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I disgaree with PDMP before all RX. I prefer to retain the ability to use my noggin and discretion. Use it when I have concerns. Great tool but not every project needs the same tool
Sounds like if you are not using the PDMP as a resource on opiod rx , you are not using your Noggin, and like they say "discretion is the better part of valor"I disgaree with PDMP before all RX. I prefer to retain the ability to use my noggin and discretion. Use it when I have concerns. Great tool but not every project needs the same tool
just to be clear, y'all are advocating for pdmp for every single opioid rx; new, refill, acute, chronic, without exception? your stable pt you are seeing for the last 5 years, 100% compliant, prior normal UDT, no red flags, prior normal PDMP, recheck every RX? seems overkill IMO.
yes.just to be clear, y'all are advocating for pdmp for every single opioid rx; new, refill, acute, chronic, without exception? your stable pt you are seeing for the last 5 years, 100% compliant, prior normal UDT, no red flags, prior normal PDMP, recheck every RX? seems overkill IMO.
You're not charged by each time you access it, are you? And is your practice THAT busy that you can't do it?just to be clear, y'all are advocating for pdmp for every single opioid rx; new, refill, acute, chronic, without exception? your stable pt you are seeing for the last 5 years, 100% compliant, prior normal UDT, no red flags, prior normal PDMP, recheck every RX? seems overkill IMO.
Some states don't allow scanning into chart btwPretty much all, printed and scanned to their chart.
I started doing pdmp checks for every Rx. Overkill? Maybe, but until this Rx OD epidemic ends, I want to be the guy doing a little more than necessary, not the guy doing a little less. Especially, if your state allows delegates, just have your MA delegate pull it up and alert you of there's any names on there other than you. If not, document "consistent."just to be clear, y'all are advocating for pdmp for every single opioid rx; new, refill, acute, chronic, without exception? your stable pt you are seeing for the last 5 years, 100% compliant, prior normal UDT, no red flags, prior normal PDMP, recheck every RX? seems overkill IMO.
You're not charged by each time you access it, are you? And is your practice THAT busy that you can't do it?
If you are relying only on your patient being compliant with office visits, and you only have 1 UDT in these past 5 years, and you won't be checking the PDMP, that sounds like you have blinders on.
If it is part of the work you do and treatment decision, not charting is crazy. Unless the state says you have to check but cannot detail data in chart. I pity the states that are that fd up.Some states don't allow scanning into chart btw
Check your state PMP law, you might be surprised. Mine says you can check it, you can discuss it, you can document relevant portions in the chart, but specifically states you cannot give the printout to the patient (only a state PMP official can) and you cannot put the actual printout into the chart. I'm told the reason is that since others reading the charts may not be signed up for the PMP (such as nurses, other physicians, insurance agents and allied health people down the line) you're technically giving non-registered people access to it, it you put it in the chart for all of eternity. It kind of makes sense. I was very surprised to find out my state's PMP laws read like this, but it does. Check, you may be surprised.If it is part of the work you do and treatment decision, not charting is crazy. Unless the state says you have to check but cannot detail data in chart. I pity the states that are that fd up.
Check your state PMP law, you might be surprised. Mine says you can check it, you can discuss it, you can document relevant portions in the chart, but specifically states you cannot give the printout to the patient (only a state PMP official can) and you cannot put the actual printout into the chart. I'm told the reason is that since others reading the charts may not be signed up for the PMP (such as nurses, other physicians, insurance agents and allied health people down the line) you're technically giving non-registered people access to it, it you put it in the chart for all of eternity. It kind of makes sense. I was very surprised to find out my state's PMP laws read like this, but it does. Check, you may be surprised.
Check your state PMP law, you might be surprised. Mine says you can check it, you can discuss it, you can document relevant portions in the chart, but specifically states you cannot give the printout to the patient (only a state PMP official can) and you cannot put the actual printout into the chart. I'm told the reason is that since others reading the charts may not be signed up for the PMP (such as nurses, other physicians, insurance agents and allied health people down the line) you're technically giving non-registered people access to it, it you put it in the chart for all of eternity. It kind of makes sense. I was very surprised to find out my state's PMP laws read like this, but it does. Check, you may be surprised.