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

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, 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

https://vtdigger.org/2017/03/17/burlington-mayor-chides-lawmakers-for-not-addressing-opiate-crisis-with- sufficient-urgency/

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

DOC Substance Abuse Services Service Hours Participants INCAP Lodging 1500 Annual Mandated Facility 5200 hours annually 150 per cycle EBP Substance Abuse Mandated Field 7121 hours annually Male 460 per quarter EBP Substance Abuse 2384 hours annually Female 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 % OF ADMISSIONS % of ADMISSIONS NUMBER OF NUMBER OF UNIQUE DISCONTINUED FROM COMPLETING 90 DAYS PILOT SITE ADMISSIONS ON MAT INDIVIDUALS ON MAT MAT DUE TO MISUSE OR MAT AND/OR DIVERSION RELEASED CHITTENDEN REGIONAL 276 217 1.5% 98.5% CORRECTIONAL FACILITY (4) (272) NORTHWEST REGIONAL 137 106 2.2% 97.8% CORRECTIONAL FACILITY (3) (134) TOTAL 413 323 1.7% 98.3% (7) (406)

UVM MC Opioid Related ED Visits Monthly thly UVM Medical cal Center er ED Encount unter ers s Average age Monthl hly UVM Medica ical Center er Coded as “Opioid OD” & “Opioid Poisoning” Opioi oid-Coded Coded ED Encou ount nters ers 30 30 25 25 20 20 15 15 10 10 5 5 0 0 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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2015 2016 2017 2017 15 & '16 Average

BPD Overdose Data Quarterl rly Calls s for Incide dents nts of Non-Fatal tal Opioid oid Monthl hly y Calls s for Incide dents nts of Non-Fatal tal Opioid oid Overdo dose se Resp spon onde ded d to by BPD, CPD, SBPD & WPD Overdo dose se Resp spon onde ded d to by BPD, CPD, SBPD & WPD 60 25 50 20 40 15 30 10 20 5 10 0 0 May May Jan Feb Mar Apr Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar* Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1* 2015 2016 2017 2015 2016 2017

BPD Overdose Data 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 5 4 3 2 1 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1* 2015 2016 2017

Chittenden Hub Active Waitlist Chittenden Hub Active Waitlist # and Avg Wait Days 160 140 138 130 120 100 84 80 80 # Waiting 75 67 Average Days Waiting 60 Median Days Waiting 40 20 0

Chittenden Hub Admission List Chittenden Hub Admission List # and Avg Wait Days 45 40 40 37 35 35 30 28 25 # Admitted 21 20 Average Days Waiting 15 Median Days Waiting 14 10 5 0

Number of People Treated in Hub & Spokes 1600 607 971 972 800 899 0 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb 2016 2017 Hub Spoke

Spoke Provider Treatment Rates Spoke Patients, Providers & Staffing: December 2016 Region Total # MD # MD prescribing to ≥ Staff FTE Medicaid Beneficiaries / Rate of MDs w/ prescribing 10 patients Hired Beneficiaries Prescribing MD 10+ Patient to patients 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 0 1.5 13 3.3 0% Total 180 63 54.37 2572 14.3 35% 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.

Narcan Usage in ED 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 70 60 50 40 30 20 10 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1* 2015 2016 2017 Encounters Narcan

(COGS)

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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