Prescription Monitoring Program (PMP)

It's an incredible and frightening fact: between 1988 and 2008, the number of Americans who died at home after ingesting cocktails of prescription medications, alcohol and street drugs such as marijuana ballooned by more than 3,000 percent (Aleccia, 2008).

But now, thanks to a national initiative funded by the Bureau of Justice Assistance (BJA) and the Office of National Drug Control Policy (ONDCP) and led by the IJIS Institute, states can share prescription information with one another – and potentially save lives.

The primary program goals of the Prescription Drug Monitoring Program (PMP) Information Exchange (PMIX) is nothing less than to establish a national interoperability architecture, specifications and a reusable infrastructure for the secure, reliable and sustainable interstate exchange of state PMP data. PMIX leverages service-oriented architecture (SOA) principles through the Global Reference Architecture (GRA) to minimize custom development and maximize future agility.

Guiding the PMIX initiative is a steering committee comprised of people who have implemented state PMPs, members and alliance partners of the IJIS Institute, and representatives of Federal agencies, including:

  • BJA
  • ONDCP
  • Indian Health Service (IHS)
  • Department of Veterans Affairs (VA)
  • Substance Abuse and Mental Health Services Administration (SAMHSA) in the Department of Health and Human Services (HHS)
  • Drug Enforcement Administration (DEA).

PMIX Pilot Project

This infrastructure for the PMIX Pilot was tested in a successful pilot exchange of "live" data between the Kentucky All Schedules Prescription Electronic Reporting system and the Ohio Automated Rx Reporting System. Under the PMIX approach, all protected health information was encrypted at the message level so that private data was not visible to any intermediary servers outside state boundaries. The supporting technologies used for the Pilot follow:

  • Data interoperability was enabled through National Information Exchange Model (NIEM) Information Exchange Package Documentation (IEPD)
  • Messaging interoperability was through a GRA PMIX Service Specification Package, including reliable secure web services capabilities
  • A software development kit containing a State Routing Service intermediary and a reference implementation was used to reduce cost and accelerate adoption of the required state-side software

The BJA/IJIS PMP committee is participating in related initiatives, particularly those involving ongoing cooperation with the PMP Center of Excellence and with the Office of the National Coordinator for Health Information Technology (ONC).

PMIX is funded by grants from the BJA, through Brandeis University and ONDCP.

PMIX State Assistance Project

The PMIX Pilot Program is just a start. The next step is for the PMIX State Assistance Project to accelerate nationwide PMIX adoption across the U.S. To that end, the PMIX Project is providing technology assistance (TA) to enhance the PMIX interoperability infrastructure. Another series of TAs with various states and the Indian Health Service (IHS) will assist them in reporting IHS prescription dispensing data to state PMPs. PMIX is also working to develop recommendations for the creation of anonymous, multi‐state PMP datasets in which records arising from the same patient can be linked to one another.

The PMIX State Assistance Project is funded by the ONDCP.

PDMP Resources