Opioid Prescriber Education Funding for Local Public Health Violence and Injury Prevention Mental Health Promotion Branch
Lindsey Myers Branch Chief lindsey.myers@state.co.us Lindsey Kato Overdose Prevention Coordinator lindsey.kato@state.co.us Maria Butler Prescription Drug Epidemiologist maria.butler@state.co.us
CDC Prescription Drug Overdose for States Grant Overview March 1, 2016 to August 31, 2019 Funding Amount: $4,723,607
• Increase use of PDMP for public health surveillence • Easier access/use to the Colorado PDMP • Pilots: HIE Integration, Direct EHR Integration, Software as a Service Integration • Identify and provide TA to high-burden communities, especially efforts to address problematic prescribing • Evaluate the impact of Naloxone distribution to law enforcement agencies in high burden communities • Medicaid opioid policy evaluation • Heroin Assessment Report in collaboration with RMHIDTA and Heroin Response Work Group
PDMP as a Surveillance Tool First analyzed PDMP data for 2014 • “Data dump” from PDMP vendor • County fact sheet prototype: Characteristics of • prescriptions by county, patient-provider risk factors, death, hospitalization, emergency department Just received data file from PDMP vendor for 2015- • 2016 last week. Updating county fact sheets with three years of data • then will disseminate
High Burden Communities: Definition: The top counties in Colorado identified utilizing a high-burden criteria considering: the highest overdose death rates related to prescription drugs (2013-2015), the number of DEA licensed opioid prescribers, and population size. Las Animas/Huerfano Denver Otero/Crowley Alamosa (San Luis Valley) Teller Routt Clear Creek Summit Chaffee Larimer Pueblo Jefferson/Gilpin Adams (Tri-County) El Paso
DEA Licensed Prescribers: County Death Rate # DEA Prescribers 2015 Population Las Animas/Huerfano 13.5 58 20,512 Otero/Crowley 11.8 65 23,327 Teller 10.3 71 23,461 Clear Creek 10.2 6 9,328 Chaffee 10 84 18,604 Pueblo 9.6 838 163,348 Adams/Arapahoe/Douglas 9.2 8,166 1,443,410 Denver 8.0 4,631 683,096 Alamosa (San Luis Valley) 7.9 165 46,097 Routt 7.4 161 24,103 Summit 6.6 152 30,299 Larimer 6.5 1,804 332,832 Jefferson/Gilpin 6.1 2,763 571,049 El Paso 5.8 3,402 677,022
Funding Formula: $1.2 million to provider education in high-burden counties from September 1, 2016 through August 31, 2019. # of Licensed DEA Providers Base Funding Amount < 100 $20,000 100 – 500 $30,000 500 – 5,000 $40,000 5,000 + $50,000 Additional Adjustments: Additional Funding for Partnering = $5,000 - $10,000 Additional Funding for Highest Mortality Rates (9.0 +) = $5,000 Small Population Adjustment (< 40,000) = - $5,000
Overlap with the Attorney General’s Naloxone for Life Initiative
AG Naloxone for Life Funding CDPHE Prescriber Education Funding
Scope of Work Decrease the burden of prescription opioid morbidity and morality in high-burdened communities in Colorado. Objective #1 Increase local provider uptake of CDC Opioid Prescribing Guidelines. Primary Activities Implement opioid prescriber education activities within • the community. Evaluate the implementation of opioid prescriber • education activities.
Scope of Work Decrease the burden of prescription opioid morbidity and morality in high-burdened communities in Colorado. Objective #1 Engage in a multidisciplinary coalition addressing prescription drug misuse, abuse, and overdose prevention. Primary Activities Establish or actively participate in a local • coalition(comprising of local public health, law enforcement, government, medical providers and payers) addressing prescription drug misuse, abuse, and overdose prevention.
Additional VIP-MHP Updates • Office of Suicide Request for Applications for Community Projects will be released in the next couple of weeks. • Approximately 10 awards at $25,000 per year for five years. • The Communities That Care (CTC) RFP brought on an Opioid Prescriber Education additional 9 CTC communities and we now have 46 total • There is a new Marijuana Health Effects Report Monitoring Funding for Local Public Health Health Concerns Related to Marijuana in Colorado: 2016. We will be doing a webinar soon to talk about what is new. • VIP-MHP Branch will be hosting a large conference in June • There will be several additional learning opportunities coming up (shaping policy for health, webinars, downtown streets regional trainings, positive youth development trainings, and a new all-day marijuana and public health training)
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