Prescription+Drug+Monitoring+Program+Initiative

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 * The work of this project is being consumed by the current PDMP & Heath IT Integration Initiative. Please see the PDMP & Health IT Integration Wiki for our current work. **

=Announcements= =Meeting Schedule= No further meetings are planned. =Initiative Overview= This project aims to use health IT to increase timely access to PDMP data in an effort to reduce prescription drug misuse and overdose in the United States.
 * Development and standards consensus work conducted under the Prescription Drug Monitoring Program (PDMP) S&I Framework Initiative project have been completed as of March 29, 2013. Sincere thanks to all who participated!
 * We have disabled the PDMP Google Groups Discussion Topics for further input at this time. A document of the conversational threads for discussion topics over the course of the initiative can be found on our Materials page.
 * Contact: Jennifer Frazier or Mera Choi
 * Connect PDMPs to health IT with existing technologies
 * Improve timely and accurate access to PDMP data
 * Establish standards for facilitating information exchange
 * Reduce prescription drug misuse and overdose in the United States

One of the technical barriers today is a lack of standards and protocols that both PDMPs and health IT both use currently. PDMPs evolved on their own outside the health IT ecosystem but now need connectivity to health IT to make them more valuable to physicians and pharmacists. This project seeks to identify the best means of reconciling these two worlds for seamless data transmission. In addition, many PDMPs today do not have a system-to-system interface. The need for a data transport protocol is essential to help the movement of the data between systems to automatically bring PDMP data into electronic health records. This initiative is seeking input on how best to both describe and transport this data, starting from the PDMP Work Group recommendations released in November 2012. =Background= In early 2011 a White House Summit was held to address one of the fastest growing public health epidemics: Prescription Drug Abuse. Prescription drug abuse is a serious and growing health concern in the United States and fatalities from drug overdoses now exceed that from automobile accidents. With sponsors that included the Chief Technology Officer of the United States and the National Coordinator for Health IT (Dr. Farzad Mostashari), the PDMP team was asked to address how health IT might be used to address the problem nationally. To accomplish this, the PDMP team identified ways to link information prescription drug history held in PDMPs to health care providers in emergency rooms, doctor’s offices, and pharmacies. The PDMP team moved aggressively to organize the stakeholders who make up the community and standup ‘as many pilots as possible’ to demonstrate the application of health IT in fighting prescription drug abuse.

Over the course of the year, the PDMP team mobilized 94 people across 53 organizations into 5 work groups to identify barriers and rapidly finalize recommendations to address the problem. Seven pilots of various types were successfully completed demonstrating the use of health IT to bring drug history to front line doctors and pharmacists. In the words of an emergency room physician - “I have to say that this is probably one of the more genius moves of the 21st century. . . having easy access to [the PDMP] without going to a totally different website, and have it pop up instantly, has taken a lot of time off of decision making for me.” The pilots found immediate improvement to the patient care process was achieved by leveraging technology to enable PDMP query and processing tasks.

Suggested Reading:
(These may also be found in the "Materials" section) = =
 * 1) PDMP Overview
 * 2) PDMP Phase 1 Results
 * 3) PDMP Work Group Recommendations

=Contacts= Rick Cagle

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