Indiana. Contact Information. State Registrant Totals and Population

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1 Data upload website: Statistics website: Frye, Deborah - Executive Director 402 W Washington St, W072 Indianapolis IN Office: (317) Fax: (317) Indiana PDMP name: INSPECT Agency responsible: Indiana Professional Licensing Agency Agency type: Professional Licensing Agency PDMP PDMP website: Enrollment website: Query website: Contact Information Slusser, Kara - Director of INSPECT 402 W Washington St, W072 Indianapolis IN Office: (317) Fax: (317) PDMP region: North State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 30,129 State population: 6,699,629 DEA registered dispensers: 1,238

2 Prescriber access to patient history Prescriber access to own history Prescriber access to patient query history Prescriber access to registrant query history Licensing Board access to patient history Licensing Board access to licensee history Licensing Board access to patient query history Licensing Board access to registrant query history Summary data on/with patient reports Customized reports by user type Peer comparison reports PDMP annual reports Data dashboards Other types of reports: PDMP Available Reports Dispenser access to patient history Dispenser access to own history Dispenser access to patient query history Dispenser access to registrant query history Law Enforcement access to patient history Law Enforcement access to prescriber history Law Enforcement access to dispenser history Law Enforcement access to patient query history Law Enforcement access to registrant query history Statewide statistics Lost/stolen prescription information Drug trend reports Geomapping of prescription data Prescriber report cards Aggregate PDMP data dashboard on our State data hub's website 2018 PDMP Budget and Staffing Source of Funding and Percent of Total State general fund Licensing fee Controlled substance registration fee Regulatory board fund Agreed settlement Harold Rogers grant CDC grant SAMHSA grant NASCSA grant Other funding Staff Category and Number of FTEs Total Staff: 5.00 # of employees - Operational: 2 # of employees - Technical: 2 # of employees - Analytical: 1 # of employees - Other: 0

3 Reporting frequency: 1 business day Policies and Procedures Legislation enacted: 1997 PDMP operational: 1998 Initial user access: Statute website: Statute citation: IN Code to -7.5; ; ; to.14; to -6; Regulation citation: IN Admin Code to -4 Dr shopper statute: IC Pill mill statute: Pain clinic statute: Disclosure statute: IN Code Opioid guidelines: Key PDMP Dates On-line access: Electronic reporting: 1998 Relevant Statutes and Rules Data Monitored or Accessible Reporting frequency for veterinarians: Daily; anything more than a 72 hour supply Require zero-reporting? Zero-reporting frequency: Daily; 30 days, if hospital Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Authority to monitor other substances ephedrine and pseudoephedrine Removed from monitoring Naloxone administering information Collectors: Homeland Security has the EMS reporting system Reporters: Emergency Medical Services Naloxone dispensing information Collectors: PDMP Reporters: Pharmacies dispensing Naloxone Marijuana data Collectors: Reporters: Marijuana data available in PDMP Opioid-related drug overdoses or deaths Reporters: Registrant's disciplinary history/status Patient lock-in information Lost/stolen prescription drug reports Arrest/conviction data ARCOS data Drug manufacturers or distributors data Frequency of reporting: Access method: Data elements: Reciprocal agreements with external data sources: State Department of Health

4 Mandatory E-Prescribing (EPCS) Payment method captured Patient ID required to be presented to dispenser Patient ID captured ID of person dropping off captured ID of person picking up captured Ability to identify prescriber specialty Patient consent required before data release Required notification to patients Mandated use of advisory group Number of delegates allowed Required enrollment - Prescriber Required use - Prescriber Not limited Frequency unsolicited alerts/reports generated: Delivery method for unsolicited alerts/reports: Veterinarian access to owner's prescription history Criteria for veterinarian queries: Patient access to query list details: Requirements for patients to get own report: Miscellaneous Capabilities and Policies Required PDMP Enrollment and Use Required enrollment - Dispenser SEA221 requires enrollment with the PDMP for all prescribers with a controlled substance registration (CSR) by January 1, Will be in effect July 1, 2018 Required use - Dispenser Ability for users to set thresholds for alert notices Ability for users to do user-led alert notices Ability to search for multiple patients in one query Maximum number of patients in one query: 1 Supervisor review/audit of delegate accounts Ability to de-identify data Authority to release de-identified data Authority to release for epi or educational purposes Engaged in release for epi or educational purposes Unsolicited alerts to practitioners not enrolled in PDMP Animal's Name or Animal's First Name and Animal Owner's Last Name A practitioner must determine whether or not they want to include the PDMP report in the patients medical record. If the report is put into the medical record, the patient will have access. Requires adoption of regulations that require an opioid treatment provider who prescribes opioid medication for a patient in an opioid treatment program periodically review the PDMP for that patient. Practitioners must query the PDMP prior to initially prescribing ephedrine, pseudoephedrine, or a controlled substance for a patient and periodically thereafter while treatment with that substance continues. SEA221 will mandate use starting January 1, Authority to enforce PDMP mandates: PDMP will report non-compliance to Attorney General

