MICHAEL GOFF CONTROLLED SUBSTANCE MONITORING PROGRAM ADMINISTRATOR - PowerPoint PPT Presentation

WV BOARD OF PHARMACY WV BOARD OF PHARMACY MICHAEL GOFF CONTROLLED SUBSTANCE MONITORING PROGRAM ADMINISTRATOR 1

Controlled Substance Monitoring Program CSMP WVBOP CSMP 2

NEW CSMP UPGRADE FROM ‘95 VERSION TO ASAP 4.2 FORMAT (NEWEST FORMAT AVAILABLE) COLLECTS MORE INFORMATION CAPABLE OF CREATING MULTIPLE QUERY TYPES ABLE TO SHARE RX DATA WITH OTHER STATES USING PMPI WVBOP CSMP 3

NEW CSMP DATA IS SORTABLE IN MULTIPLE FORMATS (EXCEL, PDF, ETC.) BETTER AUDIT TRAIL FOR ALL USERS PRESCRIBERS CAN VIEW THEIR OWN PRESCRIPTION REPORTS 4

5

AVAILABLE CSMP REPORTS MULTIPLE PRESCRIBERS TOP PRESCRIBERS USER ACTIVITY TOP PRODUCTS DISPENSED PATIENT AGE 6

DRUG NO. DISPENSINGS SCHEDULE % Hydrocodone 1,478,217 III 28.8 Alprazolam 592,375 IV 11.5 Oxycodone 519,354 II 10.1 Zolpidem 339,886 IV 6.6 Lorazepam 306,020 IV 6.0 Clonazepam 284,443 IV 5.5 Buprenorphine (incl. naloxone comb.) 243,972 IV 4.8 Diazepam 185,772 III 3.6 Amphetamines 141,474 III 2.8 Phentermine 104,463 IV 2.0 Methylphenidate 96,449 II 1.9 All Other 836,616 II -IV 16.4 TOTAL 5,129,031 WVBOP CSMP 7

All Other, 16.4% Methylphenidate, 1.9% Hydrocodone, 28.8% Phentermine, 2.0% Amphetamine, 2.8% Diazepam, 3.6% Buprenorphine, 4.8% Alprazolam, 11.5% Clonazepam, 5.5% Lorazepam, 6.0% Oxycodone, 10.1% Zolpidem, 6.6% WVBOP CSMP 8

DRUG NO. DOSES SCHEDULE IN AUGUST Hydrocodone / Acetaminophen 4.6 M III Alprazolam 2.25 M IV Oxycodone / Acetaminophen 504 K II Zolpidem 507 K IV Lorazepam 730 K IV Clonazepam 982 K IV Buprenorphine (incl. naloxone comb.) 321 K IV 123 K III Codeine Amphetamines 184 K III Phentermine 107 K IV Methylphenidate 164 K II WVBOP CSMP 9

ADVISORY COMMITTEE HAS SET DIFFERENT PARAMETERS FOR IDENTIFYING OUTLIERS HAS MADE RECOMMENDATIONS FOR LEGISLATION AND RULES FOR CSMP USERS HAS MADE RECOMMENDATIONS FOR IDENTIFYING PRESCRIBERS WHO DON’T HAVE ACCESS TO CSMP AS REQUIRED BY STATUTE 10

ADVISORY COMMITTEE HAS MADE RECOMMENDATIONS FOR IDENTIFYING TOP PRESCRIBERS REQUESTED INFORMATION REGARDING TOP DISPENSERS, TOP DRUGS DISPENSED, DISTANCES TRAVELLED BY PATIENTS, ETC. 11

DATABASE REVIEW COMMITTEE SENT LETTERS OUT TO PRESCRIBERS OF PATIENTS AT TOP OF MULTI-PRESCRIBER LIST REFERRED HIGHEST ON LIST TO LAW ENFORCEMENT LOOKING INTO DRUG DEATHS AND TOP PRESCRIBERS 12

