There is a drug epidemic sweeping the State of Maine and it continues to worsen each passing year. In 2017, the Maine legislature passed Public Law Chapter 488 to strengthen the controlled substance prescription monitoring program. An outpatient pharmacy, located in a large acute care hospital, created a performance improvement project to clarify opioid prescription and resolve any non-compliance with Chapter 488.
After a root cause analysis, several KPIs were established to include tracking the number of phone calls made by pharmacists to non-compliant providers to clarify scripts, provide one on one education and ultimately resolve non-compliance. Repeat offenders were also tracked and individually counseled.
Since hardwiring the new approach, a significant decrease in the percentage of opioid prescriptions requiring follow-up was achieved. Ongoing monitoring is planned to make sure compliance is maintained.
Lai, Andrea; Outpatient Pharmacy; Pelletier, Haley; Nayak, Suneela; Tyzik, Stephen; and Hanselman, Ruth, "Aligning Opioid Prescribing Pathways" (2017). Maine Medical Center. 6.
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