Note: This article provides general information to support reflection and continued learning about integrating PMP checks and results review into practice.

For some prescribers, the Texas Prescription Monitoring Program (PMP) can feel like another box to check. But with a few workflow adjustments, the Texas PMP can help you prescribe safely and more efficiently — without slowing down care.

Improving Workflow with EHR Integration

Connect the Texas PMP with your electronic health records (EHR) or pharmacy management system to save time and avoid extra logins. This lets you see controlled substance prescription histories in the same place you review labs or notes. Clinicians report saving more than four minutes per patient encounter with this setup. Be sure to check whether this benefit applies to your practice, since the state may cover the licensing fee for integration. Learn more about how to integrate your systems on the Texas State Board of Pharmacy Integration page.

EHR integrations often include clinical support features, such as alerts, when patients approach high-risk thresholds. These flags can reduce manual searching and help you spot patterns quickly. NarxCare is a clinical decision support feature in the Texas PMP that offers a timeline view to quickly identify overlapping controlled substance prescriptions or multiple prescribers.

Delegating Texas PMP Tasks for Efficiency
Running PMP checks doesn’t have to fall on you alone. Nurses, residents or other team members can be set up as delegates to run PMP reports in advance that keep the process efficient and allow you to focus on patient discussion.

Fitting Texas PMP Checks into the Visit

Many providers find it helpful to build PMP checks into natural “check points” during the visit, such as right before medication planning. Making PMP review a routine step helps it feel less disruptive.

Because controlled substance prescriptions take up to 24 hours to appear in the PMP, a fill from yesterday may not show up until tomorrow. Consider this short delay and confirm details with your patient to ensure your review is accurate.

Visit TxPMP.org for communication tips and prescriber training modules. See the Gateway Integration Welcome Packet (PDF) for details on EHR integration. Save time, strengthen patient safety and prescribe more confidently by integrating the Texas PMP into your workflow and using these resources.