TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER e: CONTROLLED SUBSTANCES ACTIVITIES
PART 2080 ELECTRONIC PRESCRIPTION MONITORING PROGRAM
SECTION 2080.20 INCORPORATION BY REFERENCE AND DEFINITIONS


 

Section 2080.20  Incorporation by Reference and Definitions

 

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 PMP to have access to patient specific data through the Prescription Information Library (PIL).

 

"Account Custodian" means the licensed healthcare professional whose registration may be used by other members of the healthcare group for access to the PIL.

 

"Birth Date" means medication recipient's birth date.

 

"Central Repository" means a place designated by the Department where Schedule II, III, IV and V drug data is stored or housed.

 

"Clinical Director" or "PMP Administrator" 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 and its Prescription Information Library [720 ILCS 570/102 (d-5)].  The Clinical Director may be assisted by a PMP Assistant Administrator.

 

"Controlled Substance" means a drug, substance, or immediate precursor 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 [720 ILCS 570/102(f)].

 

"DEA Number" means the United States Drug Enforcement Agency 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.

 

"Dispenser" means any practitioner or pharmacy that dispenses a controlled substance to an alternative user or research subject by or pursuant to the lawful order of a prescriber [720 ILCS 570/102(p) and (q)].

 

"DPH" means the Illinois Department of Public Health.

 

"EHR" means electronic health record.

 

"Electronic Device" means using a computer system to transmit prescriptions from a prescriber directly to a dispenser.

 

"Electronic Integration" means the process by which an entity with EHRs applies to have its EHRs integrated with the PMP.

 

"Exempt Prescribers in Hospitals and Institutions" means prescribers in hospitals or institutions licensed under the Hospital Licensing Act [210 ILCS 85] who authorize the administration or dispensing of Schedule II drugs within the hospital or institution, for consumption within the hospital or institution (e.g., controlled substance prescriptions when a prescriber does not maintain his or her own DEA and State controlled substance license, but prescribes based upon the institution's (hospital's) controlled substance license).

 

"Facsimile Equipment" means any device capable of sending or receiving facsimiles of documents through connection with a telecommunications network.

 

"Freestanding Clinic" means urgent care operations or outpatient surgery centers and similar operations that do not provide overnight in-house stays.

 

"Illinois Controlled Substances License Number" means the State license number issued by DFPR permitting prescribers to possess, prescribe or dispense, and permitting dispensers to possess and dispense, controlled substances in Illinois pursuant to the Controlled Substances Act (see 77 Ill. Adm. Code 3100).

 

"Illinois Healthcare License Number" means the license assigned by DPH to facilities designated to provide specific types or levels of healthcare.

 

"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.

 

"Licensed Professional Administrator" means the clinical director of the Prescription Monitoring Program, who must be licensed to either prescribe or dispense controlled substances.

 

"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 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]; or

 

an animal euthanasia agency.

 

"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 (2013)).

 

"NCPDP Protocol" means the computing standards implemented by the National Council for Prescription Drug Programs.

 

"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 the purpose of 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 PMP information by requiring end-to-end security, standards based exchange services, common exchange data and metadata, and hub-to-hub capability.

 

"PMP Administrator" See definition of "Clinical Director".

 

"PMP Assistant 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.

 

"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 Information Library" or "PIL" means an electronic library containing 12 months of controlled substance, retail, prescription information that is accessible only by prescribers and dispensers for patient treatment usage [720 ILCS 570/102(nn-5)].

 

"Prescription Monitoring Program" or "PMP" means the entity that collects, tracks, and stores reported data on controlled substances and select drugs [720 ILCS 570/102(nn-10)].

 

"Prescription Monitoring Program Advisory Committee" or "PMPAC" means a committee consisting of licensed healthcare providers representing all 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 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.

 

"Push Reports" means the electronic exchange of patient specific health care information contained in electronic medical records from the PMP, without the requirement of the individual clinician having to "sign" into the PMP and request the patient information.

 

"Quantities of a Controlled Substance Dispensed" means the total of an NDC product dispensed whether it is in a solid unit such as a tablet or capsule, in a liquid unit such as milliliters, or in another unit as specified within the product identification.

 

"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.

 

"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 USC 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, II, III, IV and V substances are listed in section 812 of the federal Controlled Substances Act (21 USC 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].

 

"Sex" means the medication recipient's gender.

 

"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).

 

(Source:  Amended at 41 Ill. Reg. 11909, effective September 13, 2017)