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NABP ® NEW TECHNOLOGY TO PREVENT DRUG DIVERSION AND DRUG ADMINISTRATION ERRORS NABP PERSPECTIVE Conference of Western Attorneys General Annual Meeting Colorado Springs, Colorado July 21-24, 2013

NABP ® Prescription Monitoring Programs: National Landscape 43 states/jurisdictions have functional PMPs or are at least collecting data 8: AR, DC, GA, GU, MD, MT, NH – gearing up to implement 2: DC and MO – no authorizing legislation but both are close Where the PMPs are housed: – 18 Health/Substance Abuse/Consumer Protection – 26 Board of Pharmacy/Professional Licensing – 7 Law Enforcement

NABP ® Problems with PMPs: Persons engaging in doctor shopping don’t stay in one state, particularly areas that border other states Querying the state PMP may not give a complete picture to a physician or pharmacist of the controlled substances a person is obtaining Low Utilization/Lack of Integration PMPs lack function and Analytical Tools

NABP ® Creates interoperability for individual state PMPs via a hub system Physicians and pharmacists log into their own state PMP and check boxes for other participating states from which they want data The hub routes the requests to the various states and the information back to the physician or pharmacist in one collated report

NABP ® Protected health information is encrypted and not visible to the hub, HIPAA compliant – No protected health information stored by the hub Only sign one memorandum of understanding (MOU)/contract with NABP – do not have to sign one for every other state to exchange data – Each state’s rules about access are enforced automatically by the hub July 2011 went live and today…since launch, NABP PMP InterConnect® has processed over 2 million requests in an average of 7.5 seconds to process a request.

NABP ®

NAR X CHECK is an automatic prescription drug abuse assessment and management tool for health care providers. Supports health care workers by accessing patient prescription information from prescription monitoring program (PMP) databases, analyzing the data, and providing a risk-based score to assist in prescribing or dispensing decisions. Developed by an ER physician struggling with Rx drug abuse epidemic.

NABP ® Obtains and aggregates information about: –Number of providers –Number of dispensing pharmacies –Amount of drug equivalent units/days supply –Amount of drug overlap in history –Current number of active prescriptions Scales the factors based upon reference tables (actual Ohio PDMP data) How does work ?

NABP ® provides decision support

NABP ® PLUS Live Dashboard

NABP ® Scores

ADAMS, JONATHAN ROOSE, FRANKLIN EISEN, DWIGHT JEFFERSON, TOM WASHINGTON, GEO NIXON, DICK FORD, JERRY ROOSE, TED Rx Graph

NABP ® Patient, Dummy, DOB: 25-Apr-1973 (39 yrs) Male 730 "I again reviewed the patients chart with her, has had 11 visits this month between 4 EDs, narcotic score of 730 and no evidence of acute or new injury."

NABP ® Dot Pharmacy Global coalition of stakeholders Legitimate online pharmacies and prescription drug-related organizations worldwide Educate consumers about the dangers of buying medicine from unknown sources over the Internet and to help build their trust in.PHARMACY sites

NABP ® Questions

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