CommStat 09/28/17 Nashua Safe Station 745 646 - 87 = Only 12 - PowerPoint PPT Presentation

CommStat 09/28/17

Nashua Safe Station 745 – 646 - 87 = Only 12 Individuals (1%) w/o Service Data Source: Safe Station AMR Report

Nashua Safe Station <15 Min. Waiting for Service ~30% Incidents Have Non-Unique Participants ~27% Incidents Have Non-Unique Participants Data Source: Safe Station AMR Report

Nashua Safe Station Past Period Current Period Data Source: Safe Station AMR Report

Nashua Safe Station Current Period Data Source: Safe Station AMR Report

Criteria to Access Family Stat A family that has: - A parent with an opioid-related S.U.D who is either actively using or is suspected of actively using - A parent who has experienced an overdose or is suspected of experiencing an overdose - Child(ren) have been, or are at high risk of, being taken into custody - Had increased police contact and/or a family member with recent charges - A history of Narcan use, or suspected Narcan use - Experienced or are currently experiencing homeless, or are at risk of losing stable housing

Chittenden Hub Active Waitlist Chittenden Hub Active Waitlist # and Avg Wait Days 160 138 130 140 120 93 87 100 84 80 80 71 62 59 53 58 75 58 60 67 67 41 40 47 44 23 23 24 20 0 # Waiting Average Days Waiting Median Days Waiting Data Source: Howard Center Triage Report

Chittenden Hub Admission List Chittenden Hub Admission List # and Avg Wait Days 60 53 46 50 46 44 43 40 40 39 38 40 37 35 34 35 28 30 25 24 23 20 23 21 15 14 10 0 # Admitted Average Days Waiting Median Days Waiting Data Source: Howard Center Triage Report

Number of People Treated in Hub & Spokes 1800 605 1600 514 1400 1200 1000 964 925 800 600 400 200 0 Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug 2016 2017 Total Spoke Hub CHCB Community Lund Maple Leaf Total UVM MC Howard Spoke COGS ATP Data Source: Vermont Department of Health and Opioid Care Alliance of Chittenden County

EMS Overdose Incident Responses Data Source: Siren Daily Reports

VT Opioid-Related Accidental Fatal OD Number er of Ac Accident dental al Fatal Over erdos doses es Invol olving ng Opioids ids in Vermont nt by Opioi oid d Type 120 106 110 100 102 90 80 75 75 69 69 61 61 70 61 61 50 50 60 50 50 50 41 41 38 38 40 30 20 10 0 2010 2011 2012 2013 2014 2015 2016 2017 (to June) All Opioids Rx Opioid (No Fentanyl) Heroin & Fentanyl Data Source: Vermont Department of Health

UVM MC Opioid Related ED Visits Monthly thly UVM Medical cal Center er ED Encount unter ers s Average age Monthl hly UVM Medica ical Center er Coded as “Opioid OD” & “Opioid Poisoning” Opioi oid-Coded Coded ED Encou ount nters ers 30 30 25 25 20 20 15 15 10 10 5 5 0 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2015 2016 2017 2017 15 & '16 Average Data Source: UVM MC ED

UVM MC Opioid Related ED Visits Discharge Disposition of UVM MC ED Encounters With DX Code “Opioid OD/ Poisoning”, by Year 100% D/T COURT/LAW ENFORCEMENT 90% D/T PSYCH HSP/PSYCH DIST PRT UNIT HSP w/PACHIPR 80% TRANSFER OTH REHAB DISCH/TRAN TO SNF W/ MCR CERT 70% DECEASED 60% D/T DIFF TYPE HEALTHCARE FACILITY 50% HOSPICE-HOME 40% OTHER HOSPITAL 30% AGAINST MEDICAL ADVICE PSY HOSP OR PSYCH DISTINCT UNIT 20% HOME HEALTH CARE 10% HOM HOME E OR OR S SEL ELF CA CARE ( RE (RO ROUT UTINE) INE) 0% 2015 2016 2017 Data Source: UVM MC ED

UVM MC Opioid Related ED Visits 2017 Discharge Disposition of UVM MC ED Encounters With DX Code “Opioid OD/ Poisoning”, by Month 100% HOME OR HEALTH CARE 90% DISCH/TRAN TO SNF W/ MCR CERT 80% DECEASED D/T DIFF TYPE HEALTHCARE FACILITY 70% PSY HOSP OR PSYCH DISTINCT UNIT 60% AGAINST MEDICAL ADVICE HOM HOME E OR OR S SEL ELF CA CARE ( RE (RO ROUT UTINE) INE) 50% 40% 30% 20% 10% 0% Jan Feb Mar Apr May Jun Jul Aug Data Source: UVM MC ED

SubStat Opioid OD Incidents Opioid- Related “Overdose” Calls Responded to by BPD, CPD, SBPD, MPD, EPD & WPD per SubStat Period 21 16 Non-Fatal Opioid-Related Overdose 14 Incidents Among SubStat Partners 12 Since August 1 st 10 8 6 3 4 2 Fatal Opioid-Related Overdose Incidents Among SubStat Partners 0 Since August 1 st Overdose Incidents Data Source: Valcour Incident Report

Next CommStat Meeting • 10/26 (Thursday) 8:30-11:00 AM • Contois Auditorium Community Forum, “Recovery… The Real Story” • Champlain College • Date & Time to be announced