5 Automatic enrollment with license renewal or application PDMP Accounts Enrollment method: Practitioners must proactively enroll themselves by filling out an application. Once it is determined by INSPECT staff that the practitioner has the proper credential and is in good standing, they are approved. Prescriber account criteria: Dispenser account criteria: Regulatory Board account criteria: Law Enforcement account criteria: Active investigation Subpoena Court order/approval Other: A provider should have their DEA Number and license number. INSPECT does not accept a DEA number that belongs to a hospital with a suffix practitioners falling in that category would be delegates and would need an account under a supervising practitioner. Valid Pharmacist License from any state no unique account; PDMP pulls data for them; Affidavit signed by supervisor stating account is necessary to perform investigative functions Law Enforcement Requirements Probable cause Search warrant Proper need/upon request Law Enforcement Access Methods On-line/web portal Written request Other method: Minimum data elements: Last name, First name, Date of Birth, Date range of dispensation (365 days per search, but can go back to 1994) Partial data elements: Optional data elements: Data retention policy All information purged Record retention details: De-Identified data retention details: Training website: Prescriber Dispenser Law Enforcement Regulatory Board Available Training allow partial name, but strongly urged not to Alias, address, gender Prescriber information purged Dispenser information purged Attorney General Patient Researcher Criteria to Query PDMP Data Retention PDMP Requestor Training Prescriber Dispenser Law Enforcement Regulatory Board Patient information purged Drug information purged Training Required Before PDMP Use Attorney General Patient Researcher Other Retain de-identified data Retention time:

6 ASAP Versions Accepted ASAP 1995 ASAP 1997 ASAP 3/2005 ASAP 4/2007 ASAP 4-1/2010 ASAP 4-2/2011 Technological Capabilities Data Transmission Methods Allowed Electronic data transmission Mail data transmission Fax data transmission Media data transmission Other Can also transmit via SFTP portal maintained by the Indiana Office of Technology. Required Data Transmitters Pharmacy in-state Pharmacy out-state/mail order Pharmacy out-state/other Dispensing doctor Veterinarian Veterans Administration Indian Health Services Other: Requires opioid treatment programs to report all controlled substances dispensed to the division Data collection entity: Vendor Vendor name: Appriss Data storage entity: Vendor Vendor name: Appriss Report generation entity: Vendor Vendor name: Appriss Data access entity: Vendor Vendor name: Appriss Data access method: Web Portal/On-Line Data Collection, Storage, Generation and Access Interstate Data Sharing PMPi Hub RxCheck Hub HIE method Jurisdictions engaged AZ, AR, CO, CT, DE, ID, IL, KS, KY, MA, MI, MN, NV, NM, NY, ND, OH, OK, RI, SC, SD, UT, VA, WV, WI Impediments: via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Exact match Probablistic match Probablistic/manual match Certified as CMS Specialized Registry Require information on e-prescriptions User-friendly interfaces Data Integration Impediments HIE integration is less efficient than direct EHR integration Impediments: Impediments: Patient Matching Other match method for queries Miscellaneous Data analysis software Online user guides/educational materials Department of Defense

7 Healthcare Regulatory Law Enforcement Public and Private Insurers Other Requestors and Reports Authorized to Generate Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate (licensed) Dispenser Delegate (licensed) Prescriber Delegate (unlicensed) Dispenser Delegate (unlicensed) Medical Residents Interns Medical Facility/Institution Patient Drug Treatment Provider Licensing/Regulatory Board State Health Department Peer Review Committee Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Third-party Payer Researchers Marijuana Dispensary Other PDMP Individual with a temporary fellowshi Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

8 Healthcare Regulatory Law Enforcement Public and Private Insurers Other Requestors and Reports Being Generated Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate (licensed) Dispenser Delegate (licensed) Prescriber Delegate (unlicensed) Dispenser Delegate (unlicensed) Medical Residents Interns Medical Facility/Institution Patient Drug Treatment Provider Licensing/Regulatory Board State Health Department Peer Review Committee Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Third-party Payer Researchers Marijuana Dispensary Other PDMP Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

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