Northern Mariana Islands - Prescription Drug Monitoring ...

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Printed: 07-06-2021 Northern Mariana Islands PDMP region: West Agency responsible: Commonwealth Healthcare Corporation Agency type: Department of Health PDMP website: pdmp.chcc.gov.mp PDMP email: [email protected] Cabrera, Eleanor - Manager 1 Lower Navy Hill Road Saipan, MP 96950 Office: (670) 234-8950 Fax: Email: [email protected] Crisostomo, Monica - PDMP Data System Analyst/Coordinato 1 Lower Navy Hill Road Saipan, MP 96950 Office: (670) 234-8950 Fax: Email: [email protected] PDMP Name: CNMI PDMP Contact Information Enrollment website: pdmp.chcc.gov.mp Query website: pdmp.chcc.gov.mp Data upload website: pdmp.chcc.gov.mp Statistics website: State Registrant Totals and Population Statistics year: 2020 DEA registered prescribers: 94 DEA registered dispensers: 8 State population: 51,000

Transcript of Northern Mariana Islands - Prescription Drug Monitoring ...

Printed: 07-06-2021

Northern Mariana IslandsPDMP region: West

Agency responsible: Commonwealth Healthcare Corporation

Agency type: Department of Health

PDMP website: pdmp.chcc.gov.mp

PDMP email: [email protected]

Cabrera, Eleanor - Manager

1 Lower Navy Hill Road

Saipan, MP 96950

Office: (670) 234-8950

Fax:

Email: [email protected]

Crisostomo, Monica - PDMP Data System Analyst/Coordinato

1 Lower Navy Hill Road

Saipan, MP 96950

Office: (670) 234-8950

Fax:

Email: [email protected]

PDMP Name: CNMI PDMP

Contact Information

Enrollment website: pdmp.chcc.gov.mp

Query website: pdmp.chcc.gov.mp

Data upload website: pdmp.chcc.gov.mp

Statistics website:

State Registrant Totals and PopulationStatistics year: 2020 DEA registered prescribers: 94

DEA registered dispensers: 8State population: 51,000

PDMP Available ReportsPrescriber access to patient historyPrescriber access to own history

Dispenser access to patient historyDispenser access to own history

Licensing Board access to patient historyLicensing Board access to licensee history

Law Enforcement access to patient historyLaw Enforcement access to prescriber historyLaw Enforcement access to dispenser history

Prescriber access to patient query historyPrescriber access to registrant query history

Dispenser access to patient query historyDispenser access to registrant query history

Licensing Board access to patient query historyLicensing Board access to registrant query history

Law Enforcement access to patient query historyLaw Enforcement access to registrant query history

Summary data on/with patient reportsCustomized reports by user typePeer comparison reportsPDMP annual reports

Other types of reports:

Data dashboards

Statewide statisticsLost/stolen prescription information

Drug trend reportsGeomapping of prescription data

Prescriber report cards

Patient access to own query history

Evaluation Reports for Public, Legislature, etc.

Opioid Dashboard link:

Clinical AlertsRisk ScoresMME CalculationsOverdose ReportsMultiple Provider Episodes

Policies and Procedures

Legislation Enacted: PDMP Operational: 2021

Statute citation:Regulation citation:Dr shopper statute:Pill mill statute:Pain clinic statute:

Relevant Statutes and RulesStatute website:

Disclosure statute:

Key PDMP Dates

On-line access: 2020Electronic reporting: 2020Initial user access: 2020

Opioid guidelines:

Required notification to patients of Query

Mandated use of advisory group

Payment method captured

Patient ID capturedID of person (other than patient) dropping off captureID of person (other than patient) picking up capture

Ability to identify prescriber specialty

Authority to release de-identified dataAbility to de-identify data

Authority to release for epidemiological or educational purposesEngaged in release for epidemiological or educational purposes

Miscellaneous Capabilities and Policies

Patient ID required to be presented to dispenser

Patient consent required before data release

Ability for users to set thresholds for alert noticesAbility for users to do user-led alert notices

Ability to search for multiple patients in one queryMaximum number of patients in one query: 20

Supervisor review/audit of delegate accountsNumber of delegates allowed: 2 per prescriber

Unsolicited alerts to practitioners not enrolled in PDM

Mandatory E-Prescribing (EPCS)

