77 Ill. Adm. Code 2080.190
Reports
Section 2080
Section 2080.190 Reports
a) For the purpose of intervention to prevent misuse, a
prescriber or dispenser may request that reports about their patients be sent
to them via a secure method if a patient meets the current PMP indications of
potential misuse criteria set forth by the PMPAC.
b) A
personal information report of a patient's prescription profile may be obtained
if:
1) The
patient, parent, or guardian completes a notarized request; and
2) The patient, parent, or guardian submits the notarized request
by mail to the ILPMP at:
Illinois Prescription Monitoring Program
401 North 4
th
Street, First Floor
Springfield, Illinois 62702
c)
When
a person has been identified as having 5 or more prescribers or 5 or more
pharmacies, or both, that do not utilize a common electronic file as specified
in Section 20 of the Pharmacy Practice Act
[225 ILCS 85]
for controlled
substances within the course of a 6-month period, the ILPMP may issue an
unsolicited report to the prescribers informing them of the potential
medication shopping
[720 ILCS 570/314.5(d)]. If an unsolicited report is
issued to a prescriber or prescribers, then the report must also be sent to the
applicable dispensing pharmacy. The individual prescriber's judgment
determines what actions, if any, they should take upon receipt of the
unsolicited 5-5-6 reports.
d)
The ILPMP is authorized to develop operational reports to
entities with compatible electronic medical records
[720 ILCS 570/318(n)].
The report will only include information for patients that are in the entity's
electronic health record (EHR). It is the responsibility of the entity to keep
the access to this confidential patient information secure. These entities
must:
1) Meet and maintain the ILPMP's current security standards as
set forth by the Office of the National Coordinator for Health Information
Technology (ONC) at https://www.healthit.gov/topic/privacy-security-and-hipaa/health-it-privacy-and
security-resources-providers prior to the electronic transfer of information
from the ILPMP to its respective EHR;
2) Be a licensed healthcare entity; and
3) Only use this confidential patient information for the
treatment of the relevant patient.
e) Technical error and administrative function reports needed to
determine that the records are received and maintained in good order may be
used.
f) Sample trend analysis reports may be prepared extemporaneously
by ILPMP staff. The distribution of all extemporaneous reports shall be at the
discretion of the Clinical Director of the ILPMP.
g) Authorized persons listed in this subsection may request
information from the ILPMP.
1) Official
inquiries must be from any one of the following:
A) DFPR;
B) An investigator from the Illinois Consumer Protection Division
of the Office of the Attorney General;
C) A
law enforcement officer; or
D) Representatives of the Department of Children and Family
Services.
2) All written notices, request and communications may be made by
electronic mail to dhs.pmp@illinois.gov. Inquiries must demonstrate that:
A)
The applicant has reason to believe that a violation under
State or federal law that involves a controlled substance by an individual has
occurred; and
[720 ILCS 570/318(e)(1)]
B)
The requested information is reasonably related to the
investigation of the individual, adjudication, or prosecution of the violation.
[720 ILCS 570/318(e)(2)]
3) The Department may impose a fee for the cost of generating and
furnishing the requested information.
h) Any other reports concerning the information received from
dispensers shall only be prepared at the direction of the Clinical Director [720
ILCS 570/102(d-5)] or successor administrator who meets the statutory
requirements.
The information described in
720 ILCS 570/318(f)
may
not be released until it has been reviewed by an employee of the Department who
is licensed as a prescriber or a dispenser and until that employee has
certified that further investigation is warranted
[720 ILCS 570/318(g)].
i) As directed by the Clinical Director for the ILPMP, aggregate
data that does not indicate any prescriber, practitioner, dispenser, or patient
may be used for clinical studies under Article VIII, Part 21 of the Code of
Civil Procedure [735 ILCS 5/Art. VIII, Part 21] (Medical Studies).