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The Use of a Prescription Drug Monitoring Program To Develop Algorithms To Identify Providers With Unusual Prescribing Practices for Controlled Substances

NCJ Number
249633
Date Published
October 2015
Length
13 pages
Author(s)
C. Ringwalt; S. Schiro; M. Shanahan; S. Proescholdbell; H. Meder; A. Austin; N. Sachdeva
Agencies
NIJ-Sponsored
Publication Type
Research (Applied/Empirical), Report (Grant Sponsored), Program/Project Evaluation, Program/Project Description
Grant Number(s)
2012-R2-CX-0002
Annotation
Using one State's prescription drug monitoring program, this study describes a series of metrics developed to identify providers manifesting unusual and uncustomary prescribing practices; and it then presents the results of a preliminary effort to assess the concurrent validity of these algorithms, using death records from the State's vital records database pertaining to providers who wrote prescriptions to patients who then died of a medication or drug overdose within 30 days.
Abstract
Metrics manifesting the strongest concurrent validity with providers identified from these records related to those who co-prescribed benzodiazepines (e.g., valium) and high levels of opioid analgesics (e.g., oxycodone), as well as those who wrote temporally overlapping prescriptions. The report concludes with a discussion of a variety of uses to which these metrics may be put, as well as problems and opportunities related to their use. (Publisher abstract modified)
Date Created: July 20, 2021