Next Generation Analytics An Indiana Opioid Data Overview Jim McClelland Tim George Josie Fasoldt Lee Everett - 1 -
Attacking the Drug Epidemic The 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. - 2 -
MPH’s Role The 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 Merge disparate datasets to intersect across agencies and develop a holistic understanding what the foundational root of and greater insights for problem each is for our citizens. solving and sharing Convene government agencies Leverage technology across and community partners to agencies saving resources and tackle complex challenges with creating continuity of systems innovative solutions. across government. - 3 -
Single-Source View 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 Agency Subject Matter Experts Agency Subject Matter Experts Agency Subject Matter Experts - 4 -
Holistic and Coordinated Approach When combined, a more complete view of a challenge becomes available. Holistic and coordinated solutions are realized. - 5 -
Drug and Opioid Related Deaths % Change Average from 2008 to 2014 +42% (D) +50% (O) % Change from 2014 to 2017 +39% (D) +97% (O) % Change in Unspecified Drugs -41% *”Unspecified Drug(s)”: Mortality caused by ill-defined or unknown substance(s) *Provisional report of 2017 opioid-related deaths occurring in Indiana. - 6 -
Drug and Opioid Related Deaths Drug Poisoning Deaths Without a Contributing Cause of Death ICD Code by County (2017) % Change in % Change % Change in % Improvement in Multiple Statewide ICD Code Reporting (missing): 21% in Heroin Synthetic ICD Code Opioids Deaths Deaths Opioid Deaths Reporting since since 2010 since 2010 since 2010 2010 +912% +533% +644% -63% *Provisional report of 2017 opioid-related deaths occurring in Indiana. 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. - 7 -
Drug and Opioid Related Deaths Drug Related Deaths Drug 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. Opioid 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. *Provisional report of 2017 opioid-related deaths occurring in Indiana. - 8 -
Prescriptions - INSPECT *Opioid dispensations per 100 • INSPECT collects patient, prescriber and dispenser residents by patient county information for Schedule II-V drugs. 7/1/2017-6/30/2018 • Database can be accessed by prescribers, pharmacists and law enforcement. • Top Opioid Dispensations in 2017 for Indiana: • Hydrocodone • Oxycodone • Tramadol *Opioid Dispensations in Indiana (Rate per 100) % Change Opioid dispensations 2015-2017: -8.5% Opioid dispensations in last 12 months 5.84M - 9 -
Opioid Emergency Department Reported Overdoses - 10 -
EMS Naloxone Administration Naloxone Administrations Population Centers & % Change Hot Spots (Areas of Concentration) from 2014 to 2016 +108% IDHS Naloxone Heat Map: Naloxone Administrations Indianapolis *Data represents 2017 - 11 -
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. Total Drug Indiana Lab Submissions by DEA Grouping 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) - 12 -
LIMS - Drug Seizures Opioid Lab Submissions: 2013, 2015 and 2017 Click here to access LIMS data hub.mph.IN.gov - 13 -
Arrests: Criminal History Repository Information System (CHRIS) Total Arrested Individuals Drug & Alcohol Related Opioid Related Arrested Arrested Individuals Individuals 91,311 33,103 (36.3%) 2,223 (6.7%) 2018 Arrest YTD % Change YTD % Change YTD % Change from Previous Year from Previous Year from Previous Year YTD -13.2% +3.8% -0.4% Total Arrests per 10K Drug Arrests per 10K Opioid Arrests per 10K Residents Residents Residents 2017 Arrest Info - 14 -
Arrests: Total, Drug, Opioid Total arrests per month over the last 10 years. Total Arrested Individuals % Change 2008-2017 -2.0% Total drug & alcohol related arrests per month over the last 10 years. Drug & Alcohol Related Arrested Individuals % Change 2008-2017 +1.1% Total opioid-related arrests per month over the last 10 years. Opioid-Related Arrested Individuals % Change 2008-2017 +398% - 15 -
Arrests, Drug Seizures, and Deaths Cross Category Comparison (2017) Opioid Arrests per 10K Opioid Seizures per 100K Opioid-Related Deaths residents residents per 100K residents - 16 -
Statewide Record Linkage From January 2014 through October 2017 - 17 -
Statewide Record Linkage - 18 -
Statewide Record Linkage - 19 -
Statewide Record Linkage - 20 -
Statewide Record Linkage - 21 -
Statewide Record Linkage - 22 -
Indiana Data Hub hub.mph.IN.gov 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. Data 6 50+ Datasets Sources - 23 -
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. - 24 -
Questions? - 25 -
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