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IGNITE SESSION SUMMARIES
TABLE OF CONTENTS THURSDAY EVENING SESSIONS……………………………………………………………………………………………………………3-5
“Extension” of Public Health into the Community William J. Martin II, The Ohio State University, College of Public Health
Overview of SAMHSA Opioid-Awards in Illinois: MAT-PDOA, PDO, Opioid STR Award Maria Bruni, Illinois Department of Human Services
Medical Examiner (ME) Opiate Toxicology Surveillance Project Sue Moran, Michigan Department of Health & Human Services, Population Health Administration
Region 5 Prevention Collaborative CAPT Anna Gonzales, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health, Region 5
Ohio Expansion of Local Overdose Fatality Reviews – Using Data to Focus Community Interventions Lance D. Himes, Ohio Department of Health
A Strategic Approach to Addressing Substance Abuse in Indiana Jim McClelland, State of Indiana, Office of the Governor
Indiana Commission to Combat Drug Abuse Mary Beth Bonaventura, Indiana Department of Child Service
FRIDAY MORNING SESSIONS………………………………………………………………………………………………………………5-6
Reducing Adolescent Alcohol Consumption: A Primary Prevention Strategy Brian J. Zirbes, Minnesota Department of Human Services, Alcohol and Drug Abuse Division
Implementing a Recovery Oriented System of Care to Respond to the Opioid Crisis Larry Scott, Michigan Department of Health & Human Services, Office of Recovery Oriented Systems of Care, Substance Abuse Prevention and Treatment Section
CAPT Services: Supporting State Collaborations between Health and Substance Abuse – Region 5 Highlights Chuck Klevgaard, Education Development Center and SAMHSA’s Center for the Application of Prevention Technologies
FRIDAY MID-MORNING SESSIONS………………………………………………………………………………………………………6-7
Minnesota Tribal-State Opioid Summit Dana Farley, Minnesota Department of Health
Improving Services in Rural Communities Matt Lori, Michigan Department of Health & Human Services, Policy, Planning and Legislative Services
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Progressive Workforce Development Plan to Combat Opioid Addiction in Ohio Joyce Starr, Ohio Department of Mental Health and Addiction Services and National Treatment Network
FRIDAY LUNCH-HOUR SESSIONS………………………………………………………………………………………………………7-11
Surveillance Improvement Efforts in Indiana Pam Pontones, Indiana State Department of Health
Increasing Access to Naloxone in Indiana Jerome Adams, Indiana State Department of Health
Prevention and Treatment in Indiana: Expansion of Syringe Services Programs Joan Duwve, Indiana State Department of Health
Healthy Indiana Plan (HIP 2.0): The Philosophy and Impact of the upcoming Substance Use Disorder Waiver Jennifer Walthall, Indiana Family and Social Services Administration
Recovery Works: Indiana’s community-based forensic treatment program Kevin Moore, Family and Social Services Administration, Division of Mental Health and Addiction
Strengthening Safe Opioid Prescribing and PMP Utilization through Graduate Medical Education Mai T. Pho, Illinois Department of Public Health
Discrepancy between Provider Discussion about Illegal Drug Risk during Pregnancy and Neonatal Abstinence Incidence Patricia McKane, Michigan Department of Health & Human Services, Bureau of EPI and Population Health
Ohio’s Quality Improvement Project to Operationalize Prescribing Guidelines in the Primary Care Setting Sara Morman, Ohio Department of Health, Violence and Injury Prevention Program
FRIDAY AFTERNOON SESSIONS………………………………………………………………………………………………………12-13
Racial Disparities in Drug Overdose Mortality Rates Nate Wright, Minnesota Department of Health
Illinois Case Study: Opioid-related Data Collection and Analysis Heidi Trenholm, Illinois Department of Public Health, Office of Policy, Planning and Statistics
Advancements in Electronic Case Reporting Mary Ann Cooney, Association of State and Territorial Health Officials
Perinatal Quality Collaboratives Lynette Biery, Michigan Department of Health & Human Services
OASH Region 5 Trauma-Informed Care e-Cases and Women’s Reentry Guide Michelle Hoersch, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health-Region 5
OASH Region 5 Adolescent Health Network Lesley J. Craig, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health-Region 5
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IGNITE SESSION SUMMARIES
THURSDAY EVENING SESSIONS
“Extension” of Public Health into the Community William J. Martin II, The Ohio State University, College of Public Health - Contact: [email protected] Kaiser Family Foundation-Ohio in 2015 led the nation in opioid overdose deaths; as many in Appalachian origin counties as in urban areas. It is often difficult to engage in Appalachia as “outsiders” are not looked at with skepticism and are not trusted. The OSU decided to focus on partnerships with the Department of Extension as Extension agents live in the communities they serve. The partnership is focused on three main concept areas:
1. The OSU Medical Center is working to reverse the practice of pain management through training of students, residents, and faculty.
