prescription monitoring program

Department of Health Professions

PRESCRIPTION MONITORING PROGRAM

ADVISORY COMMITTEE MEETING

JUNE 10, 2008

www.dhp.virginia.gov


Source: 2006 NSDUH



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



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



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



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



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



PROGRAM UPDATERegistered Users of PMP

DataCenter

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Total Users

Prescribers

Pharmacists



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



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



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



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



MARKETING PLAN

• Brochures

• Certificates

• Mailings

• Other items



2008 Fall Conference

• Northern Virginia

• November: Date to be determined



PLANNED SYSTEM IMPROVEMENTS

• Database move to Chesterfield facility

• PowerSearch enhancement to program software

• Update to Version 4.1



LEGISLATIVE/REGULATORY PROPOSALS

• Interoperability with other state programs

• Data access issues

prescription monitoring program

Documents