Preventing Prescription Drug Overdose in Hawai`i
What is the Hawai`i Prescription Monitoring Program?
The Hawai`i Prescription Monitoring Program (PMP) is an online system that allows medical providers — both prescribers and pharmacists — to monitor patients’ prescriptions for Schedule II-IV controlled substances, to help prevent prescription drug misuse, and improve quality of care.While PMPs alone are not enough to reduce overdose rates or deaths, they are among the most promising clinical tools available to address prescription drug abuse (DHHS 2013). They have been shown to improve clinical decision-making, reduce doctor shopping and diversion of controlled substances, and help curb the prescription drug abuse epidemic (PDMP COE 2014).
Who Can Use the PMP?
Licensed prescribers and pharmacists can Register Here to gain access to this free online system.
Why Should Prescribers Use the PMP?
- Improve patients’ quality of care, particularly when patients are being treated by more than one provider
- Support access to legitimate medical use of controlled substances
- Prevent drug abuse and diversion
- Identify patients who may be addicted to prescription drugs and help them get treatment
- Increase confidence in prescribing or denying controlled substances
What is the Concern for Hawai`i?
- In recent years, drug poisonings have surpassed motor vehicle crashes as the leading mechanism of injury death in Hawaii.
- Each year in our state, drug poisonings are responsible for an average of 155 deaths and 4,500 hospital treatments.
- Pharmaceutical opiates are involved in at least 41% of fatal drug poisonings and 12%-20% of nonfatal drug poisonings.
More Information About this Public Health Problem and Your Role as a Medical Provider
- CDC’s Injury Center, Prescription Drug Overdose — Surveillance data, guidelines for prescribing opioids, policy impact, state laws, prevention activities, related publications
- Centers of Excellence for Physician Information (NIH) — Course materials on a diverse set of topics, including prescription drug abuse, created through a partnership between the National Institute on Drug Abuse (NIDA) and eight medical universities.
- Current Hawai`i State Laws
- TEMPLATE for Hawaii’s Informed Consent For Opioid Prescribed Pills Form
- Medline Plus (NIH) — Facts, tools, resources, and references that address the problem, diagnosis/symptoms of addiction, treatment, prevention/screening.
- Opioid Overdose Prevention Toolkit – 2014 (Substance Abuse and Mental Health Services Administration) — Aimed at communities and local governments, this kit includes materials to develop policies and practices to help prevent opioid-related overdoses and deaths. Addresses issues for first responders, treatment providers, and those recovering from opioid overdose.
- TakeAsDirected (Washington State Department of Health) — resources, course materials, assessment tools, and guidelines for healthcare providers and subpopulations
More Information About the Effectiveness of Prescription Drug Monitoring Programs
- Briefing on PDMP Effectiveness, Updated September 2014 (Prescription Drug Monitoring Program Center of Excellence at Brandeis)
- Prescription Drug Monitoring Programs: An Assessment of the Evidence for Best Practices, September 2012 (The PEW Charitable Trusts)
- Research Update: State prescription drug monitoring programs and drug overdose deaths. June 2012 (CDC’s Injury Center)
For more information on how Hawaii is Preventing Prescription Drug Overdose go to the Strategy, Projects and Community Collaborations section in the Information On Poisoning Prevention tab
Tammie Healani Hoapili Smith MPH – Data Driven Prevention Initiative Coordinator