In 2020 Covid-19 and the opioid epidemic collided, creating a "twindemic" that overwhelmed healthcare providers, community organizations, and state and local governments. While widespread vaccine distribution will mitigate Covid-19, the opioid epidemic endures – and evolves. Those suffering from opioid use disorder (OUD) are more at risk for relapse during times of stress, and disruptions in case management and increased isolation likely contribute to an increase in opioid-related deaths in more than 40 states.
Fortunately, a number of state and local governments leveraged the data sharing and analytics programs already in place to combat substance use disorder (SUD) and applied it to their pandemic responses. Now it's time for state and local leaders to build on that progress and use the learnings of the past year to prepare for what's next. With the American Rescue Plan and a surge of other opioid-related funding, state and local leaders must seize the opportunity to develop the data-sharing programs and analytics tools they need to create innovative and data-driven solutions for addressing opioid abuse in their communities.
Building a High-Impact Substance Use Disorder (SUD) Analytics Framework
Creating a statewide approach to substance use disorder begins with data sharing. Best-in-class frameworks will combine previously siloed data from different agencies, secretariats, localities, social services, public safety and corrections, drug courts, community coalitions, and private healthcare systems. Once the data-sharing infrastructure and agreements are in place, business intelligence and analytics capabilities are layered in to turn the collective data into actionable insights.
Through this framework, states can grasp insights critical to prevention, early intervention, treatment, and recovery.
Empowering Front Line Responders with Data Analytics
An effective data-sharing program brings together data from the myriad of state and local agencies and gets that data into the hands of people on the front lines: EMS workers, local law enforcement, community treatment centers, etc. While some states have programs in place to measure the impact of the opioid crisis, next-generation solutions must empower on-the-ground decision-making by community responders.
One way to funnel the right information to the local responders is by incorporating a self-service analytics layer into the cross-agency data-sharing program. This gives approved community organizations, both inside and outside the government, dashboards, reports, and data visualization tools they need to interpret data as they respond to the crisis. It's important that the user experience is designed for non-technical users, not data scientists.
An agency participating in Virginia's FAACT platform found that 50% of all EMS incidents involving opioids were initially diagnosed as mental or behavioral disorders instead of opioid-related. This is seminal for targeted training for first responders, who can save lives by administering Narcan (naloxone) early.
Once local responders have access to this powerful data, they can use it to identify individuals who need help now, as well as those who may be more susceptible to opioid use in the future based on their individual circumstances. Potential insights include:
- Improve community education and social services outreach by understanding "Age of First Use" and "Age of First Arrest"
- Create early warning systems to predict regional overdose spikes and proactively distribute life-saving drugs to local responders
- Adjust staffing of peer recovery specialists in hospitals and treatment centers
- Understand which Child Protective Services cases involve parental OUD and measure the outcomes of different intervention methods
Data Analytics and Preparing for Future Disruptions in Care
One of the reasons behind the spike in opioid overdoses during Covid was the sudden drop in the availability of healthcare services. While we can't predict when we'll experience an event as disruptive as the pandemic again, state and local leaders can use data analytics to mitigate the risk of future disruptions.
For example, by analyzing broadband internet access in comparison to substance use by region, local governments can identify neighborhoods that are unlikely to be able to access telehealth services should stay-at-home orders be reinstated in the future. Healthcare providers could study the efficacy of telehealth treatment versus in-person treatment across age groups or other demographics to inform future programs.
The Addiction Policy Forum found that more than one in three patients in recovery programs experienced changes or disruptions in accessing treatment during COVID-19.
Analytics could be used to gather a variety of insights related to future disruptions in care:
- Study the outcomes of regulatory changes made during Covid-19 related to continuity of care, including the teleprescribing of buprenorphine, used to combat narcotic addiction
- Analyze waiting room capacity and hospital bed inventory across regions to identify areas at high risk of overcrowding if social distancing is required
- Identify overlaps in community services used by those with OUD to investigate opportunities to reach patients outside of traditional healthcare centers
Mitigating and Treating the Use of Multiple Substances
The number of overdoses involving multiple substances was on the rise well before 2020. In 2018, roughly 63% of opioid overdose deaths in the United States also involved cocaine, methamphetamine, or benzodiazepines, and deaths from overdoses involving synthetic opioids like Fentanyl were up 52% year-over-year in August of 2020.
Because of the rise in overdose deaths, experts recommend that efforts to reduce opioid overdoses should also include methods of mitigating the use of multiple substances. To do so, state and local government and community organizations must understand the prevalence of specific substances in their communities and the outcomes of those substances on the health of their constituents:
- Identify emerging trends in substance use by combining law enforcement data and hospital data
- Perform targeted analyses on fatal opioid overdoses involving multiple substances
- Improve law enforcement intervention programs by drilling down into details about arrests, including substances involved, time of arrest, location, and activity (e.g., buying/receiving)
Virginia's FAACT platform has enabled law enforcement task forces to respond rapidly to dangerous drugs infiltrating a community. For example, when FAACT dashboards showed a spike in patients admitted for suspected overdoses in a particular rural hospital, the task force moved quickly to interview patients to identify the source of the drugs. Law enforcement apprehended the individuals responsible for the distribution, and the volume of overdoses in the community immediately dropped.
For more information about driving change through analytics, check out our Imagine™ Innovation Framework white paper.
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Qlarion is a government innovation firm that provides data and analytics solutions for federal, state, and local government agencies. We work with our clients to identify, design, and implement data and analytics solutions that create a lasting impact for our clients and the communities they serve.
Our expertise includes:
- Enterprise Data Management: We create and optimize mission-driven initiatives that unlock the potential of your data.
- Business Intelligence & Analytics: Through our proven approach to business intelligence and data analytics, we create programs that can be rapidly built, tested, and scaled.
- Cross-Agency Data Sharing: We develop secure, cloud-based, highly scalable data-sharing platforms that transform the way government agencies operate.