Nebraska Physician Ebook Continuing Education

Nebraska PDMP Clinician User Guide

3. Medications from other states are indicated in the “ State ” column. 3. Medications from other states are indicated in the “ State ” column.

b. The bar graph is interactive and clicking on the bars will expand their respective details. 4. MME Alert – HIE Medication History (If viewed through Clinical Viewer) a. The MME Alert in the HIE displays the average MME for the previous 90 days b. The # of days the MME has been over 90 within the previous 90 days c. The highest MME value within the previous 90 days Morphine Equivalents 1) MME converts the strength and amount of a prescribed opioid into an equivalent amount of morphine in milligrams. 2) MME Alert – PDMP Portal a. The MME Alert in the PDMP portal displays the average MME for the previous 7 days. 3) MME Drill Down – PDMP Portal a. In the MME Alert drill-down there is an option to toggle the last 30-days or 7-days filter on the upper right-hand corner. b. The bar graph is interactive and clicking on the bars will expand their respective details. 4) MME Alert – HIE Medication History (If viewed through Clinical Viewer) a. The MME Alert in the HIE displays the average MME for the previous 90 days b. The # of days the MME has been over 90 within the previous 90 days c. The highest MME value within the previous 90 days Nebraska PDMP Clinician User Guide

PDMP Portal

HIE Medication History

PDMP Portal

HIE Medication History

Clinical Alerts

Clinical Alerts

There are three clinical alerts that may be triggered when performing a patient query: 1. Morphine Milligram Equivalent (MME) Assessment 2. Multiple Provider Episodes 3. Overlapping Benzodiazepine/Opioid Prescriptions Hovering over the alert will present basic information about the alert and pro- vide useful links. Clicking on the alert will produce more detailed information specific to the patient including interactive graphs. There are three clinical alerts that may be triggered when performing a patient query: 1) Morphine Milligram Equivalent (MME) Assessment 2) Multiple Provider Episodes 3) Overlapping Benzodiazepine/Opioid Prescriptions Hovering over the alert will present basic information about the alert and provide useful links. Clicking on the alert will produce more detailed information specific to the patient including interactive graphs. Nebraska PDMP Clinician User Guide

Clinical Alerts

There are three clinical alerts that may be triggered when performing a patient query: 1) Morphine Milligram Equivalent (MME) Assessment 2) Multiple Provider Episodes 3) Overlapping Benzodiazepine/Opioid Prescriptions Hovering over the alert will present basic information about the alert and provide useful links. Clicking on the alert will produce more detailed information specific to the patient including interactive graphs.

Nebraska PDMP Clinician User Guide

Multiple Provider Alert 1. The multiple provider alert is triggered when there are dispenses of opioid prescriptions by 5 or more prescribers or pharmacies within the last 180 days (6 months) a. Multiple provider episode alerts are accompanied by two boxes in which the top represents prescribers, and the bottom represents pharmacies. Multiple Provider Alert 1) The multiple provider alert is triggered when there are dispenses of opioid prescriptions by 5 or more prescribers or pharmacies within the last 180 days (6 months) a) Multiple provider episode alerts are accompanied by two boxes in which the top represents prescribers, and the bottom represents pharmacies. Multiple Provider Alert 1) The multiple provider alert is triggered when there are dispenses of opioid prescriptions by 5 or more prescribers or pharmacies within the last 180 days (6 months) a) Multiple provider episode alerts are accompanied by two boxes in which the top represents prescribers, and the bottom represents pharmacies. Page | 28 Page | 30

Nebraska PDMP Clinician User Guide

If an alert is triggered (positive) the alert displays red instead of green: If an alert is triggered (positive) the alert displays red instead of green:

If an alert is triggered (positive) the alert displays red instead of green:

2) Multiple Provider Drill Down

2. Multiple Provider Drill Down a) Click on the alert to view the report. b) See the upper right-hand corner to toggle between viewing the last 3 or 6 months of data. 2) Multiple Provider Drill Down a) Click on the alert to view the report. b) See the upper right-hand corner to toggle between viewing the last 3 or 6 months of data. a. Click on the alert to view the report. b. See the upper right-hand corner to toggle between viewing the last 3 or 6 months of data.

c) There is the option to expand or collapse the provider details.

Morphine Equivalents 1. MME converts the strength and amount of a prescribed opioid into an equivalent amount of morphine in milligrams. 2. MME Alert – PDMP Portal a. The MME Alert in the PDMP portal displays the average MME for the previous 7 days. 3. MME Drill Down – PDMP Portal a. In the MME Alert drill-down there is an option to toggle the last 30- days or 7-days filter on the upper right-hand corner. Page | 29

c) There is the option to expand or collapse the provider details.

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