2. “Solutions leading to solutions, neighbors helping neighbors” - over 200 Extension agents will be trained in mental health and opioid addiction and recovery
3. Addressing the social context - working to bring in the School of Business, scientists, rural economists, anthropologists, 4-H to come together on the issue of opioids
Overview of SAMHSA Opioid-Awards in Illinois: MAT-PDOA, PDO, Opioid STR Award Maria Bruni, Illinois Department of Human Services - Contact: [email protected] Using the SAMHSA Opioid STR grant funds Illinois is/will be:
o Working collaboratively with PDMP to improve the quality of health records o Working to find other pain management options for sports-related injuries o Working with hospitals on warm-hand offs to treatment referral services, such as care
coordinators reaching out to patients with substance use disorders in the emergency room and other increased efforts to reach people where they are
o Developing and implementing a public education program o Establishing 24-hour hotline for people with substance use disorders
*See supplemental document that includes Summary of Projects to be implemented here
Medical Examiner (ME) Opiate Toxicology Surveillance Project Sue Moran, Michigan Department of Health & Human Services, Population Health Administration - Contact: [email protected] In response to the increase in opioid-related deaths and the variable ability for medical examiners to test for carfentanil and other fentanyl analogs, Michigan is piloting a project to enhance opioid analog testing and surveillance. Currently, MDHHS does not have a laboratory to provide testing of opiate analogs in drug overdose deaths or the ability to collect this information.
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To address this, MDHHS has partnered with WMU Homer Stryker M.D. School of Medicine, Department of Pathology who will perform the surveillance testing and report to the state. The pilot county’s forensic pathologists (medical examiners) will send specimens from opioid-related deaths to be tested for opiate drugs including the antagonist naloxone to identify the types of drugs that caused the overdose and whether an antagonist was administered. This will inform public health, law enforcement and public safety of the frequency of preventable overdose opioid deaths, the prevalence of various opioid type use, and the magnitude of the epidemic’s impact upon Michigan citizens to develop more accurate and effective strategies for prevention, intervention, and treatment.
Region 5 Prevention Collaborative CAPT Anna Gonzales, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health, Region 5 - Contact: [email protected] Looking forward HHS OASH Region 5 would like to continue the momentum from this meeting by supporting our states and exploring ways the regional office can best partner with states. OASH Region 5 will re-establish a Prevention Collaborative that will focus on addressing important issues – top needs and priorities – in each of the region’s six states as well as HHS Secretary Price’s priorities (opioid crisis, mental health, and childhood obesity). The Prevention Collaborative will include representation from all HHS Operating Divisions (with a regional presence). HHS staff will take information and action items from the three focus areas of the meeting – adolescents, rural communities, and surveillance – back to inform the planning and future direction of the OASH Region 5 Prevention Collaborative.
Ohio Expansion of Local Overdose Fatality Reviews – Using Data to Focus Community Interventions Lance D. Himes, Ohio Department of Health - Contact: [email protected] Ohio Department of Health (ODH) developed a new tool which allows communities to create overdose fatality commissions and have access to health/death records. These commissions will track data related to overdoses and report back to ODH, specifically looking for key indicators, including substance use and past mental health issues.
