Prescription drug monitoring programs (PDMPs) are state-level electronic databases that track prescriptions for controlled substances such as opioids. (Reference 14) All 50 states and the District of Columbia have implemented PDMPs in an effort to improve risky opioid prescribing practice and keep patients safe and informed. (Reference 15)
In Michigan, the PDMP is the Michigan Automated Prescription System (MAPS). Michigan law requires that a query of MAPS be performed when an opioid supply of three days or more is prescribed for a patient. It is good practice to check MAPS prior to prescribing any opioid or controlled substance, regardless of duration.
We Can Make PDMPs More Effective
For PDMPs to be most effective, states must work together to improve accessibility, ease of use, and the transparency of PDMPs across state lines. Electronic interstate data sharing will aid in increasing PDMP data’s utility, enhancing patient care, and avoiding drug diversion and misuse. This is crucial as evidence suggests that patients cross state lines in order to seek pain management options and avoid detection by PDMPs.16 In addition, integration of EHR systems, real-time data updates, improved accessibility and ease of use, and access delegation are all critical facilitators that may help improve PDMP implementation and efficacy. (Reference 17)
Support Integration of PDMP access into the EHR
Integration may lead to greater efficiency by:
- Reducing the time and effort providers need to access patients’ prescription histories
- Allowing providers to both interact with patients and obtain pertinent information in one step
Use PDMPs before and after prescribing opioids
Once every quarter, the Michigan Department of Regulation and Licensing sends providers a report of the controlled substances they have prescribed for patients. To assess for ongoing use in patients who have received new opioid prescriptions, consider checking another MAPS report on the patients on your report.