Table 2.
Summary of findings
| Theme | Issues | Consensus recommendations |
|---|---|---|
| Systems and tools to support patient management. |
Lack of tools and staff support for tracking patients. Inadequate tools for assessing patient fit with medication treatment options. |
States adopt alert system as part of prescriber monitoring system for missed prescription refills. Increase investment in developing decision-support tools for assessing the best treatment options for a patient. |
| Integration of behavioral health with prescribing. |
Whether counseling should be required. Inadequate communication between prescriber and counselor. Timely access to psychiatrists. |
Professional associations establish a policy that counseling should be encouraged but not required. Treatment programs proactively secure patients’ permission for information exchange between prescriber and counselor. States establish a web-based clearinghouse for psychiatry services. |
| Implications of patient volume for effective patient management. | Whether volume thresholds are useful. | State agencies offer guidance to prescribers on appropriate patient volume based on resource availability. |
| Role of telehealth. | Whether telehealth can fully replace in-person visits for prescriptions. | Professional associations recommend continuation of periodic in-person visits as part of the prescribing schedule. |