Michigan tackles opioid abuse with data-sharing platform

The portal integrates electronic health records into the state's prescription monitoring program, giving prescribers and physicians near-instantaneous access to patients' drug histories.

To tackle and prevent opioid abuse in the state, Michigan has replaced its electronic prescription monitoring program (PMP) with a fully hosted and maintained platform that integrates into electronic health records (EHRs) and gives prescribers and physicians near-instantaneous access to patients’ drug histories.

“What used to take five to 10 minutes for a practitioner to query the system and run a patient report now takes on average less than half a second,” said Kim Gaedeke, Michigan’s PMP director.

Officials replaced the Michigan Automated Prescription System (MAPS) with Appriss Health’s PMP AWARxE, a scalable software-as-a-service platform, and then added MAPS to EHR and pharmacy management systems at hospitals, physician groups and pharmacies. That second stage uses Appriss’ PMP Gateway, a managed service for integrating prescription drug monitoring program (PDMP) data and analytics into EHRs.

During the six-month process, Michigan migrated more than 120 million records from MAPS to Appriss’ platform. Since going live on April 4, the new MAPS has garnered about 28,000 users, including 3,000 delegate users, who are people that registered users designate to access their records.

This fall, the state will begin using Appriss’ next-generation substance abuse tracking platform: NarxCare. Part analytics tool, it automatically analyzes MAPS data and a patient’s health history to provide a patient risk score, or NarxScore. That score -- which looks at all the risk factors for abuse of narcotics, sedatives and stimulants -- is embedded into EHRs, said Brad Bauer, vice president of business development at Appriss.

In a NarxReport, prescribers can immediately see predictive risk scores, red flags, a prescription graph and PDMP data, which alerts them to patients at risk for drug addiction or overdose or a dangerous drug interaction.

“That’s absolutely critical so that the practitioner can remain within his or her workflow and [does] not have to exit out to pull a report,” Bauer said.

What’s more, care teams can communicate with one another through the platform, and it can return information on treating drug addiction and the locations of treatment centers, which practitioners can provide to patients.

“It’s much more robust by way of prevention,” Bauer said. “It’s taking our state’s PDMP and making it a medical tool.”

Previously, when users needed to query MAPS, it could take up to 10 minutes “so long as our system didn’t crash,” Gaedeke said. “You’d have multiple users trying to access the system, and we didn’t have the bandwidth. And so now with the Appriss host system that we have, we don’t have that issue.”

Now, users log in via a web portal. A dashboard shows patient or clinical alerts -- such as someone who has seen several doctors or drug dispensers in a short period of time for opiate-based controlled substances. Users can also see any recent reports they requested and any delegate users who have been designated.

“Behind the scenes, whenever we receive a request, that is going to hit the data repository that we maintain for the state,” Bauer said. “We have a proprietary means of patient clustering and how we clean and match the data, which is very important in terms of the quality of the data. That enables us to see the request for a patient report. We’re able to accurately match that to the data that’s in the system so we are returning records for that patient.”

Search terms include partial and full names, dates of birth and time parameters so that users can see a history of prescriptions for Schedule II to V drugs, such as Percocet, codeine, and anti-depression and anti-anxiety medications.

Besides prescription history, the reports include prescriber and dispenser information. Additionally, data uploads happen in real time, as opposed to the nightly batch updates that happened previously.

Users can also use the PMP InterConnect hub, which lets PMP AWARxE users query other states’ prescription drug monitoring data. Appriss maintains the hub for the National Association of Boards of Pharmacy, and it currently has data from 42 states. For instance, if a prescriber suspects a patient of drug abuse, they can check InterConnect to see if that person has visited practitioners in other states.

Opioid abuse is rampant nationwide. In Michigan, deaths from opioid use grew by 13.3 percent from 2014 to 2015, according to the Centers for Disease Control and Prevention. In 2015, Gov. Rick Snyder created the Michigan Prescription Drug and Opioid Abuse Task Force, which recommended replacing or enhancing MAPS. As a result, the state appropriated $2.47 million to the Department of Licensing and Regulatory Affairs, whose Bureau of Professional Licensing oversees MAPS, to replace the system and another $2.02 million for maintenance.

NEXT STORY: 5 states throw in with FirstNet

X
This website uses cookies to enhance user experience and to analyze performance and traffic on our website. We also share information about your use of our site with our social media, advertising and analytics partners. Learn More / Do Not Sell My Personal Information
Accept Cookies
X
Cookie Preferences Cookie List

Do Not Sell My Personal Information

When you visit our website, we store cookies on your browser to collect information. The information collected might relate to you, your preferences or your device, and is mostly used to make the site work as you expect it to and to provide a more personalized web experience. However, you can choose not to allow certain types of cookies, which may impact your experience of the site and the services we are able to offer. Click on the different category headings to find out more and change our default settings according to your preference. You cannot opt-out of our First Party Strictly Necessary Cookies as they are deployed in order to ensure the proper functioning of our website (such as prompting the cookie banner and remembering your settings, to log into your account, to redirect you when you log out, etc.). For more information about the First and Third Party Cookies used please follow this link.

Allow All Cookies

Manage Consent Preferences

Strictly Necessary Cookies - Always Active

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data, Targeting & Social Media Cookies

Under the California Consumer Privacy Act, you have the right to opt-out of the sale of your personal information to third parties. These cookies collect information for analytics and to personalize your experience with targeted ads. You may exercise your right to opt out of the sale of personal information by using this toggle switch. If you opt out we will not be able to offer you personalised ads and will not hand over your personal information to any third parties. Additionally, you may contact our legal department for further clarification about your rights as a California consumer by using this Exercise My Rights link

If you have enabled privacy controls on your browser (such as a plugin), we have to take that as a valid request to opt-out. Therefore we would not be able to track your activity through the web. This may affect our ability to personalize ads according to your preferences.

Targeting cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising.

Social media cookies are set by a range of social media services that we have added to the site to enable you to share our content with your friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages you see on other websites you visit. If you do not allow these cookies you may not be able to use or see these sharing tools.

If you want to opt out of all of our lead reports and lists, please submit a privacy request at our Do Not Sell page.

Save Settings
Cookie Preferences Cookie List

Cookie List

A cookie is a small piece of data (text file) that a website – when visited by a user – asks your browser to store on your device in order to remember information about you, such as your language preference or login information. Those cookies are set by us and called first-party cookies. We also use third-party cookies – which are cookies from a domain different than the domain of the website you are visiting – for our advertising and marketing efforts. More specifically, we use cookies and other tracking technologies for the following purposes:

Strictly Necessary Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Functional Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Performance Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Social Media Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Targeting Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.