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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

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A call for a statewide medication reconciliation program.

Elizabeth Askin¹, David Margolius

¹University of California, San Francisco, 1545 Divisadero St, San Francisco, CA 94115.

The American Journal of Managed Care

|May 31, 2017

Summary

Primary care providers struggle to track patient medications due to fragmented health records. Expanding prescription drug monitoring programs to all medications could improve patient safety and informed prescribing.

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Area of Science:

Health Informatics
Public Health Policy
Pharmacovigilance

Background:

Accurate medication reconciliation is a significant challenge in outpatient settings.
Electronic health records often lack comprehensive, up-to-date patient medication lists.
Information gaps arise from fragmented care across specialists, hospitals, and pharmacies.

Purpose of the Study:

To highlight the difficulties in tracking patient prescriptions in primary care.
To propose a policy solution for improving medication information accessibility.
To enhance patient safety through better-informed prescribing.

Main Methods:

Analysis of current challenges in outpatient medication management.
Review of existing Prescription Drug Monitoring Programs (PDMPs) for opiate prescriptions.
Proposal for policy expansion of PDMPs to include all medications.

Main Results:

Current systems fail to consolidate medication data effectively for primary care physicians.
Prescription Drug Monitoring Programs (PDMPs) successfully track opiate prescriptions, including prescriber and dispensing details.
A significant gap exists in real-time medication data for non-opiate prescriptions.

Conclusions:

Expanding Prescription Drug Monitoring Programs (PDMPs) to all medications is crucial.
This policy change would provide prescribers with a more complete medication history.
Improved medication awareness can lead to safer prescribing practices and better patient outcomes.