PDMP & Health IT Integration All-Hands Meeting January 6, 2015

Meeting Etiquette Remember: If you are not speaking keep your phone on mute Do not put your phone on hold – if you need to take a call, hang up and dial in again when finished with your other call – Hold = Elevator Music = very frustrated speakers and participants This meeting, like all of our meeting is being recorded – Another reason to keep your phone on mute when not speaking Feel free to use the “Chat” feature for questions, comments or any items you would like the moderator or participants to know. NOTE: This meeting is being recorded and will be posted on the Meeting Artifacts Wiki page after the meeting From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute 2

Agenda TopicTime Allotted General Announcements5 minutes Updates10 minutes Pilots Working Session40 minutes Next Steps/Questions5 minutes

General Announcements Continued To join our weekly webinars, visit the PDMP & Health IT Integration initiative Homepage for the latest meeting information: +Homepage +Homepage 4 To subscribe to our mailing list, simply complete the PDMP & Health IT Project Signup Form: gration+Join+the+Initiative gration+Join+the+Initiative To access current and archived meeting materials, visit the Project Meeting Artifacts section: 26+Health+IT+Integration+Meeting+Art ifacts 26+Health+IT+Integration+Meeting+Art ifacts Note: Please check the meeting schedule weekly to get the most up-to-date meeting information

PDMP Pilot Timeline SeptOctNovDecJanFebMarApr 9/9 IG Consented IG Development IG Finalized and Posted For Pilot Use Pilots Conduct Pilots Needs Assessment (Today) Kick Off Pilot Activities Begin Pilot Work Pilot Progress Assessment Pilot Wrap up

PDMP Pilot Timeline Week Target Date (2014) All Hands Questions/Feedback from the Community 1Sept 15Complete All One On One Touch base with Pilot Sites 2Sept 22Canceled 3Sept 29 Pilot Team Updates and Brief Introduction to Pilot Provide any support/questions/comments to the pilot teams 4-12 Oct 7 - Dec 8 Pilot Team Updates Provide any support/questions/comments to the pilot teams Dec 8 - Jan 30 Pilot teams begin work on actual pilots with weekly report outs to the community 21Feb 2 Pilot Assessment (where are we, what more do we need to do and wrap up/completion plan)

PDMP & Health IT Integration Pilot Sites ApprissClay Rogers EpicTim Stolldorf WA State Department of HealthChris Baumgartner and Rhonda May Arizona Board of PharmacyDean Wright KY Cabinet for Health and Family Services KASPERJean Hall New Mexico PMPCarl Flansbaum QS/1 Sonny Anderson, Keith McDonagh, Matthew Brooks Virginia Prescription Monitoring ProgramRalph Orr Speed Scripts (Digital Simplistics)Chuck Welch PDX, IncBen Loy Cognosante Barb Filkins, Michael Lundie, Catherine Graeff Prescription Advisory Systems & Technology (PAST, Inc.)Nicholas Karp DrFirstRoss Bryant, Curtis Hess Transaction Data Systems, Inc.Paul Adams SoftWriters, Inc.Lisa Miller NextGen HealthcareFabian Salgado Wisconsin Department of Safety and Professional ServicesChad Zadrazil Sprintz Center for Pain & DependencyMichael Sprintz, Ian Williamson

Pilot Updates

Updates We will continue to meet weekly as part of the pilots working sessions but may only have updates every other week depending on pilots

Pilot Working Session

Pilot Working Session - Logistics Pilots working sessions are intended for those who are involved in the actual piloting of the IG All community members are welcome to stay on the call however the focus will be on those performing the pilot We have the ability to pass presenter controls to any of the pilot sites who would like to show something or would like to work through and issue with the team –Please be prepared to accept controls if you request them Working sessions will be just that with minimal slides and PowerPoint (these will be just to guide the discussion)

Working Session Agenda TopicTime Updates from Appriss15 minutes NCPDP Pilots Team Report Outs15 minutes Review any other Pilot team updates10 minutes

