Transcript GHS-Post-Graduate-Seminar-2016x

SCRIPTS
South Carolina Reporting & Identification Prescription Tracking System
Accidental Deaths3 Due to Drug Overdose
SC Occurrence Data
Accidental Drug Overdose
All deaths
Drug not specified2
Prescription drugs4
Heroin
Cocaine
Year
# of Deaths
Age -Adjusted1 Rate
per 100,000
population
# of Deaths
% of all overdose
deaths
# of Deaths
Age -Adjusted1 Rate
per 100,000
population
# of Deaths
Age -Adjusted1 Rate
per 100,000
population
# of Deaths
Age -Adjusted1 Rate
per 100,000
population
2008
485
10.86
198
40.82
210
4.70
7
0.15
89
2.01
2009
547
11.96
228
41.68
244
5.34
15
0.33
68
1.47
2010
576
12.58
239
41.49
276
6.06
14
0.33
60
1.29
2011
489
10.60
216
44.17
222
4.85
9
0.20
56
1.24
2012
478
10.15
205
42.89
225
4.77
12
0.27
45
0.96
2013
528
11.08
230
43.56
236
4.98
25
0.53
41
0.82
2014
629
13.01
54
8.59
487
9.96
56
1.25
85
1.80
The cause of death may have multiple drugs listed. Therefore, a drug overdose death could be counted both as a prescription drug overdose and a heroin overdose.
Notes:
1. Age-adjusted to the 2000 U.S. standard population
2. Specified drug deaths are defined as ICD -10 codes T360 - T405, T407 - T508
3. Accidental deaths are defined as ICD-10 codes X40-X44
4. Prescription drug deaths are defined by CDC as ICD-10 codes T36 -T39, T40.2 -T40.4, T41 -T43.5 and T43.7 -T50.8
Source: Division of Biostatistics/PHSIS, SC DHEC
August 2015
How does SCRIPTS work?
• C II- CIV prescriptions dispensed in SC are
uploaded daily by the dispensing
pharmacy/practitioner to Appriss (our vendor).
• An authorized user
(practitioner/pharmacist/delegate) logs into the
SCRIPTS database and queries their patient.
• The practitioner/pharmacist uses the SCRIPTS
report to make informed healthcare decisions.
The user will verify any data on the report, if
necessary.
“Dispenser” does not include:
Hospital pharmacies that distribute controlled substances for inpatients or
dispenses controlled substances at time of discharge
Hospital emergency rooms/departments who dispense no more than a 48-
hour supply
Practitioners who administer controlled substances
Most long-term care and assisted living dispensings
Methadone Clinics
Federal Facilities - VA and IHS do report
These medications would not be in the SCRIPTS database
Appropriate uses of SCRIPTS
•New patient encounter
•Monitoring compliance
•Avoiding therapeutic duplication or drug interactions
•Coordination of care
Tools for monitoring patient
medication compliance
Patient Provider Agreements
Pill counts
Drug Screens
Prescription Monitoring Program
Changes with new vendor
December 2015
• On line registration and password reset
• Registration of Delegates
• MED (MME) on SCRIPTS patient report
• Patient summary at top of SCRIPTS report
• Prescriber can look up their own prescribing
history
DELEGATES
•Limit of 3 delegates per provider
•Delegates may be licensed or unlicensed
•Delegate may be delegate for unlimited number of providers
•Supervisor is responsible for reports that delegate runs
•Remember to deactivate them when they are no longer
needed or leave your employment!
PMP/EHR INTEGRATION
•PMP tab within EHR – bypass extra sign on, stay within
clinical workflow, no need to enter patient information
•Patient name works off exact match- might not return all
results
•Palmetto Health (CERNER)
•Lexington Medical Center (EPIC)
•Currently working with GHS
Quantity
Date
Days of
Dispens
Dispensed
Supply
ed
Drug Name
Dispenser
Dispenser City
Prescriber
Date
Recipient Recipient Date of
Prescribed Last Name First Name Birth
10/12/15
12
3
HYDROCODONACETAMINOPHN 10- 325
Pharmacy A
SIMPSONVILLE
M DMD
10/12/15
Doe
JOHN
1/2/1925
10/10/15
12
2
HYDROCODON- APAP 5- 325
Pharmacy B
GREENVILLE
L FNP
10/09/15
Doe
JOHN
1/2/1925
10/07/15
40
5
TRAMADOL HCL 50 MG TABLET Pharmacy A
SIMPSONVILLE
H MD
10/02/15
Doe
JOHN
1/2/1925
10/07/15
16
3
HYDROCODON- APAP 7.5- 325 Pharmacy C
GREENVILLE
S DMD
10/07/15
Doe
JOHN
1/2/1925
10/06/15
20
4
HYDROCODON- APAP 7.5- 325 Pharmacy D
SIMPSONVILLE
V DMD
10/06/15
Doe
JOHN
1/2/1925
10/05/15
16
2
HYDROCODON- APAP 7.5- 325 Pharmacy E
MAULDIN
J MD
10/05/15
Doe
JOHN
1/2/1925
June 1, 2015-Oct 12,
2015 : Opioids only
22 DMD/DDS
35 Other
practitioners
73 prescriptions
Dental: 479 tablets
10/02/15
40
5
TRAMADOL HCL 50 MG TABLET Pharmacy A
SIMPSONVILLE
H MD
10/02/15
Doe
JOHN
1/2/1925
10/02/15
20
5
HYDROCODON- APAP 7.5- 325 Pharmacy A
SIMPSONVILLE
H MD
10/02/15
Doe
JOHN
1/2/1925
09/29/15
16
4
Pharmacy F
GREENVILLE
B DMD
09/29/15
Doe
JOHN
1/2/1925
09/28/15
30
5
TRAMADOL HCL 50 MG TABLET Phamacy C
GREENVILLE
A NP
08/31/15
Doe
JOHN
1/2/1925
HYDROCODON- APAP 5- 325
Total: 1482 tablets
Does not include liquids,
amphetamine, muscle relaxants
Interstate Data Sharing
• Currently share with 21 states
• Georgia and NC both are in the process of
participating in the sharing hub (PMPi)
• NC has signed an MOU with PMPi
• The user has the option of choosing the
states to search
Violations
• A dispenser who knowingly fails to report is guilty of a
misdemeanor, and is subject to a to a fine of up to
$2000, or imprisonment of up to 2 years, or both.
• A person who is authorized to have PMP information,
and discloses it in violation of the Act, or, who uses it
in a manner or for a purpose in violation of the Act, is
guilty of a felony and subject to a fine of up to $10,000
or 10 years imprisonment, or both.
Do’s and Don’ts
•
•
•
•
•
•
•
•
Do use the SCRIPTS report as a tool only. Remember
that it is unconfirmed, raw data.
Do discuss the reports with patients.
Do refer patients to SCRIPTS admin for a copy of their
own report.
Do have delegates register and use their own account.
Don’t show/give your patients their report, you can
discuss the report with them.
Don’t share reports with other prescribers or
pharmacists, you can discuss with them.
Don’t query anyone except your own patients.
Don’t ever share your account information or password.
Contact Us
Christie Frick, RPh, PMP Director
Tracie Paschall, CPhT, Program
Coordinator
803-896-0688
[email protected]