Staff Report with Final Results: Texas State Board of Pharmacy Page: 14
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Sunset Advisory Commission
Software
integration would
streamline use
of the program,
allowing
pharmacists to
easily access
patient profiles.In Texas, many patients meet indicators for potential doctor or pharmacy
shopping, as shown in the textbox below. However, very little is done
with this information within the current system. In addition to visiting
numerous prescribers and pharmacies, many Texas patients have multiple
prescriptions for pain medications, with nearly 842,000 patients receiving
prescriptions for five or more painkillers concurrently in fiscal year 2015.28
These drugs have a high potential for abuse and illicit activity, and can also
have potentially harmful interactions for legitimate patients who receive
valid prescriptions from multiple prescribers. Flagging cases of obvious
concern would help pharmacists and prescribers ensure patients only receive
safe and valid prescriptions.
Patients With Potential Indicators for Doctor
or Pharmacy Shopping - FY 201529
Patients with controlled substance prescriptions from more than
five prescribers ............................................................................................180,783
Patients with controlled substance prescriptions from more than
10 prescribers..................................................................................................8,020
Patients with controlled substance prescriptions from more than
15 prescribers..................................................................................................1,180
Patients with controlled substance prescriptions from more than
five pharmacies in a three-month period ......................................................13,139
Patients with five or more concurrent pain medication prescriptions .........841,915
" Lack of software integration. Integrating the Prescription Monitoring
Program with dispensing software streamlines its use, allowing pharmacists
to easily access patient profiles without switching between software
programs. States are increasingly seeking to integrate their databases with
common pharmacy dispensing software. Ohio recently began a project
to integrate the system with dispensing software and electronic medical
records throughout the state.30 Additionally, some chain pharmacies
have opted to voluntarily integrate state databases with their software as
a matter of good business practice since encouraging pharmacists to use
the available information leads to better dispensing decisions.31 Texas'
program is not currently integrated with dispensing software, but the
pharmacy board reports that the new database has the capability to work
with many of the most commonly used products.The board should pursue
software integration to help make it easier for all pharmacies to regularly
use database information." No public information available. State prescription drug monitoring
programs hold the best source of data for understanding trends in prescribing
and dispensing of controlled substances. Making aggregate, de-identified
information available online and in reports is a best practice recommended
by the Center of Excellence, and some states make extensive data and
analyses available for public purposes. Texas lags far behind in this regard,
Texas State Board of Pharmacy Staff Report with Final Results
Issue 1June 2017
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Ogle, Steven; Schiff, Tamara; Hartley, Cee & Teleki, Katharine. Staff Report with Final Results: Texas State Board of Pharmacy, report, June 2017; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1033475/m1/38/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.