INDIANA’S PRESCRIPTION DRUG MONITORING PROGRAM Indiana Rural Health Association Annual Conference August 8th, 2013 WHAT IS INSPECT? Collects and tracks CS prescriptions dispensed to IN residents Available to registered healthcare providers and law enforcement Housed in the IN Professional Licensing Agency / administered by the IN Board of Pharmacy. Collects 13 million CS Rxs each year Includes data from retail & hospital pharmacies, dispensing physicians, mail order, online and NR pharmacies Required reporting frequency: Every 7 days Accessible 24/7 from any internet connection 128-bit SSL Security encryption, Server housed behind IOT firewalls INSPECT fulfills between 11,000 – 14,000 requests for Patient Rx History Reports daily IC 35-48-7 ELIGIBILITY Licensing Board: Must be engaged in an investigation of a licensee. Attorney General’s Office: Must be engaged in an investigation, adjudication, or a prosecution regarding a violation of state/federal laws concerning controlled substances. Law Enforcement: Must concern an investigation and/or an adjudication involving the unlawful diversion or misuse of controlled substances. Practitioners: Must hold an valid individual DEA number as well as a valid CSR license (N/A for Pharmacists). The practitioner must be providing medical or pharmaceutical treatment, or evaluating the need for such treatment to the patient in question. INSPECT COLLECTS INSPECT DOES NOT COLLECT Controlled substances dispensed to IN residents from: •Retail pharmacies •Hospital Outpatient pharmacies •Mail Order pharmacies •Non-resident pharmacies •Physician dispensing out of office that is more than a 72-hour supply • Instymed & PYXIS machines •Any substance that is not controlled •Pseudoephedrine •Morphine/Methadone (less than 72-hour supply) •VA facility dispensing (included by 2014) •Any dispensation less than a 72-hour supply •Any substance that is administered Non-Workflow REQUESTING A PATIENT RX HISTORY REPORT Step 1: Click the “New Request” tab. Step 2: Enter the patient first name, last name and date of birth, and choose other states to include data from. Step 3: Check the certification checkbox then click the “Create” button to generate the report. Check the patient key for more than one individual. The Prescriber abbreviations will match the Prescriber Key at the bottom of the report. The Pharm abbreviations will match the Pharmacy Key at the bottom of the report, which provides contact information. PDMP DATA FROM OTHER STATES Practitioners requesting an INSPECT report have the ability to query other state PDMP databases along with INSPECT. INSPECT currently shares data with : Ohio Illinois Michigan Kentucky Virginia Arizona Kansas North Dakota Connecticut DATA INTEGRATION INTO HOSPITAL EHR One-click Access PILOT SURVEY RESULTS 58% reduction in either prescriptions written or number of pills prescribed. In 72% of cases there was more information in the report than the physician was aware of. 100% reported that integrated report was easier to use. 2 out of 3 accessing report in INPC not registered w/ INSPECT Worst offenders are less active Requests increased from 5,000 to between 11,000-14,000 daily # Pts. w/ 8+ Rxs. in 60 days Time END 8+ 8+ 9+ 10+ DATE Period Data 11/9/2011 1/8/2012 146 66 33 1 -23 Integration 11/16/2011 67 37 2 1/15/2012 134 -13 11/23/2011 71 38 3 1/22/2012 135 -19 4 1/29/2012 136 -21 11/30/2011 59 39 5 2/5/2012 125 -14 12/7/2011 63 41 6 2/12/2012 133 -21 12/14/2011 61 35 7 -22 37 12/21/2011 2/19/2012 130 71 8 2/26/2012 143 -29 12/28/2011 64 32 AVG -20% 9+ START DATE START DATE 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 11/7/2012 END DATE -20 1/6/2013 11/14/2012 -24 1/13/2013 11/21/2012 -27 1/20/2013 -49 1/27/2013 11/28/2012 -25 2/3/2013 12/5/2012 -36 2/10/2013 12/12/2012 -46 12/19/2012 2/17/2013 -33 12/26/2012 2/24/2013 -33% 10+ 9+ 8+ 10+ 113 29 53 -12 116-32 51 109-42 52 107-26 30 107-37 47 105-46 39 -62 101 38 -59 102 43 -40% 25 22 29 26 19 14 13 WWW.IN.GOV/INSPECT Click here to create a HelpDesk ticket Click here to go to the Login page to make a request. CONTACT INFORMATION INSPECT Address: 402 W. Washington Street, Room W072, Indianapolis, IN 46204 Helpdesk: Phone: 317-234-4458 Fax: 317-233-4236 Email: inspect@pla.in.gov To obtain further information and/or register for an account, please visit www.in.gov/inspect.