Sapphire®: Peri-Op Opioid Monitor
- Provides the clinical team with situational awareness of each patient’s total opioid consumption, level of pain control, and ordered analgesics and facilitates multi-modal pain management for rapid tapering.
- Integrates seamlessly into clinician, nursing and/or pharmacist workflow utilizing vendor-neutral FHIR APIs in Electronic Health Records and currently live at a Oracle Healthcare (formerly Cerner) organization.
- Saves clinical staff precious time that they typically must spend manually calculating and tracking this information as most vendor solutions only calculate the total opioids that are ordered rather than what is precisely administered.
- Graphically displays calculated daily 24hr total administered opioid MMEs including patches, pumps, pills and the like along side patient pain scores.
- Also displays all active analgesic and benzodiazepine orders to support safe opioid prescribing (CMS 506)
- Featured in an HL7 Case Study to illustrate the similar power and potential of SMART-on-FHIR Apps to provide clinical decision support that goes above and beyond what most Electronic Health Records can offer.
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Situational Awareness
EMR tools for tracking bleeding, blood pressure, and other post-op risks are widely available, yet until now, no comparable tool existed for monitoring opioid dependency risk. The Sapphire Peri-Op Opioid Monitor provides instant situational awareness of a patient’s actual opioid utilization, contributing factors, and opportunities to taper appropriately.
In a published Anesthesia & Analgesia article, teams demonstrated dramatic improvements after implementing the app, including a 92% reduction in mean tramadol MME at discharge and a 62% reduction in total MMEs prescribed at discharge.
Having an app that does all of the heavy lifting in a timely manner makes it easy for the clinical team to incorporate MME data into their decision making. Bringing situational awareness is an essential component to better opioid prescribing practices and patient safety.
Dr. Daniel T. Engelman summarized the impact:
“[The Sapphire Peri-Op Opioid Monitor] allows us to de-escalate it, to benchmark it, and to make sure that by the time the patient is discharged, they are on the lowest possible OME (Oral Morphine Equivalent) dose, which this manuscript now has shown correlates with the least possible likelihood of long-term new persistent opioid dependence. About half of patients go home on no opioids. We’d like to make that zero.”
How It Works
It all starts with conversion to morphine milligram equivalent (MME). Opioids come in varying forms (injectable, tablet, sublingual, etc.) and potencies. Tallying administrations and converting to MME is the only way to know if you’re increasing or decreasing your patient’s daily opioid intake, and by how much. This process could take upwards of 10 minutes per patient per day, but with our app, which embeds directly into your EMR without any registration or login required, it happens in seconds.
With all of the data crunched in our platform, the app displays an interactive MME trend line going back to the start of the encounter; makes the user aware of opportunities to discontinue to step down opioids; plots surgical procedures relative to MMEs; and displays open non-opioid analgesia orders. Patient pain scores relative to MMEs are also available in the app.
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Features & Benefits
- Complements your Enhanced Recovery After Surgery (ERAS) efforts
- Embeds directly into physician workflow without any user registration or login required
- SMART on FHIR enabled
- Saves time
- Works with Epic and Cerner
- Decreases risk of opioid dependency
- Provides opioid transparency to your outpatient practices
Request a Demo for the Sapphire®: Peri-Op Opioid Monitor App