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Licensed prescribers and dispensers of controlled substances can view the PMP data for current and prospective patients only. Law enforcement officers are allowed indirect access to prescription data during an active investigation.
The PMP contains all Schedule 2,3,4 and 5 prescriptions dispensed by Illinois retail pharmacies.
All retail pharmacies that dispense schedule drugs are required to report their scripts to the PMP on a daily basis. The scripts are then collected and updated on the website each business day.
There could be several reasons for this:
1. The dispensing pharmacy is not properly reporting their prescription data to us. If you think that is the situation, please let us know so we can contact that particular pharmacy.
2. There may be a difference in patient’s name spellings from how you think it is spelled and how it is actually listed in the PMP. For example, a prescription could have been written by a prescriber for a patient with the first name of "Jennifer" but the pharmacy filled it as "Jenifer". Enter the first few defining letters of the name up to the point where ambiguity may begin. For example, enter "Jen" as the patient first name in this case.
The dispensing pharmacy may have erroneously entered into their computer system your name/DEA number as the prescribing physician. And of course, there is the possibility that unauthorized prescriptions are being written using your name and DEA number. Regardless, please call the PMP with the details of the discrepancy so we can determine the circumstances of the situation. We will keep you informed about what we find.
According to HIPAA, this type of consultation is permitted because consultation is within the HIPAA definition of "treatment". For more information about HIPAA go to the United States Department of Health and Human Services Office for Civil Rights - HIPAA Page
Because the disclosures of information to the PMP by Pharmacies are mandated and not discretionary, the patient does not need to be informed of the disclosure, and does not need to consent to it. For more information about HIPAA go to the United States Department of Health and Human Services Office for Civil Rights - HIPAA Page.
The PMP database is most useful for detecting and preventing "doctor-shopping." If your registration is approved, you can log on and view the last year of controlled substance prescriptions for a patient. If you see a pattern of excessive use of controlled substances, you can use more caution in prescribing or dispensing to the patient. Another use for the database is for prescribers to detect pharmacy errors or fraudulent use of their DEA numbers. A prescriber can log in and and run a report displaying all schedule drugs reported with their DEA number.
Each prescriber should register themselves on the website.
All prescribers with a State of Illinois issued controlled substance license must register with the ILPMP regardless of practice type. It is mandatory to search the PMP upon prescribing schedule 2 narcotics.
No, every prescriber must register on the PMP website to be compliant with Public Act 100-0564.
It will be up to the prescribers and the health care organizations to develop internal policies to ensure compliance with the documentation portion set forth in Public Act 100-0564.
The Department of Financial and Professional Regulation (IDFPR) is generally authorized to take disciplinary or non-disciplinary enforcement action against any prescriber for failure to comply. Instances of non-compliance will be handled on a case-by-case basis. The IDFPR encourages early compliance, and will enforce new requirements to assist in the goal of reducing opioid abuse and overdose.
We would consider inpatient use exempt from the requirements set forth in this public act. '(f) This Section shall not be construed to apply to inpatients, residents at hospitals or other institutions, or to institutional pharmacies.'
The only exemptions listed in Public Act 100-0564 include the following:
1. Oncology Treatment
2. Palliative Care
3. 7-Day or less supply provided by an Emergency Department (treating an acute, traumatic medical condition)
Note: (f) This Section shall not be construed to apply to inpatients or residents at hospitals or other institutions or to institutional pharmacies - Public Act
It would not be required if the prescriber is not issuing an actual prescription, but it would still be considered best practice to know the patient’s controlled substance history.
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Yes, they are limited to three.
A prescriber or dispenser can designate access to another individual using their Illinois State License Number. Both prescriber and designee must be registered with PMP. Once a prescriber logs in, they will be able to add/ remove/ view designees. A user should never share their username and password.
The designee and the prescribers will need to be linked with permission from both. You need to have a license number from the designee in order to add them as your authorized designee. Once the designee is set up, an email is sent to both agent/ designee for confirmation.
The PMPnow allows the seamless integration of PMP data into the hospital or clinic Electronic Health Record (EHR); eliminating the additional sign on to the PMP to search patient prescription history. Primarily, the PMPnow was developed in response to hospital emergency medicine providers' requests for faster access to a patient's controlled substance information. When a patient's Admission-Discharge-Transfer (ADT) information is entered into the EHR, a routine request is sent to the PMP web service (request-to-response time is between five and thirty seconds). PMP installed a secured web service which provides fast, automated access.
The connection travels over a secure https web connection. The request and response have end to end encryption, and it is locked down by username and IP address.
On average it takes a couple of weeks to program and implement. Some facilities integration was complete within a day.
Preliminary reports indicate that PMP integration programs improve overall healthcare quality. Advanced knowledge of all controlled substance prescriptions appears to decrease drug-drug interactions, overdose, and other adverse drug reactions by allowing the treating provider to lower dosages or avoid certain medication completely. Physicians, APNs and PAs can utilize the information to make educated treatment decisions quickly. This connection also provides the clinician with additional information, which could possibly be contributing to a why a patient is not cooperating or incoherent.
The PMP estimates that the use of an automated PMP connection will reduce request time by three to five minutes; per patient look up. While the data to quantify time and resources varies at different organizations; patients can be effectively managed when abusers/misusers present themselves without clinically supported needs.
There are no fees from the PMP for this service. Your EHR vendor may charge to make the connection.
The PMPnow can be used by anyone who is in direct treatment of patients; i.e. Doctors, APNs, PAs. RNs can view the data. Clerical office staff are not allowed to use the connection.
Yes. Contacts are available upon request.
This is really left up to you. The data can be directly integrated into your EHR or retained some other way, i.e. PDF, in your EHR system.
We do not require a special request for an extension. You may send us an update at https://www.ilpmp.org/CDC/contactUs.php or use this same link to ask questions.
While the January 1, 2021 date is statutory requirement, there are no current consequences or penalties for not being connected by that date. Illinois PMP will continue to connect providers after that date. To the extent there are ultimate consequences/penalties, IL PMP would not expect those to begin until at least 1/1/22. As a general matter, the IL PMP just wants to encourage providers to connect, in order to get as many providers connected as soon as possible.
The proposed rule has been filed with the Illinois Secretary of State and received by the General Assembly’s Joint Committee on Administrative Rules. We anticipate that the proposed rule will be published in the Illinois Secretary of State’s Illinois Register on Friday, November 6th. Once published, that will begin the First Notice period and public comment.
Current statute and rules only allow integration directly through an Electronic Health Record system. The upcoming proposed rule is intended to safely and securely address the above.
Yes, Illinois Public Act 100-0564, which requires the integration of the electronic health record system into the Illinois PMP, is separate from the practice acts and prescription requirements. Illinois does not have an ePrescription Mandate at this time.