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ePDMP in WISHIN FAQ

ePDMP FAQ


  1. Does accessing prescription drug monitoring program (PDMP) data through WISHIN’s integration comply with the HOPE legislation (2015 WI Act 266) that requires providers to check the PDMP before prescribing?

    Yes. WISHIN has confirmed with the Wisconsin Department of Safety and Professional Services (DSPS) and Chair of the Controlled Substances Board that WISHIN users who obtain PDMP data via the current WISHIN integration (whether that is via single sign-on within your EHR or through the WISHIN Pulse portal) will satisfy the mandatory use requirement effective on April 1st, 2017.

  2. If I’m using the PDMP through WISHIN do I need to change anything?

    No.  You do not need to make any changes if you are already accessing the PDMP through WISHIN.
     
  3. My organization uses WISHIN Pulse but doesn’t currently have access to the PDMP through our connection; can we connect to fulfill the requirement?

    If your organization uses WISHIN Pulse and would like to begin accessing PDMP data through your portal or single sign-on to comply with the mandatory use requirement, please contact us by calling 608-235-4245 or emailing us at wishin.support@wishin.org.

  4. How long will it take to get connected to the PDMP if I already use WISHIN Pulse?

    It depends on both how your organization is connected to WISHIN and the number of users to whom you need to grant PDMP access.

    If you connect to WISHIN via web portal access to the PDMP could be completed in as little as a few days.

    Connecting to WISHIN via single sign-on is a more involved process and would take some work from your organization and your EHR vendor.  But the process would not be materially different than integration directly with the new PDMP vendor.

  5. My organization doesn’t use WISHIN Pulse. What other information would we get access to besides the PDMP if we connected to WISHIN?

    WISHIN presents numerous types of clinical data in addition to controlled-substances history, for nearly 4.6 million unique patients.

    In addition to the PDMP data, one connection to WISHIN gets you the following information from participating providers:
  • Admit, discharge, and transfer (ADT) information including: encounters, allergies, diagnoses, problem lists, face sheets, demographics, insurance information
  • Lab and pathology results
  • Radiology reports
  • Transcribed reports (i.e., discharge summaries, H&Ps, operative reports, etc.)
  • EKGs
  • Care summaries (CCDAs)
  • Wisconsin Medicaid pharmacy-fill data
  • Immunizations and immunization schedule information from the Wisconsin Immunization Registry


You can see and sort through the providers that are participating in WISHIN Pulse here.

 6. With which EHRs does WISHIN connect?

WISHIN is a vendor-neutral health information exchange, meaning that we can connect with everyone. We have experience setting up WISHIN Pulse for clients using Cerner, Epic, GE, Meditech, McKesson, Greenway and other systems. We can enable single sign-on capability with any EHR.

Questions from Beyond the ePDMP Webinar

Q: Do you send the user information on who queried WISHIN to the PDMP?

A: Yes, WISHIN sends monthly reports to the Wisconsin Department of Safety and Professional Services (DSPS), detailing who accessed the PDMP and the patient that was queried.

 

Q: What medication categories are covered by this requirement?

A: Medication categories are defined in Wisconsin statutes, ss. 961.16, 961.18, 961.20, and 961.22. In general, it includes:

·         State Controlled Substances in Schedule II, III, IV, or V that require a prescription order to be lawfully dispensed.

·         Federally Controlled Substances in Schedule II, III, IV, or V that require a prescription order to be lawfully dispensed.

Prescribers are required to check the prescription drug monitoring program prior to issuing a prescription for controlled substances. There are some exceptions to this, but not based on the drug schedule. More information can be found at the following sites:

                https://content.govdelivery.com/accounts/WIDSPS/bulletins/18d1e2d

                https://docs.legis.wisconsin.gov/statutes/statutes/961/III/385

 

Q: Are there plans to add advanced analytics to WISHIN view?

A: Yes, when we integrate with the new ePDMP, analytics will be included in the view. This integration is planned to be completed before the end of this year.

 

Q: WIN says WISHIN access will end in 2018. Is this accurate?

A: Any organization that was integrated with the PDMP prior to the new system must upgrade its connection to the new ePDMP before January 1, 2018. This change is WISHIN's top priority, and we fully intend to have the change completed by that date. WISHIN's access will not end.  

