mark h. merrill - aha · unwavering in their support of the work of the task force • “substance...

1

Mark H. MerrillPresident and Chief Executive Officer,

Valley Health System

2

West Virginia counties that include Valley Health System hospitals

Northern Shenandoah Valley, VA

The Opioid Addiction Crisis in the

Northern Shenandoah ValleyA Community Response

3

Objectives

4

• Provide an overview of the problem in the Northern Shenandoah Valley• Share how the Northern Shenandoah Valley Substance Abuse

Coalition was formed• Describe the roles of key system representatives• Share the basic principles of the Strategic Plan of the Northern

Shenandoah Valley Substance Abuse Coalition• Share strategies for sustainability

The Story We Want to Share

5

The Northern Shenandoah Valley Substance Abuse Coalition• A dynamic, multi-disciplinary collaboration of law enforcement

(prosecution and defense resources alike), health, child welfare, family courts, county and city leadership, and community members impacted by the crisis of heroin and opiate addiction

• Has brought together a diverse set of local, community partners that work collaboratively across disciplines to respond to a public health crisis in the Valley contributing time, talent and treasure

“We cannot arrest our way

out of this problem.”

6

Opiate Overdose Deaths

2 1

21

3330

21*

05

101520253035

2011 2012 2013 2014 2015 2016

* 2016 as of 9/26/16

NW Virginia

7

* Compared to 17 deaths as of 9/26/15

8

3932

47 46

68

83 84 85

0

20

40

60

80

100

2012 2013 2014 2015

Winchester Medical CenterOpiate and Heroin Cases

Emergency Inpatient

1.6

23.3 18.022.3

23.2

34.8

$-

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

$70,000

$80,000

$90,000

$100,000

Nursery-9,838 20 37 43 65 17

2012-May 2016 2012 2013 2014 2015 Jan-May2016

Non-DrugExposed Babies

Methdone/Morphine Babies

Winchester Medical Center2012-May 2016

The data in the bars is the average length of stay.

C-WMC

Winchester Medical Center

2012-May 2016

Methdone/Morphine Babies

1.6

23.3

18.0

22.3

23.2

34.8

Nursery-9,83820 37 43 65 17 2012-May 20162012201320142015Jan-May2016Non-Drug Exposed BabiesMethdone/Morphine Babies15373452529506421865616687217

Chart Data

Custom Query - Facility

Report Limits:Empty Filter

Prompt Details: Facility:Winchester Medical Center (VA0144) (VA) (Facility:01-01-2012 to 01-31-2016) (Peer:01-01-2012 to 12-31-2015)Month:JANUARY 2012, FEBRUARY 2012, MARCH 2012, APRIL 2012, MAY 2012, JUNE 2012, JULY 2012, AUGUST 2012, SEPTEMBER 2012, OCTOBER 2012, NOVEMBER 2012, DECEMBER 2012, JANUARY 2013, FEBRUARY 2013, MARCH 2013, APRIL 2013, MAY 2013, JUNE 2013, JULY 2013, AUGUST 2013, SEPTEMBER 2013, OCTOBER 2013, NOVEMBER 2013, DECEMBER 2013, JANUARY 2014, FEBRUARY 2014, MARCH 2014, APRIL 2014, MAY 2014, JUNE 2014, JULY 2014, AUGUST 2014, SEPTEMBER 2014, OCTOBER 2014, NOVEMBER 2014, DECEMBER 2014, JANUARY 2015, FEBRUARY 2015, MARCH 2015, APRIL 2015, MAY 2015, JUNE 2015, JULY 2015, AUGUST 2015, SEPTEMBER 2015, OCTOBER 2015, NOVEMBER 2015, DECEMBER 2015Inpatient/Outpatient:Inpatient:({Patient Type}:INPATIENT)And({Admission Type}:NEWBORN)And(Age:0)Year, Admission TypeTotal Cases, Total Days, Total Costs

All

YearAdmission TypeTotal CasesTotal DaysTotal CostsYearAdmission TypeTotal CasesTotal DaysTotal Costs

