department of health professions prescription monitoring program advisory committee meeting june 10,...
TRANSCRIPT
Department of Health Professions
PRESCRIPTION MONITORING PROGRAM
ADVISORY COMMITTEE MEETING
JUNE 10, 2008
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Department of Health Professions
Source: 2006 NSDUH
www.dhp.virginia.gov
Department of Health Professions
Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2006
Bought/Took from Friend/Relative
14.8%
Drug Dealer/Stranger
3.9%
Bought on Internet
0.1% Other 1
4.9%
Free from Friend/Relative
7.3%
Bought/Took fromFriend/Relative
4.9%
OneDoctor80.7%
Drug Dealer/Stranger
1.6%Other 1
2.2%
Source Where Respondent Obtained
Source Where Friend/Relative Obtained
One Doctor19.1%
More than One Doctor
1.6%
Free from Friend/Relative
55.7%
More than One Doctor3.3%
Source: 2006 NSDUH
www.dhp.virginia.gov
Department of Health Professions
Risk Management ToolProtection for the patient
– provides the practitioner with information needed to make informed decisions about prescribing
Protection for the practitioner
– Provides an alert for possible abuse, misuse, or diversion that can protect against “duping” that can lead to disciplinary action or prosecution
www.dhp.virginia.gov
Department of Health Professions
ACCESS TO OTHER PROGRAMS
• West Virginia: https://65.78.228.163• Kentucky:
https://ekasper.chfs.ky.gov/accessrequest– www.chfs.ky.gov/kasper
• Tennessee: https://prescriptionmonitoring.state.tn.us
• North Carolinahttp://www.ncdhhs.gov/mhddsas/controledsubstance/index.htm
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Department of Health Professions
PROGRAM UPDATEPrescriptions in Database
(in Millions)
# of Records
8.2
11
13.6
16.7
19.5
22.624.6
0
5
10
15
20
25
30
# of Records
www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATERequests for Information
Comparison of Request Totals 2007-2008
0
500
1000
1500
2000
2500
3000
3500
4000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2007
2008
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Department of Health Professions
PROGRAM UPDATERegistered Users of PMP
DataCenter
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Total Users
Prescribers
Pharmacists
www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATE
# of Registered Users for Online Pain Management Course
0
50
100
150
200
250
1/4
/2008
1/1
8/2
008
2/1
/2008
2/1
5/2
008
2/2
9/2
008
3/1
4/2
008
3/2
8/2
008
4/1
1/2
008
4/2
5/2
008
5/9
/2008
5/2
3/2
008
# of Registered Users
www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATE:Unsolicited Reports: Number of patients
identified compared with previous reports
0
20
40
60
80
100
120
140
160
#of Patients
Previous reports sent
www.dhp.virginia.gov
Department of Health Professions
THE NEED FOR PAIN MANAGEMENT EDUCATION
• Managing Pain is challenging– Spans professions and specialties
– Variation in chronic pain syndromes
– Limited evidence-based guidelines
– Limited provider training
– Provider fears of legal ramifications
Upshur et al 2006; Chen et al 2006; Adams et al 2001
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Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
www.dhp.virginia.gov
Department of Health Professions
PRESENTATIONS AND OTHER EDUCATIONAL ACTIVITIES
• Project Remote—SW Virginia
• May conference in Norfolk
• Responsible Opioid Prescribing mailing
• Contact with Portsmouth Naval Hospital and Hampton VA Medical Center
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Department of Health Professions
MARKETING PLAN
• Brochures
• Certificates
• Mailings
• Other items
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Department of Health Professions
2008 Fall Conference
• Northern Virginia
• November: Date to be determined
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Department of Health Professions
PLANNED SYSTEM IMPROVEMENTS
• Database move to Chesterfield facility
• PowerSearch enhancement to program software
• Update to Version 4.1
www.dhp.virginia.gov
Department of Health Professions
LEGISLATIVE/REGULATORY PROPOSALS
• Interoperability with other state programs
• Data access issues