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Kate Donaldson, MPHAssessment, Evaluation, Policy Manager

Saint Louis County Department of Public Health

Jessica Berkemeier, MPHPDMP Coordinator, Epidemiologist

St. Charles County Department of Public Health

Learning Objectives

1. Provide history and overview of opioid epidemic in St. Louis region that led to the PDMP

2. Provide overview of goals and implementation of the PDMP3. Provide information on the operation and utilization of the

PDMP for healthcare providers

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The Problem: Opioids/Heroin Deaths

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St. Charles County, Missouri2011-2016Source: MODHSS

Heroin Deaths 165

Non-Heroin Deaths 149

Total 314

St. Charles County, MissouriJan. 1 – Jun. 30, 2017Source: SCCAD

NaloxoneAdministrations:

308

St. Louis County DPH’s Opioid Response: A Comprehensive Approach

• Prescription Drug Monitoring Program• Overdose education and naloxone distribution efforts• Upgrading clinical capacity• Surveillance and reporting

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St. Charles County Opioid Response:

• Prescription Drug Monitoring Program• Naloxone distribution and education (PD & SCCAD)• Surveillance and reporting• C.R.U.S.H.

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PDMP System Basics

Prescriber writes Rx

Dispenser fills Rx

Rx History available in PMP

AWARxE

PDMP PurposeHow does a PDMP address the opioid epidemic?• Improves controlled substance prescribing by providing critical

information regarding a patient’s controlled substance prescription history

• Informs clinical practice by identifying patients at high-risk who would benefit from early interventions

• Reduces the number of people who misuse, abuse, or overdose while making sure patients have access to safe, effective treatment

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Using PDMP to Improve Quality of Care

• Providers are encouraged to perform a patient search before prescribing opioids or other controlled substances

• A patient report is generated that provides the patient’s prescription history including medication, prescriber, and dispenser information

• Alerts are generated when a patient obtains controlled substance prescriptions written by 3 or more prescribers and filled at 3 or more pharmacies within a 6 month period

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= Participating Jurisdiction = No Legislation

PDMP Participation

St. Charles County PDMP Efforts

• Outreach to every pharmacy to encourage registration for pharmacists and technicians

• Educational presentations to interested groups i.e., rotary clubs and chambers of commerce

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How to Participate in the PDMP

• Providers must complete an online registration process to use the PDMP

• Interested providers submit information such as their DEA number and employer details as well as a copy of their state license

• The St. Louis County DPH reviews each registration request and notifies providers when their request is approved

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How to Participate in the PDMP• Providers may delegate access to other healthcare professionals in

their practice including- Nurse practitioners/clinical nurse specialists - Midwives with prescriptive authority- Physician assistants - Medical residents - Licensed pharmacy techs and interns- Unlicensed pharmacy techs- Unlicensed medical assistants- Licensed medical interns, dental hygienists, and nurses

• To delegate access, supervisors must themselves be registered users and maintain all liability for delegates’ usage

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Contact InformationVisit our website or give us a call for more information on how to participate in the PDMP

DPH PDMP website: www.stlouisco.com/PDMP

PDMP website: missouri.pmpaware.net

PDMP.DPH@stlouisco.com

314-615-0522

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