Collaborative Pilot Project: Connecting EMRs with the IL PMP to Improve Medication Safety IL Prescription Monitoring Program IHA’s Institute for Innovations in Care & Quality Illinois Health Care Association

What is a Prescription Drug Monitoring Program? State program that collects controlled substance prescription records from dispensers and then provides the data to authorized end-users for use in: clinical care law enforcement regulation of professional practice research and evaluation 2

3 Illinois Prescription Monitoring Program (PMP) Since 1986, centralized repository of controlled medication prescription information collected weekly from IL pharmacies o 1 million prescriptions/month Mission is to enhance a prescriber’s and dispenser’s capacity to review a patient’s prescription history for therapeutic and clinical reasons and to assist in the effective treatment of patients seeking medical care

IL PMP Details Type of Information Collected? Patient identification (name, address, DOB, gender) Prescriber information Dispensing retail pharmacy & Long-term Care (LTC) Info o Pharmacy: controlled scheduled II-V drug information (name, type, strength, quantity, date dispensed, payer – includes cash) o LTAC: all prescribed medications Who Has Access to the Repository information? Medical prescribers – MD, DO, Dentists, Veterinarians, APN, PA Dispensers - Pharmacists Law Enforcement - indirectly Patients - indirectly Requesting States – must allow reciprocity 4

5 Maximizing Opportunity with the Illinois Prescription Monitoring Program A collaborative effort to leverage existing technology to enhance medication reconciliation by facilitating accurate and more timely communication of medications across the continuum Medication reconciliation is the formal process for identifying and correcting unintentional medication discrepancies across transitions of care

The Business Case: Reducing Medication Errors 1.5M preventable adverse drug events occur annually as a result of medication errors, at a cost of more than $3B/year Approximately half of all hospital-related medication errors have been attributed to poor communication at the transitions and interfaces of care Results of the largest medication reconciliation study to date indicate that 36% of patients had medication errors at admission, of which 85% originated from the patient’s medication history 6 APhA and ASHP. Optimizing Medication Reconciliation. March 2012

7 IL PMP Pilot Implementation Phases Phase I: Introduce seamless direct integration between the PMP & the Electronic Medical Record (EMR) - allowing clinicians direct access to current PMP medication information (scheduled controlled substances) from their EMR Phase II: Expand the PMP medication information to include LTC medication information (all dispensed medications) allowing provider access to it in order to enhance accuracy of medication reconciliation ultimately resulting in decreased readmissions and improved safety

Brings the Patient’s Medication List to the Clinician at the Time its Needed 8

Successful Integration into Anderson Hospital’s EMR Phase 1 has already proven successful! DHS initiated the automated system for PMP access at Anderson Hospital in Maryville, Illinois PMP searches increased from 207/month to 5434/month, in their ED alone! “It’s made a positive difference, for sure!” - Anderson ED Physician 9

 Automated timely access = improved efficiencies Saves 100 hours / week of clinician time  Eliminates need to remember additional username and password currently needed to log into the PMP  Allows for expanded monitoring of PMP information  Is the requisite 1 st step prior to Phase II connection of PMP+LTC medication information  IT consulting service is being offered at no cost through this pilot Advantages to Integrating Now: 10

Project Plan ResourceLeadPhase I – EMR IntegrationPhase II – LTC Medication Expansion IT IL PMP1) Provide external web vendor services to hospital at no cost 2) Test PMP-Hospital connection IL PMP to ensure LTC meds integrate with PMP and Hospital Hospital1) Program EMR to place an external web service call on patient entry** 2) Test PMP-Hospital connection None, other than to test the PMP-Hospital connection once IL PMP work is completed Staff Training IL PMP Will provide content, as needed Hospital Train clinical staff on functionality & use Train clinical staff on functionality & med rec process Timeline At Hospital’s convenience Can be completed within 2 weeksExpected PMP task completed in near future **Internal programming represents only hospital cost, other than staff training to include PMP medication review within hospital’s clinical medication reconciliation process 11

Thank You! If interested in joining the pilot, please contact: Cathy N. Grossi, JD, BSN, CPHQ Vice President, Midwest Healthcare Institute Illinois Health and Hospital Association 630/ ; Helga Brake, PharmD, CPHQ, CPPS Senior Director, Performance Improvement, MHI Director, Midwest Alliance for Patient Safety PSO Illinois Health and Hospital Association 630/ ;