December 2016
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WISHIN's PDMP Integration Improves Clinical Workflow, Delivers Value to Aurora Health Care
WISHIN strives to be more than just a bridge from one health care provider to another. WISHIN aims to improve care for patients as well as improve on the data and services providers have at their fingertips to deliver care.

One way WISHIN does this is through a strong partnership with the state of Wisconsin that allows the inclusion of data from the Wisconsin Prescription Drug Monitoring Program (PDMP), Medicaid prescription-fill data, and immunization history and schedule information from the Wisconsin Immunization Registry (WIR).

Easy access to the PDMP through WISHIN is notable given the national and statewide importance of fighting opioid abuse. As a part of the HOPE (Heroin Opiate Prevention and Education) agenda passed in Wisconsin this year, prescribers will be required to check the PDMP before prescribing certain controlled substances beginning April 1st, 2017.

Some WISHIN clients, including Aurora Health Care, are already working to get their staff in the habit of consulting PDMP records via WISHIN's integration.

"There's no question it has had the effect of decreasing the amount of opioids we prescribe," reports Dr. Paul Coogan, President of Aurora Emergency Services. The health system's emergency rooms began using WISHIN to access PDMP data in June of 2015.

"We've told [staff] if you're going to e-prescribe, check [the PDMP], if the story doesn't seem right or patients present with altered mental status, make sure you go in there to see their prescribing history," says Dr. Coogan, "It's about patient safety. Finding out where patients have been and figuring out if what they're telling you is the truth."

As reported last month by Wisconsin Public Radio (WPR), while usage has increased since 2013, the PDMP hasn't been accessed by providers as widely as had been hoped.  "The reason it wasn't used is I think our doctors are already very busy," chief medical officer of the Wisconsin Medical Society Donn Dexter told WPR. "It's hard to put this into the flow of their practice. And the current PDMP, I think even the people who are the biggest proponents will admit it's pretty clunky. It's not easy to use."

Dr. Coogan echoed Dexter's experience, "[The PDMP portal] was such a pain to log in and out of. There were multiple steps to logging in and then it would kick you out. We weren't using it consistently because it was too hard to use."

Integration of PDMP data into EHRs is another method lawmakers and care providers are pursuing in fighting the opioid epidemic. When implementing WISHIN, Aurora chose to pursue the single-sign-on method, which allows its providers to launch the WISHIN interface from within their Epic electronic health record system without an additional log-in to the WISHIN system.

Dr. Coogan says that feedback from providers using WISHIN for PDMP data has been positive, "they can't believe it's literally just a few clicks and no extra sign-ins," He adds that many studies have shown that narcotic prescribing decreases if PDMP data is easliy available. "You've got to make it easier for the provider to get to that service if you want them to use it."

WISHIN Pulse can be accessed several ways including via a portal, query-and-retrieve or via single sign-on. The PDMP data is displayed  in WISHIN Pulse as part of the patient's overall community health record, so that the PDMP information can be viewed in the context of information about previous encounters, diagnoses, lab results, and other data without separately signing into the PDMP system. Care providers can use the PDMP medication list to help inform medical decisions as they work with their patients and potentially spot at-risk users and help them with steps to recovery.

To learn more about accessing PDMP data via WISHIN give us a call at (608) 274-1820 or send an email to
Thank You to all of our customers for a great year!

Affinity Health System
Agnesian HealthCare
AIDS Resource Center of Wisconsin
 Anthem Blue Cross Blue Shield
Aspirus Riverview Hospital & Clinics, Inc.
Associated Podiatrists, LLP
Aurora Health Care, Inc.
Beaver Dam Community Hospitals, Inc.
Bellin Memorial Hospital Inc.
Black River Memorial Hospital
Bridge Community Health Center
Burnett Medical Center
Children's Hospital and Health System, Inc.
Columbia St. Mary's, Inc
Community Care, Inc.
Crossing Rivers Health
Cumberland Memorial Hospital, Inc.
Divine Savior Healthcare
Essentia Health
Fox Valley Hematology & Oncology S.C.
Froedtert Health, Inc.
GI Associates, LLC
Grant Regional Health Center
Group Health Cooperative Eau Claire
Gundersen Lutheran Administrative Services, Inc 
HealthPartners Inc.
Ho-Chunk Nation
Holy Family Memorial, Inc
Independent Care Health Plan
Independent Physicians Network, Inc.
Indianhead Medical Center
Jewish Home and Care Center, Inc.
Journey Mental Health Center, Inc.
Kenosha Community Health Center
Kirtida N. Ringwala, MD
La Clinica de los Campesinos, Inc.
Lake Terrace - Health and Rehabilitation Center, LLC
Lakeview Medical Center, Inc. of Rice Lake
Managed Health Services Insurance Corp.
Meade Medical Clinic
Memorial Hospital of Lafayette County
Mile Bluff Medical Center, Inc.
Milwaukee Catholic Home
Milwaukee County Behavioral Health Division
Milwaukee County Department of Family Care
Milwaukee Health Services, Inc.
Mineral Point Medical Center
Ministry Door County Medical Center
Ministry Healthcare Inc.
Molina Healthcare of Wisconsin, Inc.
North Lakes Community Health Center
Outreach Community Health Center
Prairie Clinic, SC
Progressive Community Health Center
ProHealth Care, Inc.
Reedsburg Area Medical Center
Regional Enterprises
Sauk Prairie Memorial Hospital, Inc.
Shell Lake Clinic, LTD
Sixteenth Street Community Health Centers, Inc.
Spooner Health System
Spring Valley Health and Rehabilitation Center
State of Wisconsin Department of Health Services
Sunrise Family Care Clinic, SC
Three Pillars Senior Living Communities
Tomah Memorial Hospital
Trilogy Health Insurance, Inc
United Healthcare Services, Inc.
United Hospital System, Inc.
Upland Hills Health
Vernon Memorial Healthcare
Vibrant Health Family Clinics
Villa at Bradley Estates
Watertown Medical Center, Inc.
Wheaton Franciscan Healthcare
Whole Health Clinical Group
Wisconsin Integrated Information Technology and Telemedicine Systems, LLC
Wisconsin Primary Health Care Association, Inc.

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Wisconsin Statewide Health Information Network | Company | (608) 274-1820 | | | PO Box 259038 | Madison, WI 53725-9038