Description of original award (Fiscal Year 2023, $1,364,055)
A key tool in Ohio to addressing both prescription drug diversion and substance use disorder (SUD) is Ohio’s Prescription Drug Monitoring Program (PDMP), known as the Ohio Automated Rx Reporting System (OARRS). OARRS is a system developed to detect the diversion, abuse and misuse of controlled substances. OARRS is operated by the State of Ohio Board of Pharmacy (BOP). Overtime, BOP has enhanced OARRS to provide value information to healthcare providers to support their clinical decision-making. To further enhance, improve, and utilize this this tool and its data the BOP has proposed several initiatives aimed at improving data quality and accuracy, supporting capacity and staff, enhancing the information collected by and provided to healthcare providers, and collaboration with public health and treatment providers.
Specific objectives include:
1) Implementing a plan to improve the accuracy and quality of the PDMP data
2) Improving the completeness of International Classification of Diseases-10 (ICD-10) codes reported to OARRS through an audit program
3) Improving the matching of patients to their prescriptions by enhancing the PDMP and the data collected
4) Supporting staff capacity to analyze and use OARRS data to implement data driven strategies to identify and reduce drug diversion, aberrant prescribing, and substance use disorder in Ohio.
6) Collaborating with Ohio Mental and Addition Services to improve the information on Opioid Treatment Patients (OTP) reported to OARRS and available to healthcare providers
7) Providing data analysis for BOP investigations and stakeholders
8) Implementing a process to notify prescribers of patients who died from a drug overdose
9) Implementing a statistical tool to monitor and identify outliers in buprenorphine prescribing.
10) Continuation of the pre-criminal OARRS Early Intervention Program that identifies persons who may be exhibiting SUD and Doctor Shopping Behaviorals and links them to treatment and other resources.
State partners including RecoveryOhio, Ohio Mental Health and Addiction Services, Ohio Department of Health, the State Medical Board of Ohio, Ohio Board of Nursing, and the Ohio State Dental Board have provided support for this project.