Bruce Gutelius>> Please keep these things in mind: the data in the system only goes
back three years, the data is not entered into the system in real-time, therefore, it
may take approximately one to two weeks for newly written prescriptions to show up on
a report. To create a patient report: Go to Orpdmp.com and click on “PDMP User Access
& Registration” on the left menu. Click on the “Provider’s Query Site Login.”
Click “login” and enter your user name and password. Read the liability statement
and check the box indicating that you accept these conditions. Select “recipient query”,
which is the correct choice for running a patient report. Enter the patient’s last
name. Enter the patient’s first name. Only enter the first three letters of the patient’s
first name unless they have a very common name, such as John Smith. Enter the patient’s
date of birth. Click the “submit” button. You will receive a list of matches for your
patient. Ensure that only your patient is selected. If you do not receive any matches,
change your search parameters. Leave the zip code and county fields blank. While broadening
the search can help you locate your patient, it may also bring up patients that are not
yours. Be careful to select only your patient when creating your report. Choose how you
would like the record sorted and click the “request” button. The patient report contains
information on: Date the medication was prescribed and dispensed, Quantity dispensed, Drug name,
Prescriber name, Pharmacy name and city, Patient’s name, DOB, address, and city. If you choose
to print out the report, you can store it in the patient’s medical record as long
as HIPAA privacy standards are met. Due to the dangers associated with the use of controlled
substances, the PDMP can be a powerful tool to help you assess and treat patients. We
recommend that you use the PDMP: When seeing new patients; When prescribing new controlled
substance medication therapies; When there is a “red flag”, such as a patient request
for an increase in medication or early refills; When seeing patients who have been on opioids
90 days or more; When prescribing medications that could present an overdose or adverse
reaction if combined with a controlled substance. We recommend that you cross check the patient
report with the information in the patient’s medical record. You may find prescriptions
from other prescribers or pharmacies you were unaware that your patient was using. If the
reports don’t match, you can share the PDMP report directly with your patient and ask
about those prescriptions which do not match. Other providers have found this useful to
begin a dialogue with other prescribers about coordinating a medication review for patients.
Here is one example of how the PDMP has initiated a conversation between prescriber and patient:
Voice actor for Dr. Weimer>> “Tracy” is a 45 year old female with a history of chronic
migraine and depression. She came to see me for an evaluation of her pain and to optimize
her pain management. After reading her record, I could see that she had been prescribed opioids
for many years. I could also see that she had multiple hospitalizations and trips to
the ER for migraine relief, typically getting treated with opioids. She had such high health
care utilization that she was a part of a special social work intervention at our hospital.
Despite this intervention and the efforts of her PCP, she continued to have high health
care utilization and opioid use. Part of my pain evaluation of patients includes a check
of the PDMP. During this routine check, I discovered that Tracy had been going to multiple
different dentists about every 3‐5 days over the last 3 months to receive Vicodin
or oxycodone in addition to the opioids she was getting from her PCP. I printed out her
PDMP results and showed them to her. She responded by saying, “Oh my god; I had no idea that
my problem had gotten this bad.” I expressed concern about her use of multiple providers
and multiple pharmacies and offered her treatment both with suboxone and outpatient addiction
treatment. That was 6 months ago. Today, Tracy has been successful in treatment, abstinent
from opioids, able to start caring for her family again, has improved depression, and
improved pain. Her multiple ER visits have ceased and she feels grateful for the PDMP
for shedding physical light on her opioid addiction.
Bruce Gutelius>> Creating a patient report provides you with a great tool to increase
patient safety when prescribing for your patients.