WV Board of Pharmacy Presentation

WV BOARD OF PHARMACY
WV BOARD OF PHARMACY
MICHAEL GOFF
CONTROLLED SUBSTANCE MONITORING PROGRAM
ADMINISTRATOR
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Controlled Substance Monitoring
Program
CSMP
WVBOP CSMP
2
NEW CSMP
UPGRADE FROM ‘95 VERSION TO
ASAP 4.2 FORMAT (NEWEST
FORMAT AVAILABLE)
COLLECTS MORE INFORMATION
CAPABLE OF CREATING MULTIPLE
QUERY TYPES
ABLE TO SHARE RX DATA WITH
OTHER STATES USING PMPI
WVBOP CSMP
3
NEW CSMP
DATA IS SORTABLE IN MULTIPLE
FORMATS (EXCEL, PDF, ETC.)
BETTER AUDIT TRAIL FOR ALL
USERS
PRESCRIBERS CAN VIEW THEIR
OWN PRESCRIPTION REPORTS
4
5
AVAILABLE CSMP
REPORTS
MULTIPLE PRESCRIBERS
TOP PRESCRIBERS
USER ACTIVITY
TOP PRODUCTS DISPENSED
PATIENT AGE
6
DRUG
NO. DISPENSINGS
SCHEDULE
%
Hydrocodone
1,478,217
III
28.8
Alprazolam
592,375
IV
11.5
Oxycodone
519,354
II
10.1
Zolpidem
339,886
IV
6.6
Lorazepam
306,020
IV
6.0
Clonazepam
284,443
IV
5.5
Buprenorphine (incl. naloxone comb.)
243,972
IV
4.8
Diazepam
185,772
III
3.6
Amphetamines
141,474
III
2.8
Phentermine
104,463
IV
2.0
Methylphenidate
96,449
II
1.9
All Other
836,616
II -IV
16.4
TOTAL
5,129,031
WVBOP CSMP
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All Other, 16.4%
Methylphenidate, 1.9%
Hydrocodone, 28.8%
Phentermine, 2.0%
Amphetamine, 2.8%
Diazepam, 3.6%
Buprenorphine, 4.8%
Alprazolam, 11.5%
Clonazepam, 5.5%
Lorazepam, 6.0%
Oxycodone, 10.1%
Zolpidem, 6.6%
WVBOP CSMP
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DRUG
NO. DOSES
IN AUGUST
SCHEDULE
Hydrocodone / Acetaminophen
4.6 M
III
Alprazolam
2.25 M
IV
Oxycodone / Acetaminophen
504 K
II
Zolpidem
507 K
IV
Lorazepam
730 K
IV
Clonazepam
Buprenorphine (incl. naloxone
comb.)
982 K
IV
321 K
IV
Codeine
123 K
III
Amphetamines
184 K
III
Phentermine
107 K
IV
Methylphenidate
164 K
II
WVBOP CSMP
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ADVISORY COMMITTEE
HAS SET DIFFERENT PARAMETERS
FOR IDENTIFYING OUTLIERS
HAS MADE RECOMMENDATIONS
FOR LEGISLATION AND RULES FOR
CSMP USERS
HAS MADE RECOMMENDATIONS
FOR IDENTIFYING PRESCRIBERS
WHO DON’T HAVE ACCESS TO
CSMP AS REQUIRED BY STATUTE 10
ADVISORY COMMITTEE
HAS MADE RECOMMENDATIONS
FOR IDENTIFYING TOP
PRESCRIBERS
REQUESTED INFORMATION
REGARDING TOP DISPENSERS, TOP
DRUGS DISPENSED, DISTANCES
TRAVELLED BY PATIENTS, ETC.
