Colorado. Contact Information

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1 Colorado PDMP name: Prescription Drug Monitoring Program PDMP region: Agency responsible: Colorado State Board of Pharmacy Agency type: Pharmacy Board PDMP PDMP website: Enrollment website: Query website: Data upload website: Statistics website: Contact Information Anderson, Wendy - Program Director 1560 Broadway, Ste 1350 Denver CO Office: (303) Batchelder, Nathan - Director of External Affairs 1560 Broadway, Ste 1350 Denver CO Office: (303) Fax: (303) Fax: (303) wendy.anderson@state.co.us nathan.batchelder@state.co.us West State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 31,364 State population: 5,684,203 DEA registered dispensers: 926

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: 1.00 # of employees - Operational: 1 # of employees - Technical: 0 # of employees - Analytical: 0 # of employees - Other: 0

3 Reporting frequency: daily, no later than the next business day Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Policies and Procedures Legislation enacted: PDMP operational: Initial user access: Statute website: Statute citation: CO Rev Statute to -409 Regulation citation: CO Code Regs Title :17 to -3:18; Title : Dr shopper statute: CO Code Ann Pill mill statute: Pain clinic statute: Relevant Statutes and Rules Disclosure statute: CO Rev Statute ; Opioid guidelines: Require zero-reporting? 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: Reporters: Naloxone dispensing information Collectors: Reporters: 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: Health Department

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 3 Frequency unsolicited alerts/reports generated: monthly Required enrollment - Prescriber Prescribers with current DEA registration; including dentists. Required use - Prescriber Miscellaneous Capabilities and Policies Required PDMP Enrollment and Use Required enrollment - Dispenser Required use - Dispenser Ability to de-identify data Delivery method for unsolicited alerts/reports: encrypted and first class mail Veterinarian access to owner's prescription history Criteria for veterinarian queries: Patient access to query list details: Requirements for patients to get own report: 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 Authority to release de-identified data Authority to release for epi or educational purposes Engaged in release for epi or educational purposes When the authorized treating physician prescribes long-term opioid treatment, s/he shall use the Division of Workers Compensation Chronic Pain Disorder Medical Treatment Guidelines and review the Colorado Medical Board Policy #40-26, Policy for Prescribing and Dispensing Opioids. Urine drug tests for chronic opioid management shall employ testing methodologies that meet or exceed industry standards for sensitivity, specificity and accuracy. The test methodology must be capable of identifying and quantifying the parent compound and relevant metabolites of the opioid prescribed. In-office screening tests designed to screen for drugs of abuse are not appropriate for chronic opioid compliance monitoring. When drug screen tests are ordered, the authorized treating physician shall utilize the Colorado Prescription Drug Monitoring Program (PDMP). Medical directors and other qualified health care professionals shall utilize the information obtained from the Colorado State Board of Pharmacy s electronic Prescription Drug Monitoring Program (PDMP) as clinically appropriate upon intake. Authority to enforce PDMP mandates: Regulatory/Licensing Board Unsolicited alerts to practitioners not enrolled in PDMP Animal's Name, Animal Owner's Name Valid ID and request form

5 PDMP Accounts Automatic enrollment with license renewal or application Enrollment method: Online enrollment Prescriber account criteria: DEA Number and license number. Dispenser account criteria: DEA Number and license number. Regulatory Board account criteria: Law Enforcement account criteria: Law Enforcement Requirements Active investigation Probable cause Subpoena Search warrant Court order/approval Proper need/upon request Other: Valid subpoena Law Enforcement Access Methods On-line/web portal Written request Other method: Minimum data elements: Last name and first name 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 first three characters of last name gender, zip code 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 Electronic data transmission Fax data transmission Other Required Data Transmitters 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: Effective 5/21/14 federal pharmacy facilities have the ability to transmit dispensing data to the Colorado PDMP, but will not be mandated to do so. 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, CT, DE, ID, IL, IN, KS, MA, MI, MN, NV, NM, ND, OH, SC, SD, UT, WI Impediments: via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Exact match Probablistic match Probablistic/manual match Impediments Funding Impediments: Funding Impediments: Funding Certified as CMS Specialized Registry Require information on e-prescriptions User-friendly interfaces Data Integration 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

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