By David Bucciferro and Katelyn Fontaine
EHRA Opioid Crisis Task Force

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Volunteers on EHRA’s Opioid Crisis Task Force have made great strides in the past year in our efforts to identify the policy changes and adoption patterns needed to maximize the capacities of health IT to combat the opioid crisis.
From the start, our focus has been, What do providers need from technology to support their efforts in the opioid crisis?
When we began our work in early 2018, we were surprised to find that there was no comprehensive source for the state-specific policies and standards surrounding prescription drug monitoring programs (PDMPs) and electronic prescribing of controlled substances (EPCS). So, we set out to create our own.
State by state, we collected data, including timeframes for reporting controlled substance prescriptions to PDMPs, what data is collected, which professionals are able to access PDMP information, if and when information can be shared across states, and any limits on retaining PDMP data within an EHR.

The widespread opioid epidemic and its devastating effects flood our news feeds daily. No one is immune, which is why when the Electronic Health Record Association (EHRA) asked for volunteers to join a new Opioid Crisis Task Force, we and many others – including doctors, nurses, and pharmacists – stepped forward to share our experiences and expertise. For the past year, we have been conducting research and providing recommendations on new ways EHR technology can contribute solutions to help solve the complex puzzle of the opioid crisis.

On August 2, 2018, CMS published the 2600-page pre-publication version of the
Developing a deep understanding of users and their surrounding environment is an important first step in the process of designing usable, safe and effective products. Documenting the who, why and how of individual users and the scenarios they face as part of normal (and abnormal) workflows can take the form of a persona, representing a real user based on qualitative and quantitative research and first-person experience. Personas enable clear understanding of the different users of a product and their goals, problems and backgrounds, cultivating empathy within a development team for who their users really are.