1. Maine Prescription Monitoring Program Using the PMP to Improve Patient Care John Lipovsky, MPPM, AREM, PMM Prescription Monitoring Program Coordinator Office of Substance Abuse and Mental Health, DHHS www.maine.gov/pmp 1

2. The PMP Database Maintains a Database of all Scheduled II – IV Drugs Dispensed in Maine Data Provided Daily from Pharmacies and is kept for six years. Available Online Free Patient & Prescriber History Reports are Available Automatic Threshold Reports are sent routinely www.maine.gov/pmp 2

3. How It Works NOT Public Information Patient Confidentiality Applies to all Reports Penalties for Misuse Considered to be a Standard Tool to Provide Better Patient Care Prescribers, Pharmacists and their appointed Delegates can access the PMP www.maine.gov/pmp 3

4. PMP Healthcare Goals include Help Improve Patient Care Help Reduce Misuse, Abuse & Diversion of Prescription Drugs Help Reduce Prescription Drug Overdoses 4

5. Unsolicited Threshold Reports Automatically generated and sent to prescribers Generated based upon on different algorithms The reports inform prescribers when a patient has reached or surpassed a prescription threshold considered to be potentially dangerous or warrants further monitoring www.maine.gov/pmp 5

6. Unsolicited Threshold Report Types Acetaminophen Threshold ▫ average daily dose of 4 grams or more within 90 days. Pharmacy/Prescriber Buprenorphine and Narcotics Concurrent Usage Multiple Opioid Prescriptions Morphine Milligram Equivalent Threshold www.maine.gov/pmp 6

7. 7 Source: Maine PMP, 2015 www.maine.gov/pmp

8. 8 Source: Maine PMP, 2015 www.maine.gov/pmp

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11. Single Sign-On Access from HealthInfoNet to the PMP PMP is accessible directly from the HIN clinical portal through a single-sign-on process. ▫ Easier access to comprehensive patient data ▫ Efficient patient treatment Sign Up ▫ Request access through the HIN portal using the “Request for Access” link on the links menu ▫ Contact HealthInforNet at customercare@hinfonet.org or 207-541-9250 customercare@hinfonet.org www.maine.gov/pmp 11

12. PMP – Recent accomplishments Veterans Administration pharmacy reporting of data began 10/30/2014 Began sharing PMP data with Kentucky - October 2015 New notifications to inform prescribers of patients in danger of drug overdose - February 2015 Weekly data reporting from pharmacies changed to daily reporting effective July 11, 2015. www.maine.gov/pmp 12

13. PMP Upcoming Changes Several PMP web portal enhancements Interstate data sharing with more states – Massachusetts Automatic registration (Target Date 10/31/15) Morphine Milligram Equivalent automatic notification tool for prescribers www.maine.gov/pmp 13

14. Conclusion Use the PMP to enhance patient care Use Patient Prescribing Agreements ▫ Set and use the PMP tool to allow for receipt of notices when a patient breaks your prescribing agreement. Help reduce prescription overdose, abuse and misuse Follow Ch. 21 requirements Refer to substance abuse treatment Visit www.maine.gov/pmp to register and more information USE the PMP! 14 www.maine.gov/pmp

15. 15 Questions ? http://www.maine.gov/pmp http://www.maine.gov/pmp John Lipovsky Prescription Monitoring Program Coordinator (207) 287-3363 John.lipovsky@maine.gov Anne Rogers Data and Research Manager Anne.Rogers@maine.gov