Presentation on theme: "Indiana’s Prescription Monitoring Program. What is INSPECT? INSPECT is 1 of 34 operational, state-based Prescription Monitoring Programs (PMPs) in the."— Presentation transcript:
What is INSPECT? INSPECT is 1 of 34 operational, state-based Prescription Monitoring Programs (PMPs) in the US. Housed in the Indiana Professional Licensing Agency. Administered by the Indiana Board of Pharmacy. Pharmacies must report prescription data to INSPECT within seven (7) days of dispensing a controlled substance to a patient.
Rate of Rx abuse above national average Rate of Rx addiction above national average Rate of arrests for Rx abuse/diversion below national average Why INSPECT is Necessary?
What is Doctor Shopping? When a patient seeks to obtain controlled substances from multiple health care providers, often simultaneously, by either: A. Withholding material facts regarding their past and/or present controlled substance treatment B. Engaging in deceptive practices meant to stymie attempts by their health care providers to better coordinate the provision of care
Is Doctor Shopping Illegal? Although IC 16-42-19 does not use the term “doctor shopping” or “doctor shopping,” it does clearly state that, A person may not do any of the following: 1. Obtain or attempt to obtain a legend drug or procure or attempt to procure the administration of a legend drug by any of the following: A. Fraud, deceit, misrepresentation, or subterfuge. B. The concealment of a material fact. 2. Communicate information to a physician in an effort unlawfully to procure a legend drug or unlawfully to procure the administration of a legend drug. Such a communication is not considered a privileged communication.
INSPECT Menu of Services Rx History Reports POI Alert Notifications Practitioner Self-Lookup Tool Rx Watch Website
INSPECT Service Offering #1 Rx Patient Reports Report of all patient controlled substance activities over a given date range. Available online 24/7 to registered users of the INSPECT WebCenter. We currently process around 2,000 requests per day to a user base of around 9,000 The conditions under which eligible users may obtain data from INSPECT are outlined in statute (IC 35-48-7-11.1).
Eligibility for WebCenter Access Licensing Board: Must be engaged in an investigation of a licensee Attorney General’s Office: Must be engaged in an investigation, adjudication, or a prosecution regarding a violation of state/federal laws concerning controlled substances Law Enforcement: Must concern an investigation and/or an adjudication involving the unlawful diversion or misuse of controlled substances. Practitioners: Must be providing medical or pharmaceutical treatment, or evaluating the need for such treatment to the patient in question.
On the drop-down menu, click “New Request” Request Rx History Report: Step 1
Enter patient search criteria in the boxes provided Select report format Check certification box Click “Done” Request Rx History Report: Step 2
Guidelines for All Users All info via the web – internet required No info provided without an account New users must send in a signed/notarized application to complete registration process
Guidelines for Practitioners YOU ALONE are ultimately responsible for the activity that occurs on your account. Always Validate the contents of the Rx Report! Feel free to share information regarding the contents of a patient’s Rx History Report with mutual providers and law enforcement—but DO NOT send along your hardcopy. Advise mutual providers to obtain their own report.
Sharing with Law Enforcement Practitioners in the audience: “Yikes—that definitely sounds like the sort of thing that could easily get me sued.” Legislation passed during the 2010 General Assembly adds a provision to IC-35-48-7-11.1 stating, (n) A practitioner who in good faith discloses information based on a report from the INSPECT program to a law enforcement agency is immune from criminal or civil liability. A practitioner that discloses information to a law enforcement agency under this subsection is presumed to have acted in good faith.
Guidelines for Law Enforcement Only obtain Rx History Reports for suspects/probationers who are subjects of active, ongoing investigation and/or adjudications – NO FISHING EXPEDITIONS! The Rx History Report is NOT the evidence! Think of INSPECT as a sort of intelligence service—a means of streamlining your investigation and reducing the time it takes to collect the actual, hardcopy evidence available at the pharmacy level.
INSPECT Service Offering #2 Person of Interest (POI) Alert Notifications An unsolicited email notification delivered to practitioners (users and non-users). Two types: INSPECT-Initiated POI Alert: A patient’s prescriptive activities are found to have exceeded the predetermined dispensing thresholds set forth by the IN Board of Pharmacy User-Initiated POI Alert: A patient’s prescriptive activities are deemed problematic based on a mutual provider’s review of a patient’s Rx History Report accessed through the INSPECT WebCenter (Note: we plan to make this fully available by March 2011).
INSPECT Service Offering #3 Prescriber Self-Lookup Tool Similar to a credit report, this new functionality will allow registered users of the INSPECT WebCenter Indiana to access their full controlled substance prescribing history at set intervals throughout the year. (Note: we plan to make this available by the end of Jan. 2011).
INSPECT Service Offering #4 Rx Watch Website New INSPECT Website scheduled for full release in March 2011!!! Functionalities will include: User-customizable analytic and GIS mapping tools Periodically-updated (albeit patient de-identified) datasets for upload by researchers Confidential “tip-submission” area for users Video learning/training area.
Contact Information To receive a password reset, or if you have a question about the program, please email email@example.com firstname.lastname@example.org Help-Desk for non-password related inquiries: 317-234-4458 To obtain further information and/or register for an account, please visit www.in.gov/inspectwww.in.gov/inspect