ACT real time monitoring could include S4s

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ACT Health plans to roll out a real time monitoring system for drugs of concern by March 2019

ACT Health implemented the Drugs and Poisons Information System (DAPIS) in the Health Protection Service (HPS) in 2014 as a regulatory tool for monitoring the prescribing of S8 medicines in the ACT.

“The introduction of DAPIS has vastly improved the information available to the HPS for monitoring purposes and has allowed the HPS to respond to public health harms in a more timely and effective manner,” ACT Health said in a statement to AJP today.

“In regards to real time reporting for controlled medicines, we plan to rollout DAPIS Online Remote Access (DORA) in the ACT by March 2019, subject to enabling legislation.”

The proposed rollout of DORA means that pharmacists and prescribers will become users of the system, with the ability to log in to DORA to view information about their patient in real time.

“They will be able to see if a patient or customer may be, for example, doctor shopping,” ACT Health says.

“The use of DORA would be restricted to registered health professionals, as approved by the Chief Health Officer as eligible to participate in a controlled medicine prescription monitoring program as part of their professional scope of practice.

“Authorised persons would likely include doctors, pharmacists and some nurse practitioners. They will be able to login to DORA to view some specific information about their patient or customer in real time.

“DORA builds on the value of DAPIS as a public health tool by equipping pharmacists and prescribers with improved information about their patient, in order that they may better detect and address risks of drug misuse or dependency before a prescription is written or dispensed.”

The system is planned to cover S8 drugs; however “consideration will also be given to enabling the option to declare some prescription only (schedule 4) medicines as reportable as part of the process for developing the enabling legislation”.

The ACT Government has committed $729,000 in the 2016-7 Budget for the project.

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