ILLINOIS PRESCRIPTION MONITORING PROGRAM PMP DATA INTEGRATION INTO HEALTH IT SYSTEMS. Craig Berberet Illinois Prescription Monitoring Program
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1 ILLINOIS PRESCRIPTION MONITORING PROGRAM PMP DATA INTEGRATION INTO HEALTH IT SYSTEMS Craig Berberet Illinois Prescription Monitoring Program
2 ILLINOIS PMP OVERVIEW Illinois Department of Human Services is the supervising agency over PMP Healthcare based, indirect access for law enforcement Website established in 2008 Began collecting all schedules Weekly Reporting Currently have 29,000 users Prescribers and Dispensers (No Delegates) 2
3 ILLINOIS PMP OVERVIEW Grant Funding (E.H.R. Connectivity) Harold Rogers SAMHSA CDC (Four Years) General Revenue Budget $200,000 IL PMP is a home-grown system No PMP Vendor Developed-implemented-maintained by PMP staff 3
4 PUBLIC ACT HEROIN CRISIS ACT Greater access to Naloxone PMP Daily Reporting PMP-EHR integration by January 1, 2019 PMP enrollment upon license renewal Mandatory Registration - not Usage Designees authorized to utilize PMP PMP shall update its website with: Current clinical guidelines Continuing Education Programs Updates from FDA and CDC 4
5 ILLINOIS PMP - EHR AUTOMATED CONNECTIONS Open source solution for web service Web service is compatible with disparate EHR systems Data is encrypted and secure Direct connections from PMP to hospital/physician office 5
6 ANDERSON HOSPITAL PRIOR TO 2014 (AND MAJORITY OF HOSPITALS TODAY) EHR-PMP Pathway: User logs in twice to PMP & EHR for a clear picture of medication use Before Integration EHR PMP 6
7 ANDERSON HOSPITAL TODAY EHR-PMP Pathway: User logs into EHR and navigates to a tab to view PMP data After Integration Listener EHR PMP XML 7
8 ANDERSON HOSPITAL Before Integration PMP User logs on to website Average of two minutes from log on to search result View results on PMP website Average 200 requests/monthly After Integration User opens EHR PMP resultswait time by user (1-2 seconds) View results on pdf inside EHR Integration into E.D., ambulatory services and EMT s Average 5,400 requests/monthly 8
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10 ANDERSON CLINICIAN FEEDBACK Huge value add due to the EHR button, no need to log into the PMP manually Expands numbers of staff eyes to monitor medication sources Used PMP data as ammunition to justify denial of medications to potential drug seeking patients Augments medication reconciliation for admission and discharge 10
11 ANDERSON IT DEPARTMENT FEEDBACK Integration work is done with off-site consultant support who works with hospital IT staff on amenable time table Estimated hospital staff time = 40% over two weeks Minimal IT maintenance once coding in place and system live 11
12 SPRINGFIELD CLINIC, SOUTHERN IL UNIVERSITY SCHOOL OF MEDICINE AND MEMORIAL PHYSICIANS SERVICES EHR-PMP Pathway: User logs into EHR and navigates to a tab to view PMP data After Integration EHR PMP 12
13 SPRINGFIELD CLINIC, SOUTHERN IL UNIVERSITY SCHOOL OF MEDICINE AND MEMORIAL PHYSICIANS SERVICES One EHR, three separate entities Search process EHR user clicks on PMP tab EHR sends request to PMP PMP responds to request within seconds PMP records are viewed inside EHR Springfield Clinic only took two weeks to create the connection to PMP 13
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15 SPRINGFIELD CLINIC, SOUTHERN IL UNIVERSITY SCHOOL OF MEDICINE AND MEMORIAL PHYSICIANS SERVICES Before Integration PMP User logs on to website Average of two minutes from log on to search View results on PMP website After Integration User opens EHR User clicks PMP tab View results inside EHR Integration into ambulatory services and physician offices Average 4,000 requests/monthly 15
16 NORTHWESTERN MEMORIAL HOSPITAL EHR-PMP Pathway: User logs into EHR and selects the PIL tab to view data EHR #1 After Integration EHR #2 PMP EHR #3 EHR #4 16
17 NORTHWESTERN MEMORIAL HOSPITAL 387 current PMP website users Four EHR s, three separate entities Search process EHR user clicks on PMP tab EHR sends request to PMP PMP responds to request within seconds PMP records are viewed inside HER Piloting for Inpatient Hospitalists Go live soon 17
18 POTENTIAL ISSUES ICD-10 Conversions taking up IT time Limited resources at hospital IT priorities and hesitation No physician support Nurses and other patient care providers couldn t have access until Public Act was passed Legal issues Patient Identification 18
19 WHAT WE VE LEARNED Get Support from Physicians and PMP users Create FAQ s Introduce the connection before meeting Get the right people on the phone IT, Quality Improvement, E.D., Physicians, etc. Demonstrate/Explain benefits to user and hospital Get the snow ball rolling 19
20 ILLINOIS PRESCRIPTION MONITORING PROGRAM PMP DATA INTEGRATION INTO HEALTH IT SYSTEMS Craig Berberet Illinois Prescription Monitoring Program
ELECTRONIC HEALTH RECORDS PILOT: BREAKING NEW GROUND. Craig Berberet Illinois PMP Administrator 217-558-0943 Craig.Berberet@Illinois.
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