A Strategic Approach to Addressing Substance Abuse in Indiana Jim McClelland, State of Indiana, Office of the Governor - Contact: [email protected] Governor Holcomb has placed a high priority on addressing the opioid epidemic. Mr. McClelland coordinates, aligns, and focuses efforts of agencies working to tackle this epidemic. A strategic framework to help guide the approach to addressing the opioid epidemic was finished in May. Guidelines for approaches include:
o bias toward action with a strong sense of urgency; o data-driven and adaptable; o emphasis on evidence-based programs and practices, but leaving room for new
promising practices; o a preference for locally-driven, multidisciplinary approaches.
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Indiana Commission to Combat Drug Abuse Mary Beth Bonaventura, Indiana Department of Child Services - Contact: [email protected] Children in need of services has rose by 46% over the past two years; in 53% of the cases, substance use disorder(s) of the parent or caregiver was the reason for involvement in Child Services. The Nurse-Family Partnership (NFP) has been used as a form of prevention. The Commission to Combat Drug Abuse was formed and includes 18 people from all three branches of government. The Commission meets four times a year with the goal of assessing needs as relates to prevention, treatment, and enforcement. Ultimately the commission hopes to put together a report on need and available programs in this field. May 18, 2017 Meeting Agenda: http://www.in.gov/gov/files/170518_Agenda_DrugAbuseCommission.pdf
FRIDAY MORNING SESSIONS
Reducing Adolescent Alcohol Consumption: A Primary Prevention Strategy Brian J. Zirbes, Minnesota Department of Human Services, Alcohol and Drug Abuse Division - Contact: [email protected] MN has a primary prevention Planning and Implementation grant program funded by the SAMHSA Substance Abuse Prevention and Treatment block grant. The grant program funds communities up to five years at about $200,000 per year per community and is currently in its third cohort. The grant program focuses on communities with rates of alcohol misuse among their youth that are above the state average. Strategies include the Positive Community Norms Framework, which looks at the positive side of data. It also uses the “power with versus power over model” – instead of the State pointing out problems, the community recognizes problems and the State supports community efforts for improvement.
Grantees have started out with rates above the State average relative to alcohol misuse among their youth and by the end their grant period, they have reduced these rates to or below the state average. *See supplemental document that highlights efforts reducing youth alcohol use through Positive Community Norms
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Implementing a Recovery Oriented System of Care to Respond to the Opioid Crisis Larry Scott, Michigan Department of Health & Human Services, Office of Recovery Oriented Systems of Care, Substance Abuse Prevention and Treatment Section - Contact: [email protected]
Michigan reengineered both their treatment and prevention service delivery systems to employ a recovery oriented systems of care. This process involves conducting a community profile of needs on substance use, determining gaps of filling these needs, building capacity of communities to address these needs, and providing technical support and evidence-based practices with the intent to prepare communities to be able to remove or change programs that are found to be ineffective. Among other interventions, this recovery-focused treatment incorporates community supports and recovery support coaches/specialists that can be reimbursed by Medicaid.
CAPT Services: Supporting State Collaborations between Health and Substance Abuse – Region 5 Highlights Chuck Klevgaard, Education Development Center and SAMHSA’s Center for the Application of Prevention Technologies - Contact: [email protected] SAMHSA’s Center for the Application of Prevention Technologies (CAPT) offers technical support to SAMHSA grantees, works on new SAMHSA Opioid Initiatives, and provides general support to providers, other stakeholders, and the public through the CAPT website (https://www.samhsa.gov/capt/CAPT/). An example of work in Region 5 is Wisconsin and Illinois’ Prescription Drug Overdose (PDO) initiatives that developed a gap analysis, looked at the impact of opioids and use of Naloxone, and created environmental scanning tools to look at who is doing what where.