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DATABASE REVIEW
COMMITTEE
SENT LETTERS OUT TO
PRESCRIBERS OF PATIENTS AT
TOP OF MULTI-PRESCRIBER LIST
REFERRED HIGHEST ON LIST TO
LAW ENFORCEMENT
LOOKING INTO DRUG DEATHS AND
TOP PRESCRIBERS
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NAME
DOB
PRESCRIBERS
Patient
DOB
34
Patient
DOB
33
Patient
DOB
26
Patient
DOB
26
Patient
DOB
24
Patient
DOB
24
Patient
DOB
24
Patient
DOB
23
Patient
DOB
23
Patient
DOB
23
Prescriber
Count
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
Number of
Patients
3
2
1
8
7
9
16
11
26
33
50
86
136
257
479
898
1897
4026
Patient
Total
13
15
16
24
31
40
56
67
93
126
176
262
398
655
1,134
2,032
3,929
7,955
Prescriber/Patient
Relationships
63
46
21
160
133
162
272
176
390
462
650
1,032
1,496
2,570
4,311
7,184
13,279
24,156
WVBOP CSMP
Prescriber/Patient
Relationships Total
323
369
390
550
683
845
1,117
1,293
1,683
2,145
2,795
3,827
5,323
7,893
12,204
19,388
32,667
56,823
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NAME 2008 2009 2010 2011 2012 2013* TOTAL PRESCRIBER 8,529 14,003 30,728 39,072 41,095 37,831 171,258 WVU HOSPITAL 46,014 46,794 44,505 42,292 37,382 31,681 248,668 PRESCRIBER 22,218 26,878 34,754 36,113 38,057 30,266 188,286 PRESCRIBER 26,054 27,960 32,308 34,449 33,637 25,738 180,146 PRESCRIBER 21,694 22,676 23,095 22,969 24,406 24,021 138,861 CAMC 26,669 28,038 28,072 28,192 28,702 23,563 163,236 PRESCRIBER 12,030 14,668 17,575 18,345 21,341 19,399 103,358 PRESCRIBER 10,866 14,317 15,287 15,974 20,122 18,686 95,252 PRESCRIBER 13,478 16,835 19,987 21,012 20,174 18,357 109,843 PRESCRIBER 14,648 15,233 15,343 15,491 18,841 16,766 96,322 PRESCRIBER 16,249 16,957 18,205 14,765 14,684 16,018 96,878 PRESCRIBER 29,921 20,584 36 12,423 30,351 15,653 108,968 PRESCRIBER 15,075 15,912 15,567 15,536 16,227 15,202 93,519 PRESCRIBER 7,122 12,582 13,284 15,052 17,111 14,811 79,962 PRESCRIBER 15,886 17,797 18,757 18,347 17,745 14,739 103,271 PRESCRIBER 8,750 12,020 16,408 20,041 23,632 14,514 95,365 PRESCRIBER 13,047 15,431 17,200 16,079 14,380 11,675 87,812 MARSHALL U. 20,140 18,069 15,930 13,988 14,298 10,883 93,308 PRESCRIBER 16,954 24,182 20,829 18,779 15,734 10,348 106,826 PRESCRIBER 11,837 17,544 18,858 17,491 12,862 10,044 88,636 PRESCRIBER 12,005 17,478 17,406 13,706 16,027 9,304 85,926 PRESCRIBER 17,797 17,605 16,500 14,627 10,659 6,547 83,735 PRESCRIBER 16,364 17,629 17,776 16,765 5,117 4,712 78,363 PRESCRIBER 68,045 57,167 5,075 1 0 0 130,288 *Ranked by 2013 statistics, through 11/30/2013
WVBOP CSMP
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UPDATES
MANY PRESCRIBERS STILL NOT
REGISTERED WITH CSMP
PHARMACY ERRORS DISCOVERED
CAN BE CORRECTED ONLINE
PMPi – TURNED ON IN MARCH AND
ALLOWS DATA SHARING WITH OH,
KY, OH, CT, IN, AZ, NV, KS & NM
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QUESTIONS?
MIKE GOFF
OFFICE: 304-558-0558
FAX:
304-558-0474
CELL:
304-550-0702
EMAIL: [email protected]
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