Risky Prescribing Measures Quarter 3 2016 - Current Quarterly County & Statewide Health

data.pa.gov | Last Updated 16 Mar 2021

View quarterly trends in Risky Prescribing Measures, including: o Number/Rate of Individuals Seeing 5+ Prescribers and 5+ Dispensers: Number of individuals who received prescriptions from 5 or more prescribers AND 5 or more dispensers for any Schedule II-V substance in a 3-month period. This measure is also referred to as Multiple Provider Episodes. County rates are calculated based on the patient’s county of residence. o Number/Rate of Individuals Seeing 4+ Prescribers and 4+ Dispensers: Number of individuals who received prescriptions from 5 or more prescribers AND 5 or more dispensers for any Schedule II-V substance in a 3-month period. This measure is also referred to as Multiple Provider Episodes. County rates are calculated based on the patient’s county of residence. o Number/Rate of Individuals Seeing 3+ Prescribers and 3+ Dispensers: Number of individuals who received prescriptions from 5 or more prescribers AND 5 or more dispensers for any Schedule II-V substance in a 3-month period. This measure is also referred to as Multiple Provider Episodes. County rates are calculated based on the patient’s county of residence. o Number/Rate of Individuals with an Average Daily MME >50, >90 or >120: Average Daily MME is calculated as the sum of the total MME on each day in a time period based on all prescriptions an individual has filled divided by the number of days in the prescription(s). Measures include the number and rate of individuals prescribed greater than 50 MME per day, greater than 90 MME per day, or greater than 120 MME per day and is based on the patient’s county of residence. o Number/Rate of Individuals with Overlapping Opioid/Benzodiazepine Prescriptions: Number of individuals receiving overlapping opioid and benzodiazepine prescriptions during a given quarter. This measure is based on the patients’ county of residence. o Number/Rate of Individuals with > 30 Days of Overlapping Opioid/Benzodiazepine Prescriptions: Number and rate of individuals receiving overlapping opioid and benzodiazepine prescriptions for 30 days or more during a given quarter using state/county populations as denominators. This measure is based on the patients’ county of residence. Please see PDMP Data Technical Notes for additional details: https://www.health.pa.gov/topics/programs/PDMP/Pages/Data.aspx

