The Indiana Professional Licensing Agency’s (IPLA) prescription monitoring program, INSPECT, received national recognition recently when it was awarded the Administrators in Medicine (AIM) “Best of Boards” award on April 17, 2013. The award recognized both INSPECT and the Medical Licensing Board of Indiana’s recent efforts to become the 1st state nationally to integrate prescription drug monitoring data into an electronic healthcare system.
On January 15, 2013, INSPECT began delivering prescription data to healthcare systems at Community Hospitals, St. Vincent Hospitals and Health Services, St. Francis Hospital and Health Centers, I.U. Health, and Wishard Health Services through the Indiana Network for Patient Care (INPC). For the first time nationally, physicians are now able to access patient prescription history within their daily workflow without taking the added and onerous step of accessing the same information via the Web. This ensures that healthcare providers have a ready access to valuable prescription history before writing a prescription for a controlled substance.
“It’s an honor to be recognized by AIM,” said Marty Allain, the Director of INSPECT, who accepted the award on behalf of the program and the board. “Being the first program in the country to deliver this data to physicians is an important step in the fight against prescription drug abuse.”
Prescription drug abuse is a national epidemic according to the Centers for Disease Control. According to the National Center for Health Statistics, prescription painkillers have topped car accidents as the leading cause of accidental death in the U.S. To combat prescription drug abuse, Indiana maintains a prescription drug monitoring program, INSPECT, that collects controlled substances dispensed by pharmacies into a database accessible to physicians and pharmacists. INSPECT collects 13,000,000 prescription records annually and the system processes over 11,000 requests for patient history reports every day; however, the system is only accessed 1 time for every 10 controlled substance prescriptions written in the state. This low rate of use is due to the difficulty of accessing the system on-line with a username and password, and the added task of querying for search results. Doctors lose valuable time attempting to access the data and many times choose not to use the program at all.
To increase use, INSPECT has partnered with the Regenstrief Institute and the National Association of Boards of Pharmacy (NABP) to deliver this data directly into physicians’ workflows. In June 2012, Wishard’s Emergency Department used the new system during a pilot project. The results were staggering: Physicians stated that this new data in their system reduced the number of pills they prescribed for 6 out of every 10 patients treated.
“All of the physicians that are now accessing the data through the INPC have responded positively to the integration efforts,” said Kristen Kelley, the Director of the Medical Licensing Board. “In a recent survey, 100% of the physicians responded that the new system was easier to use.”
The integration efforts deliver Indiana’s PDMP data to the five major hospital systems connected to the Indiana Network for Patient Care (INPC), which includes Wishard, I.U., St. Francis, St. Vincent, and Community Hospitals. These five INPC hospital systems operate a total of 11 different hospital facilities and more than 100 geographically distributed clinics andday surgery facilities. Collectively these systems admit 165,878 patients and serve more than 390,000 emergency room visits and 2.7 million clinic visits per years.
In March 2013, the integration effort was also showcased at the Healthcare Information & Management Systems Society (HIMSS) annual conference, the premier exhibition for healthcare data interoperability in the nation.
Administrators in Medicine (AIM), a not-for-profit organization, is the national organization for state medical and osteopathic board executives. Founded in 1984, the mission of AIM is to assist and support administrators for medical licensing and regulatory authorities to achieve administrative excellence and ultimately advance public safety.
The Office of National Drug Council Policy (ONDCP) has named prescription drug program monitoring as one of the four major tenants of addressing the nation’s prescription drug abuse epidemic. See http://www.whitehouse.gov/ondcp/prescription-drug-abuse. INSPECT has continually pursued progressive efforts to ensure that it provides the best possible service in the fight against prescription drug abuse:
- First PDMP in the nation to participate in interstate sharing of data (along with Ohio) (2011).
- First PDMP to engage in email-based unsolicited reporting of PDMP information to practitioners (2011).
- First PDMP to permit user-led unsolicited reporting (2012).
- First PDMP to track and enforce pharmacy uploading (2009).
- 2009 Recipient of the Governor’s Public Service Achievement Award for its efforts in registering end users and increasing pharmacy compliance.
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