Rx16 vs appriss_tues_800_group

Rx16 vs appriss_tues_800_group

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  The Next Generationof Controlled Substance Prescription History Reports for the Healthcare Professional Powered by
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  NARxCHECK: 2nd GenerationPMP Reports Carl Flansbaum, RPh. – Director of Client Relationships and Government Affairs, Appriss – Former State PMP Director; 20+ years as a licensed Pharmacist Dr. James E. “Jim” Huizenga – Emergency Medical Physician – Creator of NARxCHECK Dr. Bruce G. Jones – Emergency Department Medical Director, Doctors Hospital, Columbus, OH – NARxCHECK user
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  PMP Request Report:Process State PMP Web Portal Through a Healthcare Entity Integration Log into PMP using username / password N/A Navigate to PMP Request Report Page N/A Enter required information (Name, DOB at a minimum) Manual or automated “trigger” Review PMP Report Review PMP Report PMP Request Report Patient Controlled Substance Prescription History
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  PMP Request Report:Default Format Patient Patient Record Details (Name, Address, DOB, etc.) Prescriptions DRUG QUANTITY DAYS SUPPLY DATE FILLED RX # PRESCRIBER PHARMACY REFILLS PAYMENT TYPE OXYCODONE 30MG 90 30 3/21/2016 012581 ABC123 PHARM025 0 INSURANCE ALPRAZOLAM 1MG 60 30 3/15/2016 328623 CDF1578 PHARM324 2 PRIVATE HYDROCODON-ACETAMINOPHN 10-325 30 10 3/15/2016 328597 CDF1578 PHARM324 0 PRIVATE OXYCODONE 30MG 90 30 2/28/2016 012001 ABC123 PHARM025 0 INSURANCE Prescribers ABC123 Dr. Earl Jones 123 Main Street, Your Town, GA 123456 555-123-8945 CDF1578 Dr. Cathy Simpson 1257 1st Ave, Not Your Town, SC 23547 555-458-8945 Dispensers PHARM025 Bob’s Drug Store 2548 2ND Street, Your Town, GA 123456 555-123-8978 PHARM324 DRUGS FOR LESS 1600 Evergreen Hwy, Not Your Town, SC 23547 555-459-1325
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  PMP Request Report:NARxCHECK Report
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  NARxCHECK History • 2010Landscape – Focus on prescription drug abuse epidemic increasing – PMP programs getting better and more numerous across the country but access is difficult – NARxCHECK project conceived to address issues of usability • Risk scoring • Enhanced visualization • Automated access
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  NARx Score • Developedto create risk awareness – Not abuse awareness • Based on the concept of comparative scoring – Example • 25,000 MME in 1 year – A lot or not? » 96th percentile • End result is somewhat analogous to a credit score
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  NARx Score • Rangesfrom 000-999 – Narcotics, sedatives , and stimulants • Scores increase as risk factors increase • Last digit is the number of active prescriptions • Distribution – < 200 = 75% – > 500 = 5% – > 650 = 1%
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  NARx Score • Preliminarydata using Ohio DOH 2014 unintentional overdose death
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  NARx Report • Focusis on data visualization – Patterns of use matter (maybe matter most?) • Providers • Overlapping prescriptions • MME – Guides provider awareness to the types of risk that present
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  Examples - patientswith similar risk
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  Same data seenthrough a NARxCHECK Report
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  NARxCHECK Report
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  ED Environment • Opiateuse/abuse • ERs are busy place • Time – Old PMP vs NarxCheck
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  Importance • Knowledge helpsimprove care • Valuable information – High, medium, low – Suboxone
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  High Numbers • Recognizeaddiction (potential) • Dose up for fractures/etc • Intervene vs ignore
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  Low Numbers • Adjustdose/no dose? • Be more alert for occult critical condition • More quickly treat (back pain, toothache, etc)
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  QUESTIONS? Powered by