PDMP's:
Transitioning from data collection to action
There has been a lot of discussion regarding Prescription Drug Monitoring Programs (PDMPs) lately and the steps that states (other than Missouri) are taking to
implement programs and collect prescription data. This is a great step in the right direction
and we at PRIUM believe that data collection is instrumental in addressing the
opioid epidemic. But this is only the
first step and almost every state has a long way to go. In order for participants in the workers'
compensation system to make a difference, stakeholders are going to need to
push state legislatures to demand action in relation to the data being collected.
Kentucky is moving in the right direction. Kentucky is one of only four states in the
country that have a requirement for physicians to consult the PDMP prior to writing certain
prescriptions (NY, TN, and MA are the others). The state is also using
that data to identify providers that may be improperly prescribing. So far, 46 providers have been identified and
reported to the KY Medical Board, resulting in 23 sanctions.
Washington State is sharing PDMP data with the Department
of Labor and Industries to inform claims managers and assist in appropriate
treatment. They have initiated an Early
Opioid Intervention Pilot with the goal of identifying injured workers' who
were being prescribed opioids prior to their workplace injury. 3-4% of new claims each month are falling
into this category, representing between 350-500 new claims each month.
Additionally, last July, the Dept. of L&I used
data collected through the state PDMP to inform and give insight to the
update of their Opioid Guidelines.
Kentucky and Washington have begun the conversion from mere data collection to meaningful action, and both States are reporting significant positive results from their efforts.
Which states will be next?
Michael
On Twitter @PRIUM1
On Twitter @PRIUM1
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