1. SCRIPTS South Carolina Reporting & Identification Prescription Tracking System

4. Accidental Deaths 3 Due to Drug Overdose SC Occurrence Data Year Accidental Drug Overdose All deathsDrug not specified 2 Prescription drugs 4 HeroinCocaine # of Deaths Age -Adjusted 1 Rate per 100,000 population # of Deaths % of all overdose deaths # of Deaths Age -Adjusted 1 Rate per 100,000 population # of Deaths Age -Adjusted 1 Rate per 100,000 population # of Deaths Age -Adjusted 1 Rate per 100,000 population 2008 48510.8619840.822104.7070.15892.01 2009 54711.9622841.682445.34150.33681.47 2010 57612.5823941.492766.06140.33601.29 2011 48910.6021644.172224.8590.20561.24 2012 47810.1520542.892254.77120.27450.96 2013 52811.0823043.562364.98250.53410.82 2014 62913.01548.594879.96561.25851.80 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

5. 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.

6. “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

7. Appropriate uses of SCRIPTS New patient encounter Monitoring compliance Avoiding therapeutic duplication or drug interactions Coordination of care

8. Tools for monitoring patient medication compliance Patient Provider Agreements Pill counts Drug Screens Prescription Monitoring Program

9. 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

10. 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!

11. 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

17. Date Dispensed Quantity Dispens ed Days of Supply Drug NameDispenserDispenser CityPrescriber Date Prescribed Recipient Last Name Recipient First Name Date of Birth 10/12/15123 HYDROCODON- ACETAMINOPHN 10- 325 Pharmacy ASIMPSONVILLEM DMD10/12/15DoeJOHN1/2/1925 10/10/15122HYDROCODON- APAP 5- 325Pharmacy BGREENVILLEL FNP10/09/15DoeJOHN1/2/1925 10/07/15405TRAMADOL HCL 50 MG TABLETPharmacy ASIMPSONVILLEH MD10/02/15DoeJOHN1/2/1925 10/07/15163HYDROCODON- APAP 7.5- 325Pharmacy CGREENVILLE S DMD10/07/15DoeJOHN1/2/1925 10/06/15204HYDROCODON- APAP 7.5- 325Pharmacy DSIMPSONVILLE V DMD10/06/15DoeJOHN1/2/1925 10/05/15162HYDROCODON- APAP 7.5- 325Pharmacy EMAULDINJ MD10/05/15DoeJOHN1/2/1925 10/02/15405TRAMADOL HCL 50 MG TABLETPharmacy ASIMPSONVILLE H MD10/02/15DoeJOHN1/2/1925 10/02/15205HYDROCODON- APAP 7.5- 325Pharmacy ASIMPSONVILLE H MD10/02/15DoeJOHN1/2/1925 09/29/15164HYDROCODON- APAP 5- 325Pharmacy FGREENVILLE B DMD09/29/15DoeJOHN1/2/1925 09/28/15305TRAMADOL HCL 50 MG TABLETPhamacy CGREENVILLE A NP08/31/15DoeJOHN1/2/1925 June 1, 2015-Oct 12, 2015 : Opioids only 22 DMD/DDS 35 Other practitioners 73 prescriptions Dental: 479 tablets Total: 1482 tablets Does not include liquids, amphetamine, muscle relaxants

18. 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

21. 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. PMPA 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. Violations

22. 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.

23. Contact Us Christie Frick, RPh, PMP Director Tracie Paschall, CPhT, Program Coordinator 803-896-0688 scripts@dhec.sc.gov