Wireless Password: 9166703926

NABP®

NEW TECHNOLOGY TO PREVENT DRUG DIVERSION AND DRUG

ADMINISTRATION ERRORS

NABP PERSPECTIVE

Conference of Western Attorneys General Annual Meeting

Colorado Springs, ColoradoJuly 21-24, 2013

NABP®

Prescription Monitoring Programs: Prescription Monitoring Programs: National LandscapeNational Landscape

• 43 states/jurisdictions have functional PMPs or are at least collecting data

• 8: AR, DC, GA, GU, MD, MT, NH – gearing up to implement

• 2: DC and MO – no authorizing legislation but both are close

• Where the PMPs are housed:– 18 Health/Substance Abuse/Consumer Protection– 26 Board of Pharmacy/Professional Licensing– 7 Law Enforcement

NABP®

Problems with PMPs:Problems with PMPs:

• Persons engaging in doctor shopping don’t stay in one state, particularly areas that border other states

• Querying the state PMP may not give a complete picture to a physician or pharmacist of the controlled substances a person is obtaining

• Low Utilization/Lack of Integration• PMPs lack function and Analytical Tools

NABP®

• Creates interoperability for individual state PMPs via a hub system

• Physicians and pharmacists log into their own state PMP and check boxes for other participating states from which they want data

• The hub routes the requests to the various states and the information back to the physician or pharmacist in one collated report

NABP®

• Protected health information is encrypted and not visible to the hub, HIPAA compliant– No protected health information stored by the hub

• Only sign one memorandum of understanding (MOU)/contract with NABP – do not have to sign one for every other state to exchange data– Each state’s rules about access are enforced automatically by the hub

• July 2011 went live and today…since launch, NABP PMP InterConnect® has processed over 2 million requests in an average of 7.5 seconds to process a request.

NABP®

NABP®

• NARXCHECK is an automatic prescription drug abuse assessment and management tool for health care providers.

• Supports health care workers by accessing patient prescription information from prescription monitoring program (PMP) databases, analyzing the data, and providing a risk-based score to assist in prescribing or dispensing decisions.

• Developed by an ER physician struggling with Rx drug abuse epidemic.

NABP®

• Obtains and aggregates information about:– Number of providers– Number of dispensing pharmacies– Amount of drug equivalent units/days supply– Amount of drug overlap in history– Current number of active prescriptions

• Scales the factors based upon reference tables (actual Ohio PDMP data)

How does work ?

NABP®

provides decision supportprovides decision support

NABP®

PLUS Live DashboardPLUS Live Dashboard

NABP®

ScoresScores

NABP®

ADAMS, JONATHAN

ROOSE, FRANKLIN

EISEN, DWIGHT

JEFFERSON, TOM

WASHINGTON, GEO

NIXON, DICK

FORD, JERRY

ROOSE, TED

Rx GraphRx Graph

NABP®

Patient, Dummy, DOB: 25-Apr-1973 (39 yrs) Male

730

"I again reviewed the patients chart with her, has had 11 visits this month between 4 EDs, narcotic score of 730 and no evidence of acute or new injury."

NABP®

Dot PharmacyDot Pharmacy

• Global coalition of stakeholders

• Legitimate online pharmacies and prescription drug-related organizations worldwide

• Educate consumers about the dangers of buying medicine from unknown sources over the Internet and to help build their trust in .PHARMACY sites

NABP®

QuestionsQuestions

Wireless Password: 9166703926