PDMP Information for PowerChart

On March 1, 2020, the requirement will go into effect for pharmacists and prescribers to check the Prescription Drug Monitoring Program (PMP) history before dispensing or prescribing opioids, benzodiazepines, barbiturates, or carisoprodol. To make this easier and improve compliance, we are bringing the PDMP information to PowerChart via the MPages.

There is a new component on all provider-facing MPages that will launch a new window linking out to the state PDMP. This link does not require additional credentials. It is updated real time as the state PDMP is updated with new prescriptions.

Things you need to know:

• Providers MUST click the “View Drug Report” link for the state to keep record that the PDMP was accessed prior to writing a prescription. Just looking at the score on the MPage does not count.

• The report gets more specific as providers move down the page (see examples on page 2).

• There are tutorials and informational links throughout the drug report that link out to information like how the NarxScore is calculated or what the Overdose Risk Score means.

• The last digit in the score means that there are that many current, active prescriptions of that type for this patient. (ex: 839 narcotics score from the picture above = 9 active narcotic prescriptions)

How to document you consulted PDMP in your Note

Dynamic Documentation Users:

The EMR Team has created a global autotext of “;substancescreening” for you to add to the appropriate section of your note. You will notice when you enter the autotext, it will pull in the statement “Review of opioid prescriptions performed and screening for SUD completed.” Please add this autotext to your personal list to ensure you use it when necessary.

Powernote Users:

In the Medicare Annual Wellness Exam encounter pathway, the EMR Team has added the verbiage of Review of Opiod Use as a required field to complete the note in the Review Management section. Please select the statement of “Review of opioid prescriptions performed and screening for SUD completed” when appropriate.

Medication History Snapshot

• Provides static views of a patient’s home medication list at known points in time
• Ability to compare the patient's home medication list at the time they were admitted to after discharge
•  View home medication changes from recent Inpatient visits
•  See how the patient’s home medication treatments may have changed over time (for example, dosage changes.)

New Medication History Snapshots are created when any of the following actions are taken:

• A prescription or documented home medication order is signed
• Home medication compliance status is added or modified
• The Document Medication by Hx conversation is signed (includes No Known Home Medications or Use Last Compliance)
• The medication history status is reset
• Discharge Medication Reconciliation is signed

Accessible from all PowerOrders navigator views & Documenting Medications by Hx:

Select Orders from the Menu on the left hand side and the Medication History Snapshot is below Medication History

Click Document Medication by History and expand the Document Medication by Hx button:

The Medication History Snapshot will now be visible

Each snapshot has a header row that specifies the date and time it was generated as well as the user who took an action that resulted in the snapshot being generated

The Medication History Snapshot only includes the list of documented home medications and prescriptions that were active at the time the snapshot was created

Inpatient and ambulatory in-office medications are NOT included

You can change the time frame by selecting This Visit, 6 months, 1 year, or All Visits.

Snapshots can be expanded by clicking the black triangle:

Clicking an order will open the Order Information screen for that specific order

Medication History Snapshot Handout

Titration Drip Update: Pedi Vasoactive Medications