Leveraging Technology to Address the Opioid Crisis Presentation - PowerPoint PPT Presentation

Leveraging Technology to Address the Opioid Crisis

Presentation Goals  Define the problem  Frame the Discussion  Discuss OTP Operations  HIE Tie-In  Centralized State Registry  Discuss our experience with internal Data Management  Discuss the role of Telehealth in MAT Delivery

How did w e get here?  Prescription drug overdoses is now the leading cause of accidental death in the US.  1 person dies every 19 minutes due to an overdose of an opioid.  The US consumes 80% of the world’s global opiate supply but is only 5% of the world’s population.  Overdose deaths have quadrupled since 2000.  Opiates prescribed for pain have quadrupled since 1999 however Americans have not reported any increase in the amount of pain  There are 2.4 million untreated opioid dependent individuals in the US.  Only 20% of them are receiving MAT.  91% of patients who overdose will receive another prescription for the same opiate that they overdosed on.

Fram ing the Discussion

Patient Outcom es/ Key Perform ance Indicators  National average success rates for MAT range from 60%-90%, vs. 5%-10% for behavioral interventions alone  After one year in treatment, crime rates among patients decreased -19% while jail time decreased -25%  Time spent unemployed decreased 30%  OTP services (e.g., medication management, counseling and treatment of co-occurring disorders) promote measurably positive treatment outcomes, as measured by Key Performance Indicators (or “KPIs”) Testing “Negative” For Illicit Opiates at Different Stages of Treatment 93% 2 or more years in treatment 88% 1 – 2 years in treatment 83% 6 –12 months in treatment 77% 1 –6 months in treatment 61% 90 days or less in treatment

Integration of MAT Providers

Integration of MAT Providers

Patient Outcom es/ Key Perform ance Indicators  Old Method of Data Input Individual Clinic Dashboard

Patient Outcom es/ Key Perform ance Indicators  Old Method of Data Visualization Individual Clinic Dashboard

Patient Outcom es/ Key Perform ance Indicators  Server Architecture Tableau Cloud Backup SQL Server Database Database Database Data Warehouse (Database) Backup 2 Direct Link Clinic 1 Clinic 2 Clinic 3 Table 1a Table 1b Table 1c Table 2a Table 2b Table 2c Table 3a Table 3b Table 3c Backup 1 BDR 1 BDR 2 BDR 2

Patient Outcom es/ Key Perform ance Indicators  The Company tracks and benchmarks performance metrics at the individual clinic and company level. Key metrics include:  Productivity: Clinician time spent providing counseling services vs. performing case management activities  Wait Times: Patient time spent waiting to receive dosing at clinic  Clinic financial metrics: Hours per client per month, broken out by service component Individual Clinic Dashboard

Telehealth  Telehealth can be used as a force multiplier to help address the shortage in healthcare workers.  Telehealth does not diminish the quality of care being given, an oftentimes enhances it. 1. Research indicates that the majority of patients either prefer telemedicine to an in-person experience or think it is on par with in-person communications. 2. Study : 29 of 31 patients who were interviewed by telephone preferred telepsychiatry to waiting for a consultation, were willing to use the service again and would recommend telepsychiatry to a friend. 3. Studies have also shown that telemedicine can often times lead to higher diagnostic accuracy in medical settings compared to in-person examinations. 4. The quality of care in general is no different between telemedicine visits and in-person examinations. 1. https://www.ncbi.nlm.nih.gov/pubmed/19919189 2. http://jtt.sagepub.com/content/7/3/155.short 3. https://www.ncbi.nlm.nih.gov/pubmed/15682957 4. http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2005;volume=51;issue=4;spage=294;epage=300;aulast=Whitten 5. http://acaai.org/news/telemedicine-effective-person-visits-children-asthma

Telehealth  Telehealth can be used as a force multiplier to help address the shortage in healthcare workers  Research indicates that the majority of patients either prefer telemedicine to an in-person experience or think it is on par with in-person communications.  Study: 29 of 31 patients who were interviewed by telephone preferred telepsychiatry to waiting for a consultation, were willing to use the service again and would recommend telepsychiatry to a friend

Needs from the Federal and State Level  42 CFR Part 2 Changes  Central OTP Registry for Arizona  Federal Telemedicine Law Changes  More Comprehensive Needs Assessment  Centralized Data Repository