DC Opioid Data Sharing Session Report FINAL
Transcript of DC Opioid Data Sharing Session Report FINAL
TABLE OF CONTENTS
I. Purpose|Outcomes|Agenda
II. PRIMESOutfitting
III. SharedVisionforOctober2020
IV. SourcesofData
V. StrategicPlanGoals
VI. FocusingQuestions
VII. OSGOutcomestoAchieve
VIII. ActionItems&NextSteps
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1. PURPOSE | OUTCOMES | AGENDA
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PURPOSE:
ToprovidetheOpioidStrategyGroups(OSGs)withthecriticaldataneededtoinformtheirworkandmovetheStrategicPlanforwardintoaction.
OUTCOMES:
• Sharedunderstandingofthecurrent,relevantdatathatexists
• ClarityonhowthisdatacansupporttheStrategicPlanandtheactionsoftheOSGs
• NextstepsdeterminedfortheOSGstomoveforward
AGENDA FOR MAY 7th:
I. OpeningRemarksII. DCOpioidRoadmapIII. SourcesofDataIV. BaselineDataV. OSGsWorkingSessionVI. ClosingRemarksandNextSteps
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II. PRIMES OUTFITTING
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PERIMETER BIG HAT - LITTLE HAT
AgroupthatexpandsitsPERIMETERto'available'or'extraordinary’spacewillconsistentlyallowpeopletoprovidenewinsightsthatwouldhaveotherwisebeensuppressedin'usual’space.Thisleadstoproductive,transformativethinkingthatincreasesagroup'sabilitytosolveproblems.
LeaderscanputontheirBIGHATandmakedecisionsthataregoodforthewholeorputontheirLITTLEHATandassesshowdecisionswillimpactthemselvesandtheirteams.
FACTS, STORIES, BELIEFS
PeopleenterconversationswiththeirBELIEFS wellentrenched.TheirBELIEFScreatetheirrealityandthey’ll“shop”forFACTS tosupporttheSTORIES thatreinforcetheirpredeterminedBELIEFS.
Availableat:http://www.theprimes.com/
III. SHARED VISION FOR OCTOBER 2020
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ThegrouprevisitedtheirSharedIntentfromtheOctober2017DCOpioidSummitandwhattheywanttoaccomplishby2020.
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IV. SOURCES OF DATA
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RepresentativesfromseveralDCandfederalagenciespresentedbaselinedatainregardstotheopioidcrisisinDC.PleaserefertotheAppendixforthefullpresentations.
Office of the Chief Medical Examiner: Dr.Chikarlo Leakpresenteddataondeaths,fataloverdoses,andtoxicologyfindings.
Drug Enforcement Administration: RichardTilleypresenteddataontheflowofopioidsinDCandtheemergingtrendsacrossthearea.
Department of Health Care Finance: TrinaDuttapresenteddataonsubstanceusespendinginMedicaidforadultsandyoungpeopleundertheageof18.
Department of Health and Department of Fire and Emergency Medical Services: KenanZamore andDr.NehaSullivanpresenteddataonNarcanutilizationandnon-fataloverdosesurveillance.Mr.Zamore displayedthecommontrendsacrossDCandwherethehotspotsforoverdosesare.
Department of Behavioral Health: Dr.TanyaRoysterpresenteddataonpublictreatmentforopioidusageandtrendsinthecost,utilization,andtypesofservicesreceived.
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V. STRATEGIC PLAN GOALS
Goal#1:LegislativeandRegulatoryBarriers– ReducelegislativeandregulatorybarrierstocreateacomprehensivesurveillanceandresponseinfrastructurethatsupportssustainablesolutionstoemergingtrendsinSUD,opioid-relatedoverdoses,andopioid-relatedfatalities.
Goal#2:StakeholderEducation- EducateDCresidentsandkeystakeholdersontherisksofopioidusedisordersandeffectivepreventionandtreatmentoptions.
Goal#3:HealthProfessionalsEngagement- EngagehealthprofessionalsandorganizationsinthepreventionandearlyinterventionofsubstanceusedisorderamongDCresidents.
Goal#4:AccesstoHarmReductionServices - Supporttheawarenessandavailabilityof,andaccessto,harmreductionservicesinDCconsistentwithevolvingbestandpromisingpractices.
Goal#5:SUDTreatmentandRecoveryServices - Ensureequitableandtimelyaccesstohigh-qualitysubstanceusedisordertreatmentandrecoverysupportservicesandanetworkoftreatmentservicesthatisadequatetomeetdemandconsistentwiththecriteriaoftheAmericanSocietyofAddictionMedicine(ASAM).