Health IT Integration Pilots Clay Rogers – Product Manager

Appriss Environments Appriss maintains two environments for PMP Gateway and PMP Interconnect. Production (Prod) – PMP Gateway Prod connected to PMPi Prod and can only be used by production state PMPs. Environment has 26 state PMPs connected (Several more states in various stages of onboarding). ̶ Business agreements between Healthcare entity (Hospital, Clinic, or Pharmacy) and Appriss must be in place before use of this environment. Preproduction Test Environments (Prep) - PMP Gateway Prep connected to PMPi Prep and can only be connected to state test PMPs. ̶ Business agreements with Appriss are not needed for use of this environment. ̶ Wisconsin and Kentucky have test PMPs connected to this environment. ̶ Appriss also has a test PMP connected to the environment that can be used for testing. PMP A PMP B PMP C 26 State PMPs connected and climbing

Agreements in Place in PMP Ecosystem. PMPs State PMPs have MOUs in place with PMP InterConnect. A contract is in place between Appriss/PMP Gateway and NABP/InterConnect. Healthcare entity must have a contract in place with Appriss/PMP Gateway. PMPs This model facilitates streamlining of contracts. Example of this model of contracts is already in place with a Wisconsin implementation. However, states may have specific requirements that may require additional agreements to be in place, directly with the state. This is natural in the early days of opening up the data to be consumed through diverse health IT systems

Current Status NCPDP API documentation and credentials to test with PMP Gateway have been provided to the below vendors: ̶ Epic ̶ Dr. First ̶ NextGen ̶ PAST Test transactions have been sent to PMP Gateway in NCPDP format end-to-end through Appriss Prep test systems. PMP Gateway – PMP InterConnect – Appriss Test PMP. Recently updated API to return ReleatesToMessageID Next Steps End-to-end testing with external test pilot PMPs. (Testing with Wisconsin or Kentucky?) Define product pilots and get business agreements in place with Healthcare entities that will pilot in production. Appriss to begin designing ASAP WS API.

Discuss Production Pilots Please contact Brad Bauer and Clay Rogers to discuss business agreements for production pilots. Brad Bauer Clay Rogers 17

Timeline OctNovDecJanFebMarch NCPDP ASAP (Today) HL7 Epic – OneHealthPort – WA State Appriss – NCPDP 10.6 Epic – Appriss – New Mexico Epic – Appriss – Virginia DrFirst – Appriss – Arizona DrFirst – Appriss – Kentucky NextGen – Appriss – Kentucky (?) Appriss – ASAP Web Services PAST – Appriss – Arizona QS1– Appriss – Virginia PDX – Appriss – Virginia Speed Scripts– Appriss – Kentucky SoftWriters – Appriss – Indiana TDS – Appriss – Wisconsin (?) Appriss – HL7 Cognosante – Appriss – TBD NextGen – Appriss – Arizona Epic – Appriss – Wisconsin PAST – Appriss – Arizona Sprintz Center – Appriss – TBD

Pilot Teams EHR/Pharmacy ITHubPDMP NCPDP 10.6 EpicOneHealthPortWA State EpicApprissNew Mexico EpicApprissVirginia EpicApprissWisconsin DrFirstApprissArizona DrFirstApprissKentucky NextGenApprissKentucky (?) NextGenApprissArizona PASTApprissArizona ASAP Web Services QS1ApprissVirginia PASTApprissArizona PDXApprissVirginia Speed ScriptsApprissKentucky SoftWritersApprissIndiana Transaction Data SystemsApprissWisconsin (?) Sprintz Center for PainApprissTBD HL7 Standards CognosanteApprissTBD

Next Steps All PDMP Community Meetings going forward will be pilot working session meetings – We will use the first 10 minutes of the call to update the community on activity and then open the floor to a working session The focus of these calls after community updates will the actual pilot sites and the pilot team members – community is welcome to observe and when appropriate suggest solutions – Pilot teams working with the NCPDP 10.6 standard will continue to report out on their progress.

Contact Information – Initiative Coordinators: Johnathan Coleman Sherry Green – ONC Leads: Mera Choi Jennifer Frazier Helen Caton-Peters Helen.Caton- – SAMHSA Leads Jinhee Lee Kate Tipping – Support Team: Project Management: Jamie Parker Ali Khan Use Case Development: Ahsin Azim Standards/Harmonization Support and Implementation Guide Development : Alex Lowitt Atanu Sen Pilots Support: Jamie Parker (PM) Nadia Ramey Ali Khan Saurav Chowdhury For questions, please feel free to contact your support leads: