His professional memberships include the American Association for Physician Leadership, American Medical Association, Massachusetts Medical Society, Society for Perioperative Assessment and Quality Improvement, and American Telemedicine Association.ĭan Seltzer is a senior analyst in the Professional Services Division responsible for operationalizing clinical guidelines driving our toolkits. Bagdasian was among the select physicians named to Castle Connolly's 2017 Top Doctors list. With more than 25 years of clinical experience, Dr. He is also an advocate for EHR safety and serves on MEDITECH's Patient Safety Review Board. Bagdasian supports the implementation of MEDITECH's Expanse platform through our READY and CLPP programs. Join your fellow healthcare leaders and executives for an interactive new leadership event.īryan Bagdasian MD, MMM joined MEDITECH in July 2013 as a physician informaticist specializing in standard content and clinical decision support. Making prescribing history and guidelines available at the point of care is a step toward achieving these goals, proving how EHRs can help providers and patients make the most effective and safest treatment decisions. This is one example of how our approach to building solutions is aligned with the Institute of Medicine’s (IOM) STEEEP principles: Safe, Timely, Effective, Efficient, Equitable, and Patient-centered care. They also identify prescribing trends that hospitals and health systems can use to address potential problems.įrom what we’ve observed with MEDITECH customers who utilize our opioid toolkit and direct connection to Prescription Drug Monitoring Program (PDMPs) within the Expanse workflow, prescribers are more likely to recommend safer courses of treatment, such as non-opioid options or lower starting dosages. PDMPs help prevent prescription “shoppers”, who attempt to get multiple doctors to administer or prescribe opioids. That means prescribers can make more informed decisions about what to give their patients. Over the last few years, all 50 states have established Prescription Drug Monitoring Programs (PDMPs) - including an increase of almost 20 states since 2018. Additionally we’ve built functionality within Expanse so organizations can set their own opioid prescribing guidelines for providers to follow. We’ve also deployed opioid toolkits and Business and Clinical Analytics dashboards so health systems can review and respond to trends on the clinic floor and in the wider community. With that data, prescribers can quickly determine the appropriate course of treatment for each patient. How CDS can alert prescribers to the need for interventionsĪt MEDITECH, we’ve further refined our solutions to meet these goals, including an opioid risk tool that generates an assessment score as the physician enters a patient’s drug and alcohol history prior to prescribing any opioids for chronic pain.How EHRs can collect the information that drives clinical decision support (CDS).How technology can measure and monitor prescribing patterns.These recommendations - aimed at improving how technology supports responsible prescribing - fall under three main categories: In our work supporting responsible opioid stewardship, we’ve contributed to ongoing efforts to address opioid addiction and misuse from the clinical side, including the Electronic Health Record Association’s Opioid Crisis Taskforce and ECRI Institute’s 2019 Measures and Clinical Decision Support for Safer Opioid Prescribing: Recommendations and Implementation Strategies. Helping prescribers make the right decisions Now that clinicians can hold in-person appointments again, they can more effectively determine the patient’s condition and decide the most appropriate response.Īnd as the CDC considers updating its prescribing guidelines to eliminate suggested prescribing thresholds measured in morphine milligram equivalents (MMEs), organizations will need the ability to set their own dose limits within the EHR to reduce the potential for overprescribing. The 15 percent increase over last year followed a 30-percent spike between 20, when COVID-19 sent so many people into isolation and resulted in more opioid overdoses, particularly from fentanyl. Recent statistics published by the Centers for Disease Control show the grim news that opioid overdose deaths continued to increase this year.
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