. This helps individuals with time constraints, lack of transportation or means to visit a doctor, and includes those whom have chronic diseases that need to be monitored closely and more frequently.
• Telehealth is cost-effective. What one may pay toward their deductible or out-of-pocket maximum for an in-office visit is undoubtedly lower than an e-visit which can typically be found for $50 or less.
• E-visits will contribute to less hospital readmissions, therefore reducing overall healthcare and drug spend which is astronomical in this country.

Ultimately, telehealth is meant to be an extension of the provider’s office, not a replacement. It will enable medical professionals to meet the growing burden of chronic disease, while enhancing the patient-centric, value-based care model the United States is currently trying to implement.

What do you think of this shift to digital health? Exciting or nerve-wracking? Share your thoughts with me below!

Sources: The New England Journal of Medicine

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

E-Prescribing 101

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Electronic prescribing is not just the ability to send prescriptions electronically to pharmacies. E-Prescribing can also increase care quality in a number of ways:

• E-prescribing makes sure that the prescriber is providing enough specific information for the pharmacist to fill the prescription, including the name of the drug, the dosage, its physical form, the route, and the physician’s instructions.
• Electronic prescribing software eliminates the time and effort of trying to understand the prescriber’s handwriting, as well as the chance of an error in that translation.
• E-prescribing significantly reduces the chance that the prescriber’s intentions are misinterpreted.
• E-prescribing is often used in conjuction with clinical decision support to ensure that any drug to drug interactions or drug to diagnosis issues are found and reported to the physician before the prescription order is completed.

Electronic prescribing is considered one of the most important areas of Healthcare IT, which is why Medicare created payment incentives for physicians who use a qualified e-prescribing system. In 2009, the incentives are an increase of 2% in revenue for each patient when e-prescribing is used. Due to the 2009 HITECH Act, electronic prescribing is required as part of any EMR (EHR) which qualifies for Medicare reimbursement in 2011.