*See supplemental CAPT documents, including:
o New Online Toolkit: Prevention Collaboration in Action o Building on Strengths: Improving Positive Outcomes for Boys and Young Men of Color o Decision-Support Tools: Preventing Prescription Drug Misuse
FRIDAY MID-MORNING SESSIONS
Minnesota Tribal-State Opioid Summit Dana Farley, Minnesota Department of Health - Contact: [email protected]
In engaging the Sovereign Nations in opioid misuse prevention, there is a specific way of interacting, which must involve cultural sensitivity. Additionally, there must be an emphasis on interacting as a government-to-government relationship. The Minnesota governor mandated that state agencies have a protocol for interacting with tribal communities, which resulted in a two-day training. It is also important to recognize culture as a mechanism of cure and health. Learn more here: http://mn.gov/gov-stat/pdf/2017_03_09_Opioid_Summit_Report.pdf
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Improving Services in Rural Communities Matt Lori, Michigan Department of Health & Human Services, Policy, Planning and Legislative Services - Contact: [email protected]
Rural communities face various struggles, including a lack of jobs and poor public transportation systems. It is vital to get legislators to understand the unique circumstances of the communities they serve.
Progressive Workforce Development Plan to Combat Opioid Addiction in Ohio Joyce Starr, Ohio Department of Mental Health and Addiction Services and National Treatment Network - Contact: [email protected] Capacity and access to treatment services has been a major problem in Ohio. The state has a history of segregated state agency systems and funding streams. Since the merge of the two state departments, Ohio is working towards the implementation of the behavioral health redesign to align with Medicare/ASAM to better serve our constituents, manage funds, improve outcomes, and ensure sustainability. The workforce capacity building efforts aim to train 4,000 physicians over the next two years in becoming data waivered, mentoring through ECHO models with various topics in Substance use disorders, MAT dosing, SBIRT and others. A hub model with extensions going to Primary Care, OBGYN, and Emergency Room Physicians will be utilized to embrace Ohio Physicians trained. The training will include CME and use case studies, video conference sessions, and e-based academy (free to Ohio users). Participants will be paid for their time.
FRIDAY LUNCH-HOUR SESSIONS
Surveillance Improvement Efforts in Indiana Pam Pontones, Indiana State Department of Health - Contact: [email protected] Indiana has been enhancing its syndromic surveillance efforts through the use of hospital emergency department chief complaint and diagnosis data to look at potential drug overdoses to provide more real-time information on overdose occurrences and location. Additionally, they are looking to include EMS data to identify trends across the state. ISDH has developed a publicly available, web-based, interactive statistical tool called STATS Explorer, where people can view high-risk areas and trends using data on fatal opioid overdoses, non-fatal opioid overdoses, hospital discharge diagnoses, and disease incidence and prevalence. This site serves as a one-stop-shop for Indiana data to inform policy makers and other partners for decision making. Check out the website here: http://www.stats.indiana.edu/
Increasing Access to Naloxone in Indiana Jerome Adams, Indiana State Department of Health - Contact: [email protected]
States generally do not have policies written out for making naloxone available. Indiana passed a law a couple of years ago to allow law enforcement and lay people to carry naloxone, which resulted, in part, from the infrequency of doctors prescribing naloxone.
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Additionally, Indiana has an emergency naloxone deployment plan including caches around the state in the event local first responders run out. The state has already utilized this back-up system twice.
A website was created that the people can visit to see where in Indiana they can get naloxone and report whether it is actually being carried at these locations. Check out the website here: https://optin.in.gov/
Prevention and Treatment in Indiana: Expansion of Syringe Services Programs Joan Duwve, Indiana State Department of Health - Contact: [email protected] As of May 4, 2017, 217 individuals in Scott County, Indiana have been diagnosed with HIV (191 diagnosed prior to April 15, 2016; 26 diagnosed between April 2016 and May 2017); 95% of those have also been diagnosed with Hepatitis C. These individuals have named 539 contacts, 90% of whom have been tested. Network analysis of these individuals and their contacts demonstrated a tightly linked community with overlapping injection partners. The average number of injection partners named during contact investigation was eight (8), with a range from 0 to 80. Former Governor, Vice President Pence, declared a public health emergency in Scott County, allowing for a temporary Syringe Exchange program located in the heart of the affected community. Many committed partners, legislators, public health professionals, law enforcement, and community advocates, worked together to pass legislation that provides counties the opportunity to declare a public health emergency and request authorization from the State Health Commissioner to open a syringe services program (SSP). Since