2012NEWBORN2,3319,066$11,963,1363.9$5,1322012NEWBORN2,3319,066$11,963,136

2013NEWBORN2,3268,869$13,199,1533.8$5,6752013NEWBORN2,3268,869$13,199,153

2014NEWBORN2,2469,432$16,668,3574.2$7,4212014NEWBORN2,2469,432$16,668,357

2015NEWBORN2,1819,466$20,558,8574.3$9,4262015NEWBORN2,1819,466$20,558,857

JanMay 2016928349376435273.8$8,2372016NEWBORN9283,493$7,643,527

Total10,01240,32670,033,0304.0$6,995Total10,01240,326$70,033,030

Meth/Morphine

YearAdmission TypeTotal CasesTotal DaysTotal Costs

2012NEWBORN20465$690,49623.3$34,525

2013NEWBORN37665$1,091,73118.0$29,506

2014NEWBORN43960$1,813,98722.3$42,186

2015NEWBORN651,505$3,650,76623.2$56,166

JanMay 201617591148268234.8$87,217

Total1824,1868,729,66123.0$47,965

Normal


2012NEWBORN2,3118,60111,272,6413.7$4,878

2013NEWBORN2,2898,20412,107,4233.6$5,289

2014NEWBORN2,2038,47214,854,3703.8$6,743

2015NEWBORN2,1167,96116,908,0903.8$7,991

JanMay 20169112,9026,160,8453.2$6,763

Total9,83036,14061,303,3693.7$6,236

2012-20152012201320142015Jan-May2016

Non-Drug Exposed Babies3.7

Methdone/Morphine Babies23.318.022.323.234.8

Non-Drug Exposed BabiesMethdone/Morphine Babies

2012-May 20162012201320142015Jan-May2016175911,482,682

Nursery-9,8382037436517

$ 1,537$ 34,525$ 29,506$ 42,186$ 56,166$ 87,217

Non-Drug Exposed BabiesMethdone/Morphine Babies

2012-20152012201320142015

Nursery-7,850NICU 1,06920374365

$ 1,537$ 40,294$ 34,525$ 29,506$ 42,186$ 56,166

Summary

Custom Query - Facility

Report Limits:Empty Filter


All


2012NEWBORN2,3319,066$11,963,1363.9$5,132

2013NEWBORN2,3268,869$13,199,1533.8$5,675

2014NEWBORN2,2469,432$16,668,3574.2$7,421

2015NEWBORN2,1819,466$20,558,8574.3$9,426

Total9,08436,833$62,389,5034.1$6,868

Meth/Morphine


2012NEWBORN20465$690,49623.3$34,525

2013NEWBORN37665$1,091,73118.0$29,506

2014NEWBORN43960$1,813,98722.3$42,186

2015NEWBORN651,505$3,650,76623.2$56,166

Total1653,5957,246,97921.8$43,921

Non-Drug Exposed


2012NEWBORN2,3118,60111,272,6413.7$4,878

2013NEWBORN2,2898,20412,107,4233.6$5,289

2014NEWBORN2,2038,47214,854,3703.8$6,743

2015NEWBORN2,1167,96116,908,0903.8$7,991

Total8,91933,23855,142,5243.7$6,183

Non-Drug Exposed

NICU


2012NICU2444,7047,968,01519.3$32,656

2013NICU2544,6559,050,49918.3$35,632

2014NICU2775,32611,336,04119.2$40,924

2015NICU2945,63014,719,94819.1$50,068

Total1,06920,31543,074,50319.0$40,294

Non-Drug Exposed

Normal


2012NICU2,0673,8973,304,6261.9$1,599

2013NICU2,0353,5493,056,9241.7$1,502

2014NICU1,9263,1463,518,3291.6$1,827

2015NICU1,8222,3312,188,1421.3$1,201

Total7,85012,92312,068,0211.6$1,537

meth morph babies

Custom Query - Facility->.Perspective Standard Charge Master

View Filter:{.Perspective Standard Charge Master}:METHADONE SOL 5MG/5ML 1ML, METHADONE SOL 5MG/5ML 5ML, MORPHINE AMP 2MG/ML 1ML, MORPHINE VL 10MG/ML 1ML, MORPHINE, MSIR SOL 10MG/5ML 5ML, MORPHINE MISC, R&B NURSERY NORMAL LEVEL I, R&B NURSERY CONTINUING LEVEL II, R&B NURSERY INTERMEDIATE LEVEL III (NICU), R&B NURSERY INTENSIVE LEVEL IV (NICU)


Year.Perspective Standard Charge MasterAdmission TypeTotal CasesTotal DaysTotal Costs

2012METHADONE SOL 5MG/5ML 1MLNEWBORN12116$119,349

MORPHINE VL 10MG/ML 1MLNEWBORN3119$183,228

MORPHINE MISCNEWBORN8349$571,146

R&B NURSERY NORMAL LEVEL INEWBORN2,1414,810$4,698,350

R&B NURSERY CONTINUING LEVEL IINEWBORN528$25,684

R&B NURSERY INTERMEDIATE LEVEL III (NICU)NEWBORN1303,821$6,355,889

R&B NURSERY INTENSIVE LEVEL IV (NICU)NEWBORN2394,625$7,873,142


METHADONE SOL 5MG/5ML 5MLNEWBORN111$7,676

MORPHINE VL 10MG/ML 1MLNEWBORN11$932

MORPHINE MISCNEWBORN10423$884,411






MORPHINE VL 10MG/ML 1MLNEWBORN192$239,632

MORPHINE, MSIR SOL 10MG/5ML 5MLNEWBORN1136$301,661

MORPHINE MISCNEWBORN17699$1,528,079





2015METHADONE SOL 5MG/5ML 1MLNEWBORN31543$1,058,165

MORPHINE AMP 2MG/ML 1MLNEWBORN3175$476,675

MORPHINE, MSIR SOL 10MG/5ML 5MLNEWBORN11416$969,054

MORPHINE MISCNEWBORN391,220$3,171,497





Total9,13056,269$106,115,963

patient list

Custom Query - Facility->.Perspective Standard Charge Master->Patient ID

View Filter:{.Perspective Standard Charge Master}:METHADONE SOL 5MG/5ML 1ML, METHADONE SOL 5MG/5ML 5ML, MORPHINE AMP 2MG/ML 1ML, MORPHINE VL 10MG/ML 1ML, MORPHINE, MSIR SOL 10MG/5ML 5ML, MORPHINE MISC, R&B NURSERY NORMAL LEVEL I, R&B NURSERY CONTINUING LEVEL II, R&B NURSERY INTERMEDIATE LEVEL III (NICU), R&B NURSERY INTENSIVE LEVEL IV (NICU)


YearPatient ID.Perspective Standard Charge MasterTotal CasesTotal DaysTotal Costs

20121425161R&B NURSERY NORMAL LEVEL I1----



20121725562R&B NURSERY INTERMEDIATE LEVEL III (NICU)1----

20121725562R&B NURSERY INTENSIVE LEVEL IV (NICU)1----


20121734950MORPHINE VL 10MG/ML 1ML1----

20121734950MORPHINE MISC1----


































































































































































































































20121789025METHADONE SOL 5MG/5ML 1ML1----












































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































20121906692MORPHINE VL 10MG/ML 1ML1----









































































































































































20121921671R&B NURSERY

mark h. merrill - aha · unwavering in their support of the work of the task force • “substance...

Documents