The Next Generation of Controlled Substance Prescription History Reports for the Healthcare Professional Powered by
The Next Generation of Controlled Substance Prescription History Reports for the Healthcare Professional
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NARxCHECK: 2nd Generation PMP ReportsCarl 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
PMP Request Report: ProcessState PMP Web Portal Through a Healthcare Entity IntegrationLog into PMP using username / password N/ANavigate to PMP Request Report Page N/AEnter 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
PMP Request Report: Default FormatPatientPatient Record Details (Name, Address, DOB, etc.)
PrescriptionsDRUG 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
PrescribersABC123 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
DispensersPHARM025 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
PMP Request Report: NARxCHECK Report
NARxCHECK History
• 2010 Landscape– 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
NARx Score
• Developed to 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
NARx Score
• Ranges from 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%
NARx Score
• Preliminary data using Ohio DOH 2014 unintentional overdose death
NARx Report
• Focus is on data visualization– Patterns of use matter (maybe matter most?)
• Providers• Overlapping prescriptions• MME
– Guides provider awareness to the types of risk that present
Examples - patients with similar risk
Same data seen through a NARxCHECK Report
NARxCHECK Report
ED Environment
• Opiate use/abuse• ERs are busy place• Time– Old PMP vs NarxCheck
Importance
• Knowledge helps improve care• Valuable information– High, medium, low– Suboxone
High Numbers
• Recognize addiction (potential)
• Dose up for fractures/etc
• Intervene vs ignore
Low Numbers
• Adjust dose/no dose?
• Be more alert for occult critical condition
• More quickly treat (back pain, toothache, etc)
QUESTIONS?
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