what’s new with kasper a lot! facilitator: dr. michelle lofwall, uk associate professor of...
TRANSCRIPT
What’s New with KASPER
A Lot!
Facilitator: Dr. Michelle Lofwall, UK Associate Professor of Psychiatry
Panelists:Dave Hopkins, KASPER Program ManagerVan Ingram, Executive Director, Kentucky Office of Drug Control PolicyDr. Ryan Stanton, Medical Director ER, UK Good Samaritan Hospital
Controlled Substances Dispensed
Cabinet for Health and Family Services
2006 2007 2008 2009 2010 2011 2012
93143401005992910273400
11124085114091401173057411167214
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KASPER Reports Requested
Cabinet for Health and Family Services
2006 2007 2008 2009 2010 2011 2012
186 274 362 418
708 811
2,691
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in T
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Cabinet for Health and Family Services
Top Prescribed Controlled Substances byTherapeutic Category by Doses - 2012
Hydrocodone 41.5% LortabLorcetVicodin
Alprazolam 11.8%Xanax
Tramadol 6.9%Ultram
Oxycodone 15.9% OxyContinPercodanPercocet
Clonazepam 6.6%Klonopin
Diazepam 4.5%Valium
Phentermine 2.4%
Adipex-P
Amphetamine 2.7%
Adderall
Zolpidem 3.5%Ambien
Lorazepam 4.0%Ativan
Cabinet for Health and Family Services
KASPER Stakeholders• Licensing Boards – to investigate potential inappropriate
prescribing by a licensee. • Practitioners and Pharmacists – to review a current
patient’s controlled substance prescription history for medical and/or pharmaceutical treatment.
• Law Enforcement Officers, OIG employees, Commonwealth’s attorneys, county attorneys - to review an individual’s controlled substance prescription history as part of a bona fide drug investigation or drug prosecution.
• Medicaid – to screen members for potential abuse of pharmacy benefits and to determine “lock-in”; to screen providers for adherence to prescribing guidelines for Medicaid patients.
• A judge or probation or parole officer – to help ensure adherence to drug diversion or probation program guidelines.
Cabinet for Health and Family Services
KASPER Usage 2012
Law Enforcement = .4%(17% of KY LE have
accounts)
Prescribers = 97.9%(83% of KY prescribers have accounts)
Pharmacists = 1.6%(83% of KY
pharmacists have accounts)
Judges, Other= .1%
Cabinet for Health and Family Services
eKASPER Master Accounts
12/31/2011 04/24/2012 07/20/2012 12/31/2012
Doctor* 5,470 5,680 11,923 16,740
APRN 690 781 1,523 1,866
Pharmacist 1,385 1,450 3,602 4,888
Total 7,545 7,911 17,048 23,494
*Includes physicians, dentists, optometrists and podiatrists
Cabinet for Health and Family Services
HB1 Early Results
Drug Aug-Nov 2011 Aug-Nov 2012 ChangeHydrocodone 81,125,721 71,372,106 -12.0%
Oxycodone 29,768,546 26,256,240 -11.8%
Oxymorphone 679,621 380,353 - 44.0%
Alprazolam 24,877,998 21,277,555 -14.5%
Methylphenidate 3,551,129 3,722,988 + 4.8%
Amphetamine 4,528,805 4,873,753 + 7.6%
All Controlled Substances 251,848,764 222,487,691 -11.7%
Figures shown in doses dispensed
KASPER Web Site: www.chfs.ky.gov/KASPER