NAME DOB PRESCRIBERS Patient DOB 34 Patient DOB 33 Patient DOB 26 Patient DOB 26 Patient DOB 24 Patient DOB 24 Patient DOB 24 Patient DOB 23 Patient DOB 23 Patient DOB 23 Prescriber Number of Patient Prescriber/Patient Prescriber/Patient Count Patients Total Relationships Relationships Total 23 3 13 63 323 22 2 15 46 369 21 1 16 21 390 20 8 160 24 550 19 7 31 133 683 18 9 162 40 845 17 16 56 272 1,117 16 11 176 67 1,293 15 26 93 390 1,683 14 33 126 462 2,145 13 50 176 650 2,795 12 86 262 1,032 3,827 11 136 1,496 398 5,323 10 257 655 2,570 7,893 9 479 4,311 1,134 12,204 8 898 2,032 7,184 19,388 7 1897 13,279 3,929 32,667 6 4026 7,955 24,156 56,823 WVBOP CSMP 13

NAME 2008 2009 2010 2011 2012 2013* TOTAL PRESCRIBER 8,529 14,003 30,728 39,072 41,095 37,831 171,258 WVU HOSPITAL 46,014 46,794 44,505 42,292 37,382 31,681 248,668 PRESCRIBER 22,218 26,878 34,754 36,113 38,057 30,266 188,286 PRESCRIBER 26,054 27,960 32,308 34,449 33,637 25,738 180,146 PRESCRIBER 21,694 22,676 23,095 22,969 24,406 24,021 138,861 CAMC 26,669 28,038 28,072 28,192 28,702 23,563 163,236 PRESCRIBER 12,030 14,668 17,575 18,345 21,341 19,399 103,358 PRESCRIBER 10,866 14,317 15,287 15,974 20,122 18,686 95,252 PRESCRIBER 13,478 16,835 19,987 21,012 20,174 18,357 109,843 PRESCRIBER 14,648 15,233 15,343 15,491 18,841 16,766 96,322 PRESCRIBER 16,249 16,957 18,205 14,765 14,684 16,018 96,878 PRESCRIBER 29,921 20,584 36 12,423 30,351 15,653 108,968 PRESCRIBER 15,075 15,912 15,567 15,536 16,227 15,202 93,519 PRESCRIBER 7,122 12,582 13,284 15,052 17,111 14,811 79,962 PRESCRIBER 15,886 17,797 18,757 18,347 17,745 14,739 103,271 PRESCRIBER 8,750 12,020 16,408 20,041 23,632 14,514 95,365 PRESCRIBER 13,047 15,431 17,200 16,079 14,380 11,675 87,812 MARSHALL U. 20,140 18,069 15,930 13,988 14,298 10,883 93,308 PRESCRIBER 16,954 24,182 20,829 18,779 15,734 10,348 106,826 PRESCRIBER 11,837 17,544 18,858 17,491 12,862 10,044 88,636 PRESCRIBER 12,005 17,478 17,406 13,706 16,027 9,304 85,926 PRESCRIBER 17,797 17,605 16,500 14,627 10,659 6,547 83,735 PRESCRIBER 16,364 17,629 17,776 16,765 5,117 4,712 78,363 PRESCRIBER 68,045 57,167 5,075 1 0 0 130,288 WVBOP CSMP 14 *Ranked by 2013 statistics, through 11/30/2013

UPDATES MANY PRESCRIBERS STILL NOT REGISTERED WITH CSMP PHARMACY ERRORS DISCOVERED CAN BE CORRECTED ONLINE PMPi – TURNED ON IN MARCH AND ALLOWS DATA SHARING WITH OH, KY, OH, CT, IN, AZ, NV, KS & NM 15

QUESTIONS? MIKE GOFF OFFICE: 304-558-0558 FAX: 304-558-0474 CELL: 304-550-0702 EMAIL: Michael.L.Goff@wv.gov 16