Maryland PDMP

 
 

Healthcare Provider

The Maryland Department of Health (MDH) has made access to patient controlled substance prescription data available at no‐cost to physicians, nurse practitioners, pharmacists and others who provide pharmaceutical care to their patients. For more information about healthcare provider access, please see the Frequently Asked Questions below.

1. Can any healthcare provider access PDMP data?

2. How do I get access to PDMP data?

3. When can I get access to PDMP data?

4. What is CRISP?

5. Is the CRISP HIE the only way I can access PDMP data?

6. Do I have to sign the CRISP Participation Agreement to get access to PDMP data?

7. Is there a fee to access PDMP data through CRISP?

8. Can my office staff access PDMP data on my behalf?

9. Why can’t I see the sig (description of how the patient should take the medication) for the prescription in the PDMP?


1. Can any healthcare provider access PDMP data?

Maryland State law lists the individuals and entities that can request prescription data and specifically prohibits any other data disclosures from the program:

  • Prescribers, including physicians, physicians assistants, nurse practitioners, dentists and podiatrists, in connection with the medical care of a patient. A prescriber may also identify one or more delegates to access prescription information on his or her behalf. Delegates include a non-prescribing licensed healthcare practitioner (i.e. a registered nurse or a licensed alcohol and drug abuse counselor) OR a staff member, regardless of any license status, who is employed by or under contract with the same practice as the prescriber.
  • Dispensers, in connection with the dispensing of a CDS prescription drug. A prescriber may also identify one or more delegates to access prescription information on his or her behalf. Delegates include a licensed healthcare practitioner (i.e. a pharmacy technician) OR a staff member, regardless of any license status, who is employed by or under contract with the same practice as the dispenser.
  • A federal, state or local law enforcement agency. Law enforcement investigators must be registered with the PDMP and submit data requests only for the purpose of furthering an existing investigation. All data requests must include a subpoena that meets the requirements specified in PDMP regulations (COMAR 10.47.07.04C).
  • health occupations licensing board that licenses and regulates the practice of CDS prescribers and dispensers. Licensing board investigators must be registered with the PDMP and submit data requests only for the purpose of furthering an existing investigation. All data requests must include an administrative subpoena that meets the requirements specified in PDMP regulations (COMAR 10.47.07.04D). Practitioner rehabilitation programs that operate under the authority of a licensing board may also request prescription information by issuing an administrative subpoena.
  • MDH agencies, including the Office of the Chief Medical Examiner, the Maryland Medical Assistance Program (Medicaid), the Office of the Inspector General, the Office of Health Care Quality and the MDH Office of Controlled Substances Administration. These agencies must have an existing investigation prior to submitting a data request.
  • Patients may submit a request to MDH for a copy of their own prescription history.
  • Other states’ PDMPs. MDH is working to establish interoperability with other programs so that prescribers and dispensers in Maryland can access data in other states’ PDMPs, and vice versa. It is expected that this functionality will be implemented in 2014.
  • The PDMP Technical Advisory Committee (TAC), composed of four medical practitioners and a pharmacist appointed by the MDH Secretary. The TAC reviews requests for prescription information from investigators and other states’ PDMP and provides clinical guidance and interpretation of the data requested to the Department and the data recipient.

 

The PDMP also makes prescription data available for researchers, public education and reporting purposes. However, information that could identify a patient, prescriber, dispenser or any other individual is redacted before disclosure.

 

Prescription information obtained from the PDMP may only be re-disclosed by the original recipient to facilitate the treatment of a patient.

 

2. How do I get access to PDMP data?

Healthcare providers must register with CRISP to access PDMP data. Once registered, providers may access their patients’ controlled substance prescription history through the CRISP health information exchange (HIE) query portal. Provider registration will begin in mid‐December, 2013. For more information, visit the PDMP page on CRISP’s website.