Tags: opioid, dispensation, risky, prescribing, doh

This dataset has the following 18 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
CountycountytextPennsylvania County name; includes PENNSYLVANIA for the statewide rates
Rate or Countrate_or_countnumberNumber of or calculated population rate for each county and PENNSYLVANIA for risky prescribing measures.
Risky Measure Typerisky_measure_typetextIdentifies the Risky Prescribing Measures being reported on Number/Rate of Individuals Seeing 5+ Prescribers and 5+ Dispensers: Number of individuals, or rate per 10,000 population, who received prescriptions from 5 or more prescribers AND 5 or more dispensers for any Schedule II-V substance in a 3-month period. This measure is also referred to as Multiple Provider Episodes. County rates are calculated based on the location of the patient's residence. Number/Rate of Individuals Seeing 4+ Prescribers and 4+ Dispensers: Number of individuals, or rate per 10,000 population, who received prescriptions from 4 or more prescribers AND 4 or more dispensers for any Schedule II-V substance in a 3-month period. This measure is also referred to as Multiple Provider Episodes. County rates are calculated based on the location of the patient's residence. Number/Rate of Individuals Seeing 3+ Prescribers and 3+ Dispensers: Number of individuals, or rate per 10,000 population, who received prescriptions from 3 or more prescribers AND 3 or more dispensers for any Schedule II-V substance in a 3-month period. This measure is also referred to as Multiple Provider Episodes. County rates are calculated based on the location of the patient's residence. Number/Rate of Individuals with an Average Daily MME >50, >90 or >120: Average Daily MME is calculated as the sum of the total MME* on each day in a time period based on all prescriptions an individual has filled divided by the number of days in the prescription(s). The Interactive Data Report displays the number of individuals, or rate per 10,000 population, who are receiving high dose opioid prescription(s). Measures include the number and rate of individuals prescribed greater than 50 MME per day, greater than 90 MME per day, or greater than 120 MME per day and is based on the patient’s county of residence. Number/Rate of Individuals with Overlapping Opioid/Benzodiazepine Prescriptions per 10,000 Population: Number of individuals, or rate per 10,000 population, receiving overlapping opioid and benzodiazepine prescriptions during a given quarter. This measure is based on the patients’ county of residence. Number/Rate of Individuals with >30 days of Overlapping Opioid/Benzodiazepine Prescriptions per 10,000 Population: Number of individuals, or rate per 10,000 population, receiving overlapping opioid and benzodiazepine prescriptions during a given quarter. This measure is based on the patients’ county of residence. *Morphine Milligram Equivalents (MMEs): MME is a standardized way to calculate the strength of an opioid prescription. MME is calculated as (Quantity / Days Supply) * Strength per Unit * Conversion Factor. Opioids are the only pharmaceutical class possible to convert to MME units. This measure is also referred to as Morphine Equivalent Doses (MED). Buprenorphine is excluded from MME calculations. Please see CDC website for additional details: https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf. Blank field indicates data was suppressed due to count between 1 and 5.
Age Groupage_grouptextIndicates whether data represents total age population (All Ages) or specific Age Groups, including 0-14 years of age, 15-24 years of age, 25-34 years of age, 35-44 years of age, 45-54 years of age, 55-64 years of age or 65 and older (65+).
GendergendertextIndicates whether data represents both genders (All Genders) or separate values for Males and Females.
ClassclasstextRisky Prescribing Measures
Time Measuretime_measuretextIdentifies whether the Rate or Count Column displays the count of individuals or the rate of individuals per 10,000 Residents
YearyeartextCalendar Year the data is based on
Time Periodtime_periodtextTimeframe for calculated rate in the format of Year and Calendar Quarter (YYYY QQ)
Quarter Date Startquarter_date_startcalendar_dateStart date for the Quarter for which the data is being reported
NotesnotestextProvides information about data suppression.
County Code Numbercounty_code_numbernumberThere are 67 counties in Pennsylvania. They are number 01 through 67 in alphabetical order; 00 identifies the statewide totals.
County Code Textcounty_code_texttextThere are 67 counties in Pennsylvania. They are number 01 through 67 in alphabetical order; 00 identifies the statewides totals. This column has the codes formatted as text fields to integrate with other files where county codes are used in place of names and for easier coding within certain software
State FIPS Codestate_fips_codetextThese are the first 2 digits of the 5-digit Federal Information Processing Standard (FIPS) code that designate the State association. Each State has its own 2-digit number and each County within the state has its own 3-digit number which are combined into a 5-digit number to uniquely identify every US county. For more technical details : Federal Information Processing Standards Publications (FIPS PUBS) are issued by the National Institute of Standards and Technology (NIST) after approval by the Secretary of Commerce pursuant to Section 111 (d) of the Federal Property and Administrative Services Act of 1949 as amended by the Computer Security Act of 1987, Public Law 100-235. Federal Information Processing Standard (FIPS) 6-4, Counties and Equivalent Entities of the U.S., Its Possessions, and Associated Areas -- 90 Aug 31 , provides the names and codes that represent the counties and other entities treated as equivalent legal and/or statistical subdivisions of the 50 States, the District of Columbia, and the possessions and freely associated areas of the United States. Counties are considered to be the "first-order subdivisions" of each State and statistically equivalent entity, regardless of their local designations (county, parish, borough, etc.). Information gathered from census data - https://www.census.gov/geo/reference/codes/cou.html
County FIPS Codecounty_fips_codetextThe FIPS county code is a five-digit Federal Information Processing Standard (FIPS) code (FIPS 6-4) which uniquely identifies counties and county equivalents in the United States, certain U.S. possessions, and certain freely associated states. This is the 3-digit part of the 5-digit county FIPS code specifically standing for the county.
LatitudelatitudetextThis includes a generic point of Latitude for each county and a generic point for the state of PA to help with creating visuals such as maps. If the statewide total for PA should be shown on the map, this latitude provides the means to show the statewide total at the SE part of PA actually in Maryland, so that the statewide total can be shown on on the map without adding to the total within another county.
LongitudelongitudetextThis includes a generic point of Longitude for each county and a generic point for the state of PA to help with creating visuals such as maps. If the statewide total for PA should be shown on the map, this latitude provides the means to show the statewide total at the SE part of PA actually in Maryland, so that the statewide total can be shown on on the map without adding to the total within another county.
Georeferenced Latitude & Longitudegeocoded_columnpointThis includes a generic georeferenced point of Latitude and Longitude for each county and a generic point for the state of PA to help with creating visuals such as maps. If the statewide total for PA should be shown on the map, this centroid provides the means to show the statewide total at the SE part of PA actually in Maryland, so that the statewide total can be shown on on the map without adding to the total within another county.