[MT-L] Magic 5.67 pp 25

[Bolduc, Patricia]

Hello,

Does anyone have a rule(s) to limit the quantiy of Opiods upon discharge?  The state of CT is implementing an act preventing prescription opiod diversion and abuse, one of the actionable items is no more than a seven day supply for adults or a five day supply for a minor will be prescribed.  How can we create a hard stop to prevent providers from prescribing too many? Also can this rule evaluate if the patient is an adult or minor?

 

We are just beginning implementing EPCS.

 

I would appreciate any feedback.

 

Thank you,

Patti Bolduc LPN

Clinical Systems Analyst

Eastern Connecticut Health Network, Inc.

71 Haynes Street

Manchester, CT  06040

Phone:  860 -646-1222 x3600

Fax: 860-647-6830

 

 

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[Dawn Blandford]

Good morning,

 

Please forward any information regarding this topic to me as well.

 

We are now beginning to review this process as well.  We are C/S 5.67 PP25.

 

Thanks,

Dawn

[Ventura, Andrew]

Hi,

 

I don’t have this built, but we did have a rule that warned providers when doing more than 99, because the default string was 10, and they’d click and type 20, thinking it overwrote 10, and ended up with 1020 tablets.

 

I would expect it would be pretty simple, and could pull the patient’s age into the rule logic. 

 

Have you had any particular difficulty with an RXM rule for this?

 

Thanks,

 

 

Andrew Ventura, Pharm.D, MBA

Pharmacy Informaticist, Information Systems

Augusta Health, Fishersville VA

C/S 5.67pp25

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[Chuck Bedel]

Not 100% sure on magic, however in C/S you can go into RXM customer defined data fields (ie the RXM keyword dictionary) and define one under category RX and call it something like z.qty and have it have the code:

@t.RXM.RX.order.qty

Then just write a very basic rule that looks at perhaps the control schedule, or maybe the drug type, or both, and the order qty, and make it a hard stop if the order qty is greater than blah.

Should be relatively easy I would think.

Chuck

—

Chuck Bedel, PharmD, RPh

Senior Consultant

The IN Group division of DrFirst_®

cbe...@drfirst.com

(513) 348-4961

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