Leveraging NC HealthConnex to Combat Opioid Misuse

The state-designated health information exchange, NC HealthConnex, is working with the NC Department of Health and Human Services and Appriss Health to build a single sign-on to the NC HealthConnex clinical portal utilizing the Appriss interface.

This integration will create an additional pathway for providers to access the state’s prescription drug monitoring program, NC CSRS (Controlled Substances Reporting System), and help combat the opioid epidemic in North Carolina. Per the Strengthen Opioid Misuse Prevention (STOP) Act of 2017, or the STOP Act (NCSL 2017-74), health care providers in North Carolina who prescribe controlled substances must access a patient report from the CSRS to verify a patient’s prescription fill history of controlled substances prior to writing prescriptions for targeted controlled substances.

This phase 1 integration allows the end user already accessing the longitudinal NC HealthConnex clinical portal to view the CSRS report along with the risk scores without leaving the HIE Portal. This simple process does not require the user to log into another system outside of the HIE portal and is integrated into the portal workflow. When the provider views the report, the system automatically records the access into the audit logs, providing support for CSRS use requirements in the STOP Act. The anticipated delivery of this service is Quater II 2019.

Additional means to deliver the integration directly into NC HealthConnex participants’ workflow are also being explored for a phase 2 implementation, which will be especially beneficial for participants whose electronic health records are not compatible with the Appriss interface.

To utilize the NC HealthConnex to meet the STOP Act Requirement:

  • Providers go to https://www.ncdhhs.gov/divisions/mhddsas/ncdcu/csrs/integration and select NC HealthConnex in the drop-down menu as their preference for connection within the Integration Request Form. Note: Providers need to be full participants of NC HealthConnex to choose this option.
  • Complete the Terms and Conditions Agreement (this will be emailed to you within 24-48 hours).
  • There is no fee for this option.
  • Submit your integration request via the Integration Request Form link on page noted above.
  • Please ensure that you identify a primary contact (the person leading the project within your health care organization) as well as a contact for your software vendor.
  • You must first complete all documents before NC DHHS will review your request.
  • Wait for your request to be approved for integration with NC HealthConnex by NCDHHS.
  • Once approved by DHHS, Appriss will provide credentials to your primary contact. These credentials will also access the AWARxE portal while NC HealthConnex completes its integration.