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.

“Stuck in the 70’s:” Modern Medicine, the FDA and Medical Device Legislation

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Will Congressional bills slated for 2015 review finally bring medical device regulation into the 21st Century?

The year was 1976. Apple was founded, bell bottoms were in, Jimmy Carter was elected President and the Food and Drug Administration (FDA) began its first regulatory measures on medical devices.  The notion of “tech-savvy” Americans had not yet come to fruition, nor had the ubiquity of iPhones and tablets—in fact, no consumer would have known what to do with such a device during this era. Today, increasing numbers of hand-held devices allow us to connect with providers, manage and track medications and organization medical records. In 2013 alone, the Apple Store reported 97,000 mobile health apps in use and over 60% of physicians were using tablets. With these solid numbers marked in the medical sphere, why is the FDA still stuck in 1976?

In a recent article released by Forbes Magazine, John Graham illuminates the FDA’s continued regulation of novel, cutting-edge medical devices under outdated amendments and what this antiquated authority means for new health tools. According to the FDA’s original amendments, a medical device is an “instrument, apparatus, implement, machine…or related article, including any component, part or accessory…” Technologies of the 21^st century, namely smartphones, smartwatches and tablets, don’t seem to fit within this definition in any regard.

Despite the amendments’ verbose restrictions, the FDA has informed patients and providers alike on how it intends to regulate new technologies. With the final guidance for medical mobile apps passed in 2013, the FDA intends to focus its regulatory oversight on only a subset of mobile medical apps that present a risk to patients if they do not work as intended. In the final guidance, the FDA defined the term “mobile medical app” and Congress defined the technologies subject to FDA regulation.

While it appears the FDA is making strides in the right direction, many find its law-related verbiage unsettling. Early-stage startups remain weary over the FDA’s “enforcement discretion,” which includes the self-perceived ability to withhold smartphones, tablets and more. After much discussion at last week’s mHealth Summit in Washington, DC, the consensus is this: the FDA cannot be expected to generate consistent regulatory standards without appropriate legislation. Fortunately for the medical sphere, this may be resolved in the next Congress with the following propositions:

MEDTECH Act: would legislate that electronic health records (EHRs) and other technologies that only store and communicate information are exempt from FDA regulation.

SOFTWARE Act: would define the term “medical software” as software distributed directly to consumers and not integrated with a drug or device but includes the use of a drug or device. Such software would be subject to FDA regulation. The bill also includes the terms “clinical software” (used by medical professionals) and “health software” (used by consumers to store and communicate data but doesn’t include the use of a device). Both clinical and health software would not be subject to regulation.

SOURCE: Forbes Magazine

For more information on the FDA, legislation and the future of U.S. health innovation, click here!

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 www.DoseSpot.com.