Table 2.
Comparison of Prescription Drug Monitoring Program searches before and after electronic health record integration, by specialty or professional degree
| Specialty/Professional Degree | Providers | Period | Totals Searches | Δ % Searches | Prescription Count | Δ % Rx | Patient Count | Δ % Patients | Mean MME/ prescriber | Δ % MME |
|---|---|---|---|---|---|---|---|---|---|---|
| Total | 3,185 | Pre-integration | 208,684 | 115,676 | 62,009 | 36,221 | ||||
| Post-integration | 298,478 | 43.0 | 110,066 | −4.8% | 58,853 | −5.1% | 34,255 | −5.4 | ||
| Anesthesia, pain, PM&R | 74 | Pre-integration | 7,845 | 5,862 | 1,875 | 139,445 | ||||
| Post-integration | 11,792 | 50.3 | 5,547 | −5.4% | 1,698 | −9.4% | 124,947 | −10.4 | ||
| Clinical nurse specialist | 308 | Pre-integration | 18,401 | 11,538 | 5,840 | 46,387 | ||||
| Post-integration | 31,372 | 70.5 | 11,252 | −2.5% | 5,802 | −0.7% | 44,335 | −4.4 | ||
| Dental and oromaxillofacial | 20 | Pre-integration | 4,885 | 1,456 | 1,234 | 16,836 | ||||
| post-integration | 3,423 | −29.9 | 1,537 | 5.6% | 1,306 | 5.8% | 17,040 | 1.2 | ||
| Emergency medicine | 228 | Pre-integration | 6,455 | 4,376 | 4,338 | 1,840 | ||||
| Post-integration | 13,390 | 107.4 | 4,203 | −4.0% | 4,163 | −4.0% | 1,668 | −9.3 | ||
| Family medicine | 135 | Pre-integration | 30,278 | 9,756 | 3,600 | 83,186 | ||||
| Post-integration | 39,471 | 30.4 | 9,194 | −5.8% | 3,360 | −6.7% | 80,658 | −3.0 | ||
| General surgery | 131 | Pre-integration | 2,679 | 3,037 | 2,790 | 3,925 | ||||
| Post-integration | 3,685 | 37.6 | 2,837 | −6.6% | 2,609 | −6.5% | 3,766 | −4.0 | ||
| Internal medicine | 1,124 | Pre-integration | 97,051 | 47,808 | 17,738 | 56,231 | ||||
| Post-integration | 134,653 | 38.7 | 46,855 | −2.0% | 17,668 | −0.4% | 54,121 | −3.8 | ||
| Missing/other | 265 | Pre-integration | 1,639 | 2,805 | 2,277 | 3,831 | ||||
| Post-integration | 1,784 | 8.8 | 2,649 | −5.6% | 2,115 | −7.1% | 3,719 | −2.9 | ||
| Obstetrics and gynecology | 228 | Pre-integration | 1,907 | 2,692 | 2,538 | 2,026 | ||||
| Post-integration | 2,583 | 35.4 | 2,537 | −5.8% | 2,391 | −5.8% | 1,783 | −12.0 | ||
| Orthopedic surgery | 180 | Pre-integration | 24,017 | 12,249 | 9,739 | 23,350 | ||||
| Post-integration | 30,853 | 28.5 | 10,407 | -15.0% | 8,142 | -16.4% | 18,986 | -18.7 | ||
| Pediatrics | 38 | Pre-integration | 241 | 320 | 197 | 9,961 | ||||
| Post-integration | 579 | 140.2 | 342 | 6.9% | 172 | −12.7% | 11,878 | 19.2 | ||
| Physician assistant | 121 | Pre-integration | 5,393 | 3,418 | 2,752 | 14,339 | ||||
| Post-integration | 10,982 | 103.6 | 3,133 | −8.3% | 2,503 | −9.0% | 13,245 | −7.6 | ||
| Psychiatry and neurology | 106 | Pre-integration | 3,296 | 3,196 | 771 | 53,524 | ||||
| Post-integration | 8,402 | 154.9 | 2,583 | −19.2% | 681 | −11.7% | 46,573 | −13.0 | ||
| Specialty surgery | 227 | Pre-integration | 4,597 | 7,163 | 6,320 | 7,080 | ||||
| Post-integration | 5,509 | 19.8 | 6,990 | −2.4% | 6,243 | −1.2% | 6,649 | −6.1 |
MME = morphine milligram equivalents. Δ % = percent change.