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
• piate that they overdosed on.

Fram ing the Discussion

Patient Outcom es/ Key Perform ance Indicators

Testing “Negative” For Illicit Opiates at Different Stages of Treatment 2 or more years in treatment 1 – 2 years in treatment 1 –6 months in treatment 90 days or less in treatment 6 –12 months in treatment

93% 88% 83% 77% 61%

• 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”)

Integration of MAT Providers

Integration of MAT Providers

• Old Method of Data Input

Patient Outcom es/ Key Perform ance Indicators

Individual Clinic Dashboard

• Old Method of Data Visualization

Patient Outcom es/ Key Perform ance Indicators

Individual Clinic Dashboard

• Server Architecture

Patient Outcom es/ Key Perform ance Indicators

Tableau Clinic 1

Table 1a Table 1b Table 1c

Clinic 2

Table 2a Table 2b Table 2c

Clinic 3

Table 3a Table 3b Table 3c

Cloud Backup

BDR 1 BDR 2 BDR 2

Backup 2 Direct Link Backup 1 SQL Server

Data Warehouse (Database) Database Database Database

• 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

Patient Outcom es/ Key Perform ance Indicators

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