that time, nine (9) counties have received approval for SSP, eight (8) are currently operating, and 16 others are collecting data and assessing their need for SSP. To streamline the process, Governor Eric Holcomb signed legislation allowing local units of government to authorize SSP, bypassing the need for state approval. Every SSP offers an array of services beyond needle exchange. These sites become safe places for their participants, a path for those marginalized by this disease to begin reintegrating into community and into care. In Scott County, the SSP serves hot lunches one day a week, collect clothing and personal items for distribution to clients, perform home visits to check on clients just released from the hospital, and provide HIV/HCV testing to clients who don’t trust anyone else. As well as these other services, including naloxone training and distribution, immunizations (such as Hep B and Tdap), TB testing (so people can get inpatient rehab), wound care, and general TLC support – encouragement for those who want treatment, and for those who have relapsed. This SSP “one stop shop” concept has integrated an array of additional critical support services, such as replacing birth certificates, primary medical care including pre-exposure prophylaxis for those not infected with HIV, and with the support of a SAMHSA MAT expansion grant, access to behavioral support services, and buprenorphine and naltrexone treatment on-site. More than
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115 individuals in Scott County are now receiving evidence-based treatment for their SUD at the same place they used to receive their syringes and naloxone. Much of the community has rallied around the SSP. When people in the community are concerned about finding needles on the ground, there are clean up days. One local church volunteered to host a syringe drop box on its property. Other churches offer free meals, recovery support centers, and safe after school opportunities for kids. Despite success, SSPs have also faced issues. Law enforcement has been slow to embrace SSPs and participants have commented that police follow them to the SSP. Although needle return rates range between 80 and 94%, needles still get tossed out windows if law enforcement is present. Additionally, ISDH must explain data about injection frequency taken out of context and used to suggest that SSPs increase drug use. These issues threaten reauthorization of SSPs at the local level. To address these concerns, ISDH is planning a conference with public health and law enforcement to listen and learn from each other. If others work with effective SSPs, please contact Dr. Duwve to share how you have worked to secure support from law enforcement.
Healthy Indiana Plan (HIP 2.0): The Philosophy and Impact of the upcoming Substance Use Disorder Waiver Jennifer Walthall, Indiana Family and Social Services Administration - Contact: [email protected] Indiana’s Substance Use Disorder (SUD) waiver request was recommended by the Governor’s Taskforce on Drug Enforcement, Treatment and Prevention and seeks to fill treatment gaps by adding new services, including residential treatment, and lifting the current Medicaid restriction on Institution for Mental Disease (IMD) providers. The SUD component of the waiver will bring in approximately $55 million in federal funding to address the current opioid epidemic and the SUD component includes ALL Medicaid members, not just HIP members; although, non-HIP Medicaid members will not be added to HIP. New benefits will include expanded inpatient detoxification, residential treatment services, and addiction recovery support services, which includes (i) recovery education; (ii) peer recovery support services; (iii) housing support services; (iv) recovery focused case management; and (v) relapse prevention services. The waiver of current IMD exclusion allows Medicaid to reimburse for short-term services (30-days of treatment) provided in an IMD (a mental health medical facility of more than 16 beds). Currently reimbursement is allowable for 15-day IMD stays through managed care programs only (HIP, HHW, HCC), but not fee for service. The waiver will also expand Medicaid access at nearly 15 new facilities and will possibly increase capacity at 12 others. The SUD initiative will be implemented in accordance with the requirements of a Section 1115 SUD program as detailed in the CMS Medicaid Director’s letter dated July 27, 2015, including,
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but not limited to aligning standards of care with best-practice American Society of Addiction Medicine standards and improving care coordination between levels and settings of care.
Recovery Works: Indiana’s community-based forensic treatment program Kevin Moore, Family and Social Services Administration, Division of Mental Health and Addiction - Contact: [email protected] Indiana’s Family and Social Services Administration, Division of Mental Health and Addiction, receives state funding for Recovery Works. The purpose of this program includes connecting felons who are under care of the state to have access to mental health and substance use disorder treatment services. During sentencing the court may mandate mental health and treatment services as part of required sentence or persons leaving incarceration can access services to support their re-entry. On average, participants receive services for 90-days until they are covered under Medicaid or other insurance.
