1. Maine’s Prescription Monitoring Program Daniel J. Eccher, MPH Project Coordinator Prescription Drug Misuse: A Community Challenge

2. Introduction to Maine’s PMP What it is and how it works PMP How healthcare providers can use patient-specific PMP data Recruitment of prescribers and dispensers

3. Maine’s PMP What it is and how it works

4. Overview of Maine’s PMP Legislation passed in 2003 Data collection began in July of 2004 Data is submitted twice a month from over 300 pharmacies (both in and out of state) Scheduled drugs (II, III, and IV) All transactions saved in centralized, relational database

5. OSA’s Goals for Maine’s PMP Improve patient care by giving health care providers comprehensive information Curb prescription misuse Get those who are addicted into appropriate treatment

6. OSA’s Goals for Maine’s PMP Help stop prescription drug overdoses Educate the public on the dangers of prescription drug misuse Ensure that those who do need prescription medications still receive them

7. Benefits for Prescribers Providing better care:  Patient Threshold Reports – “red flag” of potential addiction and/or diversion PMP: giving clinicians the ability to coordinate care with other prescribers Health care tool for new patients: allowing a background check on prescriptions of Schedule II, III, and IV drugs prior to a patient’s first appointment  Online data access

8. Use of Patient-specific Data Solicited Reports (registering with PMP in order to request online or paper patient history reports) Unsolicited Reports  Quarterly Threshold Reports (“unsolicited”)  Monthly Buprenorphine/Narcotics Concurrent Usage Reports – new  Quarterly Acetaminophen Threshold Reports – (in development)

9. How to Request Reports Register with PMP: 1. Go to: http://www.maine.gov/pmphttp://www.maine.gov/pmp 2. Follow the “GHS Web Site” link. 3. Scroll to the bottom and click the “Sign Up” button in the New Users section. 4. Fill in the required information on three sequential forms. (On the first form, prescribers should select “Requestor” in the “User Type” section.) 5. Wait for fax confirmation (approval process takes about two business days).

10. PMP’s Two Web Sites GHS Data Management: http://www.ghsinc.com/pmppage.php http://www.ghsinc.com/pmppage.php (for registration and requesting paper reports) OSA’s PMP Prescription Data Portal: http://www.maine.gov/pmp (patient-specific data online)

11. GHS’s PMP Logon Web Page How to request faxed reports

12. GHS’s PMP Logon Web Page

13. GHS PMP Report Request (Fax) Select “Request Patient History Report” at the GHS site to request a fax.

14. OSA’s Prescription Data Portal Online data access

15. OSA’s Prescription Data Portal

16. OSA’s PMP Signature Page

17. OSA Data Portal Search Page

18. Search Results Page

19. Patient History Report Page

20. OSA’s Data Portal Advantages Immediate access to reports Delegation of report requesting to other licensed healthcare professionals allowed through Sub- Accounts (e.g., nurses) Prescriber Histories: to check for fraudulent scripts (e.g., stolen script pads) Reports available anywhere a user has Internet access

21. Recruitment of Prescribers Community Call to Action

22. Recruitment of Prescribers MMA Programs – CME units Speaking at conventions Speaking at hospitals and clinics Word of mouth Hospital administration/networks

23. Recruitment: Where we are Prescribers in Maine (current DEA licenses): 6245 Prescribers registered on PMP online system as of Oct. 12, 2007: 1556 (25%) Many registered prescribers yet to use online system Goal: routine use of system – with every new prescription and every follow up apt.

24. Recruitment Issues General awareness/concern about prescription drug misuse and diversion Knowledge of PMP Awareness of PMP’s online option Time commitment Connectivity/Registration Process issues Time-lag in online database – up to one month “behind”

25. PMP Summary Prescription Monitoring Program: a tool set up to help clinicians enhance patient care Online Prescription Data Portal: a convenient way to access the data (www.maine.gov/pmp) Help needed recruiting healthcare providers

26. For more information about the program, please visit the PMP website: http://www.maine.gov/dhhs/osa/pmp Daniel J. Eccher, MPH Project Coordinator Prescription Monitoring Program Phone: (207) 287-3363 Email: daniel.eccher@maine.govdaniel.eccher@maine.gov