Maine

1
Maines Prescription Monitoring Program
Prescription Drug Misuse A Community Challenge

• Daniel J. Eccher, MPH
• Project Coordinator

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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

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Maines PMP

• What it is and how it works

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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

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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

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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

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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

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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)

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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).

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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)

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GHSs PMP Logon Web Page

• How to request faxed reports

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

• Online data access

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OSAs Prescription Data Portal
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OSAs PMP Signature Page
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OSA Data Portal Search Page
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Search Results Page
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Patient History Report Page
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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

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Recruitment of Prescribers

• Community Call to Action

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Recruitment of Prescribers

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

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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.

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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

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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

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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