Beginning Saturday, April 1, all practitioners who prescribe controlled substances will be required to use the Wisconsin enhanced Prescription Drug Monitoring Program (WI ePDMP). This latest requirement comes from 2015 Act 266, which is a piece of the Heroin, Opioid, Prevention and Education (HOPE) Agenda.

“This new requirement is imperative in ensuring that we continue to prevent opioid abuse,” said Governor Walker. “We have made great strides thus far, and the implementation of this legislation will continue to help us fight the misuse, abuse, and diversion of controlled prescription drugs.”

While some practitioners have voluntarily been using the system since its inception in 2013, law did not require them to do so.

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Effective monitoring systems [PDMPs] will augment clinical judgment, provide evidence of misuse, and facilitate prescription of the most appropriate analgesic for the situation…The Emergency Department is regarded as the nation’s safety net…the last bastion of around-the-clock access to care … Unfortunately, some of the solutions to opioid misuse [limiting ED physicians to 3-day opioid prescriptions] preempts judgments from trained emergency medical providers.

American College of Physicians, Annals of Internal Medicine, 9 April 2013

When a clinician is prescribing a controlled substance, readily available information about the drugs that a patient is receiving from other providers can be a critically important component of the decision-making process…Increasingly, these [PDMP] programs have evolved into a useful tool for the clinician who must incorporate careful risk management into the prescribing of opioid analgesics or any other controlled substance.

Increasingly, these programs have evolved into a useful tool for the clinician who must incorporate careful risk management into the prescribing of opioid analgesics or any other controlled substance Prescription Drug Monitoring Programs Serve a Vital Clinical Need.

Editorial  Pain Medicine, The American Academy of Pain Medicine; 2011;12:845
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