Real-time prescription monitoring - Vic

Victorian fellows can register with SafeScript and log onto a secure webportal to review patients' prescribing and dispensing monitored medications data.
 
Registration for SafeScript opened on August 14 and the system is now available to use via www.safescript.vic.gov.au.

The SafeScript expert advisory group received input from ANZCA and FPM representatives including incorporating aspects of the FPM Opioid Calculator app.

Whilst the initial focus is on the Western Victorian Primary Health Network, with prescriber and pharmacist education and supports, the system is available for the entire state. It has been collecting dispensing data since early July.

There will be staged development of system integration into hospital and practice software over the next 12 months. For now, however, the focus and data collection primarily relates to prescriptions in primary care.  

Any prescriber and pharmacist registered with the Health Practitioners Regulation Agency in Victoria can now register with SafeScript and subsequently log onto a secure webportal to review prescribing/dispensing data of monitored medications, including all S8 medications, codeine, Z drugs, quetiapine and benzodiazepines, for patients under their care.

For doctors using SafeScript, some Victorian Department of Health and Human Services permit and notification requirements are no longer required including permits for certain opioids under 100 MED and notifications of prescribing Schedule 8 opioid medicines for cancer pain. The requirement for a permit for opioid prescribing over 100 MED for longer than eight weeks remains, although this may be removed once SafeScript is fully operational (and mandatory to use when prescribing/dispensing) by mid 2020.

Anaesthetists and specialist pain medicine physicians are encouraged to register and consider accessing the system, in part to become familiar with the process and its utility.

When prescribing monitored medicines, SafeScript will be of use to confirm a patients medication history and will be accessible in hospital setting. Using SafeScript will ultimately be a mandatory part of practice from mid-2020 and, while this will not apply when treating hospital in-patients, it will be a requirement to check the system in an outpatient clinic or when prescribing at discharge for use at home.
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