Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 2080 - ELECTRONIC PRESCRIPTION MONITORING PROGRAM › Section 2080.20 - Incorporation by Reference and Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
No incorporations by reference in this Part include any later
				amendments or editions. The definitions that apply to this Part are those found
				in the Act.
"Act" means the Illinois Controlled Substances Act
				[720 ILCS
				570 ].
"Account" refers to the clinical entity that is providing
				direct patient care and is registered with the ILPMP to have access to
				patient-specific data through the ILPMP.
"Birth Date" means the medication recipient's birth
				date.
"Central Repository" means a place designated by the Department
				where Schedule II-V drug data and other healthcare data are stored or
				housed.
"Certified Health IT Module" means any service, component, or a
				combination thereof that can meet the requirements of at least one
				certification criterion adopted under the Office of the National Coordinator
				for Health Information Technology (ONC), including, but not limited to, the
				2015 Edition Health Information Technology (Health IT) Certification Criteria,
				2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT
				Certification Program Modifications (available at
https://www.federalregister.gov/documents/2015/10/16/2015-25597/2015-edition-health-information-technology-health-it-certification-criteria-2015-edition-base
);
https://www.healthit.gov
; and
				NCPDP Protocols available to members at
https://www.ncpdp.org/
.
"Clinical Director" means a Department of Human
				Services administrative employee licensed to either prescribe or dispense
				controlled substances who shall run the clinical aspects of the Department of
				Human Services Prescription Monitoring Program
[720 ILCS
				570/102 (d-5)].
"Connecting Entity" or "Entity" means the health system,
				hospital, medical office, clinic, or practice that maintains the Electronic
				Health Record system or employs the professional making the ILPMP query.
"Controlled Substance" means a drug, substance,
				immediate precursor, or synthetic drug in the Schedules of Article II
				of
the Illinois Controlled Substances Act
or a drug or other
				substance, or immediate precursor, designated as a controlled substance
				by
DHS
through administrative rule. The term does not include
				distilled spirits, wine, malt beverages, or tobacco, as those terms are defined
				or used in the Liquor Control Act of 1934 and the Tobacco Products Act of
				1995
[720 ILCS
				570/102(f) ].
"DEA Number" means the United States Drug Enforcement
				Administration prescriber or dispenser registration number.
"Department" or "DHS" means the Illinois Department of Human
				Services or its successor agency.
"DFPR" means the Illinois Department of Financial and
				Professional Regulation.
"Dispense" means to deliver a controlled substance to
				an ultimate user or research subject by or pursuant to the lawful order of a
				prescriber, including the prescribing, administering, packaging, labeling or
				compounding necessary to prepare the substance for that delivery.
[720 ILCS
				570/102(p) ]
"Dispenser" means a practitioner
who
dispenses a controlled substance
[720 ILCS 570/102(p) and
				(q) ].
"DoIT" means the Illinois Department of Innovation and
				Technology.
"DPH" means the Illinois Department of Public Health.
"EHR" means electronic health record for a Licensed Healthcare
				Entity.
"Electronic Integration" means the process by which ILPMP data
				is directly accessible within the EHR system.
"Freestanding Clinic" means urgent care operations or
				outpatient surgery centers and similar operations that do not provide overnight
				in-house stays.
"Gender" includes the social, psychological, cultural, and
				behavioral aspects of identifying as a man, woman, gender diverse, or other
				gender identity.
"ILPMP" means the Illinois Prescription Management
				Program.
"Illinois Healthcare License Number" means the license assigned
				by DPH to facilities designated to provide specific types or levels of
				healthcare.
"Initial CII Narcotics Prescription" means the initial CII
				narcotics prescription issued to a patient for the initialization of treatment,
				in accordance with 720 ILCS 570 -314.5.
"Licensed Healthcare Entity" means those operations that are
				licensed to provide health services by either DPH or DFPR.
"Licensed Healthcare Provider" means any individual who meets
				the professional licensing requirements and follows the standards set forth by
				DFPR and is authorized to prescribe or dispense controlled substances within
				Illinois.
"Medication Shopping" means the conduct prohibited under
				Section 314.5(a) of the
				Act.
"Mid-level Practitioner" means:
a physician assistant who has been delegated authority
				to prescribe through a written delegation of authority by a physician licensed
				to practice medicine in all of its branches, in accordance with Section
				7.5 of the Physician Assistant
				Practice Act of 1987
[225 ILCS 95 ];
an advanced practice registered nurse who has been
				delegated authority to prescribe through a written delegation of authority by a
				physician licensed to practice medicine in all of its branches or by a
				podiatrist, in accordance with Section 65-40 of the Nurse Practice Act
[225 ILCS
				65 ]
;
an advanced practice registered nurse certified as a
				nurse practitioner, nurse midwife, or clinical nurse specialist who has been
				granted authority to prescribe by a hospital affiliate in accordance with
				Section 65-45 of the Nurse Practice Act
[225 ILCS 65
				]
;
or
an animal euthanasia agency
[720 ILCS
				570/102
(t-5); or
a prescribing psychologist. [720 ILCS
				570/102 (z-10)]
"National Drug Code Identification Number" or "NDC
				Identification Number" means the number used to provide uniform product
				identification for all substances recognized as drugs in the United States
				Pharmacopoeia National Formulary, USP31-NF26 (US Pharmacopoeial Convention,
				12601 Twinbrook Parkway, Rockville, Maryland 20852 (2023)).
"NCPDP Protocol" means the computing standards implemented by
				the National Council for Prescription Drug Programs at
https://standards.ncpdp.org/Access-to-Standards.aspx
.
