PAST Rx will Mitigate Risk

PAST’s Solution Improves PDMP Data

Most patients are not abusing or diverting their pain-killers. Some are. State PDMPs are supposed to help prescribers figure out which ones… but that has proven difficult and time-consuming. Our solution – PASTRx – significantly improves PDMP data, quickly helping eliminate or validate suspicion,  to help providers more confidently decide what medication should be or not be prescribed… not constrained by caution or policy.

Under the guidance of pain management practitioners who were frustrated by the time and effort necessary to derive support for clinical decisions from PDMP data, plus the support of several states and grants, we have developed the extremely affordable PASTRx system.

PASTRx Aggregates Multiple Data Sources

PASTRx aggregates PDMP data with additional sources, such as the CDC, NIH, & GeoMapping, and then applies unique algorithms and advanced visualization technology to analyze and interpret all the data, and then we produce and quickly deliver, within the clinical workflow, easily interpreted, graphical views of patients’ Controlled Substance prescription history faster, easier and more valuable than PDMPs alone.

PASTRx also includes four brief Risk Assessment Instruments, each for a specific type of patient and done in a couple of minutes, which will help providers determine if that patient is at risk for potential abuse or misuse of the pain medication that might be or has been prescribed. The AMA has reported that the administration of one of these instruments has allowed the submission of an amended E/M service for increased reimbursement.

P.A.S.T. will always be able to certify that a PASTRx report on a specific patient was produced for a particular requestor on a specific date. Note: we do not maintain data with names.

More Valuable than PDMPs Alone

PASTRx Clinical Decision Support more valuable than PDMPs alone:

  • Quickly and definitively substantiate or eliminate suspicion when treating new, even established patients presenting with pain
  • Documentation & Reports for Management and Inquiry
  • Help providers comply with Professional Guidelines & the Law
  • Reduce Risk and Protect Patients and Providers
  • Potential incremental revenue

Follow Prescription Advisory

Thirteen multi-state PDMP projects were sponsored in 2012-13. While providers indicated that PDMPs gave them more confidence for prescribing pain medication, the study concluded that the easier the data is to obtain, the more they will be used, and the safer the practice can be.


Substance Abuse & Mental Health Services AdministrationOffice of the National Coordinator for Health IT, & MITRE Corp

Whenever possible, orthopaedic surgeons should request and review old medical records and speak with the patient’s primary physician about past medication problems. Currently, states have Prescription Drug Monitoring Programs designed to assist law enforcement in the identification of doctor shoppers; these data are also accessible to physicians.

American Academy of Orthopaedic Surgeons, Now, March 2014
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