The Role of Prescription Monitoring Programs Georgia State UniversityAtlanta, GAMarch 2, 2011 What Do Other State’s PMPs Tell Us About Prescriptions Issued by Georgia Prescribers?...
Trang 1The Role of Prescription Monitoring Programs
Georgia State UniversityAtlanta, GAMarch 2, 2011
What Do Other State’s PMPs
Tell Us About Prescriptions Issued
by Georgia Prescribers?
Trang 2Dispensed in Other States
AK
NH VT
AL AR CA
CO
ID
IL IN IA MN
MO
MT
NE NV
MS
PA
KY NC SC
NH RI CT NJ DE MD
*Washington has temporarily suspended its PMP operations due to budgetary constraints.
0.4 Million Dosage Units 3.0 Million Dosage Units 9.8 million Dosage Units 12.5 Million Dosage Units
Average Number of Patients per GA Prescriber for Prescriptions Filled in SC in 2009,
by GA Zip Code
Legend Average number of patients per prescriber
0.000 - 1.429 6.251 - 19.000 19.001 - 41.412 41.413 - 73.500
Trang 3Average Number of Prescriptions per Patient, 2009
Prescriptions Originating in GA and Filled in AL,
Trang 4GA Zip Codes meeting (1) or
not meeting (0) the criteria
0 1
What are Prescription Monitoring Programs
(PMPs)?
Trang 5Data Submitted Reports
Sent
Reports Sent Reports
Law Enforcement
& Professional Licensing Agencies
Reports Sent
*Other groups may also receive reports other than those listed
Trang 7Statutorily Authorized State PMPs, 1939 ‐ 2010
44
Harold Rogers Program Started
AL AR CA
CO
IL IN IA
MO
NE NV
GA KS
SC
FL
NJ DE MD
DC WV
Research is current as of May 28, 2010
Operational PDMPs Enacted PDMP legislation, but program not yet operational Legislation pending
*Washington has temporarily suspended its PMP operations due to budgetary constraints.
GU
Trang 8Harold Rogers Program Started
Trang 9PDMP REPORT S BY T YPE OF USER
Pharmacists by Type of PMP Agency
Trang 10Prescription Monitoring Program Center of Excellence
Briefing on PMP Effectiveness
_
2.1 Prescription Monitoring Programs: An Effective Tool
in Curbing the Prescription Drug Abuse Epidemic
February 2011
Trang 12Kentucky Survey – Physicians
How important is a KASPER patient report in helping you
make your decision about which drug to prescribe?
Neutral Somewhat Important
Trang 13Unsolicited Prescription Histories
M th 10/2008 9/2009 Solicited Prescription Histories per
66
39
32 31
40 33 30
600 700 800 900 1000
300 400
500
Source: Wyoming PDMP
Trang 14MA PMP - Prescriber Survey: Preliminary Findings
162 baseline surveys received thus far
• 91% of respondents said unsolicited reports “very” or “somewhat
• Only 13% said “based on current knowledge, including report, patient
appears to have legitimate medical reason for Rxs from multiple
Source: An Evaluation of Prescription Drug Monitoring Programs;
Simeone Associates;
2006
Trang 153.1 3.7
4.1
5.3
10.5 7.1
10 0
7.6
10.8 9.8
Trang 17R ate s p er 1 00 o f d oc tor s h op p ing , by qu in tile
"Source: Massachusetts Dept of Public Health in partnership with Brandeis University"
R ates of D octor Shopping Associated w ith O xyC ontin in M A, 1998
Trang 18Questionable activity rates
0 1095
1 - 1095
1096 - 1897
2883 - 14184
" Source: Massachusetts Dept of Public Health in partnership with Brandeis University"
2005 Opioid-related Health Problems
Rate per 100,000 by Tow n Overdose
Ra te per 100,000 Quintiles
0
0 01 19 82 0.01 - 19.82 37.5 - 56.92 56.92 - 225 51
"Source: Massachusetts Dept of Public Health in partnership with Brandeis University"
Trang 204.2 4.3
Trang 22How PMP Center of Excellence and
Training and Technical Assistance Center
at Brandeis University
Can Assist Can Assist
www.pmpalliance.org
Trang 23Prescription Monitoring Program Center of Excellence
Notes From the Field