Massachusetts Department of Public Health Prescription Monitoring Program: The Massachusetts Prescription Monitoring Tool (MassPAT) November 1, 2016
Goals of the Session Understand the mission and responsibilities of the Prescription Monitoring Program (PMP). Understand how the Massachusetts Prescription Awareness Tool (MassPAT) can play a critical role in the clinical decision making process. Understand the next phase of implementation: EMR Integration. 2
Introduction to the Prescription Monitoring Program (PMP) 3
What is Prescription Monitoring Program (PMP)? The MA PMP collects dispensing information on Massachusetts Schedule II through V controlled substances dispensed pursuant to a prescription. The Department analyzes PMP data to: Determine prescribing and dispensing trends; Provide patient prescription history information to prescribers and dispensers; Provide educational information to health care providers and the public; and to Provide case information to regulatory and law enforcement agencies concerning drug distribution and diversion. To fulfill this mission, the Department operates two tools: PMP Clearinghouse dispensed prescription data MassPAT patient prescription history 4
PMP is a component in the larger opioid effort Health Care Providers State Linkages in Opioid Epidemic Prof. Boards Drug Treatment 5
What is PMP Clearinghouse? The PMP Clearinghouse is a tool pharmacies use to submit dispensed prescription data. Pharmacies are required to report data within 24-hours or no later than the next business day. The PMP Clearinghouse went live on May 31, 2016. Data submission requirements are detailed in the Data Submission Guide. Where does the data come from? Outpatient pharmacies Retail pharmacies Clinic pharmacies Veterans Affairs outpatient pharmacies Out-of-state mail order pharmacies Hospital medical orders filled for inpatients are not reported to the PMP 6
What is the Massachusetts Prescription Awareness Tool (MassPAT)? MassPAT is an online tool utilized by authorized providers that supports safe prescribing and dispensing of Schedules II V controlled substances. By viewing a patient s prescription history in the system, a provider can avoid duplication of drug therapy and coordinate care by communicating with other providers to improve clinical outcomes and overall patient health. Utilization of MassPAT can also enable early identification of potential prescription drug misuse, abuse or diversion and trigger early intervention. What data are available in MassPAT? All Schedules II-V controlled substances dispensed in the last 12 months to patients in Massachusetts. 7
Who can access MassPAT? Doctors (MD, DO) Pharmacists Dentists (DMD, DDS) Physician Assistants Nurse Midwives, Nurse Antsiest, Nurse Practitioners Medical Residents with Prescriptive Authority Authorized Delegates (licensed (i.e. RN) and unlicensed) Boards of Registrations Law Enforcement agencies What is the required use of MassPAT? As of October 15, Prescribers must check MassPAT each time the prescriber issues a Schedule II or III narcotic to a patient. Prescribers must continue to check MassPAT the first time they prescribe to a patient a benzodiazepine. 8
MassPAT since go-live 46,597 Accounts in MassPAT as of 10/21/16 9
Massachusetts Prescription Awareness Tool (MassPAT) 10
Website: www.mass.gov/dph/dcp/pmp Available 24/7 11
MassPAT System Preview: Registration Page Click create an account to begin your MassPAT registration process 12
MassPAT Roles BORIM, personal DEA, MCSR BORN, personal DEA, MCSR Support staff BORIM, Facility DEA Professional license (i.e. MA, LPN, RN) 13
MassPAT System Preview: Patient Search Can select other states to search Partial spelling DOB always required Can conduct searches within past year 14
Connecting with available PMPi & RxCheck states PMPi connectivity with MassPAT PMPi state Implementing PMPi RxCheck state Legal barrier/no data sharing option WA AK OR ID MT WY ND SD MN WI MI NY VT NH MA CT ME RI CA NV UT CO NE KS IA MO IL IN OH KY WV PA VA NJ DE MD DC AZ NM OK AR MS TN AL GA NC SC TX LA FL HI Source: Brandeis Center of Excellence & IJIS Jan 28, 2016 and NABP June 23, 2016 15
MassPAT System Preview: Patient Report 4 expandable sections 16
MassPAT System Preview: Patient Report Drop down view of all patient name variations Can export report Patient summary information Displays search criteria Columns are sortable 17
MassPAT System Preview: Search History 18
MassPAT since go-live MassPAT Enrollment & Searches since Go-Live as of 10/21/2016 9/12* 9/14 9/19 9/21 10/11 10/14 MassPAT Registration Communications **MassPAT Searches excludes: Saturdays, Sundays, Labor Day & Columbus Day 19
MassPAT since go-live 141,410 Patient Searches Conducted in MassPAT from 10/14/2016 to 10/21/2016 20
Data Collection PMP Clearinghouse 21
Data Submission Requirements Dispensers in MA and dispensers who deliver Schedule II V prescriptions to MA are required to report controlled substance dispensation data by the end of the next business day to Appriss PMP Clearinghouse, as an agent of the Department. A zero report must be reported on days when no controlled substances were dispensed. A waiver may be issued to a dispenser when a report is not required due to a lack of dispensing on given days. 22
Prescribers can self audit: My Rx functionality Select the date range (within past year) Select the DEA number(s) you d like to search Option to search by drug name 23
Prescribers may call you if they see errors in the data Can export PDF or CSV file Lists all prescriptions written in past 12 months Can sort by date, patient, birth year, drug name, days supply & pharmacy 24
EMR Integration 25
EMR Integration Options Pharmacy Data Submission Web Access for PMP Searches Appriss PMP Clearinghouse Mass HiWAY (HIE) PMP Gateway PMPi PMP MassPAT Option 1: EMR integration with the Mass HiWAY Option 1 Option 2 EMR EMR EMR EMR Option 2: EMR integration with PMP Gateway (Appriss, PMP vendor) 26
Questions, comments? 27