National Association of Boards of Pharmacy ® NABP PMP Interconnect Conference of Western Attorneys General July 13, 2011 Joshua M. Bolin Government Affairs Director

National Association of Boards of Pharmacy ® About NABP Formed in (c)(3) Charitable and Educational Organization 50 State Boards of Pharmacy, District of Columbia, Guam, Puerto Rico and the US Virgin Islands Mission: Assisting member Boards and regulators in Protection of the Public Health

National Association of Boards of Pharmacy ® Scarce Resources Authority and Autonomy Human and Fiscal –Hiring Freeze –Work Furlough Programs –Budget Cuts Myriad of Mandates –Impairment Programs –Prescription Drug Monitoring Programs –Drug Repository

National Association of Boards of Pharmacy ® Patchwork of PMPs Different standards from state to state Systems do not talk to each other Users on border states have to become users with each program in surrounding states

National Association of Boards of Pharmacy ® NABP Interconnect Since the mid 2000s, sponsored by the Bureau of Justice Assistance, PMPs and other interested parties have been working toward a solution Last year, some of our membership came to us and asked us to try to take their work to the next level and create a system that would facilitate data sharing from state to state

National Association of Boards of Pharmacy ® Key System Functions NABP’s PMP Interconnect, or PMPI, has three core functions: Transmit Request Between Various State PMP’s Review for Disclosing PMP Transmit Disclosed Response All Information is kept Secure: –Hosting – Authentication – Controlled Access – Audits

National Association of Boards of Pharmacy ® NABP Interconnect Does not house or store any Protected Health Information (PHI) or Personally Identifiable Information (PII) PHI and PII are doubly encrypted as it passes through the InterConnect Enforces the unique rules of each state against the request Allows the states to maintain control over the systems they worked so hard to get enacted and operational

National Association of Boards of Pharmacy ® Sample PMP Level Controls

National Association of Boards of Pharmacy ® Sample Role Authorizations

National Association of Boards of Pharmacy ®

The Disclosing PMP may: Complete Defer Disallow Mark as Error Refuse

National Association of Boards of Pharmacy ®

Sample Response Report

National Association of Boards of Pharmacy ® Secure, HIPAA Compliant Data All communication is secure Asymmetrical Cryptography over SSL Only the Requesting PMP will be able to view the response

National Association of Boards of Pharmacy ® MOU/Contracting Process Programs will contract/enter into an agreement directly with NABP to participate in the NABP Interconnect Avoids multiple state-to-state contracts/memorandums of understanding (MOU) Allows the hub to handle the “rules reconciliation” NABP responsibilities vs. state responsibilities States agree to conduct investigations for misuse of information through the hub by their users Dispute resolution 30-day “out clause”

National Association of Boards of Pharmacy ® Timeline for Implementation Development is complete NABP is now working with PMP software vendors to complete the relevant interface PMPs are beginning to configure their PMP on the PMP Interconnect Administrative Console PMPs will begin sharing data later this summer More PMPs will be brought online in Q3-Q4

National Association of Boards of Pharmacy ® Cost to Participate NABP is absorbing all costs associated with the development and implementation of PMPi NABP will cover the costs of the Annual Base fee to participate in the system NABP will cover annual participation fees for utilization of PMPi for 5 years NABP will cover software interface costs associated with connecting to PMPi

National Association of Boards of Pharmacy ® MOU Updates 9 MOUs Executed: CT, IN, KS, MS, ND, OH, SC, VA, WV 5 MOUs in final review stages: AZ, LA, MI, NV 12+ other PMPs have expressed an intent to sign on with PMP Interconnect

National Association of Boards of Pharmacy ®

Josh Bolin Government Affairs Director (615)