1 DoD Pharmacoeconomic Center Fort Sam Houston, TX WTU Prescription Medication Analysis & Reporting Tool (PMART) Hector Morales Deputy Director, POC Pharmacoeconomic Center LTC Stacia Spridgen Director, DoD Pharmacoeconomic Center

2 Report Tool Summary Prescription Medication Analysis & Reporting Tool (PMART) Medication profile snapshot for deploying SMs –Pre-deployment medication screening –WTU high-risk medication screening Menu-driven, Microsoft Access database with look-up features and reports Developed by the Pharmacy Operations Center Pharmacy Data Transaction Service (PDTS) is data source

3 Facts and Findings PMART launched in June 2002; WTU in July 2008 Current as of 11 Jun 10 PMARTWTU Reports Completed46741 Air Force370 Army26741 Coast Guard10 Marine240 National Guard10 Navy1330 Reviewable Prescriptions4.9 Million241 Thousand Service Members1.1 Million9,435 Service Members on High Risk Medications 213, 972 (20%)5,010 (55%)

4 PMART/WTU Workload Charts Current as of 11 Jun 10

WTU P-MART The Pharmacoeconomic Center and Pharmacy Operations Center developed the WTU report in order to support the “Warriors in Transition High-Risk medication Review and the Sole Provider Program.” The objective is to identify individuals who may require a more intensive medical review, to identify potential at-risk patients or to monitor adherence to a sole provider program. The WTU reports uses the provided roster of service members and pulls all anti-depressants, anti-psychotics, sedative hypnotics, and controlled substances. The results are three specific reports listing all corresponding medications and those service members on those medications. 5

6 WTU P-MART Homepage

7 WTU About This Program Button

8 WTU Patient Medication Profiles Button

9 Updated by Patient Reports

10 Updated Total Utilization by Unit and Name Report

11 WTU Utilization by Drug Button

12 Updated Details Reports

13 Updated Summary Reports

14 WTU Master Reports Selection Part 1 of 2

15 WTU Master Reports Selection Part 2 of 2

16 Psychotropics Details Report

17 Psychotropics Summary Report

18 Psychotropics by Patient Report

19 *NEW* Drug Combination Report

20 *NEW* User Defined Combination Report

21 *NEW* Service Members on Methadone/Fentanyl and a Psychotropic Combo Report

22 *NEW* Service Members on Methadone/Fentanyl, a Psychotropic, and a Sedative Hypnotic Combo Report

23 *NEW* Service Members on a Controlled Substance, a Psychotropic, and a Sedative Hypnotic Combo Report

24 *NEW* Service Members on a Narcotic, a Psychotropic, and a Sedative Hypnotic Combo Report

25 *NEW* Anti-Depressant, Narcotic, Anti-Psychotic, and a Sedative Hypnotic Medication Report by Patient

26 *NEW* Polypharmacy Report

27 *NEW* Polypharmacy Detail Report (WTU Specific)

28 Sensitive Data Request Form

29 Sensitive Data Release Form (cont)

30 PMART Summary PMART is a tool to assist in the predeployment medical screening process Fast and efficient tool for screening medication use Easy and no additional costs to use Specialized to a particular audience, for a specific purpose