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Pain Management Resources
HM System Pain Management Guide - 2023
Opioid Analgesic Equivalencies
ATTENTION PHARMACY STAFF: Texas PMP Access via Illumicare SmartRibbon
Starting May 1, 2024, the Controlled Substance link will no longer be available via Illumicare. The PMP report may still be accessed through the Epic via the PDMP review tab, NaRx Score link in Storyboard, or directly through directly through the Texas PMP website.
Obtaining an NPI Number - Pharmacist
Opioid Stewardship Initiatives
Opioid Stewardship Quality Indicators
Tools for Safer Opioid Prescribing
Duplicate As Needed Opioid Order Reduction Initiative
Policies and Procedures
System_PCPS169 Pain Management
System_PCPS 188 Administration of Analgesics by Patient Controlled Analgesia (PCA) Pump
System_PCPS210 Low-Dose Ketamine for Pain Management
System_RXCLIN 157 Pharmacy Policy and Procedure to Optimize As Needed (PRN) Opioid Orders
System_ED010 Chronic Pain Management in the Emergency Department
System_PCPS50 TMH Medication Orders
System_RXCLIN 170 Pharmacy Procedure for Obtaining and Reviewing Medication History - For procedures regarding obtaining medication information regarding implanted intrathecal pumps and methadone for opioid use disorder
Controlled Substances Prescribing Laws and Updates
As of January 1, 2021, the electronic prescribing of ALL controlled substances (Schedule II through V) is now mandatory, with the exception in limited circumstances or unless a waiver has been granted to the prescribing provider by the appropriate agency. Please refer to the e-prescribing tip sheet for more information on how to set up electronic prescribing through Epic.
As of March 1, 2020, it is required to check the patient's PMP history prior to prescribing or dispensing of opioids, benzodiazepines, barbiturates, or carisoprodol. Exception: patients diagnosed with cancer or terminally ill patients under hospice care.
As of September 1, 2019, prescriptions for opioids for acute pain may not exceed a maximum of 10 days. Exception: prescriptions for cancer pain, hospice or end-of-life care, palliative care, or opioids approved by the FDA for the treatment of substance use disorder.
External Pain Management Resources & Guidelines
CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2022
Texas Prescription Monitoring Program
Use PDMPs to Improve Patient Safety
Texas Opioid Training Initiative
Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression (RIOSORD) Scoring Tool