Tennessee CSMD Data Request (Department of Health)

Sarah Seymour filed this request with the Department of Health of Tennessee.
Multi Request Tennessee CSMD Data Request
Status
Completed

Communications

From: Sarah Seymour

To Whom It May Concern:

Northeastern University's School of Social Justice and Health Equity is interested in the Tennessee Controlled Substance Monitoring Database Program ("CSMD"). Specifically, we want to learn more about law enforcement access to the database, the use of an algorithm that produces a risk score to analyze its contents, and the data access and retention rules governing the system. We understand the algorithm was produced by the corporation Appriss.

In order to permit the public to understand how the Tennessee Board of Pharmacy and Tennessee Department of Health is using the CSMD and how it impacts public health and civil liberties in Tennessee, Northeastern University's Health in Justice Action Lab is making this request under Tenn. Code Ann. 10-7-503 et seq. for the following records:

1. Any and all records reflecting an agreement for purchase, acquisition, or licensing of, or permission to use, test, or evaluate Appriss’s systems or services, including any product or service offered;
 
2. Any and all memoranda of understanding between the Tennessee Board of Pharmacy or Tennessee Department of Health and any outside entity regarding the CSMD;

3. Any and all records including information about the algorithm that determines risk scores in the CSMD, including but not limited to its source code, developer documentation, and operator manuals (e.g. Narx Score, Overdose Risk Score);
 
4. Any and all research, technical reports, or internal audits that evaluate the Appriss risk assessment tool’s effectiveness or performance;

5. Any and all records of de-identified red flag algorithm outputs (e.g. provider red flag, pharmacy red flag, 40 MED red flag) and patient behavioral red flags (e.g., anxious patient demeanor, distance between prescriber and dispenser) with prescriber/dispenser training documentation on how to address the red flags;
 
6. Any record showing the number of patients in the CSMD by quarter and year (2006-present);
 
7. Any and all records from 2006-present of notification to law enforcement about information in the CSMD Medical Review Group or other channels, including but not limited to how many times law enforcement agencies have been notified about information in the CSMD, and which agencies have been notified;
 
Because this request involves a matter of public concern and because it is made on behalf of a nonprofit organization, we ask that you waive any fees. If you decide not to waive fees, we request that you permit us to examine, at our election, the responsive documents before deciding which portions to transmit. We prefer the documents in electronic format.

Should you determine that some portion of the documents request are exempt from disclosure, please release any reasonably segregable portions that are not exempt. In addition, please note the applicable statutory exemption and explain why it applies to the redacted portions.

Thank you in advance for your anticipated cooperation in this matter.

I look forward to receiving your response to this request within ten days as requested by the statute.

Sincerely,

Sarah Seymour

From: Department of Health

Thank you for contacting the Tennessee Department of Health. By copy of this email, I am sharing your email with the appropriate team member to address your inquiry.

Best regards.

From: Department of Health

Making sure you receive this information, as it looks like you have contacted us via varied email addresses.
Please note when replying to a request we will provide our response to the email address from which we received it.
Please confirm your receipt of this information.

[cid:image007.png@01D0AAAF.AF3502B0]
Shelley Walker | Director
Office of Communication & Media Relations
Andrew Johnson Tower, 5th Floor
710 James Robertson Parkway, Nashville, TN 37243
p. 615-253-5184
Shelley.Walker@tn.gov<mailto:Shelley.Walker@tn.gov>
tn.gov/health<https://www.tn.gov/health>
Connect with TDH on Facebook<http://www.facebook.com/TNDeptofHealth> and Twitter<https://twitter.com/TNDeptofHealth> @TNDeptofHealth!
Our Mission – To protect, promote and improve the health and prosperity of people in Tennessee.

From: Department of Health

Making sure you receive this information, as it looks like you have contacted us via varied email addresses. There are additional responses to your questions below.
Please note, when replying to a request we will provide our response to the email address from which we received it.
Please confirm your receipt of this information.

[cid:image007.png@01D0AAAF.AF3502B0]
Shelley Walker | Director
Office of Communication & Media Relations
Andrew Johnson Tower, 5th Floor
710 James Robertson Parkway, Nashville, TN 37243
p. 615-253-5184
Shelley.Walker@tn.gov<mailto:Shelley.Walker@tn.gov>
tn.gov/health<https://www.tn.gov/health>
Connect with TDH on Facebook<http://www.facebook.com/TNDeptofHealth> and Twitter<https://twitter.com/TNDeptofHealth> @TNDeptofHealth!
Our Mission – To protect, promote and improve the health and prosperity of people in Tennessee.

Files