{"doi":"10.1093/pm/pnae012","title":"Changes in opioid prescribing and prescription drug monitoring program utilization following electronic health record integration—Massachusetts, 2018","abstract":"OBJECTIVE: In this study, we explored key prescription drug monitoring program-related outcomes among clinicians from a broad cohort of Massachusetts healthcare facilities following prescription drug monitoring program (PDMP) and electronic health record (EHR) data integration. METHODS: Outcomes included seven-day rolling averages of opioids prescribed, morphine milligram equivalents (MMEs) prescribed, and PDMP queries. We employed a longitudinal study design to analyze PDMP data over a 15-month study period which allowed for six and a half months of pre- and post-integration observations surrounding a two-month integration period. We used longitudinal mixed effects models to examine the effect of EHR integration on each of the key outcomes. RESULTS: Following EHR integration, PDMP queries increased both through the web-based portal and in total (0.037, [95% CI = 0.017, 0.057] and 0.056, [95% CI = 0.035, 0.077]). Both measures of clinician opioid prescribing declined throughout the study period; however, no significant effect following EHR integration was observed. These results were consistent when our analysis was applied to a subset consisting only of continuous PDMP users. CONCLUSIONS: Our results support EHR integration contributing to PDMP utilization by clinicians but do not support changes in opioid prescribing behavior.","journal":"Pain Medicine","year":2024,"id":479806,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.6815,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":778113,"name":"Laura J. Cremer","orcid":"0000-0002-8881-293X","position":1,"is_corresponding":false},{"id":1318847,"name":"Christopher Donnelly","orcid":"0000-0002-7675-5448","position":2,"is_corresponding":false},{"id":391762,"name":"Wesley Sargent","orcid":null,"position":3,"is_corresponding":false},{"id":788283,"name":"Jamie Mells","orcid":null,"position":4,"is_corresponding":false},{"id":716212,"name":"Rodd Kelly","orcid":null,"position":5,"is_corresponding":false},{"id":715518,"name":"Joshua C. Reynolds","orcid":"0000-0002-5482-3569","position":6,"is_corresponding":false},{"id":716214,"name":"Leonard D. Young","orcid":null,"position":7,"is_corresponding":false},{"id":1319185,"name":"Brian Corry","orcid":null,"position":0,"is_corresponding":true}],"reference_count":25,"raw_metadata":null,"created_at":"2026-07-19T02:06:54.284166Z","pmid":"38407391","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}