PDMP & Data Surveillance
Recent policy changes in Kentucky have led to multiple enhancements to KASPER, the state's prescription drug monitoring program (PDMP). This session will explain these policy changes and the expanded use of KASPER data for public health surveillance made possible with funding from the Bureau of Justice Assistance grant. First, presenters will discuss SB32 (2017), which required drug-conviction data to be made available in the KASPER system effective July 1, 2018. As a result, Kentucky became the first state to systematically make drug-conviction data available upon PDMP query. How having access to this data will impact prescriber and dispenser behaviors is not known. Data from baseline surveys of prescribers and dispensers will be presented. Second, on July 1, 2017, Kentucky became the first state to schedule gabapentin as a Schedule V controlled substance, due to concerns among Kentucky pharmacists for gabapentin misuse and the high percentage of Kentucky drug overdose decedents who tested positive for gabapentin post-mortem. Kentucky established population-based gabapentin surveillance. Linkages between death certificate and PDMP data allowed estimation of gabapentin diversion. Data on gabapentin prescribing variations among demographic groups and regions in the state will be presented. Finally, presenters will discuss a series of patient- and population-level measures for "high-risk" opioid analgesic prescribing that enhanced the state’s analytical capability to identify areas and populations at high risk for overdose and to guide policy and program evaluation. Presenters also will address longitudinal trends and relationships between high-risk opioid analgesic prescribing, pain-associated conditions, buprenorphine/naloxone prescribing, and availability of heroin in the community.
This session is accredited for the following accreditation types: CME, CNE, CPE, APA, AAFP, AAHCPAD*, NAADAC*, ASWB,* GA Post.
*State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.