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PDMP

Posted By Administration, Tuesday, October 28, 2014

Prescription Drug Monitoring... Are You Willing to Go the Extra Mile?

By Brian Bowles, MAOPS Executive Director

 

MAOPS has supported a prescription drug monitoring plan (PDMP) in Missouri for the last four legislative sessions. As most are aware, Missouri remains the only state without a PDMP. What many may not be aware of is that some states that have them lack the funds to maintain them, rendering the programs ineffective. Missouri might receive the bad press associated with not having what many feel is an essential program, but is it any worse than having a program that cannot be funded?

Five years ago, MAOPS opposed a state mandated PDMP. Members from around the state were beginning to contact the Central Office asking, “Why?” Prescription drug abuse was rampant, and patients were doctor shopping. Shouldn’t we support something that would prevent this? We conducted a survey, and the majority of members said they wanted a PDMP. The Legislative Committee, Board of Trustees and House of Delegates considered member input and voted unanimously to support a PDMP.

Since that time, a PDMP has been proposed by the state legislature annually. Each year, it has been defeated. Ironically, two primary opponents of such a program are physicians – Sen. Rob Schaaf, M.D, and Rep. Keith Frederick, D.O. Both cite civil liberties as their reasons for opposing such a bill. Do we want the government to have such easy access to our (that’s you and me!) prescription history? Could they use that information negatively at some time? Could such a system be breached? These are solid arguments in opposition of a PDMP, especially in light of several similar security breaches in the recent past. In fact, these are the exact reasons MAOPS opposed a PDMP in the past.

At a recent symposium I attended, Dr. Schaaf had an interesting question that I think we need to answer as an organization and a profession: “If we had a PDMP, would you be willing to be mandated to report your prescribing of controlled substances?” Typically, MAOPS and other like organizations advocate against further burdens on physician time. However, if our organization advocates for a prescription drug monitoring program, yet also doesn’t want our members accountable for reporting, does that make us somewhat hypocritical? I ask for your feedback on this important issue.

 

Please take this brief three question survey, and let us know your thoughts on this important issue. MAOPS Legislative Committee and Board of Trustees will use the results to develop further policy.

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David E. Tannehill DO says...
Posted Wednesday, October 29, 2014
Why must the reporting mandate be on the physician - who already keeps records of controlled substance prescriptions? Can't that responsibility fall to the entity (ie Pharmacy) that dispenses the controlled substance?
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