Maines Prescription Monitoring Program

1
Maines Prescription Monitoring Program
Prescription Drug Misuse A Community Challenge

• Daniel J. Eccher, MPH
• Project Coordinator

2
Introduction to Maines PMP

• What it is and how it works PMP
• How healthcare providers can use patient-specific
  PMP data
• Recruitment of prescribers and dispensers

3
Maines PMP

• What it is and how it works

4
Overview of Maines PMP

• Legislation passed in 2003
• Data collection began in July of 2004
• Data is submitted twice a month from over 300
  pharmacies (both in and out of state)
• Scheduled drugs (II, III, and IV)
• All transactions saved in centralized, relational
  database

5
OSAs Goals for Maines PMP

• Improve patient care by giving health care
  providers comprehensive information
• Curb prescription misuse
• Get those who are addicted into appropriate
  treatment

6
OSAs Goals for Maines PMP

• Help stop prescription drug overdoses
• Educate the public on the dangers of prescription
  drug misuse
• Ensure that those who do need prescription
  medications still receive them

7
Benefits for Prescribers

• Providing better care
• Patient Threshold Reports red flag of
  potential addiction and/or diversion
• PMP giving clinicians the ability to coordinate
  care with other prescribers
• Health care tool for new patients allowing a
  background check on prescriptions of Schedule II,
  III, and IV drugs prior to a patients first
  appointment
• Online data access

8
Use of Patient-specific Data

• Solicited Reports (registering with PMP in order
  to request online or paper patient history
  reports)
• Unsolicited Reports
• Quarterly Threshold Reports (unsolicited)
• Monthly Buprenorphine/Narcotics Concurrent Usage
  Reports new
• Quarterly Acetaminophen Threshold Reports (in
  development)

9
How to Request Reports

• Register with PMP
• Go to http//www.maine.gov/pmp
• Follow the GHS Web Site link.
• Scroll to the bottom and click the Sign Up
  button in the New Users section.
• Fill in the required information on three
  sequential forms. (On the first form, prescribers
  should select Requestor in the User Type
  section.)
• Wait for fax confirmation (approval process takes
  about two business days).

10
PMPs Two Web Sites

• GHS Data Management http//www.ghsinc.com/pmppage
  .php
• (for registration and requesting paper reports)
• OSAs PMP Prescription Data Portal
• http//www.maine.gov/pmp
• (patient-specific data online)

11
GHSs PMP Logon Web Page

• How to request faxed reports

12
GHSs PMP Logon Web Page
13
GHS PMP Report Request (Fax)
Select Request Patient History Report at the
GHS site to request a fax.
14
OSAs Prescription Data Portal

• Online data access

15
OSAs Prescription Data Portal
16
OSAs PMP Signature Page
17
OSA Data Portal Search Page
18
Search Results Page
19
Patient History Report Page
20
OSAs Data Portal Advantages

• Immediate access to reports
• Delegation of report requesting to other licensed
  healthcare professionals allowed through
  Sub-Accounts (e.g., nurses)
• Prescriber Histories to check for fraudulent
  scripts (e.g., stolen script pads)
• Reports available anywhere a user has Internet
  access

21
Recruitment of Prescribers

• Community Call to Action

22
Recruitment of Prescribers

• MMA Programs CME units
• Speaking at conventions
• Speaking at hospitals and clinics
• Word of mouth
• Hospital administration/networks

23
Recruitment Where we are

• Prescribers in Maine (current DEA licenses) 6245
• Prescribers registered on PMP online system as of
  Oct. 12, 2007 1556 (25)
• Many registered prescribers yet to use online
  system
• Goal routine use of system with every new
  prescription and every follow up apt.

24
Recruitment Issues

• General awareness/concern about prescription drug
  misuse and diversion
• Knowledge of PMP
• Awareness of PMPs online option
• Time commitment
• Connectivity/Registration Process issues
• Time-lag in online database up to one month
  behind

25
PMP Summary

• Prescription Monitoring Program a tool set up to
  help clinicians enhance patient care
• Online Prescription Data Portal a convenient way
  to access the data (www.maine.gov/pmp)
• Help needed recruiting healthcare providers

26
Questions?
Daniel J. Eccher, MPH Project Coordinator Prescrip
tion Monitoring Program Phone (207)
287-3363 Email daniel.eccher_at_maine.gov
For more information about the program, please
visit the PMP website http//www.maine.gov/dhhs/o
sa/pmp