Goal#6:SharedJusticeandPublicHealthVision - DevelopandimplementasharedvisionbetweentheDistrict’sjusticeandpublichealthagenciestoaddresstheneedsofindividualswhocomeincontactwiththecriminaljusticesystem.
Goal#7:LawEnforcementStrategies- DevelopeffectivelawenforcementstrategiesthatreducethesupplyofillegalopioidsinDC.
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VI. FOCUSING QUESTIONS
EachOSGbrainstormedquestions,thatifanswered,couldfurthertheirabilitytoachievetheirgoaloutcomes.
Goal#1:LegislativeandRegulatoryBarriers
• HowmightweworkonfederalandstateregulatorybarriersthatpreventaccesstoMAT?
Goal#2:StakeholderEducation
• Whatcurricularorcampaignsarecurrentlyavailable(bothlocallyandnationally)?
• Howdowemeasuretheeffectivenessofthesecampaigns?
• Whoarethekeystakeholdersinvolved?
• Howdowemakethedataaboutcurrentcampaignsmoreavailable?
Goal#3:HealthProfessionalsEngagement
• Whatarethedeliverablesforthestakeholdercampaigns?
- Howdowetrackthem?
• HowcanweexpandourabilitytointerveneforSUD?
• WhichinterventionsarebesttargetedtowhichregionsinDC?
• Whatiscurrentlyavailableforinterventions?
• Whatdoweneedtoserveourtargets?
• Whoisadministeringwhatfortheseprograms?
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VI. FOCUSING QUESTIONS (cont’d)
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EachOSGbrainstormedquestions,thatifanswered,couldfurthertheirabilitytoachievetheirgoaloutcomes.
Goal#4:AccesstoHarmReductionServices
• Howwelldopeopleunderstandharmreductionservices?
• Howdoweknowifdeclinesinfataloverdosesareattributedtooureffortsorbecausepeoplemayhavealreadydiedduetoanoverdose?
• Whatcanwelearnfromoverdose/drug-relateddeathsfromalldrugs,notjustopioids?
- Whichtrendstherecanhelpusbetteraddressopioids?
• WhatarethecostsforanEMSresponsetoanoverdose?
• Areservices(especiallyharmreductionservices)beingprovidedinthehotspotareasinDC?
- HowcanwealignourserviceswiththehotspotareasinDC?
• Whatregionalconversationsdoweneedtohave(inMDandVA)?
• Howarewereimbursingharmreductionpeers?
- HowcanweworkwithDHCFtogetharmreductionpeersreimbursed?Isthatanoption?
• Howdoweimprovelinkagefromtheleftcareindividualstoharmreduction?
• WhatresourcesoutsideofMedicaidareavailableforharmreductionservices?
• WhatnumberofprescriptionsforNaloxonearecoveredbyMedicaid?
• ArepeopleactuallygoingtotheirproviderstogetprescriptionsforNaloxone?
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VI. FOCUSING QUESTIONS (cont’d)
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EachOSGbrainstormedquestions,thatifanswered,couldfurthertheirabilitytoachievetheirgoaloutcomes.
Goal#5:SUDTreatmentandRecoveryServices
• Whatisthestaffingathomelessshelters?
- DothestaffinhomelesssheltershavethecapacityandskillstoworkwithSUD?
- Cansheltersbeasourceofoutreach?
• WhatMedicaiddatacanwegettoseethetrueneedforSUDtreatmentandrecoverysupportservices?
• Whatpercentageofpeoplewhooverdosedonotmakeittothehospital?
- Whathappenstopeoplewhooverdosebutdonotgotothehospital?Whatarethenumbers?
- Howcanweensurereferralsaremadeforpeoplewhooverdosebutdonotgotothehospital?
• Whatisthedataforneedleexchangesites?
- Howmanypeopleareservedbyneedleexchangesites?
• IstheredataaboutSUD/OUDscreeningsthatarebeingdonebyproviders?
• IsthereauniversalscreeningtoolbeingutilizedacrossDC?
• WhatistheactualpictureofthepeoplewhoneedaccesstoSUDservices?
• ShouldtherebepeernavigatorsatthehotspotsinDCduringthepeaktimes?
• Isthereawaytopayforoutreach(possiblythroughDHCF?)?
