“Enhancing Access” Pilot Reports

 ONC led development of a series of pilots to test different technical solutions ranging from electronic prescribing tools to connecting PDMPs with HIEs. This was done to improve provider access to PDMP data. ONC released white papers which detail pilots’ design and outcomes, and highlight personal anecdotes from health care providers who reflected on the success integration had on their practice. 

Phase 1: Six Pilot Studies and Their Impact [PDF - 839 KB]

State Setting Pilot Summary
Indiana (IN1) Emergency Dept
  • Automated query to PDMP upon patient admission to ED
  • PDMP data integrated into EHR

Read the Full Report [PDF - 549KB]
Indiana (IN2) Ambulatory
  • Unsolicited PDMP reports sent via Direct

Read the Full Report [PDF - 638KB]
Michigan (MI) Ambulatory
  • Automated query to PDMP to create integrated prescription history and alerts

Read the Full Report [PDF - 409KB]
North Dakota (ND) Pharmacy 
  • Automated query to PDMP using an existing benefits management switch

Read the Full Report [PDF - 528KB]
Ohio (OH)Ambulatory Ambulatory
  • Automated query to PDMP upon appointment scheduling and patient check-in
  • Patient risk score and a link to PDMP details displayed in EHR

Read the Full Report [PDF - 547KB]
Washington (WA) Opioid Tx program
  • Hyperlink to PDMP within EHR 

Phase 2: Connecting for Impact: Integrating Health IT and PDMPs to Improve Patient Care [PDF - 3 MB]

State Setting Pilot Summary
Illinois (IL) Emergency Dept
  • Automated query via intermediary and interstate hub to PDMP upon patient admission to ED
  • PDMP data integrated into EHR as a PDF via a Direct message 
Indiana (IN) Emergency Dept
  • Automated query via HIE to multiple states’ PDMPs upon patient admission to ED
  • Patient risk score and PDMP data integrated into EHR
Kansas (KS)  Providers & Pharmacists 
  • Unsolicited report of at-risk patients sent via Direct to EHR-integrated mailboxes
Michigan (MI) Ambulatory
  • Automated query via e-Prescribing software to multiple states’ PDMPs  and result integrated in patient’s med history
Nebraska (NE) Emergency Dept
  • Automated query via HIE to PDMP upon pt admission to ED 
  • Easy access to PDMP with SSO
  • PDMP data integrated into EHR
Oklahoma (OK) Emergency Dept & Ambulatory 
  • Established PDMP access directly though an HIE 
  • Developed a SSO from the EHR through the HIE to the PDMP
  • Alert flag representing the PDMP data
Tennessee (TN) Pharmacy
  • Real-time reporting of dispensing controlled substance data to the PDMP using an existing network