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Alabama’s Opioid Data Collaborative
Casey Wylie Alabama Department of Mental Health
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• 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
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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
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What is a Centralized Data Repository?
• http://gettingtherightinformationtoproviders.cwsit.org/appendices/5.html
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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
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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.
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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
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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
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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
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Objective 3 Identify Partners
Start small: ADMH, ADPH, Alabama Medicaid Agency, HIDTA, ALEA
Bring in other agencies as the CDR is operational
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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
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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
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CDR Governance Structure
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Visual Representation of Alabama CDR
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Alabama Public CDR Site
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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
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Alabama Public CDR Site
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What’s In the Future?
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Questions?
Casey Wylie Director, Behavioral Health Clinical Analytics The Alabama Department of Mental Health [email protected]