"One-to-One Secure Link" or "One-to-One Connection" means
				connecting a provider and the ILPMP through an EHR or a pharmacy management
				system.
"Patient ID" means the identification of the individual
				receiving the medication or the responsible individual obtaining the medication
				on behalf of the recipient or the owner of the animal. The standards for
				establishing patient ID for proper filling of a prescription are established by
				Section 2080.70(d).
"Patient Location Code" means the location of the patient when
				receiving pharmacy services.
"Pharmacist-In-Charge" means the licensed pharmacist whose name
				appears on the pharmacy license and who is responsible for all aspects of the
				operation related to the practice of pharmacy.
"Pharmacy Shopping" means the conduct prohibited under Section
				314.5(b) of the
				Act.
"PMIX Based Protocol" means industry and government standards
				used to facilitate and reduce the cost of participating and sharing the ILPMP
				information by requiring end-to-end security, standards-based exchange
				services, common exchange data and metadata, and hub-to-hub capability.
				PMIX-Based protocols can be found at
https://www.pdmpassist.org/PMIX/ProposedStandards
.
"ILPMP Administrator" means an employee of the Department with
				a background in computer and business processes who operates under the
				designated, specific authority of the Clinical Director.
"PMPnow" means the State of Illinois automated, one-to-one
				connection service that allows an ILPMP patient profile request to be generated
				directly within a Requester's EHR or pharmacy management system.
"Prescribed" means ordered by a prescriber verbally,
				electronically, or in writing.
"Prescriber" means the healthcare professional that is
				authorized to prescribe medications as set forth in the various professional
				practices of the State of Illinois.
"Prescription Monitoring Program" or "PMP" means the
				entity that collects, tracks, and stores reported data on controlled substances
				and select drugs pursuant to Section 316 of the Act
[720 ILCS
				570/102 (nn-5)].
"Prescription Monitoring Program Advisory Committee" or "PMPAC"
				means a committee consisting of licensed healthcare providers representing
				professions that are licensed to prescribe or dispense controlled substances.
				The committee serves in a consultant context regarding longitudinal evaluations
				of compliance with evidence-based clinical practice and controlled substances.
				The committee makes recommendations regarding the scheduling of controlled
				substances and recommendations concerning continuing education designed to
				improve the health and safety of the citizens of Illinois regarding
				pharmacotherapies of controlled substances.
"Provider" means the prescriber or dispenser acting in the
				direct care of the patient.
"Recipient's Name" means the given or common name of a person
				who is the intended user of a dispensed medication. It may also mean the
				species or common name or common given name of an animal that is the intended
				user of a dispensed medication. If an animal's name is entered, the owner's
				name is required also.
"Requester" means the prescriber, dispenser, or registered
				designee that is initiating a patient query of ILPMP data. A Requester must be
				authorized to access ILPMP data via a valid ILPMP registered website (
www.ilpmp.org
) user account.
"RESTful Based Web Service" means a computing architectural
				style, consisting of a coordinated set of components, connectors, and data
				elements within a distributed hypermedia system, in which the focus is on
				component roles and a specific set of interactions between data elements rather
				than implementation details. Its purpose is to induce performance, scalability,
				simplicity, modifiability, visibility, portability, and reliability.
"Sample Trend Analysis" means the summary reports that look at
				utilization rates for specific classes of medications over time.
"Schedule Drug" means any substances listed in the federal
				Controlled Substances Act (21 U.S.C. 812) or the Illinois
				Controlled Substances Act [720 ILCS 570 ] or by the
				Department pursuant to its authority under Section 202 of the Illinois
				Controlled Substances Act [720 ILCS 570/202 ]. Schedule I-V
				substances are listed in section 812 of the federal Controlled Substances Act
				(21 U.S.C.
				812(b)(2), (b)(3), (b)(4), (b)(5) and
				(c)) and Sections 204, 206, 208, 210 and 212
				of the Illinois Controlled Substances Act [720 ILCS
				570/204,
				206,
				208,
				210 and
				212 ].
"SOAP Based Web Service" means a messaging protocol that allows
				programs that run on disparate operating systems (e.g., Windows or Linux) to
				communicate using Hypertext Transfer Protocol (HTTP) and its Extensible Markup
				Language (XML).
"Vendor" means the company providing EHR, Certified Health IT
				Module, or pharmacy management software services to its connecting entity
				customers.