PDMP name: OARRS Agency responsible: State of Ohio Board of Pharmacy Agency type: Pharmacy Board PDMP email: info@pharmacy.ohio.gov PDMP website: www.ohiopmp.gov Enrollment website: https://ohio.pmpaware.net Query website: https://ohio.pmpaware.net Data upload website: https://pmpclearinghouse.net Statistics website: www.ohiopmp.gov Ohio Contact Information Garner, Chad - Director of OARRS 77 S High Street, 17th Floor Columbus OH 43215-6126 Office: (614) 466-4143 Office: Fax: (614) 644-8556 Fax: Email: chad.garner@pharmacy.ohio.gov Email: PDMP region: North State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 57,182 State population: 11,694,664 DEA registered dispensers: 2,478
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 OARRS can pull data to create an annual report. There is no option on the website which automatically generates something a prescriber/dispenser/law enforcement can use. Prescribers can pull a report which shows a high level breakdown of their own reporting (%opioids, %benzos, %stimulants, etc) and a list of patient names who've had a prescription. No specific prescription information is available. 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 21st Century Cures Staff Category and Number of FTEs Total Staff: 5.00 # of employees - Operational: 4 # of employees - Technical: 0 # of employees - Analytical: 1 # of employees - Other: 0
Policies and Procedures Legislation enacted: 05-18-2005 PDMP operational: 07-01-2006 Initial user access: 10-02-2006 Statute website: Statute citation: OH Rev Code 4729.75 to.86; 4729.99; 4725.092; 4723.487; 4715.302; 4729.162; 4730.53; 4731.055 Regulation citation: OH Admin Code 4729-1-10; 4729-37-01 to -11; 4723-1-10; 4729-5-20; 4731-11-11; 4715-6-01; 4723-9-12; 4731-29-01 Dr shopper statute: OH Rev Code 2925.22 Pill mill statute: 4729.291, 4729.51 Pain clinic statute: 4729.54, 4729.541, 4729.552, 4729.571 Disclosure statute: Opioid guidelines: Reporting frequency: 1 day http://codes.ohio.gov/ OH Rev Code 4729.99(J) Key PDMP Dates On-line access: 10-02-2006 Electronic reporting: 07-01-2006 Relevant Statutes and Rules Data Monitored or Accessible Reporting frequency for veterinarians: Require zero-reporting? Zero-reporting frequency: Daily Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Authority to monitor other substances Gabapentin (12-1-16) Medical Marijuana (9-8-16) Removed from monitoring Naloxone administering information Collectors: Board of Emergency Medical, Fire, and Transportation Services Reporters: Emergency Medical Services Naloxone dispensing information Collectors: Reporters: Marijuana data Collectors: PDMP, Department of Commerce Reporters: Marijuana Dispensary, Cultivators, Processors Marijuana data available in PDMP Opioid-related drug overdoses or deaths Reporters: Health Department 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: Monthly Access method: Wholesale sales to pharmacies are reported to the PMP for PMP or law enforcement use only Data elements: wholesale distributor, purchaser (pharmacy or prescriber), product NDC, date sold, quantity Reciprocal agreements with external data sources: Child Welfare Departments, Health Departments, Department of Mental Health and Addiction Services, Department of Medicaid, Researchers - all agreements for de-identified data only
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: Email 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 If a prescriber prescribes opioids or benzodiazepines, he/she must attest to having access to the PDMP upon renewal of their license. If a pharmacist dispenses opioids or benzodiazepines, he/she must attest to having access to the PDMP upon renewal of their 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 For opioids and benzodiazepines, prior to issuing first prescription AND every 90 days as long as treatment continues; for other controlled substances, at the point it is known that therapy will continue for 12 weeks AND annually as long as therapy continues. Prior to dispensing first reportable drug for patient AND each time a new reportable drug is added to the patient's therapy AND at least annually as long as therapy continues. Authority to enforce PDMP mandates: Regulatory/Licensing Board Unsolicited alerts to practitioners not enrolled in PDMP Animal's Name, Animal Owner's Address, Date of Birth Paper application which is notarized and current government photo ID; must appear in person at the Board of Pharmacy. If pt is deceased, need Letter of Authority from the court, person named on the letter can pick up report (person still needs to show up at Board office with application and their photo ID)
Automatic enrollment with license renewal or application PDMP Accounts Enrollment method: On line registration, validated with license verifications and knowledge-based authentication quiz Prescriber account criteria: Dispenser account criteria: Regulatory Board account criteria: Law Enforcement account criteria: Active investigation Subpoena Court order/approval Other: To register, must provide Driver s license, professional license, and DEA registration certificate. If using a hospital s DEA number, provide documentation of the authority granted by the hospital along with the suffix that the hospital issued. To register, must provide Driver s license and professional license two account types, Officer and Supervisor. Both are required in order to request a PMP report. The officer initiates the request, the supervisor approves it. Registration requires identification of agency, copies of credentials. Applications require notarization two account types, Officer and Supervisor. Both are required in order to request a PMP report. The officer initiates the request, the supervisor approves it. Registration requires identification of agency, copies of credentials. Applications require notarization Law Enforcement Requirements Probable cause Search warrant Proper need/upon request Law Enforcement Access Methods On-line/web portal Written request Other method: Criminal or Grand Jury Supoena Minimum data elements: Full last name, Full first name, DOB, zip 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 address, city, state Prescriber information purged Dispenser information purged Attorney General Patient Researcher retained indefinitely 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: 5 years
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 Data Collection, Storage, Generation and Access Interstate Data Sharing PMPi Hub RxCheck Hub HIE method Jurisdictions engaged AL, AZ, AR, CO, CT, DE, ID, IN, KS, KY, ME, MA, MI, MN, NV, NJ, NM, NY, NC, ND, PA, RI, SC, SD, TN, TX, VA, WV Impediments: via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Exact match Probablistic match Probablistic/manual match Impediments Impediments: Impediments: 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
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
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