North Carolina. Contact Information. State Registrant Totals and Population. PDMP region: PDMP name: Agency responsible:

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1 PDMP name: Agency responsible: Agency type: PDMP PDMP website: Enrollment website: Query website: Data upload website: Statistics website: North Carolina PDMP region: South North Carolina Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services Substance Abuse Agency Asbun, Alex - Drug Control Unit Manager 325 N Salisbury St Raleigh NC Office: (919) Fax: (919) NC CSRS alex.asbun@dhhs.nc.gov Contact Information Womble, John - Program Consultant 325 N Salisbury St Raleigh NC Office: (919) Fax: johnny.womble@dhhs.nc.gov State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 49,484 State population: 10,390,149 DEA registered dispensers: 2,410

2 Prescriber access to patient history Prescriber access to own history Prescriber access to patient query history Prescriber access to registrant query history 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 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: 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 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: 4.50 # of employees - Operational: 1.5 # of employees - Technical: 0 # of employees - Analytical: 3 # of employees - Other: 0

3 Policies and Procedures Legislation enacted: PDMP operational: Initial user access: Statute website: Statute citation: NC Gen Statute ; to ; Regulation citation: NC Admin Code 26E.0601 to.0603 Dr shopper statute: NC General Statute Pill mill statute: Pain clinic statute: Disclosure statute: Opioid guidelines: Reporting frequency: 1 day Require zero-reporting? Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Relevant Statutes and Rules NC Gen Statute (a) Key PDMP Dates On-line access: Electronic reporting: Data Monitored or Accessible Reporting frequency for veterinarians: Zero-reporting frequency: Authority to monitor other substances Removed from monitoring Naloxone administering information Collectors: Health Department Reporters: Law Enforcement Agencies, Emergency Medical Services, Community members, end users Naloxone dispensing information Collectors: Health Department Reporters: Law Enforcement Agencies, Emergency Medical Services, Pharmacies 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: Medical Examiners/Coroners Offices

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 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: Required enrollment - Prescriber Required use - Prescriber Miscellaneous Capabilities and Policies Required PDMP Enrollment and Use Required enrollment - Dispenser Requires pharmacists to register with the PDMP within 30 days of obtaining an initial or renewal license to practice pharmacy and provides that the failure to register may be cause for revocation or suspension of the license 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: 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 Requires prescribers to query the PDMP for a patient prior to initially prescribing a targeted controlled substance for that patient and every three months thereafter when such substance remains part of the patient s treatment. Provides other instances when a prescriber may, but is not required to, query the PDMP, including: 1) when the CS is administered to a patient in a health care setting, hospital, nursing home, or residential care facility; 2) the CS is prescribed for the treatment of cancer or another condition associated with cancer; 3) the CS is prescribed to a patient in hospice or palliative care. Requires that dispensers query the PDMP prior to dispensing a targeted controlled substance: 1) if the dispenser has a reasonable belief that the patient may be seeking the substance for any reason other than treatment of the patient s medical condition; 2) the prescriber is located outside the usual geographic area served by the dispenser; 3) the patient resides outside the usual geographic area served by the dispenser; 4) the patient pays with cash when s/he has insurance on file; 5) the patient demonstrates potential misuse of a CS by over-utilization, requests for early refills, multiple prescribers, appearance of being overly sedated or intoxicated upon presenting a prescription, and/or a request by an unfamiliar patient for an opioid drug by a specific name, street name, color, or identifying marks. Authority to enforce PDMP mandates: Regulatory/Licensing Board Unsolicited alerts to practitioners not enrolled in PDMP

5 Automatic enrollment with license renewal or application Enrollment method: Prescriber account criteria: Dispenser account criteria: Regulatory Board account criteria: Law Enforcement account criteria: Active investigation Subpoena Court order/approval Other: PDMP Accounts must have DEA Registration number, practitioner license number or pharmacist license number, photo ID to register Law Enforcement Requirements Probable cause Search warrant Proper need/upon request Law Enforcement Access Methods On-line/web portal Written request Other method: NC SBI has online PDMP portal Minimum data elements: 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 Prescriber information purged Dispenser information purged Attorney General Patient Researcher Criteria to Query PDMP Data Retention We have not decided yet. 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: 5 years

6 ASAP Versions Accepted ASAP 1995 ASAP 1997 ASAP 3/2005 ASAP 4/2007 ASAP 4-1/2010 ASAP 4-2/2011 Technological Capabilities Electronic data transmission Fax data transmission Other Data Transmission Methods Allowed Mail data transmission Media data transmission Pharmacy in-state Pharmacy out-state/mail order Pharmacy out-state/other Dispensing doctor Veterinarian Veterans Administration Indian Health Services Other: Required Data Transmitters 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 Jurisdictions engaged AL, DE, MD, MN, SC, TN, VA Impediments: via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Exact match Probablistic match Probablistic/manual match Data Collection, Storage, Generation and Access Interstate Data Sharing PMPi Hub RxCheck Hub HIE method Data Integration Impediments Technical Impediments: Technical Impediments: Technical, Funding Certified as CMS Specialized Registry Require information on e-prescriptions User-friendly interfaces 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 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