2490972277_Healthcare Policy Concern-edited [revised}.docx

Practitioners to determine the source of challenges

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practitioners to determine the source of challenges and concerns in the population, as they can retrieve patient’s drug prescription history with the tool. Integration of the Prescription Drug Monitoring Program into electronic health records will further increase the efficiency of the tool. Electronic health record system is a central electronic database that will make it easier for many healthcare practitioners to access information, such as drug interaction, drug use and a particular prescription in a certain area. In addition to that, interstate sharing of information within their databases will provide a broader spectrum to examine mishandling and malpractices related to opioid use within a particular region of the state. Finally, the use of proactive alerts informs on suspicious prescription history, which will make it easy for a physician to make adjustments. Moreover, in such cases, the county government under the Department of Health in Missouri can intervene.
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HEALTHCARE POLICY CONCERN 7 The implementation of such a program as the Prescription Drug Monitoring Program that is used in monitoring the prescriptions of scheduled drugs like opioids promotes effectiveness in drug administration. The advantage of the program is that the Department of Health as well as nursing practitioners can easily access information about prescription and drug history ( Kolodny et al., 2015). Proper implementation of the program would minimize opioid-related issues and concerns within the population. After implementation of the PDMPs, one can observe increased effectiveness in observation and tracking of opioid prescribing activities, opioid-related mortality rates and opioid misuse and abuse. Nevertheless, the program has several drawbacks and challenges worth discussing. The PDMPs are state-regulated thus, the data is subject to retardation in terms of updates and frequent checks. Consistency and frequency of data usage and retrieval may also differ due to the fact that most states may need an evidence-based study and research prior to the use and prescription of opioids. On top of that, another major challenge that is consistent with organization change is flexibility or unwillingness of the staff to adapt to changes. Some healthcare professionals may not be willing to learn and implement the program. Some may be unwilling to implement the program because it may be intrusive to them. A study conducted by Kohlbeck et al. (2018) asserts that 63 percent of nurses interviewed about the PDMP program state that they do not understand how to register patients or retrieve data. Training and education is therefore a necessity for success of the program. Addressing the opioid crisis in Missouri is crucial and challenges to its implementation have to be addressed.
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