Quarterly Stakeholders Meeting December 17, 2019 Opiate Task Force - PowerPoint PPT Presentation

Quarterly Stakeholders Meeting December 17, 2019

Opiate Task Force Data Dashboard Opiate Task Force key critical indicators 1. Drug Overdoses (EpiCenter Data) 2. Drug Overdose Deaths 3. OARRS Report 4. QRT Update 5. Residential & Detox Waitlists 6. ADM Helpline Report

Average Daily Emergency Department Overdoses by Quarter 14 12.4 12 10 8.5 7.5 8 6.3 6 5.3 5 5.8 4.5 4.1 4.0 4.0 3.6 4 3.2 3.4 2.4 2 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2016 2017 2018 2019

Emergency Room Daily Overdoses 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 1/1 2/1 3/1 4/1 5/1 6/1 7/1 8/1 9/1 10/1 11/1 12/1 Number of Overdoses Daily Average for Quarter

Emergency Department Overdoses Weekly Average 10 9 8 7.0 7 6.3 6.1 5.7 5.6 5.7 5.7 6 5.6 5.4 5.3 5.1 5.1 5.0 5.1 5.1 4.7 4.9 4.9 4.6 4.7 5 4.4 4.3 4.3 4.9 4.4 4.4 4.0 4.0 3.9 3.9 3.7 3.9 4.1 3.7 3.7 4 4.0 4.3 4.1 3.4 3.3 3.3 3.6 3.1 3 3.1 3.0 2.7 2.6 2 1.9 1 1.1 0 1/4/2019 2/4/2019 3/4/2019 4/4/2019 5/4/2019 6/4/2019 7/4/2019 8/4/2019 9/4/2019 10/4/2019 11/4/2019 12/4/2019

Drug Overdose Deaths 400 350 341 300 270 250 200 150 159 139 100 50 0 2016 2017 2018 2019 Confirmed

Fatal Overdoses 400 350 341 300 270 250 60 200 150 159 139 100 50 0 2016 2017 2018 2019 Confirmed ME Suspected

Overdose Deaths by Month 30 25 20 15 10 5 0 January February March April May June July August September October November December Confirmed Suspected

Average OD Deaths per Month by Year 30 25 20 15 28.3 22.4 10 14.5 14.4 11.6 5 9.8 7.6 6.3 5.5 4.7 4.5 3.8 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average OD Deaths per Month - Confirmed

Overdose Cause of Death by Year 40% 33% 9% 63% 42% 18% 43% 21% 27% 21% 18% 8% 26% 8% 6% 3% 21% 11% 6% 39% 9% 9% 33% 5% 10% 6% 11% 17% 14% 13% 13% 7% 6% 4% Fentanyl Carfentanil Heroin Opiate Fentanyl U47700 MDMA Cocaine Meth Ethanol Other Analogue Opiate Not Opiate 2016 2017 2018 *2019

Notable Increases from 2018 350% 333% 300% 250% 200% 150% 93% 100% 74% 50% 33% 29% 0% Carfentanil Opiates Heroin Meth Ethanol

Summit County Overdose Rates by Race 100.0 90.0 80.0 69.0 70.0 60.0 53.7 50.0 46.4 40.4 40.0 31.6 30.9 30.0 24.1 26.0 20.0 10.0 0.0 2016 2017 2018 2019 YTD African American Caucasian

Overdose Rates Summit County Compared to Montgomery County 120 110 100 90 80 70 60 54.4 50 40 35.4 30 25.7 20 10 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Summit County Rate Montgomery County Rate Ohio Rate

OARRS Report Opioid Doses Dispensed Per Capita to Ohio Patient by County & Quarter 25 18.9 19.4 19.1 18.7 20 17.6 18.0 17.5 17.8 16.6 16.1 15.3 15.3 16.8 17.2 17.3 14.2 14.8 14.30 16.6 15 15.7 15.7 15.5 15.4 13.02 14.3 14.1 11.8 11.4 11.4 11.4 11.0 10.7 10.1 13.3 11.9 11.1 11.6 11.20 10 10.3 9.4 9.0 9.0 8.9 8.7 8.4 7.9 5 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2014 2015 2016 2017 2018 2019 Summit Montgomery

QRT Statistics 2,086 QRT Patients 967 QRT Patients Connected to Treatment

QRT Patients Connected to Treatment Our QRT Program • Includes QRT patients that were never contacted or already in treatment at the time of contact. • Only includes ADM Claims data, Medicaid QRT Patients 46% and private insurance data unavailable. • Connected to Percentage only include patients that received treatment. Treatment Other QRT Programs • Will remove patients not contacted from numbers. • Percentage includes referral to treatment or providing information about treatment programs.

Days Access to Residential Care 95% are receiving interim services 70 63 65 58 58 60 54 55 50 45 38 40 41 39 35 29 30 35 35 30 26 30 23 25 27 25 24 24 20 22 15 18 12 11 10 4 4 3 5 6 6 4 4 0 3 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2016 2017 2018 2019 Male Female

Detox Availability by Days to Access 14 13 12 10 10 10 9 8 8 8 8 8 7 6 6 4 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2016 2017 2018 2019 Male Female

ADM Helpline Report 1/1/19 – 12/9/19 • Scheduled appointments…………………………….884 • Average access time to appointment……………6.6 • Mode access time to appointment………………….1 *Mode = most often occurring