MAT Orders Overview

The MAT Order tab on the patient chart allows providers to create MAT Orders, which are essentially prescriptions for MAT medications. There are four different types of MAT orders that can be created, each with its own set of dosing requirements. You can also dispense MAT medication from the Orders tab, deny a dose, or re-dose a patient, as needed. 

MAT Order Workflow

The following flowchart reviews the basics of MAT Order workflows. 

MAT Order Types

Providers can create the following MAT Order types for the patient based on their treatment needs. 

• Standard MAT Order: Standard Orders provide a consistent dose per day. 
• MAT Titration Order: Titration Orders allow you to create a MAT Order with an increasing dose. 
• MAT Taper Order: Taper Orders allow you to create a MAT Order with a decreasing dose.
• MAT Interval Order: Interval dosing allows a medication to be dispensed at a specific interval. This is commonly used for medication like Vivitrol, where the injection only occurs every 28 days.
• Signing MAT Orders: If an order is created in the EMR by a user who isn't a provider, the order will require a signature. These orders can be reviewed and signed from the Physician Dashboard.
• Templates MAT Orders: streamline the order entry process by allowing users to build and manage reusable templates for medication-assisted treatment (MAT) orders.

Dispensing Workflow

Let's review the process for dispensing, denying, or re-dispensing the patient's MAT Order.

• Dispense the Ordered Doses: A current and active MAT Order is required to dispense doses. The available doses appear in the Doses to Dispense section of the patient's MAT Order.
• Deny a Dose: You can deny administering a dose as needed. Common scenarios include if the patient has an abnormal lab result or patient comes into the facility visibly intoxicated. 
• Re-Dispense Doses: If there was a problem with dispensing, a spill, or another type of issue, doses recorded as dispensed can be re-dispensed until midnight on the day of dispensing.
• MAT Flags: Flags applied to the patient chart can prevent the medication from being dispensed until the flag has been resolved or indicate the patient is due for a drug screen. 

Manage MAT Orders

• Navigating MAT Orders: Learn how to navigate the MAT Order tab on the patient chart and review key order details. 
• Exception Orders: Once a MAT Order has been entered, Exception Orders can be created to dispense additional doses to the patient, as needed.
• Change a MAT Order: Create a Change Order to update the patient's current MAT Order.
• Discontinue a MAT Order: Discontinuing a MAT Order essentially cancels the order and prevents future dosing. After discontinuing an order, the provider can create a new order, if needed. 
• Manage Patient Phases: Phases are a set of requirements that are assigned to the patient to allow them to build trust with the facility. As patients progress through their MAT treatment phases successfully, they can be given more responsibility by allowing them a greater number of take-home doses.
• MAT Log: This report lists all MAT dosages dispensed, denied, and re-dispensed across patients, allowing facilities to view reports from specific time frames and export them as needed.
• Troubleshooting MAT Orders and Dispensing: Resolutions for common issues with orders and dispensing.