NABP PMP Interconnect Conference of Western Attorneys General July 13, 2011

2. NABP PMP Interconnect Conference of Western Attorneys General July 13, 2011 Joshua M. Bolin Government Affairs Director

3. About NABP • Formed in 1904 • 501(c)(3) Charitable and Educational Organization • 50 State Boards of Pharmacy, District of Columbia, Guam, Puerto Rico and the US Virgin Islands • Mission: Assisting member Boards and regulators in Protection of the Public Health

4. Scarce Resources • Authority and Autonomy • Human and Fiscal • Hiring Freeze • Work Furlough Programs • Budget Cuts • Myriad of Mandates • Impairment Programs • Prescription Drug Monitoring Programs • Drug Repository

5. Patchwork of PMPs • Different standards from state to state • Systems do not talk to each other • Users on border states have to become users with each program in surrounding states

6. NABP Interconnect • Since the mid 2000s, sponsored by the Bureau of Justice Assistance, PMPs and other interested parties have been working toward a solution • Last year, some of our membership came to us and asked us to try to take their work to the next level and create a system that would facilitate data sharing from state to state

7. Key System Functions • NABP’s PMP Interconnect, or PMPI, has three core functions: • Transmit Request Between Various State PMP’s • Review for Disclosing PMP • Transmit Disclosed Response • All Information is keptSecure: • Hosting – Authentication – Controlled Access – Audits

8. NABP Interconnect • Does not house or store any Protected Health Information (PHI) or Personally Identifiable Information (PII) • PHI and PII are doubly encrypted as it passes through the InterConnect • Enforces the unique rules of each state against the request • Allows the states to maintain control over the systems they worked so hard to get enacted and operational

9. Sample PMP Level Controls

10. Sample Role Authorizations

16. The Disclosing PMP may: Complete Defer Disallow Mark as Error Refuse

20. Sample Response Report

21. Secure, HIPAA Compliant Data • All communication is secure • Asymmetrical Cryptography over SSL • Only the Requesting PMP will be able to view the response

22. MOU/Contracting Process • Programs will contract/enter into an agreement directly with NABP to participate in the NABP Interconnect • Avoids multiple state-to-state contracts/memorandums of understanding (MOU) • Allows the hub to handle the “rules reconciliation” • NABP responsibilities vs. state responsibilities • States agree to conduct investigations for misuse of information through the hub by their users • Dispute resolution • 30-day “out clause”

23. Timeline for Implementation • Development is complete • NABP is now working with PMP software vendors to complete the relevant interface • PMPs are beginning to configure their PMP on the PMP Interconnect Administrative Console • PMPs will begin sharing data later this summer • More PMPs will be brought online in Q3-Q4

24. Cost to Participate • NABP is absorbing all costs associated with the development and implementation of PMPi • NABP will cover the costs of the Annual Base fee to participate in the system • NABP will cover annual participation fees for utilization of PMPi for 5 years • NABP will cover software interface costs associated with connecting to PMPi

25. MOU Updates • 9 MOUs Executed: CT, IN, KS, MS, ND, OH, SC, VA, WV • 5 MOUs in final review stages: AZ, LA, MI, NV • 12+ other PMPs have expressed an intent to sign on with PMP Interconnect

27. Josh BolinGovernment Affairs Directorjbolin@nabp.net(615) 804-8027www.nabp.net/government-affairs