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

Emergency Physicians must balance under-treatment of pain with concerns about drug diversion and doctor shopping. Use of a state PDMP may help identify patients who are at high risk for prescription opioid diversion or doctor shopping… To quantify the effects of PDMPs, studies were conducted of ED providers who cared for adult patients with pain. Of the patients with complete data in one study, information from the state’s PDMP System altered prescribing practice in 41%. Knowledge of the information provided had an important impact.

ACEP - Annals of Emergency Medicine – 525
David Stengle

David Stengle

Chief Marketing Officer at Prescription Advisory
David is Prescription Advisory's Chief Marketing Officer. Software startups are his passion.

He also serves as the Director of Startup Grind Princeton and a mentor for the Princeton University eLab.
David Stengle
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