Shannon Whitman Program Administrator Advancing Use of the MN PMP
TODAY S OBJECTIVE What is a PMP/PDMP, why do we need one? What is the national status of PMPs? Minnesota s intent of the PMP What does the PMP contain (and not contain)? Getting the most data possible out of the PMP Controlled Substance Insight Alerts (CSIAs) Looking at the future 2
THE EPIDEMIC www.health.state.mn.us/divs/healthimprovement/opioid-dashboard/ 3
STATUS OF PDMP/PMPS No interstate data sharing Law Enforcement Based St Louis County 80% 4
PROGRAM OVERVIEW Created January 2010 Staffing: Manager, Administrator and Pharmacist Consultant 29,000 Current Account Holders >1M Queries (2017) External Clientele: Prescribers Pharmacists Medical Examiners/Coroners Law Enforcement Health Licensing Boards MN citizens 5
WHAT IS THE INTENT OF THE MN PRESCRIPTION MONITORING PROGRAM? Intended to: NOT Intended to: Promote public health and welfare by Detecting diversion abuse, and misuse of MN classified controlled substances Acting as a source of information for prescribers and pharmacists Acting as an investigative tool for law enforcement and medical examiners. Prevent people from obtaining needed drugs Decrease the number of doses dispensed 6
WHAT DATA IS IN THE PMP? MN controlled substances II- V, gabapentin, butalbital MN Licensed Pharmacies Dispensing Prescribers (excluding Vets) Hospital Pharmacies Pharmacies that never dispense MN reported prescriptions Opioid Treatment Facilities Automated Dispensing Machines VA Indian Health Services Exempt 7
DIRECT ACCESS INDIRECT ACCESS OTP Prescribers Law Enforcement Medical Examiners/ Coroners Restricted Recipient Program PMP Pharmacists PMP Health Licensing Boards Patients/ recipients 8
PRESCRIBER PERMISSIBLE USE OF THE MN PMP DATA Prescribers of controlled substances with a valid DEA number who are: Prescribers of controlled substances with a valid DEA number who are: Prescribing or considering prescribing a controlled substance for a current patient; Providing other medical treatment for which access is necessary for a clinically valid purpose. Providing emergency medical treatment for which access to the data may be necessary; Providing care and the prescriber has reason to believe, based on clinically valid indications, that the patient is potentially abusing a controlled substance; 9
REGISTER FOR A PMP ACCOUNT PMP WEBSITE: HTTP://PMP.PHARMACY.STATE.MN.US 10
LOG INTO YOUR PMP ACCOUNT PMP WEBSITE: HTTP://PMP.PHARMACY.STATE.MN.US/ 11
LOGIN SCREEN 12
LINK/UNLINK DELEGATE ACCOUNTS 13
DELEGATE ACCOUNTS 14
QUICK TIPS 15
RECIPIENT QUERY QUICK TIP 16
SEARCH CRITERIA 17
MULTI-STATE DATA EXCHANGE MN participates in a interstate data exchange. July 2014 Utilizing NABP ( National Association of Boards of Pharmacy) PMP InterConnect. No data retained by hub Role based access controlled by requesting and disclosing states PMP. 18
STATES CONNECTED WITH MN Updated February 2018 Alabama Alaska Arkansas Arizona Colorado Connecticut Delaware District of Columbia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Mississippi Montana Nevada New Jersey New Mexico New York North Dakota North Carolina Ohio Oklahoma Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Virginia West Virginia Wisconsin 19
MULTIPLE STATE QUERY 20
MULTIPLE STATE QUERY QUICK TIPS 21
PRESCRIBER DEA QUERY 22
PRESCRIBER DEA QUERY 23
THE FIGHT AGAINST PRESCRIPTION DRUG ABUSE Controlled Substance Insight Alert (CSIA) 24
CONTROLLED SUBSTANCE INSIGHT ALERTS (CSIAS) Goals: To reduce prescription drug abuse, misuse, and diversion To decrease the number of individuals that meet the threshold To increase utilization of the PMP Confirm, Contact, Discuss 25
RECIPIENT EXAMPLES (2016) Timeframe Number of Recipients who met Threshold (10/10/90)* Highest Number of Prescribers Identified 1/1/16 3/31/16 3 16 4/1/16 6/30/16 6 17 7/1/16 9/30/16 4 14 10/1/16 12/31/16 4 22 *10/10/90 refers to 10 or more prescribers PLUS 10 or more pharmacies in a three month timeframe In 2016, 122 recipients filled prescriptions from 20 or more different prescribers. One recipient obtained prescriptions from 53 different prescribers. 26
RESPONSE TO CSIA S Positive Feedback Increase in prescriber registration Increase in queries performed Overall increase awareness of patient activity 27
FUTURE PLANS- MINNESOTA More user friendly report Integration into workflow (EHR) Continued connection with other states and districts Educate! 28
THINGS TO REMEMBER MN s PMP is intended to assist you as a tool All 50 states have some form of a PMP Data is reported daily by licensed pharmacies dispensing in and into MN When searching Minnesota, use abbreviated criteria to find your patient- search smart! If you receive a CSIA, confirm, contact, discuss! PMP s are changing to get better all the time. Be the PMP expert in your practice! 29