• Whatpercentageofthetreatmentprovidersinournetworkaresolely12SteporabstinenceanddonotprovideMATand/orharmreduction?*shiftoccurringinDCthatharmreductionandtreatmentarenotconsideredseparate
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VI. FOCUSING QUESTIONS (cont’d)
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EachOSGbrainstormedquestions,thatifanswered,couldfurthertheirabilitytoachievetheirgoaloutcomes.
Goal#6:SharedJusticeandPublicHealthVision
• HowdoweensurethattreatmentisavailablewhenwefindindividualsontheSequentialInterceptModel?
• Dowecollectdataonwhyindividualsarenotorhavenotsuccessfullycompletedtreatment?
Goal#7:LawEnforcementStrategies
• HowcanwemaintainlowincarcerationratesinDC?
• Howcanweensurewedonotcreatetheunintendedconsequenceofincreasingincarcerationratesthroughourefforts?
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VII. OSG OUTCOMES TO ACHIEVE
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Each OSGsharedtheir‘bestcurrentthinking’onkeyoutcomestheywanttoachievebyDecember31,2018.TheseoutcomeswillhelpdrivetheactivitiesandactionsoftheOSGsoverthenextsevenmonths.
Goal#1:LegislativeandRegulatoryBarriers
• Developadatadashboardthatincludesmultipleagencies– DBH,DOH,OCME,FEMS,PDMP
• Createanopioid-relateddeathreviewboardthatwillreviewallDCoverdoses
• Improvethereportinginfrastructureforprivateproviders
Goal#2:StakeholderEducation
• MakeavailableinacentralizedlocationtheresourcesavailabletoDCresidents
• Beginmarketingthiscentralizedlocationofresources
Goal#3:HealthProfessionalsEngagement
• Have75%ofthesocialservicesagenciesuseastandardizedscreeningtool(suchasSBIRT)
• Increasethenumberofcrisisintakeinterventionprograms(inWards7and8)anddefinewhatiscontainedinthe24-hourprograms
• HaveallprovidersregisterwithPDMPby12/31/2018orbythenextrenewaloftheirlicense
• Setmorphinemilligramequivalentthresholdalert
• Developaplanforaneducationalstrategyfocusedonprovidersandpatients
- Incorporatethisstrategyintoanexistinghealthfairforpatientsandfamilies
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VII. OSG OUTCOMES TO ACHIEVE (cont’d)
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EachOSGsharedtheir‘bestcurrentthinking’onkeyoutcomestheywanttoachievebyDecember31,2018.TheseoutcomeswillhelpdrivetheactivitiesandactionsoftheOSGsoverthenextsevenmonths.
Goal#4:AccesstoHarmReductionServices
• ExpandtheNaloxonedistributionpilotprogramfromtwotoeightsites
• IncreasethenumberoftrainedindividualsandNaloxonekitsonthestreet
• Decreasethenumberofoverdoesandfataloverdoses
Goal#5:SUDTreatmentandRecoveryServices
• IncreasethenumberofconsumersusingMAToptions,includingcounseling
• Have2-3emergencyroominductionprogramsactiveandlinkittocontinuingtreatment
Goal#6:SharedJusticeandPublicHealthVision
• LeveragetheSequentialInterceptModeltoframeoureffortsandenhanceservicesandtreatments
• Focusonunifiedcommunicationsandmessagingaroundourefforts
Goal#7:LawEnforcementStrategies
• Developamorecohesivestrategytoreducethesupplyofillegalopioids
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VIII. ACTION ITEMS & NEXT STEPS
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In the next 30 days, each OSG is to convene and produce the following:
RefineoutcomesforsuccessforDecember31,2018asitrelatestothegroup’sGoal.
• Howcantheseoutcomesbemademorespecific?
AddressthefollowingquestionstoensureresultscanbeachievedbyDecember31,2018.• Whatactions/activitiesmustweundertakeinthenext:
- 30days– byJune7- 60days– byJuly7- 90days– byAugust7
• Whatactivitiescansupportachievingtheseoutcomes?
• Whoneedstobeengaged?
• Whatfundingsourcescanbeleveraged?
• Whatotherdatadoweneed?
Prioritizetheseactivitiesbasedonwhichwillhavethemostimpact,andwhichcanbedonewithfewresources.
ThelargergroupwillbeconvenedinlateAugust2018.
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WWW. T H E C L E A R I N G . C O M
DC OPIOID DATA-SHARING SESSION
FOR FURTHER INFORMATION CONTACT
SharonHuntat [email protected]
AnishaAgrawal at anisha.agrawal@theclear ing.com