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Next Generation AnalyticsAn Indiana Opioid Data Overview

Jim McClellandTim GeorgeJosie FasoldtLee Everett

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Attacking the Drug EpidemicThe Problem• Since 2008, over 11,000 Hoosiers have died of a drug overdose. More than 4,600 deaths

were from opioids.• Drug Overdose Deaths in Indiana have become the number 1 cause of

accidental/intentional death.• More than 10 state agencies and hundreds of local entities work directly to address the

opioid crisis. Coordination of these efforts is a challenge.• Data is often isolated and utilized only within the agency collecting it.

Solutions• Understanding the problem from a state level using data & analytics.• Creation of Drug Data Working Group to increase the use and sharing of data among

agencies.• Increasing the quality and use of data in determining where to locate resources, evaluate

effectiveness of initiatives and drive policy decisions.

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MPH’s RoleThe State of Indiana Management Performance Hub is a unique agency that serves 70 agencies by unlocking data, analyzing it, and sharing it with agencies and external partners. This enables the State to:

Understand how challenges intersect across agencies and what the foundational root of each is for our citizens.

Convene government agencies and community partners to tackle complex challenges with innovative solutions.

Merge disparate datasets to develop a holistic understanding and greater insights for problem solving and sharing

Leverage technology across agencies saving resources and creating continuity of systems across government.

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Agency Subject Matter Experts

Agency Subject Matter Experts

Agency Subject Matter Experts

Agencies see through the lenses of available information about their area of deep expertise.

Agency Subject Matter Experts

Agency Subject Matter Experts

Agency Subject Matter Experts

Single-Source View

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When combined, a more complete view of a challenge becomes available.

Holistic and coordinated solutions are realized.

Holistic and Coordinated Approach

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Drug and Opioid Related Deaths

*”Unspecified Drug(s)”: Mortality caused by ill-defined or unknown substance(s)

% Change in Unspecified

Drugs-41%

% Change Average from 2008 to 2014+42% (D)+50% (O)

% Change from 2014 to

2017+39% (D)+97% (O)

*Provisional report of 2017 opioid-related deaths occurring in Indiana.

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Drug and Opioid Related DeathsDrug Poisoning Deaths Without a Contributing

Cause of Death ICD Code by County (2017)

Drug poisoning deaths have ICD-10 underlying cause of death codes of X40 through X44 (unintentional), X60 through X64 (suicide), X85 (homicide), or Y10 through Y14 (undetermined intent). The ICD drug group and drug name in this dashboard are based on the ICD-10 contributing cause of death code. A decedent may have between 0 and 10 contributing causes of death.

*Provisional report of 2017 opioid-related deaths occurring in Indiana.

% Change in Heroin Deaths

since 2010+533%

% Change in Multiple

Opioids Deaths since 2010 +912%

% Change in Synthetic

Opioid Deaths since 2010+644%

% Improvement in ICD Code

Reporting since 2010-63%

Statewide ICD Code Reporting (missing): 21%

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Drug and Opioid Related Deaths

Reported death rates from all drug types in 2013, 2015 and 2017 (provisional)

Range is from 0 to 77 per 100,000 residents.

Drug Related Deaths

Opioid Related Deaths

Reported opioid-related death rates in 2013, 2015 and 2017 (provisional)

Range is from 0 to 61 per 100,000 residents.

Drug Related Deaths

Opioid Related Deaths

*Provisional report of 2017 opioid-related deaths occurring in Indiana.

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Prescriptions - INSPECT• INSPECT collects patient, prescriber and dispenser

information for Schedule II-V drugs.• Database can be accessed by prescribers, pharmacists and

law enforcement.• Top Opioid Dispensations in 2017 for Indiana:

• Hydrocodone• Oxycodone• Tramadol

*Opioid dispensations per 100 residents by patient county

7/1/2017-6/30/2018

*Opioid Dispensations in Indiana (Rate per 100)

% Change Opioid dispensations 2015-2017:

-8.5%

Opioid dispensations in last 12 months

5.84M

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Opioid Emergency Department Reported Overdoses

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EMS Naloxone Administration

Indianapolis

IDHS Naloxone Heat Map: Naloxone Administrations

Naloxone Administrations

% Change from 2014 to 2016

+108%

Population Centers & Hot Spots (Areas of Concentration)

*Data represents 2017

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Laboratory Information Management System (LIMS) -Drug Seizures

• LIMS data contains information on the substances that were processed by the Indiana State Police and Marion county forensics laboratories.

Indiana Lab Submissions by DEA GroupingTotal Drug Seizures in 2017

22,572

% Change in Total Drug Seizures

since 2009+9%

% Change in Opioid Seizures

since 2009+84%

% Change in Fentanyl Seizures

since 2013+304% (F)

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LIMS - Drug Seizures

Opioid Lab Submissions: 2013, 2015 and 2017

Click here to access LIMS data

hub.mph.IN.gov

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Arrests: Criminal History Repository Information System (CHRIS)

Total Arrests per 10K Residents

Drug Arrests per 10K Residents

Total Arrested Individuals91,311

YTD % Changefrom Previous Year

-0.4%

Drug & Alcohol Related Arrested Individuals33,103 (36.3%)

YTD % Change from Previous Year

+3.8%

Opioid Related Arrested Individuals

2,223 (6.7%)

YTD % Changefrom Previous Year

-13.2%

Opioid Arrests per 10K Residents

2017 Arrest Info

2018 Arrest YTD

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Arrests: Total, Drug, OpioidTotal arrests per month over the last 10 years.

Total opioid-related arrests per month over the last 10 years.

Total Arrested Individuals% Change2008-2017

-2.0%

Drug & Alcohol Related Arrested Individuals

% Change2008-2017+1.1%

Opioid-Related Arrested Individuals

% Change2008-2017+398%

Total drug & alcohol related arrests per month over the last 10 years.

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Arrests, Drug Seizures, and Deaths

Opioid Arrests per 10K residents

Opioid Seizures per 100K residents

Cross Category Comparison (2017)

Opioid-Related Deaths per 100K residents

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Statewide Record LinkageFrom January 2014 through October 2017

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Statewide Record Linkage

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Statewide Record Linkage

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Statewide Record Linkage

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Statewide Record Linkage

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Statewide Record Linkage

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Indiana Data Hubhub.mph.IN.gov

50+ Datasets 6 DataSources

This data on the Indiana Data Hub is housed securely, de-identified, and published in a manner that promotes analysis, collaboration, and innovation.

Indiana maintains data that can inform the important efforts of policy makers, researchers, and others.

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Conclusion• Increasing data quality, use and analysis is a top priority• Future Data Actions:

• Continued data acquisition• Data quality initiatives• Partnerships with researchers and community

stakeholders• Record linkage & enhanced data analysis• Increase access to State data for those who can use it

to improve lives, including through the Indiana Data Hub• Our efforts are laying the groundwork and infrastructure to

address not just the opioid crisis, but future health and public safety crises.

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Questions?