Kentucky. Kentucky Cabinet for Health and Family Services Office of Inspector General

Transcription

1 PDMP name: Agency responsible: Agency type: PDMP PDMP website: Enrollment website: Query website: Data upload website: Statistics website: Kentucky Kentucky Cabinet for Health and Family Services Office of Inspector General McMahan, David - KASPER Project Manager/Administrator 275 E Main St, 5ED Frankfort KY Office: ext Fax: (502) KASPER david.mcmahan@ky.gov Contact Information Hold, Stephanie - Director 275 E Main St, 5ED Frankfort KY Office: ext 3336 Fax: (502) stephanie.hold@ky.gov PDMP region: South paa.aspx State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 19,929 State population: 4,472,265 DEA registered dispensers: 1,198

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 Quarterly trend reports and quarterly and annual threshold reports 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: # of employees - Operational: 4 # of employees - Technical: 14 # of employees - Analytical: 1 # of employees - Other: 0

3 Policies and Procedures Legislation enacted: PDMP operational: Initial user access: Statute website: Statute citation: KY Rev Statute 218A.202; 218A.240; 218A.245; 218A.172; 218A.390; 218A.391 Regulation citation: KY Admin Regs 201 KAR 5:130, 201 KAR 8:540, 201 KAR 9:230, 201 KAR 9:240, 201KAR 9:260, 201 KAR 20:057, 201 KAR 25:090, 902 KAR 55:110, and 907 KAR 1:677 Dr shopper statute: Pill mill statute: KRS 218A.175 Pain clinic statute: KRS 218A.175 Disclosure statute: Opioid guidelines: KRS 218A.205 Relevant Statutes and Rules Kentucky Revised Statute 218A(140) KY Rev Statute 218A.202(12) Key PDMP Dates On-line access: Electronic reporting: Reporting frequency: next business day Require zero-reporting? Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Data Monitored or Accessible Reporting frequency for veterinarians: Zero-reporting frequency: Authority to monitor other substances Gabapentin (Schedule V in KY) 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:

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 All practitioners authorized to prescribe controlled substances must register with the PDMP. All pharmacists authorized to dispense controlled substances must register with the PDMP. 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 Prior to initial prescription for a C-II and no less than every three months. Additional PDMP query requirements specific to the individual prescriber licensure boards. Authority to enforce PDMP mandates: Regulatory/Licensing Board Unsolicited alerts to practitioners not enrolled in PDMP Practitioners and pharmacists may provide the patient with a copy of their KASPER report. The report can also be placed in the patient's medical record, and is then subject to disclosure like any other component of the patient's medical record.

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 DEA registration number, professional license number, and home state driver s license number. DEA registration number, professional license number, and home state driver s license number. Confirmation of employment and authorized access by the professional licensure board. Badge or employee id number and home state driver s license number. Law Enforcement Requirements Probable cause Search warrant Proper need/upon request Law Enforcement Access Methods On-line/web portal Written request Other method: Fax request form for prescriber and dispenser information Minimum data elements: First name, Last name, patient Identifier, date of birth, address, city, state, report from and to date 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 zip code, patient alias name 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: Indefinite We do not permanently purge any prescription history data. Prescription history data is moved to offline storage after three years and maintained indefinitely. Report images are purged after two 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: In-House Vendor name: In-House Data storage entity: In-House Vendor name: In-House Report generation entity: In-House Vendor name: In-House Data access entity: In-House Vendor name: In-House Data access method: Web Portal/On-Line Data Collection, Storage, Generation and Access Interstate Data Sharing PMPi Hub RxCheck Hub HIE method Jurisdictions engaged AL, IL, IN, ME, MI, MN, NM, OH, SC, TN, VA, WV Impediments: via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Exact match Probablistic match Probablistic/manual match Data Integration Impediments Technical Impediments: Technical Impediments: Technical Certified as CMS Specialized Registry Require information on e-prescriptions User-friendly interfaces Patient Matching Other match method for queries Manual review process for approximately 3-4% 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