dc opioid data sharing session report final

DATA-SHARING SESSIONMAY7,2018— SESSIONREPORT

TABLE OF CONTENTS

I. Purpose|Outcomes|Agenda

II. PRIMESOutfitting

III. SharedVisionforOctober2020

IV. SourcesofData

V. StrategicPlanGoals

VI. FocusingQuestions

VII. OSGOutcomestoAchieve

VIII. ActionItems&NextSteps

DCOPIOIDDATASHARINGSESSION– MAY2018 1

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

DCOPIOIDDATASHARINGSESSION– MAY2018

II. PRIMES OUTFITTING


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.


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.


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.


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?


VI. FOCUSING QUESTIONS (cont’d)

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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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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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Goal#6:SharedJusticeandPublicHealthVision

• HowdoweensurethattreatmentisavailablewhenwefindindividualsontheSequentialInterceptModel?

• Dowecollectdataonwhyindividualsarenotorhavenotsuccessfullycompletedtreatment?

Goal#7:LawEnforcementStrategies

• HowcanwemaintainlowincarcerationratesinDC?

• Howcanweensurewedonotcreatetheunintendedconsequenceofincreasingincarcerationratesthroughourefforts?


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


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


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.


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

DC OPIOID SUMMIT DESIGN AND FACILITATION SUPPORT

TheClearing,[email protected]

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dc opioid data sharing session report final

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