While there are data exchange standards in place to share information between individual state PDMPs (also called PMPs) and standards to exchange information between Health IT System( eg. EHR, HIE (removed based on further clarification in the Use Case) , Pharmacy) there are no widely adopted standards for the flow of data from a PDMP to a Health IT System. As PDMP systems have evolved outside the health IT ecosystem, significant barriers to interoperability have resulted. One of the current technical barriers to interoperability is the lack of standard methods to exchange and integrate the prescription drug data available in PDMPs into health IT systems . There are a lack of common technical standards and vocabularies to enable PDMPs to share computable information with the health IT system that providers can use to support clinical decision-making.
To achieve interoperability, consistent and standardized electronic methods need to be established to enable seamless and secure data transmission between PDMPs and health IT systems.
Prescription drug misuse and overdose is one of the fastest growing health epidemics in the United States. One of the most promising clinical tools to address prescription drug abuse are prescription drug monitoring programs (PDMPs). PDMPs are state-run electronic databases – functioning in 48 U.S. states and territories – that track the prescribing and dispensing of controlled prescription drugs to patients.
Information within PDMPs is intended to enhance health care professionals' (e.g. physicians, pharmacists, dispensers, delegated authorities with legal authorization) understanding of their patients’ controlled substance history. While health care professionals see PDMPs as a valuable tool, they often do not use PDMPs because they are “stand alone” systems which are cumbersome and time consuming to access. When available at the point of care and point of dispensing, PDMP information can help health care professionals discern between patients who may need a controlled substance for legitimate medical treatment and those who may be seeking to misuse prescription drugs. It also provides an opportunity to intervene if there are signs of misuse and abuse. In some states health care professionals are required to check the PDMP prior to dispensing controlled substances. This underscores the need for PDMPs to share information with health IT systems in ambulatory and acute care settings.
Currently, many health care professionals must either interrupt their workflow and log on to a separate system to access the PDMP, or write and dispense prescriptions without consulting the PDMP- potentially leaving health care professionals without the information needed to make important clinical decisions. One way to improve and encourage PDMP access is to reduce the number of steps it takes to access the PDMP. Health IT systems can accomplish this by querying PDMPs for prescription information and presenting this information to health care professionals when they access a patient’s health record.
The purpose of this initiative is to bring together the PDMP and health IT system communities to standardize the data format, transport, and security protocols to exchange patient controlled substance history information between PDMPs and health IT systems. Doing so would enable health care professionals to make more informed clinical decisions through more timely, effective and convenient access to PDMP data in an effort to reduce prescription drug misuse and overdose in the United States. The specific goals are:
To allow system integrations that arm health care professionals with legal authorization with PDMP data as part of their normal clinical workflow by:
Out of Scope
Note – The below standards are a starting list for consideration and will be updated based on community feedback during Charter discussions and as use case requirements are further fleshed out. This is not a full list of all possible standards.
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Name | Role | |
---|---|---|
Johnathan Coleman | Initiative Coordinator | jc@securityrs.com |
Sherry Green | PDMP SME | sgreen586@gmail.com |
Mera Choi | ONC Lead | mera.choi@hhs.gov |
Jennifer Frazier | ONC Lead | Jennifer.Frazier@hhs.gov |
Helen Caton-Peters | ONC Lead | Helen.Caton-Peters@hhs.gov |
Tricia Lee-Wilkins | ONC Lead | Tricia.Wilkins@hhs.gov |
Jinhee Lee | SAMHSA Lead | Jinhee.Lee@samhsa.hhs.gov |
Kate Tipping | SAMHSA Lead | Kate.Tipping@samhsa.hhs.gov |
Jamie Parker | Project Management | jamie.parker@esacinc.com |
Saurav Chowdhury | Project Support | saurav.chowdhury@esacinc.com |
Taima Gomez | Project Support | taima.gomez@esacinc.com |