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  1. Current policies and practices:
    • Current practice is to follow state regulations; there aren’t any system level policies at this time
    • There is a prescription medication patient (treatment) agreement adopted by the Henderson office
    • State licensure requires review of PDMP (Prescription Drug Monitoring Program) before prescribing and documentation is needed to support this action
      • Early in 2019 a change with KASPER (Kentucky All Schedule Prescription Electronic Reporting) in Epic to auto pull a PDMP report
      • This made it easier for physicians to review the PDMP in Epic – “one-click” fix
    • e-Prescribing of schedule 2 – 5 narcotics was turned on in Epic Jan 2019
      • prior hand written scripts may or may not have been captured on the med list
      • systematic tracking of who has or has not adopted the technology is now available
      • although not mandatory at this time, Jan 2021 it will become with State & Federal
  2. Self- assessment questionnaire was completed in April
  3. Data Collection on patient population for Opioid Therapy
    • Historically there has been no data collection, but an Opioid Dashboard just went live in April 2019
  4. Access to Specialists and Other Resources
    • There are Pain Therapy Clinics now open in Owensboro, Madisonville, Ohio County, Anderson County and Muhlenberg County; also  Find Help Now KY is live
      • This is provided by Kentucky’s Office of the Governor, Cabinet for Health and Family Services, Kentucky Injury Prevention and Research Center as bona fide agent of Kentucky Department for Public Health, Kentucky Office of Drug Control Policy, and University of Kentucky; funded by CDC grant number 6NU17CE002732-03-02 in partnership with Operation UNITE
  5. Areas of Improvement
    • Create and review system level policies
      • need date on deadline of creation
      • need frequency of review (i.e. every six months)
    • Routinely analyze data collection from new dashboards
      • need frequency of data review (i.e. monthly)
    • Provide alternative therapy options (i.e. physical therapy)
    • Decrease MEDD’s (Morphine Equivalent Daily Dose) volume
    • Expand/Create New Dashboards for Opioids
    • Improve reporting relative to Opioids prescribed in the organization
      • Get all providers signed up for e-prescribing for schedule 2 – 5 narcotics preparing for new regulations in 2021
      • Evaluate a need for OHMG policy for mandatory e-prescribing for 2020 in preparation for 2021 regulations

 

Attachments

Prescription Medication Patient Treatment Agreement

This is adopted by the Henderson office