Each state however Missouri has operated a statewide prescription drug monitoring program for years. Now, the Present-Me state has come round to see the worth of extra superior monitoring managed substances amongst registered suppliers.
WHY IT MATTERS
Bamboo Well being, which develops applied sciences for behavioral well being and substance use problems, says it’s going to transition the prevailing Saint Louis County PDMP, which covers about 85% of the state, to a brand new statewide PDMP – and not using a sophisticated knowledge migration course of.
The state of Missouri pays $1.4 million to function Missouri’s new statewide PDMP, which can take in the county’s knowledge, in response to a report within the St. Louis Publish-Dispatch.
St. Louis County Division of Public Well being’s PDMP has used Bamboo Well being’s in-state pharmacy knowledge platform since 2016 with multistate knowledge sharing by means of PMP InterConnect added in 2021.
Bamboo advertises that its platforms present prescribers, dispensers and governments with real-time and regulatory-compliant PDMP knowledge.
The county established its personal program when the state was stalled in political impasse, and 75 native jurisdictions agreed to take part, in response to the story.
As soon as it established monitoring, the state’s total opioid prescriptions decreased from a median of 80.4 opioid prescriptions per 100 individuals in 2016 to 58.3 prescriptions per 100 individuals in 2019, per Facilities for Illness Management knowledge cited.
Regardless of the variety of opioid prescriptions falling, like others, the hard-hit state noticed overdoses enhance with a nationwide epidemic.
The state’s drug overdose dashboard signifies that non-heroin opioids, which embody fentanyl, a substance hardly ever examined for within the emergency room, had been answerable for the most important share of opioid overdose deaths throughout all age teams in 2021.
In July, Dean Linneman, employed as the manager director of Missouri’s PDMP in April 2022, advised native Fox4 that “Each alternative we now have to decrease the variety of drugs in circulation is a chance to save lots of a life.”
Missouri obtained $25.3 million of a complete $1.5 billion in federal opioid grants to all states and territories introduced in September.
THE LARGER TREND
Privateness considerations and gun possession have delayed the state of Missouri from transferring ahead with prescription drug monitoring.
Nevertheless, in 2020, it was one among three states with the best gun loss of life charges and quite a lot of nationwide and state-specific research have linked substance abuse with suicide and gun loss of life by suicide.
Whereas extra knowledge is required to show that mandated PDMP compliance applications lower opioid prescription diversion and physician procuring, new knowledge from the Workplace of the Nationwide Coordinator for Well being Info Know-how exhibits the needle is transferring on drug monitoring program efficacy.
ONC’s analysts mentioned that PDMP use was regular between 2019 and 2021, with 78% of doctor prescribers indicating they checked their state’s PDMP previous to prescribing managed substances to sufferers for the primary time.
ON THE RECORD
“There will likely be no legislation enforcement, there will likely be not even licensing boards within the state of Missouri that won’t have entry to that data,” Linneman advised Fox4 in July.
“Even the state, is not going to actually have entry to the patient-level data,” he mentioned.
Andrea Fox is senior editor of Healthcare IT Information.
Healthcare IT Information is a HIMSS publication.