CommStat 03/30/17 Rules for CommStat We will be addressing serious - - PowerPoint PPT Presentation

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CommStat 03/30/17 Rules for CommStat We will be addressing serious - - PowerPoint PPT Presentation

Jan 03, 2024 207 likes •456 views

CommStat 03/30/17 Rules for CommStat We will be addressing serious issues; we need to be tough-minded about them Work collectively to develop creative, innovative solutions, do not focus on deficiencies Ask direct, difficult questions,

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CommStat 03/30/17

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Rules for CommStat

  • We will be addressing serious issues; we need to be tough-minded about them
  • Work collectively to develop creative, innovative solutions, do not focus on deficiencies
  • Ask direct, difficult questions, but do so respectfully
  • Provide candid, honest answers, do not be defensive
  • If you don’t know the answer, it is okay to say “I don’t know” and provide a timeframe for when you can get the answer
  • Celebrate successes!
  • Critique ideas and debate issues, not people
  • Use evidence not opinions, challenge assumptions and inferences
  • Ask for and offer ideas and solutions
  • Don’t be afraid to fail
  • Be present, no distractions – ringers off
  • Department Heads and Panel are expected to participate in all meetings
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https://vtdigger.org/2017/03/17/burlington-mayor-chides-lawmakers-for-not-addressing-opiate-crisis-with- sufficient-urgency/

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http://www.csmonitor.com/USA/2017/0307/Ohio-town-to- charge-overdose-survivors-with-inducing-panic

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DOC Substance Abuse Services

Service Hours Participants INCAP Lodging 1500 Annual Mandated Facility EBP Substance Abuse 5200 hours annually 150 per cycle Mandated Field EBP Substance Abuse 7121 hours annually Male 2384 hours annually Female 460 per quarter Chittenden PHNE 25-30 per quarter Tapestry 2880 hours EBP annually 24 Average Daily Population 33 Capacity 17,585 EBP annually Sober Housing Number of Beds 280 Co Occurring Pathways 58 PILOT SITE NUMBER OF ADMISSIONS ON MAT NUMBER OF UNIQUE INDIVIDUALS ON MAT % OF ADMISSIONS DISCONTINUED FROM MAT DUE TO MISUSE OR DIVERSION % of ADMISSIONS COMPLETING 90 DAYS MAT AND/OR RELEASED CHITTENDEN REGIONAL CORRECTIONAL FACILITY 276 217 1.5% (4) 98.5% (272) NORTHWEST REGIONAL CORRECTIONAL FACILITY 137 106 2.2% (3) 97.8% (134) TOTAL 413 323 1.7% (7) 98.3% (406)

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UVM MC Opioid Related ED Visits

5 10 15 20 25 30

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb 2015 2016 2017

Monthly thly UVM Medical cal Center er ED Encount unter ers s Coded as “Opioid OD” & “Opioid Poisoning”

5 10 15 20 25 30

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Average age Monthl hly UVM Medica ical Center er Opioi

  • id-Coded

Coded ED Encou

  • unt

nters ers

2017 15 & '16 Average

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BPD Overdose Data

5 10 15 20 25 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar* 2015 2016 2017

Monthl hly y Calls s for Incide dents nts of Non-Fatal tal Opioid

  • id

Overdo dose se Resp spon

  • nde

ded d to by BPD, CPD, SBPD & WPD

10 20 30 40 50 60 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1* 2015 2016 2017

Quarterl rly Calls s for Incide dents nts of Non-Fatal tal Opioid

  • id

Overdo dose se Resp spon

  • nde

ded d to by BPD, CPD, SBPD & WPD

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BPD Overdose Data

1 2 3 4 5 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1* 2015 2016 2017

Quarterly y Calls s for Incide ident nts s of Fatal Opioid id Over erdos dose e Responded ponded to by BPD, , CPD, , SBPD & WPD

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Chittenden Hub Active Waitlist

138 130 80 84 67 75 20 40 60 80 100 120 140 160

Chittenden Hub Active Waitlist # and Avg Wait Days

# Waiting Average Days Waiting Median Days Waiting

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Chittenden Hub Admission List

35 37 40 28 21 14 5 10 15 20 25 30 35 40 45

Chittenden Hub Admission List # and Avg Wait Days

# Admitted Average Days Waiting Median Days Waiting

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Number of People Treated in Hub & Spokes

899 972 971 607 800 1600 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb 2016 2017 Hub Spoke

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Spoke Provider Treatment Rates

Region

Total # MD prescribing to patients # MD prescribing to ≥ 10 patients Staff FTE Hired Medicaid Beneficiaries Beneficiaries / Prescribing MD Rate of MDs w/ 10+ Patient Bennington 9 4 5.6 229 25.4 44%

  • St. Albans

15 10 5.6 382 25.5 67% Rutland 12 7 4.9 253 21.1 58% Chittenden 70 16 13.9 596 8.5 23% Brattleboro 10 5 2.57 145 14.5 50% Springfield 4 1 1.5 53 13.3 25% Windsor 6 3 4 161 26.8 50% Randolph 7 5 2.1 145 20.7 71% Barre 19 8 5.5 273 14.4 42% Lamoille 9 3 3.2 151 16.8 33% Newport & St Johnsbury 14 2 2 95 6.8 14% Addison 5 2 2 74 14.8 40% Upper Valley 4 1.5 13 3.3 0%

Total 180 63 54.37 2572 14.3 35%

Spoke Patients, Providers & Staffing: December 2016

Table Notes: Beneficiary count based on pharmacy claims October – December, 2016; an additional 167 Medicaid beneficiaries are served by 32 out-of- state providers. Staff hired based on Blueprint portal report 1/17/17. *4 providers prescribe in more than one region.

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Narcan Usage in ED

10 20 30 40 50 60 70 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1* 2015 2016 2017

Quarterly y UVM Medical ical Center er Opioid id-Coded Coded ED Encoun unters ers & Incide ident nts s of Narcan can Admini nistr stration tion in the ED

Encounters Narcan

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(COGS)

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http://www.bdtonline.com/news/new-hampshire-leads-effort-to-view-overdoses-as- crime-scenes/article_4ce42cfb-c97d-56b6-a336-f8a4d87d2799.html

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https://www.aliem.com/wp-content/uploads/Sam-Quinones.jpg