2021-2022 PDMP Annual Report

4 Prescription Drug Monitoring Program Annual Report | 2021-22 Executive Summary The Florida Prescription Drug Monitoring Program, known as E-FORCSE ® (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), was created by the 2009 Florida Legislature to encourage safer prescribing of controlled substances and to reduce drug misuse and diversion within the state of Florida. As required by section 893.055(14), Florida Statutes, the 2021-22 (referred to in this report as Report Year 22 or “RY22”) PDMP Annual Report highlights this year's accomplishments. Report Highlights Increase in Enrollment and Utilization – Overall, including all user role types, enrollment increased by 12.2 percent from 148,023 to 166,071 registrants (Table 3). There was a 12.7 and 10.5 percent increase in prescriber and dispenser enrollment, respectively, compared to RY21 (Table 3). Florida prescribers, dispensers, and designees made 121.2 million queries through the web portal and integrated solutions (Figure 5). Reduction of Opioid Prescriptions Dispensed – There has been a 3.6 percent decrease in schedules II through V opioid prescriptions dispensed to patients from 12.6 million in RY21 to 12.2 million in RY22 (Table 1). Reduction in Morphine Milligram Equivalents (MME)s per Prescription – There has been a 1.3 percent decrease in the average daily MMEs per opioid prescription in schedules II through V from 46.0 to 45.4 when compared to RY21 (Table 1). MMEs per prescription for schedule II opioids decreased by 0.6 percent from 59.3 to 59.0 (Figure 9). Decrease in the number of Multiple Provider Episodes – There has been a 6.8 percent decrease in the number of individuals doctor-shopping from 456 to 425 (Figure 2). Increase in Interoperability through Integrated Solutions – The PDMP has approved 2,265 electronic health record (EHR) and pharmacy dispensing system (PDS) integrations across the state, allowing prescribers and dispensers to access PDMP information within their existing workflows. During RY22, prescribers and dispensers completed 96.8 million queries through an integrated solution. Analysis of integration data for the past 18 months indicates that 55.42 percent of prescribers have queried through EHR integration (Figure 4), a 10.0 percent increase from the previous year. Increase in Data Sharing – The PDMP shares data with 37 state PDMPs, Puerto Rico, and the Military Health System. During RY22, there were 9.8 million interstate queries disclosed to prescribers and dispensers in other states. (Figure 7).