department of health professions prescription monitoring program advisory committee meeting june 10,...
TRANSCRIPT
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Department of Health Professions
PRESCRIPTION MONITORING PROGRAM
ADVISORY COMMITTEE MEETING
JUNE 10, 2008
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www.dhp.virginia.gov
Department of Health Professions
Source: 2006 NSDUH
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www.dhp.virginia.gov
Department of Health Professions
Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2006
Bought/Took from Friend/Relative
14.8%
Drug Dealer/Stranger
3.9%
Bought on Internet
0.1% Other 1
4.9%
Free from Friend/Relative
7.3%
Bought/Took fromFriend/Relative
4.9%
OneDoctor80.7%
Drug Dealer/Stranger
1.6%Other 1
2.2%
Source Where Respondent Obtained
Source Where Friend/Relative Obtained
One Doctor19.1%
More than One Doctor
1.6%
Free from Friend/Relative
55.7%
More than One Doctor3.3%
Source: 2006 NSDUH
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www.dhp.virginia.gov
Department of Health Professions
Risk Management ToolProtection for the patient
– provides the practitioner with information needed to make informed decisions about prescribing
Protection for the practitioner
– Provides an alert for possible abuse, misuse, or diversion that can protect against “duping” that can lead to disciplinary action or prosecution
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www.dhp.virginia.gov
Department of Health Professions
ACCESS TO OTHER PROGRAMS
• West Virginia: https://65.78.228.163• Kentucky:
https://ekasper.chfs.ky.gov/accessrequest– www.chfs.ky.gov/kasper
• Tennessee: https://prescriptionmonitoring.state.tn.us
• North Carolinahttp://www.ncdhhs.gov/mhddsas/controledsubstance/index.htm
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www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATEPrescriptions in Database
(in Millions)
# of Records
8.2
11
13.6
16.7
19.5
22.624.6
0
5
10
15
20
25
30
# of Records
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www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATERequests for Information
Comparison of Request Totals 2007-2008
0
500
1000
1500
2000
2500
3000
3500
4000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2007
2008
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www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATERegistered Users of PMP
DataCenter
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Total Users
Prescribers
Pharmacists
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www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATE
# of Registered Users for Online Pain Management Course
0
50
100
150
200
250
1/4
/2008
1/1
8/2
008
2/1
/2008
2/1
5/2
008
2/2
9/2
008
3/1
4/2
008
3/2
8/2
008
4/1
1/2
008
4/2
5/2
008
5/9
/2008
5/2
3/2
008
# of Registered Users
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www.dhp.virginia.gov
Department of Health Professions
PROGRAM UPDATE:Unsolicited Reports: Number of patients
identified compared with previous reports
0
20
40
60
80
100
120
140
160
#of Patients
Previous reports sent
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www.dhp.virginia.gov
Department of Health Professions
THE NEED FOR PAIN MANAGEMENT EDUCATION
• Managing Pain is challenging– Spans professions and specialties
– Variation in chronic pain syndromes
– Limited evidence-based guidelines
– Limited provider training
– Provider fears of legal ramifications
Upshur et al 2006; Chen et al 2006; Adams et al 2001
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
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www.dhp.virginia.gov
Department of Health Professions
PRESENTATIONS AND OTHER EDUCATIONAL ACTIVITIES
• Project Remote—SW Virginia
• May conference in Norfolk
• Responsible Opioid Prescribing mailing
• Contact with Portsmouth Naval Hospital and Hampton VA Medical Center
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www.dhp.virginia.gov
Department of Health Professions
MARKETING PLAN
• Brochures
• Certificates
• Mailings
• Other items
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www.dhp.virginia.gov
Department of Health Professions
2008 Fall Conference
• Northern Virginia
• November: Date to be determined
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www.dhp.virginia.gov
Department of Health Professions
PLANNED SYSTEM IMPROVEMENTS
• Database move to Chesterfield facility
• PowerSearch enhancement to program software
• Update to Version 4.1
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www.dhp.virginia.gov
Department of Health Professions
LEGISLATIVE/REGULATORY PROPOSALS
• Interoperability with other state programs
• Data access issues