Tennessee CSMD integration with eStar
Beginning May 12, the Tennessee Controlled Substance Monitoring Database (TN CSMD) will be integrated with eStar. This integration will help streamline clinician workflow (saving approximately 4.22 minutes and 52 clicks per patient) and also support compliance with state law.
There is a regulatory requirement to check TN CSMD before prescribing:
--Opioids or benzodiazepines
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Before each prescription in first 90 days
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Then every 6 months thereafter
--Any II-V controlled substances clinicians suspect patient may be trying to obtain inappropriately
This change will impact pharmacists and all prescribers with DEA numbers who order controlled substances.
The new integration means clinicians can query the TN CSMD within their eStar workflows. They no longer have to separately go to TN CSM web portal, log in and manually search for the patient (includes patients with existing or new CS II-V prescriptions). The clinician clicks Review Pt’s CSMD within chart and reviews the Medication Dispense History report
Prescribers and pharmacists may still use the web portal, which should be checked in the cases of eStar downtime. If the web portal is down, there is no regulatory requirement to check TN CSMD.
As required by vendor and state law, delegates (e.g., nurses and MAs) will still need to use the web portal.
The TN CSMD is only available for locations within state of TN.
View Quick Start Guide “Accessing TN CSMD in eStar” (available in Hubbl) for more information.
A Learning Exchange module titled, “How to prescribe opioids in eStar” with two short videos (less than two minutes each) has been created as a resource for prescribers highlighting the new CSMD eStar feature. The videos, along with many other controlled substances prescribing resources, are also available via the Opioid and Controlled Substances Reference Information for VUMC Employees website. For any specific questions on opioid prescribing, you can email opioidinfo@vumc.org.