Strengthening Safe Opioid Prescribing and PMP Utilization through Graduate Medical Education Mai T. Pho, Illinois Department of Public Health - Contact: [email protected] The Illinois Department of Public Health is working to strengthen capacity of new clinical providers in the State through a collaboration the Office of the Attorney General, the Accreditation Council for Graduate Medical Education (ACGME), and the University of Chicago through the development of a short video module aimed at medical residents and dental trainees. The University of Chicago, an academic partner with expertise in the clinical learning environment created the educational content and adapted it to the requirements or structure of graduate medical education. The module focused on CDC safe opioid guidelines, risk screening tools and a tutorial on how to utilize the state PMP. We engaged the Designated Institutional Officials (DIOs), individuals who are identified by the ACGME as responsible for providing oversight and supervision for all institutions with programs accredited by the Council. The DIOs served as champions to push forth broad and rapid dissemination of the video. There are 34 sponsoring institutions in Illinois that have over 5,000 trainees, these include programs in internal medicine, surgery, OB, pediatrics, etc. The authority of the 34 DIOs extends primarily over the onboarding process of residents prior to coming to their programs and for about the week after arrival. The module was launched May 15 and targeted to the incoming class of residents.
Discrepancy between Provider Discussion about Illegal Drug Risk during Pregnancy and Neonatal Abstinence Incidence Patricia McKane, Michigan Department of Health & Human Services, Bureau of EPI and Population Health - Contact: [email protected] Michigan, like many states is experiencing a tremendous increase in the number and rate of infants born with Neonatal Abstinence Syndrome (NAS). The rate doubles approximately every three to four years; currently over 700 infants are diagnosed and treated for NAS.
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MDHHS has used the hospital discharge data linked to the live birth certificate to identify cases and NAS is based on the ICD-9 code for symptomatic and pharmacologically treated babies. This definition is not standardized and will change with the implementation of ICD-10 coding. While the whole state has seen an increase in NAS, it has been slower among children of African American mothers and fastest among non-Hispanic white mothers. Rates are highest in rural areas of the state (Northern Michigan and Upper Peninsula) and are several times greater than the Detroit area. One obvious point of intervention is during pre-pregnancy or prenatal care. Michigan administers a survey, The Pregnancy Risk Assessment Monitoring System (PRAMS), which is a surveillance project of the CDC and state health department in which MDHHS asks about discussions during pre-pregnancy and prenatal care. One-third of women say that during their prenatal visit their healthcare provider never talked with them about the dangers of using illegal drugs during pregnancy. The prevalence was lower among white mothers (62%), while 81% of African American mothers report having this discussion. The women who are most likely to have a baby born with NAS are the least likely to have a doctor or nurse talk with them about the effects of using illegal drugs. This matters because if medical professionals do not initiate these conversations, we’re leaving it up to a mother who may be struggling with substance misuse to bring the topic up herself. Visit the MCH Epidemiology Section webpage: www.michigan.gov/mchepi
Ohio’s Quality Improvement Project to Operationalize Prescribing Guidelines in the Primary Care Setting Sara Morman, Ohio Department of Health, Violence and Injury Prevention Program - Contact: [email protected] There are currently three types of prescribing guidelines in Ohio that were developed by the Ohio Governor’s Cabinet Opiate Action Team (GCOAT). These include guidelines for prescribing opioids in the emergency department, acute care in non-emergency situations, and chronic care situations. Ohio’s quality improvement project focuses on acute care and chronic care guidelines and seeks to assist providers and practices in the primary care setting to operationalize the guidelines. The project includes both provider and practice-specific strategies to support use of prescribing guidelines. The project will incorporate QI measures that are currently being developed by the Centers for Disease Control and Prevention. Additionally, the intent of the project is come up with a replicable model for primary care settings to be empowered to completely operationalize the acute and chronic pain guidelines in their own practices.
