HIMSS 2017 HIMSS SPOT presentation by Richard Moore, Advocacy Chairman, Central & Southern Ohio HIMSS - HB 341 10/26/15, Governor Kasich announced a $1.5 million/year to integrate OARRS via Appriss PMP Gateway into electronic medical records and pharmacy dispensing systems across the state, allowing instant access for prescribers and pharmacists.

1. 1
MAKING AN IMPACT ON CRITICAL HEALTHCARE PUBLIC POLICY
ISSUES: NATIONAL & STATE INITIATIVES
HIMSS SPOT, February 20, 2017
Richard Moore, Advocacy Chairman, Central & Southern Ohio HIMSS

2. 2
Speaker Introduction
Richard Moore
Advocacy Chairman
Central & Southern Ohio HIMSS

3. 3
Conflict of Interest
Richard Moore
Has no real or apparent conflicts of interest to report.

4. 4
Agenda
• Ohio Healthcare Information Technology (OHIT) Day
• Issues that drive OHIT Day
• OHIT Day 2016 – Opioid Addiction & HIT initiatives in
Ohio with HB 341

5. 5
Ohio Healthcare Information Technology Day
• Annual event held at the Ohio Statehouse and Legislative Offices
• 10th annual event will be 4/5/2017
• Collaboration between CSOHIMSS, NOHIMSS, HIMSS Innovation
Center, OHIMA, CHIME, CliniSync, HealthBridge, eHealth Ohio and
other organizations
• 1 day Agenda has Legislative visits, Noon Luncheon Speakers,
Afternoon Panel and Reception
• Currently use a video link between the Capitol and HIMSS Innovation
Center

6. 6
Ohio Statehouse <-> HIMSS Innovation Center

7. 7

8. 8
Ohio Healthcare Information Technology Day
2011
Transforming Ohio Healthcare IT HIE and Healthcare IT
employment
Greg Moody
Director of Ohio Health
Transformation
2012 Medicaid Budget and Healthcare IT job development Rep Barbara Sears
Health & Human Services
Subcommittee in the Finance
Committee
2013 Medicaid Expansion and HIE development Amy Rohling McGee Health Policy Institute of Ohio
2014 Telemedicine Medicaid HB123 Rep Anne Gonzales & Sen Shannon Jones
2015 Ohio Budget making for HIT and HIE Self-sufficiency Rep Ryan Smith
Chairman of Finance
Committee
2016
H.B. 341, Mandatory OARRS & PMP Gateway Funding - Ohio
Automated Rx Reporting System (OARRS) Link to EMR
Rep Robert Sprague
Chairman of Health & Human
Services Subcommittee in
the Finance Committee
Steven Shierholt
Exec Dir Ohio State Board of
Pharmacy

9. 9
HB 341, Mandatory OARSS & PMP Gateway Funding
• 2014 Drug Overdose Statistics
– 70% of all unintentional drug overdose deaths (1,746) had at
least one prescription in OARRS for a controlled substance
dispensed after 7/1/2013.
– 37% of unintentional drug overdose deaths involving
prescription opioids (432) had at least one prescription for an
opioid within 30 days prior to their death.

10. 10
HB 341, Mandatory OARSS & PMP Gateway Funding
• Ohio Automated Rx Reporting System is a Web-based Prescription
Monitoring Database since 2006
• HB 341 required all prescribers and prescription fillers to reference
the database for Opioid prescriptions when prescribing and
dispensing and prescribers make notes in the EMR.

11. 11
Problem for EMR Users
• On average, it takes 3 minutes to:
– Open a browser
– Browse to www.ohiopmp.gov
– Enter User Name and Password
– Enter patient information
– Retrieve report
• At $88/hr, 3 minutes costs $4.40/report
• In 2015, Prescribers ran nearly 11 million OARRS reports

12. 12
Enterprise Integration Solution
PMP Gateway Integration
Health IT System
• Leverages existing OARRS connection – no
development required
• Software vendors can leverage development for
other states
• State-wide enterprise licensing
• Leverages economies of scale
• State sublicenses to health systems, hospitals,
physicians, etc. at no cost

13. 13
OARRS Integration
• 10/26/15, Governor Kasich announced a $1.5 million/year to
integrate OARRS via Appriss PMP Gateway into electronic medical
records and pharmacy dispensing systems across the state, allowing
instant access for prescribers and pharmacists.
• Future Budget considerations TBD

14. 14
States with Gateway Connections
A
Z
A
R
C
O
CT
D
E
I
D
I
L
I
N
IA
KS
KY
LA
M
I
MN
M
S
N
V
N
J
NM
ND
O
H
OK
R
I
SC
SD
TN
U
T
VA
WVWI
Healthcare
entities benefit
from a single
point of access
to multi-state
data
States benefit by
promoting
integration
through a single
conduit

15. 15
Questions
• Richard Moore
• rkmoore@dmeconsult.com
• 614-5302350