Alabama’s Opioid Data Collaborative

Casey Wylie Alabama Department of Mental Health

• Governor Kay Ivey established the Alabama Opioid Overdose and Addiction Council on August 8, 2017

• The Governor named three co-chairs: • Lynn Beshear, Commissioner, Alabama Department of Mental Health • Dr. Scott Harris, State Health Officer • Steve Marshall, State Attorney General

• Data Committee is one of 7 committees created by the co-chairs

• Data • Prescriber-Dispenser • Rescue (Naloxone) • Treatment - Recovery

• Prevention - Education • Law Enforcement • Workforce Development

https://mh.alabama.gov/wp-content/uploads/2019/02/FINAL-Alabama-Opioid-Overdose-and-Addiction-Council-Report-to-Governor-2018-Read-only.pdf

Data Committee Goals and Objectives as Specified in the Governor’s Report

• A coordinated response to a public health crisis is aided by rapid access to current

data. Creating a process for data sharing and analysis that addresses legal and confidentiality concerns and assesses efforts related to opioid addiction and overdose is critical in addressing the crisis.

• Strategy 1: Develop a centralized data repository (CDR) to hold data and distribute results to identified agencies, thus allowing for rapid response to outbreaks of overdoses and other opioid-related events, as well as providing a framework to measure the progress of initiatives in place to address the crisis. • Objective 1: Issue a Request for Information (RFI) to determine vendor’s approach to the

defined needs of the CDR. • Objective 2: Identify funding to begin CDR. • Objective 3: Identify participating partners in CDR. • Objective 4: Identify vendor/agency to house data and develop dashboard, policies and

procedures

What is a Centralized Data Repository?

• http://gettingtherightinformationtoproviders.cwsit.org/appendices/5.html

Data Committee Representation

• AL. Dept. of Forensic Science

• Children’s Hospital of Alabama

• Alabama Medicaid Agency

• ADECA

• County Coroner

• AL. DOC

• AL. Dept. of Mental Health

• Attorney General’s Office

• AL. Dept. of Public Health

• University of Alabama

• Alabama Quality Assurance Foundation

• ALEA

• AL. Dept. of DHR

• Pardons and Parole

• Circuit Clerk, Shelby County Alabama

• Administrative Office of Courts

• Alabama Hospital Association

• AL. Dept. of Insurance

• AL. Methadone Treatment Association (ALAMTA)

• Blue Cross/Blue Shield

• Others

Procurement Timeline Objective 1 and 4 to Procure a Vendor

05/2018

Presentation of in-depth research of what other states are doing to address the opioid crisis through data

06/2018

The Data Committee hosted a vendor day consisting of private and public entities.

08/2018

The University of Alabama’s Institute of Business Analytics and the State of Alabama OIT presented their proposals for final selection

09/2018

The University of Alabama’s Institute of Business Analytics was selected by vote as the preferred partner.

02/2019

Kickoff meeting to launch the project

Currently in MOU negotiations with phase 1 participants.

The University of Alabama’s IBA has worked with several state agencies

• Alabama Medicaid

• Alabama Law Enforcement Agency

• Department of Revenue – Motor Vehicle Division

• Economic and Community Affairs – Office of Highway Safety

• Administrative Office of Courts

• Department of Transportation

• Department of Finance – Information Services Division

• Department of Human Resources

• Department of Public Health

UA Technologies Developed • Numerous live production systems:

• Electronic citations (AL, MS, AR)

• Electronic vehicle crash reporting

• Electronic I/O reports

• Electronic ambulance run reports

• Commercial vehicle enforcement systems

• Criminal data query systems (NCIC, LETS)

• Data analysis and geographic information systems (several states)

• Authentication management for all AL law enforcement

• State Vehicle Titling System

• State Vehicle Registration Repository

• State Vehicle Online Insurance Verification System

• State Food Assistance Application System

• State Children’s Insurance Application System

Objective 2 Funding

• ADMH acquired a 1 million dollar grant from the Bureau of Justice Assistance

• Comprehensive Opioid Abuse Project

• Category 6 Enhancing public safety, behavioral health, and public health information-sharing partnerships

• Three year grant which will pay for the CDR development

Objective 3 Identify Partners

Start small: ADMH, ADPH, Alabama Medicaid Agency, HIDTA, ALEA

Bring in other agencies as the CDR is operational

Metrics

• Data Committee approved metrics proposed by the representative of each contributing agency

• Metrics are only preliminary.

• Final metrics will be approved by the governing committee

• Metrics will be used for the public dashboard and agency specific reports

Examples of Metrics

• Drug Deaths/ Overdose Deaths • Opioid Overdose ED Visits • Naloxone distribution rates • Retention Rates in MAT • Opioid Treatment and Prevention

Services per County • Neonatal Abstinence Syndrome

Rates • Heroin/Opioid Arrest Rates • Heroin/Opioid Drugs Seized • Heroin/Opioid Cases in Drug Court

• 53 Preliminary measures have been identified • These rates will drive the public dashboard

Credit: University of Alabama IBR

CDR Governance Structure

Visual Representation of Alabama CDR

Alabama Public CDR Site

Multiple Paths To Help All Users

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Data + Descriptions = Happy Users! • Each data

pane/page will consist of a description of the data, definitions of uncommon terms, and the interactive data tool.

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Data Descriptions

Interactive data tools with export options

Alabama Public CDR Site

What’s In the Future?

Questions?

Casey Wylie Director, Behavioral Health Clinical Analytics The Alabama Department of Mental Health Casey.Wylie@mh.alabama.gov