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FRIDAY AFTERNOON SESSIONS
Racial Disparities in Drug Overdose Mortality Rates Nate Wright, Minnesota Department of Health - Contact: [email protected] There are significant disparities in the drug overdose mortality rates for American Indians relative to whites in Minnesota. After presenting the 2015 drug overdose mortality data and the mortality rate disparities to the American Indian community in Minnesota, concerns were raised regarding misclassification of these deaths. Almost all of the drug overdose deaths were determined to be unintentional/accidental, but the community believed a greater proportion of these deaths more closely resembled suicides. Using the National Violent Death Reporting System (NVDRS), the Minnesota Department of Health (MDH) examined 2015 and 2016 unintentional American Indian drug overdose deaths to better understand the circumstances and preceding events that led to the drug overdose death, as well as the number of deaths that were potentially misclassified. The results showed about 25-30% of unintentional deaths more closely resembled suicides. These findings have implications for suicide and drug overdose surveillance and highlight the unique contributions the NVDRS can have in examining drug overdose deaths.
Illinois Case Study: Opioid-related Data Collection and Analysis Heidi Trenholm, Illinois Department of Public Health, Office of Policy, Planning and Statistics -Contact: [email protected]
IDPH currently has a project that involves identifying the exact type of drugs on death certificates using ICD-10 codes. Several challenges have emerged, including the question of what coroners are actually testing for and how this impacts the identification of drugs that people are overdosing on. Additionally, disseminating data to small rural communities has been another challenge.
Advancements in Electronic Case Reporting Mary Ann Cooney, Association of State and Territorial Health Officials - Contact: [email protected] The Digital Bridge is a project, funded by Robert Wood Johnson Foundation in partnership with the CDC and Deloitte Consulting. The project intends to develop a national solution for bidirectional electronic case reporting between a health care provider’s electronic health record and public health and brings together the provider, vendor and public health partners to develop this solution. With this technology health care and public health will achieve accuracy and efficiency with case reporting and will set the stage for the national legal and technical standard for other types of bidirectional and interjurisdictional data exchanges – such as information about trends and treatment for opioid addiction and other chronic disease surveillance and management. For more information visit: http://www.digitalbridge.us/
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Perinatal Quality Collaboratives Lynette Biery, Michigan Department of Health & Human Services - Contact: [email protected] Five perinatal quality collaboratives have been established across Michigan as a key strategy to reduce infant mortality. Michigan's Infant Mortality Advisory Council works with the collaboratives to align priorities and all collaboratives have chosen as one of their goals connecting women with behavioral health services.
OASH Region 5 Trauma-Informed Care e-Cases and Women’s Reentry Guide Michelle Hoersch, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health-Region 5 - Contact: [email protected] HHS OASH - Region 5 will be releasing tools and resources focusing on women: (1) The Trauma-Informed Care e-Cases for training health care providers; and (2) Helping Women Reenter: A Guide for Those Helping Women Transition after Incarceration. The Trauma-Informed Care e-Cases include patient-provider scenarios, some of which address the intersection of trauma history and the use of substances as coping mechanisms, and the importance of recognizing the intersection of trauma and substance use. The Reentry Guide emphasizes the importance of addressing substance use issues in planning for transition from prison back to the community, as this is a very high-risk transition for women.
OASH Region 5 Adolescent Health Network Lesley J. Craig, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health-Region 5 - Contact: [email protected] In early 2016, OASH Region 5 established the Region 5 Adolescent Health Network, which is a forum to information-share about challenges faced and successful policies, programs, and practices in adolescent health and social services. In addition to hosting educational programs for adolescent-serving audiences, the Regional Network also convenes the Region 5 Adolescent Well-Care Visit Learning Collaborative whose participants are state government staff, typically the State Adolescent Health Coordinator, and others, to discuss challenges and progress in increasing the number of well-care visits, through awareness efforts (both with clinicians and families/young people), and to share what is working and what is not across states. The Regional Network will engage in next steps from the Region 5 substance misuse and addictions meeting, which may also tie to the HHS OASH-Region 5 Prevention Collaborative (please see CAPT Anna Gonzales’ Ignite Session summary for more details on the Prevention Collaborative). The Office distributes regular news updates focused on adolescent health and invites your contribution to this listserv as well. If you want to receive this update, subscribe by sending an email to [email protected] with only the following text in the message body: subscribe REGION-V-ADOLESCENTHEALTHNETWORK your name.