Data collection frequency: Next business day

ICD-10 Codes CollectedDeceased Patient FieldHIPAA Covered Entity Identifiable Data to State Health Department

Identifiable Data to local Health Department

Patient Notification of Breach

Patient Breach Notification Method:Patient Breach Notification Method Other:

Patient Breach Notification Written

PDMP Effectiveness Study

Zero-reporting Zero-reporting frequency:

Frequency unsolicited alerts/reports generated: monthly, quarterly, annuallyDelivery method for unsolicited alerts/reports: electronic

Interstate Data Sharing: 2021

E-prescribing required substances:

E-prescribing exemptions/waivers:

Certified as CMS Specialized RegistryUser-friendly web interfaceData analysis softwareOnline user guides/educational materials

PDMP User Training

Prescriber Dispenser Law Enforcement Regulatory Board

Attorney General Patient Researcher

Prescriber Dispenser Law Enforcement Regulatory Board

Attorney General Patient Researcher Other

Training website:

Available Training Training Required Before PDMP Use

Data retention policyRetention time: 8 yearsAll information purged

Patient information purgedPrescriber information purgedDispenser information purged Drug information purged

Retain de-identified data

Data Retention

Record retention details:

De-Identified data retention details:

PDMP Accounts

Automatic enrollment with license renewal or applicationEnrollment method: Online enrollmentPrescriber account criteria:Dispenser account criteria:Regulatory Board account criteria:Law Enforcement account criteria:

Active investigation

Subpoena

Court order/approval

Probable cause

Search warrant

Proper need/upon request

Other:

On-line/web portal

Written request

Other method:

Law Enforcement Requirements Law Enforcement Access Methods

Minimum data elements: first name, last namePartial data elements: first name, last nameOptional data elements: address, phone number, DOB, valid ID #, prescriber, drug name

Criteria to Query PDMP

Patient access to query list details: NoRequirements for patients to get own report: written requestNon-healthcare users allowed online accounts:

Veterinarian access to owner's prescription historyCriteria for veterinarian queries:

Required use - Prescriber Required use - Dispenser

Required enrollment - Prescriber Required enrollment - DispenserRequired PDMP Enrollment and Use

Authority to enforce PDMP mandates:

Enrollment Effective Date(s): 2020

Use Effective Date(s): 2020

Compliance Process for Enrollment Mandates

Compliance Process for Use Mandates

Veterinarian Policies

Reporting method:

Animal reporting specifications same as human patientAnimal v. Human Patient Reporting Differences:

Data Fields:Reporting description:

Reporting Mandate ComplianceCompliance Details:Reporting Mandate Actions:

Reporting Issues:Reporting Miscellaneous Information:

Enrollment Description:Enrollment Mandate Criteria:

Enrollment Mandate ComplianceCompliance Details:Use Description:Use Criteria:

Use Mandate ComplianceCompliance Details:

Veterinary Icon on PDMP Report

Data Monitored or AccessibleSchedule II Schedule III Schedule IV Schedule V

Authority to monitor other substanceRemoved from monitoring

All prescription medications

Drug-related Arrests

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Drug-related Convictions

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Child Welfare Case Information

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Criminal Court Case Information

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Drug Court Case Information

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Medical Marijuana Dispensings

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Monitor Trends/Inform Policy Data Reporters:Data Collectors:

Reciprocity

Data on PDMP Report

Data Location:

Risk Ratings_Urine Drug Screens

Data Fields:Authorized Users:

Data Monitored or Accessible (cont'd)

Monitor Trends/Inform Policy

Description:

Data Reporters:Data Collectors:

Reciprocity

Data on PDMP Report

Data Location:

Other Information

Monitor Trends/Inform Policy Data Reporters:Data Collectors:

Reciprocity

Data on PDMP Report

Data Location:

Overdoses - Non-fatal Information

Monitor Trends/Inform Policy Data Reporters:Data Collectors:

Reciprocity

Data on PDMP Report

Data Location:

Overdoses - Fatal Information

Capture/access registrant's disciplinary history/statusCapture/access patient lock-in informationCapture/access lost/stolen prescription drug reportsARCOS data available

Pharmaceutical Manufacturers/Distributors Sales

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Sales data access method:Frequency of sales data upload:Sales data elements available:

Naloxone/Narcan Administrations

Data Location:

Data on PDMP Report

Reciprocity

Data Collectors:Data Reporters:Monitor Trends/Inform Policy

Naloxone/Narcan DispensingsData on PDMP Report

ReciprocityMonitor Trends/Inform Policy

Data Location:

Data Collectors:Data Reporters:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Data Fields:Authorized Users:

Technological Capabilities

ASAP 4-1/2010

ASAP 4-2/2011

ASAP Versions Accepted

Electronic data transmissionFax data transmission

Mail data transmissionMedia data transmission

Other

Data Transmission Methods Allowed

Pharmacy in-state

Pharmacy out-state/mail order

Dispensing doctor

Pharmacy out-state/other

Veterinarian Veterans Administration Indian Health Services

Other:

Required Data Transmitters

Data collection entity: Vendor Vendor name: BizTek InnovationsData storage entity: Vendor Vendor name: BizTek InnovationsReport generation entity: Vendor Vendor name: BizTek Innovations

Data access method: Web Portal/On-LineData access entity: Vendor Vendor name: BizTek Innovations

Data Collection, Storage, Generation and Access

PMPi HubRxCheck HubHIE method

Interstate Data Sharing

Data Integration

Patient Matching

Exact matchProbablistic match

Other match method

Department of DefensePharmacy in-state/mail order transmitters

Long-term Care Facility PharmacyCorrectional Facility Pharmacy Tribal Pharmacy

Method Jurisdictions Engaged

GU, NE

Referential matchDeterministic matchManual match

Access to patient matching algorithmsMatching data elements:Matching metrics available:Internal matching barriers:Interstate matching barriers:

ASAP 4-2a/2016

ASAP 4-2b/2019

RxCheck Integration AllowedState HIE in place

HIE IntegrationEHR IntegrationPDS Integration

% ProvidersIntegrated

Integration Hub Data allowed to be downloaded/stored

Data allowed to be manipulated for analysis

Data incorporate interstate data

HIE Cost Model:

EHR Cost Model:

PDS Cost Model:

Paid by Feds Paid by State Paid by Facility Paid by Provider

VHA VISTA integration HL7 FHIR connectivity HL7 FHIR expected connectivity: Unknown

Requestors and Reports Authorized to GenerateSolicited Reports Unsolicited ReportsRequestor Type In-State Out-of-State In-State Out-of-State

PrescriberDispenser/Business (i.e., pharmacy)Dispenser/Person (i.e., pharmacist)Midlevel - Physician AssistantMidlevel - Nurse Practitioner

Law Enforcement - FederalLaw Enforcement - StateLaw Enforcement - Local

Licensing/Regulatory Board

Medicaid Fraud and AbuseMedicaid Drug Utilization and ReviewMedicareWorkers Compensation - StateWorkers Compensation - Insurance

Prosecutorial Authority

Third-party Payer

Correctional Supervision

Other PDMP

Patient

Peer Review Committee

Drug Court

Researchers

Drug Treatment Provider

State Health Department

Prescriber Delegate (licensed)Dispenser Delegate (licensed)

Medical Examiner/Coroner

Prescriber Delegate (unlicensed)Dispenser Delegate (unlicensed)Medical ResidentsInternsMedical Facility/Institution

Marijuana Dispensary

Healthcare

Regulatory

Law Enforcement

Public and Private Insurers

Other

Solicited Reports Unsolicited ReportsRequestor Type In-State Out-of-State In-State Out-of-StatePrescriberDispenser/Business (i.e., pharmacy)Dispenser/Person (i.e., pharmacist)Midlevel - Physician AssistantMidlevel - Nurse Practitioner

Law Enforcement - FederalLaw Enforcement - StateLaw Enforcement - Local

Licensing/Regulatory Board

Medicaid Fraud and AbuseMedicaid Drug Utilization and ReviewMedicareWorkers Compensation - StateWorkers Compensation - Insurance

Prosecutorial Authority

Third-party Payer

Correctional Supervision

Other PDMP

Patient

Peer Review Committee

Drug Court

Researchers

Drug Treatment Provider

State Health Department

Prescriber Delegate (licensed)Dispenser Delegate (licensed)

Medical Examiner/Coroner

Prescriber Delegate (unlicensed)Dispenser Delegate (unlicensed)Medical ResidentsInternsMedical Facility/Institution

Marijuana Dispensary

Healthcare

Regulatory

Law Enforcement

Public and Private Insurers

Other

Requestors and Reports Being Generated