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PRESCRIPTION MONITORING PROGRAM. ADVISORY COMMITTEE MEETING JUNE 10, 2008. Source: 2006 NSDUH. Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2006. Source Where Respondent Obtained. Bought on Internet 0.1%.
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PRESCRIPTION MONITORING PROGRAM ADVISORY COMMITTEE MEETING JUNE 10, 2008
Source: 2006 NSDUH www.dhp.virginia.gov
Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2006 Source Where Respondent Obtained Bought on Internet0.1% Drug Dealer/Stranger3.9% Other 14.9% Source Where Friend/Relative Obtained More than One Doctor 1.6% More than One Doctor3.3% Free from Friend/Relative7.3% Free from Friend/Relative55.7% One Doctor 19.1% Bought/Took fromFriend/Relative4.9% OneDoctor 80.7% Bought/Took from Friend/Relative14.8% Drug Dealer/Stranger1.6% Other 12.2% www.dhp.virginia.gov Source: 2006 NSDUH
Risk Management Tool Protection for the patient • provides the practitioner with information needed to make informed decisions about prescribing Protection for the practitioner • Provides an alert for possible abuse, misuse, or diversion that can protect against “duping” that can lead to disciplinary action or prosecution www.dhp.virginia.gov
ACCESS TO OTHER PROGRAMS • West Virginia: https://65.78.228.163 • Kentucky: https://ekasper.chfs.ky.gov/accessrequest • www.chfs.ky.gov/kasper • Tennessee: https://prescriptionmonitoring.state.tn.us • North Carolina http://www.ncdhhs.gov/mhddsas/controledsubstance/index.htm www.dhp.virginia.gov
PROGRAM UPDATEPrescriptions in Database www.dhp.virginia.gov (in Millions)
PROGRAM UPDATERequests for Information www.dhp.virginia.gov
PROGRAM UPDATE www.dhp.virginia.gov
PROGRAM UPDATE www.dhp.virginia.gov
PROGRAM UPDATE: www.dhp.virginia.gov
THE NEED FOR PAIN MANAGEMENT EDUCATION • Managing Pain is challenging • Spans professions and specialties • Variation in chronic pain syndromes • Limited evidence-based guidelines • Limited provider training • Provider fears of legal ramifications Upshur et al 2006; Chen et al 2006; Adams et al 2001 www.dhp.virginia.gov
PRESENTATIONS AND OTHER EDUCATIONAL ACTIVITIES • Project Remote—SW Virginia • May conference in Norfolk • Responsible Opioid Prescribing mailing • Contact with Portsmouth Naval Hospital and Hampton VA Medical Center www.dhp.virginia.gov
MARKETING PLAN • Brochures • Certificates • Mailings • Other items www.dhp.virginia.gov
2008 Fall Conference • Northern Virginia • November: Date to be determined www.dhp.virginia.gov
PLANNED SYSTEM IMPROVEMENTS • Database move to Chesterfield facility • PowerSearch enhancement to program software • Update to Version 4.1 www.dhp.virginia.gov
LEGISLATIVE/REGULATORY PROPOSALS • Interoperability with other state programs • Data access issues www.dhp.virginia.gov