3. When can I get access to PDMP data?

Healthcare providers, including controlled dangerous substance (CDS) prescribers and dispensers, can register with CRISP to access prescription information through the health information exchange query portal: https://crisphealth.org/services/prescription-drug-monitoring-program-pdmp/pdmp-registration/

 

Investigators with law enforcement, licensing boards and MDH agencies will register with and submit data requests through Health Information Design’s RxSentry® application.


4. What is CRISP?

MDH has partnered with Chesapeake Regional Information System for our Patients (CRISP) and Appriss Health to provide information technology services for the PDMP. CRISP is a 501(c)3 not-for-profit membership corporation that has been designated by the Maryland Health Care Commission as the statewide health information exchange (HIE). Since its inception, CRISP has been fostering the adoption and innovative use of health information technology across Maryland. CRISP has successfully established connectivity to all of the acute care hospitals in the State and provides access to a substantial amount of clinical data for healthcare providers. CRISP has contracted with Appriss Health to support PDMP-specific IT services. Appriss Health’s RxSentry® is a web-based program that facilitates the collection, analysis, and disclosure of prescription information. 


5. Is the CRISP HIE the only way I can access PDMP data?

CRISP is the authorized entity for clinical users to access PDMP data. All registered providers can access PDMP data through the CRISP portal. Some providers may also have access to PDMP data through one or more electronic integrations between CRISP and a hospital or facility’s EHR. Finally some providers may access PDMP data through an authorized 3rd party vendor.

To facilitate access to the portal, CRISP is making “single sign-on (SSO)” integration available for eligible users of electronic health records (EHR) and other health information systems. SSO allows your EHR log in credentials to be automatically “passed” to the CRISP HIE, eliminating the need to log in to the HIE web portal separately.  Patient information can also be passed in a similar manner, eliminating the need to again enter patient search criteria (e.g. patient name and date of birth) in the HIE web portal. This reduces the number of clicks and amount of typing required and allows you to access data with a single click.

If your organization would like to set up single sign-on for CRISP/PDMP, please contact CRISP at support@crisphealth.org or 1-877-95-CRISP for more information.


6. Do I have to sign the CRISP Participation Agreement to get access to PDMP data?

The CRISP Participation Agreement (PA) outlines the Terms of Use for healthcare providers that want to query patient clinical information (labs, radiology, reports, etc.) available through CRISP. If you would like access to this information in addition to  PDMP data, then a PA will need to be signed.  If you are a hospital based provider, your hospital has likely already signed the PA which covers your access to CRISP. However, you will still need to register with CRISP and complete all required training in order to receive your own user account. If you work in a group practice or are a sole practitioner that has not previously received access to CRISP, you or an authorized representative of your practice will be required to sign the PA.

If you would only like access to PDMP data and not the other clinical data available through CRISP, you will simply need to sign a short Memorandum of Understanding (MOU).

For more information, contact CRISP at info@crisphealth.org or 877‐952‐7477.

 7. Is there a fee to access PDMP data through CRISP?

No. Provider access to PDMP data through the CRISP HIE is free of charge.


8. Can my office staff access PDMP data on my behalf?

Healthcare providers who are authorized by law to prescribe or dispense controlled substances may delegate  any staff member, licensed or unlicensed, who is employed by or under contract with the same practice as the prescriber or pharmacist to access PDMP data on their behalf (see “Can any healthcare provider access PDMP data?” above). These delegate practitioners will be provided with their own user accounts with unique usernames and passwords.  Unlicensed delegates, such as office staff, may only access the PDMP data in order to provide it to a delegating prescriber or pharmacists.

9. Why can’t I see the sig (description of how the patient should take the medication) for the prescription in the PDMP?

 Many pharmacies do not collect the sig information for the patient, so it is not consistently a data point. Also, when we collect the data from the dispensers, there is not a field for that type of data to be reported to the PDMP within the technology standard used for reporting.

 

 

 
 
 
 

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