 

Q: If medical clinics are owned by a hospital, is there a $500 fee for each, or are they included in one fee?

A. The hospital system charge is $1,000, which includes all clinics owned by the system, if they share an EHR.

 

Q: Does the provider need to log into ePDMP?

A. Not to access it through WISHIN Pulse.

 

Q: Is it accurate that the requirement to consult the PDMP beginning April 1 is time limited?  Is it three years?

A. Correct. The requirement sunsets on March 31, 2020. See:  https://docs.legis.wisconsin.gov/statutes/statutes/961/III/385/2/cs/1

 

Q: Are there plans for WISHIN to integrate into electronic medical records (EMRs)?

A. WISHIN Pulse can be integrated into EMRs to avoid having to separately sign in to WISHIN Pulse and perform a separate patient search. Users are not required to sign in to ePDMP separately, either. When viewing a patient in an EMR, a user would select a WISHIN icon or link, which would open WISHIN Pulse in a pop-up window and display the patient's community health record, which includes PDMP data.

 

Q:  Sometimes when I search for a patient I get an error message. I’ve been told that this message means that the patient has no data not that there is a true error. When will this be fixed?

A. This will be fixed prior to April 1, 2017.

 

 Q: If you are a current WISHIN subscriber, is there an additional cost to access the ePDMP through WISHIN & if so, what is the cost for a community clinic (non-profit)?

A. The annual cost for a clinic is $500. This is per organization. Clinics with multiple branches are not required individual $500 fees as long as they share the same EHR.

 

 Q: If a delegate uses WISHIN to view PDMP, how does that delegate get linked to the provider so the provider gets credit for checking?

A. WISHIN's current integration with the PDMP doesn't differentiate between providers and delegates, but keeps a record of the organization and user that performed the query. According to DSPS, the reports WISHIN provides satisfy the requirements for checking the PDMP.

WISHIN will work with DSPS and WIN to determine how this will be handled when it migrates to the new ePDMP interface.

 

Q: The ePDMP displays graphic prescription information & morphine equivalent graphs, will this be added to the WISHIN medications view?

A. If it's specific to an individual patient, then it will be displayed when WISHIN switches to the new ePDMP interface.

 

Q: What is the cost for moving from a WISHIN DirectPlus contract to a WISHIN Pulse contract?

A.  WISHIN determines this based upon two different structures, depending on whether it's a hospital system or a clinic. Hospital system pricing is based upon net patient revenue, while clinic pricing is based upon the number of providers. If you would like specific pricing information, contact WISHIN at wishin@wishin.org or (608) 274-1820 for a quote.

 

Q: What is ADT?

A. Admission, Discharge, Transfer. It's an interface from your EHR system to WISHIN that identifies the patient and provides key demographic information for WISHIN's master patient index. Most ADTs also contain some clinical information like diagnoses and allergies.

 

Q: Can we see an example of the difference looking up ePDMP?

A. WISHIN does not have access to the ePDMP screens; however, the patient prescription history should display the same information in both systems. When WISHIN moves to the new ePDMP system, WISHIN will be displaying the same page that you would see in the ePDMP for a specific patient.

 

Q: How many sites are using WISHIN now?

A. WISHIN’s network includes more than 1,400 points of care either live, onboarding, or contracted.

 

Q: Will this interface allow querying of other states' ePDMP?

A. The National Association of Boards of Pharmacy (NABP) does not allow access to multi-state PDMP queries through any integrated PDMP interface, including WISHIN’s. Multi-state queries are only available through the ePDMP portal.

 

Q: How do we show a provider has accessed PDMP? Can that info come back to be filled in our EHR?

A. There are audit reports available within WISHIN Pulse that your organization can run. The reports can be based on the entire organization or per individual user, and for any time period. These reports can be generated as .csv files, which could then be imported into other programs.

 

Q: What is WIN?

A. WIN is the Wisconsin Interactive Network, LLC, which is the vendor that created the new ePDMP site. It is a subsidiary of NIC (National Information Consortium).

 

Q: Is Marshfield Clinic a part of WISHIN yet?

A. Not yet.  A hospital owned by Marshfield Clinic (Lakeview Medical Center in Rice Lake) is in the WISHIN network.