maine’s prescription monitoring program daniel j. eccher, mph project coordinator prescription...

Maine’s Prescription Monitoring Program

Daniel J. Eccher, MPHProject Coordinator

Prescription Drug Misuse: Prescription Drug Misuse:

A Community ChallengeA Community Challenge

Introduction to Maine’s PMP

What it is and how it works PMP How healthcare providers can use

patient-specific PMP data Recruitment of prescribers and

dispensers

Maine’s PMP

What it is and how it works

Overview of Maine’s 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

OSA’s Goals for Maine’s PMP

Improve patient care by giving health care providers comprehensive information

Curb prescription misuse Get those who are addicted into

appropriate treatment

OSA’s Goals for Maine’s 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

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 patient’s first appointment Online data access

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)

How to Request Reports

Register with PMP:1. Go to: http://www.maine.gov/pmp2. Follow the “GHS Web Site” link.3. Scroll to the bottom and click the “Sign Up”

button in the New Users section. 4. Fill in the required information on three

sequential forms. (On the first form, prescribers should select “Requestor” in the “User Type” section.)

5. Wait for fax confirmation (approval process takes about two business days).

PMP’s Two Web Sites

GHS Data Management: http://www.ghsinc.com/pmppage.php

(for registration and requesting paper reports)

OSA’s PMP Prescription Data Portal:

http://www.maine.gov/pmp

(patient-specific data online)

GHS’s PMP Logon Web Page

How to request faxed reports

GHS’s PMP Logon Web Page

GHS PMP Report Request (Fax)

Select “Request Patient History Report” at the GHS site to request a fax.

OSA’s Prescription Data Portal

Online data access

OSA’s Prescription Data Portal

OSA’s PMP Signature Page

OSA Data Portal Search Page

Search Results Page

Patient History Report Page

OSA’s 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

Recruitment of Prescribers

Community Call to Action

Recruitment of Prescribers

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

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.

Recruitment Issues

General awareness/concern about prescription drug misuse and diversion

Knowledge of PMP Awareness of PMP’s online option Time commitment Connectivity/Registration Process issues Time-lag in online database – up to one

month “behind”

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

For more information about the program, please visit the PMP website:

http://www.maine.gov/dhhs/osa/pmp

Daniel J. Eccher, MPHDaniel J. Eccher, MPHProject Coordinator

Prescription Monitoring Program

Phone: (207) 287-3363Email: daniel.eccher@maine.gov