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Publications
Publications
  • June 2020
  • Article
  • JAMA Network Open

Evaluation of Prescription Drug Monitoring Program Integration with Hospital Electronic Health Records by US County-Level Opioid Prescribing Rates

By: A Jay Holmgren and Nate Apathy
  • Format:Electronic
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Abstract

Prescription drug monitoring programs (PDMPs) have become a widely embraced policy solution to the opioid epidemic in the US. PDMPs offer prescribers a comprehensive view of patients’ controlled substance prescription history and can be used to monitor and reduce inappropriate opioid prescribing. However, poor usability and lack of integration with electronic health records (EHRs) have limited their effectiveness. Furthermore, without PDMP integration in EHRs, prescribers are forced to manage multiple disconnected software systems that interrupt clinical workflow, which may exacerbate technology-driven physician burnout and result in prescribers neglecting to check the PDMP before writing opioid prescriptions. Efforts to integrate PDMPs with EHRs may be associated with reduced prescriber burden and improved PDMP effectiveness; however, the extent to which this adoption has occurred remains unknown on a national scale in the US. Extant literature has focused on usability of PDMP systems rather than adoption and integration. PDMP integration rates are particularly important among hospitals, which are major sources of ambulatory care and thus potential opioid prescribing. Furthermore, hospitals in areas with high opioid prescribing rates may gain the most from PDMP integration efforts because physicians are more likely to provide treatment to patients with current or past opioid prescriptions in these regions. In this study, we assessed the level of EHR and PDMP integration in hospitals, comparing hospitals located in US counties with vs without high opioid prescribing rates.

Keywords

Prescription Drug Monitoring Programs; PDMPs; Electronic Health Records; Hospitals; Health Care and Treatment; Information Technology; Integration; Performance Evaluation

Citation

Holmgren, A Jay, and Nate Apathy. "Evaluation of Prescription Drug Monitoring Program Integration with Hospital Electronic Health Records by US County-Level Opioid Prescribing Rates." JAMA Network Open 3, no. 6 (June 2020).
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More from the Authors

    • 2022
    • JACC: Advances

    Investigating the Association Between Telemedicine Use and Timely Follow-Up Care After Acute Cardiovascular Hospital Encounters

    By: Mitchell Tang, A Jay Holmgren, Erin E. McElrath, Ankeet S. Bhatt, Anubodh S. Varshney, Simin Gharib Lee, Muthiah Vaduganathan, Dale S. Adler and Robert S. Huckman
    • March 2022
    • Journal of the American Medical Informatics Association

    Assessing the Impact of the COVID-19 Pandemic on Clinician Ambulatory Electronic Health Record Use

    By: A Jay Holmgren, Lance Downing, Mitchell Tang, Christopher Sharp, Christopher Longhurst and Robert S. Huckman
    • February 2021
    • JAMA Internal Medicine

    Assessment of Electronic Health Record Use Between U.S. and Non-U.S. Health Systems

    By: A Jay Holmgren, Lance Downing, David W. Bates, Tait D. Shanafelt, Arnold Milstein, Christopher Sharp, David Cutler, Robert S. Huckman and Kevin A. Schulman
More from the Authors
  • Investigating the Association Between Telemedicine Use and Timely Follow-Up Care After Acute Cardiovascular Hospital Encounters By: Mitchell Tang, A Jay Holmgren, Erin E. McElrath, Ankeet S. Bhatt, Anubodh S. Varshney, Simin Gharib Lee, Muthiah Vaduganathan, Dale S. Adler and Robert S. Huckman
  • Assessing the Impact of the COVID-19 Pandemic on Clinician Ambulatory Electronic Health Record Use By: A Jay Holmgren, Lance Downing, Mitchell Tang, Christopher Sharp, Christopher Longhurst and Robert S. Huckman
  • Assessment of Electronic Health Record Use Between U.S. and Non-U.S. Health Systems By: A Jay Holmgren, Lance Downing, David W. Bates, Tait D. Shanafelt, Arnold Milstein, Christopher Sharp, David Cutler, Robert S. Huckman and Kevin A. Schulman
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