Rx Factor - Chemical Dependency Prevention & Management Program

PDI’s Rx Factor Program focuses on identifying, evaluating and consulting with treating providers to address the escalating problem of prescription medication overuse and misuse. A Peer-to-Peer approach is used to impact those cases that show patterns of chronic or emerging pain medication usage and dependencies.

Our program is a proven successful tool used to help stop this insidious compensable consequence of treatment before it becomes catastrophic to both the injured worker and the claim. Chronic pain management is a complex paradigm shift from a biomedical model to a biopsychosocial treatment plan.

File Review and medication analysis:

PDI’s Rx Factor clinical team will analyze the file and document the narcotic history, determine any overutilization patterns, evaluate the long-term risk, including financial and medical side effects of the prolonged medication usage.

Peer-to-Peer Physician Contact:

PDI utilizes a certified Addictionologist to analyze the medication summary and contact the treating physician to discuss the most effective medication treatment plan that will result in the “best practices” outcome. The advantage of using this approach is the Peer-to-Peer accountability that results, as well as the Peer-to-Peer coaching in utilizing evidence-based guidelines to support an appropriate treatment plan.

Development of a new treatment plan with the treating physician:

A collaborative approach between PDI’s Addictionologist and the treating physician occurs to develop a more appropriate evidence-based plan that might include multidisciplinary approaches, but may not be limited to:

  • Generic drug substitution
  • Adjunct therapies during the tapering process
  • Functional Restoration Programs
  • Detoxification Programs
  • Alternative coping mechanisms for pain control

Care Coordination:

The key to the success of the Rx Factor program is in the follow-up. PDI’s model utilizes a Care Coordinator who, for a limited time, works with the treating physician to facilitate and monitor the new agreed upon treatment plan. The Care Coordinator will provide feedback to the claims examiner and employer. Should the treating physician change course from the agreed upon treatment plan, the Care Coordinator will immediately address the change in plan with the treating physician. In the event the treating physician is not willing to adhere to the new treatment plan, the Care Coordinator will coordinate a peer-to-peer intervention with PDI’s Addictionologist.

Service Benefits

  • Cutting Edge Technology
  • Increased Data Integrity
  • Advanced Reporting Capabilities
  • HIPAA Compliant Data Security
  • Accessibility to Your Data