The Use of Prescription Monitoring Programs to Reduce Opioid Diversion and Improve Patient Safety

Laura MorganLaura Morgan, PharmD, MEd, BCPS, is Associate Professor of Pharmacotherapy and Outcomes Science, School of Pharmacy; Michael Weaver, MD, FASAM, is Professor of Internal Medicine and Psychiatry, School of Medicine; and Zabe Sayeed, MD, was a Fellow in Psychosomatic Medicine at time of authorship, Virginia Commonwealth University, Richmond, Virginia, USA. Ralph Orr is Director, Prescription Monitoring Program, Virginia Department of Health Professions, Richmond Virginia, USA.Correspondence[email protected]

Michael WeaverLaura Morgan, PharmD, MEd, BCPS, is Associate Professor of Pharmacotherapy and Outcomes Science, School of Pharmacy; Michael Weaver, MD, FASAM, is Professor of Internal Medicine and Psychiatry, School of Medicine; and Zabe Sayeed, MD, was a Fellow in Psychosomatic Medicine at time of authorship, Virginia Commonwealth University, Richmond, Virginia, USA. Ralph Orr is Director, Prescription Monitoring Program, Virginia Department of Health Professions, Richmond Virginia, USA.

Zabe SayeedLaura Morgan, PharmD, MEd, BCPS, is Associate Professor of Pharmacotherapy and Outcomes Science, School of Pharmacy; Michael Weaver, MD, FASAM, is Professor of Internal Medicine and Psychiatry, School of Medicine; and Zabe Sayeed, MD, was a Fellow in Psychosomatic Medicine at time of authorship, Virginia Commonwealth University, Richmond, Virginia, USA. Ralph Orr is Director, Prescription Monitoring Program, Virginia Department of Health Professions, Richmond Virginia, USA.

Ralph OrrLaura Morgan, PharmD, MEd, BCPS, is Associate Professor of Pharmacotherapy and Outcomes Science, School of Pharmacy; Michael Weaver, MD, FASAM, is Professor of Internal Medicine and Psychiatry, School of Medicine; and Zabe Sayeed, MD, was a Fellow in Psychosomatic Medicine at time of authorship, Virginia Commonwealth University, Richmond, Virginia, USA. Ralph Orr is Director, Prescription Monitoring Program, Virginia Department of Health Professions, Richmond Virginia, USA.

ABSTRACT

An increase in the prescribing of opioids in an effort to improve management of chronic pain has led to enhanced availability of controlled substances for diversion and abuse. Evidence suggests that the use of prescription monitoring programs (PMPs) may help curtail this growing public health issue. The current use of PMPs varies widely from state to state but there have been important changes improving interconnectivity of PMPs across states. This paper describes current data on the effect of prescription monitoring programs on reducing abuse and diversion of controlled substances. It also offers suggestions on how PMPs may be incorporated into practice and clinical decision-making to ensure appropriate pain management and patient safety.

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The Use of Prescription Monitoring Programs to Reduce Opioid Diversion and Improve Patient Safety

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