Maines Prescription Monitoring Program

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Maines Prescription Monitoring Program

• Maine Benzodiazepine Study Group Conference
• 2007 UPDATE

Daniel J. Eccher, MPH Project Coordinator
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Outline for Presentation

• Program overview
• Aggregate PMP data
• PMP data on benzodiazepines
• How health care providers can use
  patient-specific PMP data
• Time for questions at the end?

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PMP Description

• Data collection since July 1, 2004
• Data submission from over 300 pharmacies (100)
  dispensing controlled substances in Maine
  (including out-of-state mail order and Internet
  pharmacies, and the VA-Togus Med. Cnt.)
• Schedules II-IV
• Data stored in centralized, relational database

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OSAs Goals for PMP

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

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OSAs Goals for PMP

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

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PMP Database Description

• Patient identifiers Name, DOB, Address(es)
• Prescriber identifiers DEA number (from which we
  derive name)
• Drug identifiers NDC Code, Name, dosage, days
  supply
• Pharmacy identifiers Pharmacy DEA number,
  pharmacy address
• Possible to derive other info (e.g. patient
  county)

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Drug Type Proportions (State of Maine, PMP Data,
SFY07)
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Drug Types Per Age Group(State of Maine PMP
Data, SFY07)
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Maines PMP Top 10 List(SFY 2007)
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Prescriptions per Person by County (Maine PMP
Data, SFY07)
State Average 1.60 Scripts/Person
1.67
1.59
1.70
1.81
1.40
1.79
1.56
1.62
1.51
1.56
1.60
1.63
1.83
1.40
1.54
1.70
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Benzodiazepines

• PMP Data

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Benzodiazepines (PMP SFY 2006)
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Benzodiazepines (PMP SFY 2006)
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Benzodiazepines - Percent of Total (PMP SFY 2006)
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Benzodiazepines (PMP SFY 2007)
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Benzodiazepines (PMP SFY 2007)
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Benzodiazepines - Percent of Total (PMP SFY 2007)
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Trend in Counts of Top 4 Benzos(SFYs 2005
2007)
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Please analyze our data

• and then, publish the results.

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Patient-specific PMP Data

• Using PMP data in the healthcare setting

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Patient History Reports

• Unsolicited reports (automatically sent to
  prescribers)
• Quarterly Patient Threshold Reports
• Monthly Buprenorphine/Narcotics Reports (new)
• Quarterly APAP Threshold Reports (in devlpmt.)
• Solicited reports registration for anyone
  with a DEA number, including pharmacists data
  available online, through secure portal

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Registraton as a Requestor

• 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 the
  sequential forms. (Select Requestor in the User
  Type section last step entering DEA .)
• Wait for confirmation by fax. (The approval
  process takes about two business days.)

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Prescription Data Portal
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Patient History Report
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Registration as Requestors

• Free service
• Easy to use
• Immediate access to reports
• Sub-accounts allowed under prescriber accounts
• Of 6200 eligible prescribers, only 1557
  registered (about 25)

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OSAs Focus Treatment

• Addiction disease (non-judgemental approach)
• Helping people find treatment
• Office of Substance Abuse - questions about PMP
  or how to find treatment options for a patient

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OSAs Treatment Resources

• OSAs Web Site http//www.maine.gov/dhhs/osa
• Treatment Directory Find Help link
• Information and Resource Center Plethora of
  substance abuse literature
• Treatment team
• Treatment Data System

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For more information about PMP,

• log on to our web site
• http//www.maine.gov/dhhs/osa/data/pmp
• Or contact me
• Phone [phone]
• Email daniel.eccher_at_maine.gov
• Any questions now?