Stay informed with the latest developments from the Prescription Monitoring Program Advisory Committee, including legislative updates, peer review meeting details, and analysis of prescribers. Learn about the impact of bills such as HB 4650 and SB 2952 on pharmacy practices and patient care.
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Presentation Transcript
PMP ADVISORY COMMITTEE Chair: Sarah Pointer, Pharm D. PMP Admin: Craig Berberet September 19th, 2018
Agenda Old Business Peer Review Meeting a. Prescriber MPE Alerts b. Composite Prescriber Reference Score I. Prescriber Notification Letter II. Analysis of Prescribers New Business I. Legislative Update a. HB 4650 b. SB 2952 / HB4907 c. SB772/Public Act 100-0564 i. Administrative Rules Update II. Technical Update I. PMPnow II. Naloxone Administration Data III. Hospital Opioid Overdose Data IV. Medical Marijuana Data IV. Project Update a. Academic Detailing b. Continuing Education c. Community Outreach V. Miscellaneous Issues IV. PMPAC Vacancies V. Open Discussion VI. Reminder of Next Meeting IV. December 19th, 2018 VII. Call for motion to adjourn 3
Composite Prescribing Reference Score Based on an equation evaluating prescribers average MME/day as well as co-prescribing of opioids and benzodiazepines with and without a hypnotic Prescriber notifications sent to 1,239 prescribers Data refined based on feedback Approximately 500 new prescriber notifications 24 prescribers identified for further analysis Prescribing Metric Trends MME/ day Number of CS prescriptions Day supply Co-prescribing Requests for information to be sent if deemed necessary
HB 4650 Summary: Amends the Illinois Controlled Substance Act to allow pharmacists to authorize a designee to consult the Prescription Monitoring Program on their behalf, defines "pharmacist" to include, but be not limited to, a pharmacist associated with a health maintenance organization or a Medicaid managed care entity providing services under the Illinois Public Aid Code. Background: The Association of Medicaid Health Plans proposed the original bill which was amended to become the current form. The current bill allows MCOs to access the PMP but with limits and only for clinical review purposes. 7
SB2952 Allows for licensed and non-licensed designees Changes PMP Advisory Committee Meetings from quarterly to semi-annually Changes the make-up of PMP Advisory Committee and Peer Review Committee
ILPMP Advisory Committee Members Current Advisory Committee 12 Member Advisory Committee 4 - Physicians 1 - Advanced Practice Nurse 1 - Physician Assistant 1 optometrist/ophthalmologist 1 - Dentist 1 - Podiatric Physician 3 - Pharmacists Post SB2952 16 Member Advisory Committee 6 Physicians (1 family practice, 1 pain, 4 physicians) 2 Advanced Practice Nurses 1 - Physician Assistant 1 Optometrist 1 Dentist 1 Veterinarian 3 Pharmacists 1 clinical representative from a statewide organization representing hospitals
SB 336 On August 28, 2018, Governor Bruce Rauner signed Senate Bill 336, the Alternatives to Opioids Act of 2018, amending the Compassionate Use of Medical Cannabis Pilot Program Act, which amends the Compassionate Use of Medical Cannabis Pilot Program Act, into law. There are several components to the provisions of Senate Bill 336. 1. It removes the fingerprinting requirement for new applicants to the program; It allows the Illinois Department of Public health (IDPH) to issue provisional access to a licensed medical cannabis dispensary until full processing of applications can be completed; and It includes provisions for an Opioid Alternative Pilot Program which would provide access to medical cannabis for people with physician documentation of an opioid prescription. 2. 3. Medical Cannabis Registry Program Newsletter 11
Public Act 100-0564 Administrative Rules In Process Title 77, Public Health Chapter X: Department of Human Services Subchapter e: Controlled Substances Activities Part 2080, Section 2080.20, Section 2080.190, and Section 2080.210 PMP Administrative Rules Subcommittee 12
PMPnow Outreach Recent Activity Two Hospital Outreach Projects E.H.R. Vendors Central and Southern Region Current Strategy Email Outreach Association Collaboration PMPnow Landing Page
PMPnow Connections PMP Automated Connections: September 2017 August 2018 15 6/28/2025
Utilization: PMPnow Queries In August 2018, queries were up over 500% compared to August of 2017. PMP Queries* by Month August 2018: 4,995,576 6,000,000 5,000,000 4,000,000 3,000,000 August 2017: 991,207 2,000,000 1,000,000 0 Mar-17 Apr-17 Nov-17 Jan-18 Mar-18 Mar-16 Apr-16 Jul-16 Nov-16 Jan-17 Jan-16 May-16 Sep-16 May-17 Aug-17 Dec-17 Apr-18 Jul-18 Aug-16 Dec-16 Jul-17 May-18 Feb-16 Jun-17 Sep-17 Oct-17 Jun-18 Aug-18 Jun-16 Oct-16 Feb-17 Feb-18 Total Number of PMPnow requests *The number of requests via automated connections. These requests can be made be made by an EHR system before a prescriber has seen the patient. 6/28/2025
NEW USERS / TOTAL USERS New Users by Month, 2018 Total Users by Month, 2018 Increase from Jan. to Aug.: 4,961 (8%) 12,000 80,000 10,649 63,78264,651 65,181 65,543 65,670 66,253 66,720 70,000 10,000 61,759 60,000 8,000 50,000 6,000 40,000 30,000 4,000 20,000 2,023 2,000 10,000 868 716 606 506 462 390 0 0 Source: https://www.ilpmp.org/MonthlyStatsMain.php 6/28/2025
WEBSITE REQUESTS / PMPNOW REQUESTS Website and PMPnow Requests by Month, 2018 6,000,000 4,995,576 5,000,000 4,371,775 4,349,166 4,275,825 3,877,812 4,000,000 3,621,173 3,477,917 3,163,399 Jan.-Aug. Changes 3,000,000 PMPnow: +1.4M (38%) Website: +136K (44%) Total: +1.5M (38%) 2,000,000 1,000,000 444,020 369,939 333,479 329,522 326,590 315,862 308,117 299,068 0 January February March April May June July August Source: https://www.ilpmp.org/MonthlyStatsMain.php 6/28/2025
MME Trends Monthly Dispensed MMEs (Morphine Milligram Equivalents) 600000000 August 2018 353,133,400.6 500000000 July 2015 559,423,242.7 400000000 300000000 April 2018 315,700,235.8 200000000 100000000 0 Jan Jan Jan Jan Feb Sep Feb Sep Feb Sep Feb Mar Apr May Aug Mar Apr May Aug Mar Apr May Aug Mar Apr May Aug Nov Nov Nov Jul Jul Jul Jul Jun Dec Jun Dec Jun Dec Jun Oct Oct Oct 2015 2016 2017 2018 MME (Morphine Milligram Equivalent) was a tool developed to equate the many different opioids into one standard value based on morphine and its potency. 6/28/2025
MPE Trends Patients Meeting 3-3-1 6000 July 2015 4,771 Patients 5000 July 2018 2,350 Patients 4000 3000 2000 Sept. 2017 621 Patients 1000 0 Jan Aug Jan Aug Jan Aug Jan Feb Sep Feb Sep Feb Sep Feb Apr May Apr May Apr May Apr May Mar Nov Mar Nov Mar Nov Mar Jul Jul Jul Jul Jun Jun Jun Jun Oct Oct Oct Dec Dec Dec 2015 2016 2017 2018 Graph indicates the number of patients meeting or exceeding thresholds that have been associated with Doctor Shopping . 6/28/2025
