Difference between revisions of "Effective Action Planning and Implementation"

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= Improve Alignment & Teamwork Among Existing Programs & Opioid-Related Coalitions =
=Improve Alignment & Teamwork Among Existing Programs & Opioid-Related Coalitions=
<div id="toc">
<div id="toc">
=Table of Contents=
= Table of Contents =
<div style="margin-left: 1em">[[#Background|Background]]</div><div style="margin-left: 1em">[[#Current Status|Current Status]]</div><div style="margin-left: 2em">[[#Current Status-Building Effective Public Safety-Public Health Partnerships|Building Effective Public Safety-Public Health Partnerships]]</div><div style="margin-left: 1em">[[#Community Anti-Drug Coalitions of America (CADCA)|Community Anti-Drug Coalitions of America (CADCA)]]</div><div style="margin-left: 1em">[[#Deloitte Center for Health Solutions (DCHS)|Deloitte Center for Health Solutions (DCHS)]]</div><div style="margin-left: 1em">[[#Tools & Resources|Tools & Resources]]</div><div style="margin-left: 1em">[[#Scorecard Building|Scorecard Building]]</div><div style="margin-left: 1em">[[#Resources to Investigate|Resources to Investigate]]</div><div style="margin-left: 1em">[[#Sources|Sources]]</div></div>Return to [[Opioid Top-Level Strategy Map]]<br /> <br />
<div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Current_Status|Current Status]]</div> <div style="margin-left: 2em">[[#Current_Status-Building_Effective_Public_Safety-Public_Health_Partnerships|Building Effective Public Safety-Public Health Partnerships]]</div> <div style="margin-left: 1em">[[#Community_Anti-Drug_Coalitions_of_America_.28CADCA.29|Community Anti-Drug Coalitions of America (CADCA)]]</div> <div style="margin-left: 1em">[[#Deloitte_Center_for_Health_Solutions_.28DCHS.29|Deloitte Center for Health Solutions (DCHS)]]</div> <div style="margin-left: 1em">[[#Tools_.26_Resources|Tools & Resources]]</div> <div style="margin-left: 1em">[[#Scorecard_Building|Scorecard Building]]</div> <div style="margin-left: 1em">[[#Resources_to_Investigate|Resources to Investigate]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div> Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]<br/> &nbsp;
=Background=
= Background =
This Objective addresses a few different things:<br />


# Fragmentation with regard to the many different groups working to address the opioid crisis. In any mid-to-large metro area or state, there are likely many different opioid-related groups that are not well aligned or coordinated. A community will be more effective if the many different groups can work together. In some cases, they may have most of the right people and organizations together at the table, but they still may not be working as a team.
This Objective addresses a few different things:
# This would include multi-sector teamwork, such as social services, law enforcement, public health, treatment programs, etc. (like you share below.)
 
# This would also include coordinated continuum of care including integrating addiction treatment into primary care, and community care coordination using tools like XCare Community or The Good Grid.
# Availability of supportive social services (especially re-integration after incarceration)
# Other community connections to support the success of people dealing with substance misuse (like job programs, faith communities, etc.)
=Current Status=
==Building Effective Public Safety-Public Health Partnerships==
<br /> <u>'''Principles for Building Better Relationships'''</u><br />  The Police Executive Research forum reports 5 principles for building better partnerships between law enforcement agencies, public health organizations, treatment providers, and other stakeholders from their April 2016 meeting. The five principles are:<br />


# Find common ground and work toward shared goals.
#Fragmentation with regard to the many different groups working to address the opioid crisis. In any mid-to-large metro area or state, there are likely many different opioid-related groups that are not well aligned or coordinated. A community will be more effective if the many different groups can work together. In some cases, they may have most of the right people and organizations together at the table, but they still may not be working as a team.
# Respect and Learn from one another's positions and perspectives
#This would include multi-sector teamwork, such as social services, law enforcement, public health, treatment programs, etc. (like you share below.)
# Involve people from all levels within an organization
#This would also include coordinated continuum of care including integrating addiction treatment into primary care, and community care coordination using tools like XCare Community or The Good Grid.  
# Be open to expanding your perspective and accepting new roles.
#Availability of supportive social services (especially re-integration after incarceration)
# Maintain a community focus.<sup class="reference">[1]</sup>
#Other community connections to support the success of people dealing with substance misuse (like job programs, faith communities, etc.)
<br /> <u>'''Data Collection and Sharing'''</u><br /> <u>Current Barriers</u><br />


* access to timely mortality data
= Current Status =
* access to medical and pharmacy records
* access to law enforcement data (access to the results of forensic tests conducted on drugs that are seized by police or sheriffs’ departments, data on the locations of arrests and drug enforcement activities would help them develop more targeted interventions)<sup class="reference">[2]</sup>
<br /> <u>Examples of Data Sharing</u><br />


* ''RxStat (New York, NY)''<sup class="reference">[3]</sup>
== Building Effective Public Safety-Public Health Partnerships ==
** '''Partners''': the New York City Department of Health and Mental Hygiene with their public safety partners.
** '''Approach''': RxStat consists of two general phases: collecting timely and accurate data and using the data to develop targeted interventions aimed at reducing overdose deaths.
** '''Outcomes''': Staten Island has seen a 29 percent decrease in prescription opioid deaths since officials first began implementing RxStat.
<br />


* ''Project Vision (Rutland, VT)''<sup class="reference">[4]</sup>
<br/> <u>'''Principles for Building Better Relationships'''</u><br/> The Police Executive Research forum reports 5 principles for building better partnerships between law enforcement agencies, public health organizations, treatment providers, and other stakeholders from their April 2016 meeting. The five principles are:
** '''Partners''': Rutland Police Department (led by Chief Brian Kilcullen), elected officials, representatives from the medical field, social service providers, local businesses, criminal justice agencies, schools, nonprofit organizations, mental health providers, faith-based groups, federal and state law enforcement agencies, and other stakeholders.
** '''How it works''': RuStat meetings every other week. During the meetings, representatives from the police department present specific addresses within the community that have been the subject of three or more police visits during the previous two-week period. Project VISION members can then determine whether they are familiar with the addresses through their own work—for example, a social worker who is at the meeting may have a client at the address. From there, Project VISION partners can devise a plan to provide the person identified with the appropriate services. According to Scott Tucker, Executive Director of Project VISION, many of the crimes associated with drug use have decreased since the program started.
** '''Outcomes''': From 2014-2016, burglaries decreased by 60 percent, shoplifting decreased by 36 percent, and larcenies went down by 40 percent.
** '''Website''': [http://projectvisionrutland.com]
** '''Contact''': [http://projectvisionrutland.com/contact/]
<br />


* ''Local Overdose Fatality Review program (Maryland)''
#Find common ground and work toward shared goals.
** '''Partners''': Maryland Department of Health and Mental Hygeine (DHMH), overdose fatality review teams in each county in the state.
#Respect and Learn from one another's positions and perspectives
** '''How it works''': For each overdose incident, the DHMH provides the local review team with information from the state medical examiner’s office including raw information about the death and any substances found during the medical examination and other information it can gather such as the deceased’s drug treatment records. Team members must sign a confidentiality agreement to obtain access to protected health information. The local review teams examine these data and all other information they receive about each case. Based on this review, the team develops a set of findings about what potentially could have been done to prevent the death including any missed opportunities for prevention, gaps in the system, and areas for increased collaboration among agencies and stakeholders at the local level. The team also develops recommendations for how these deficiencies could be addressed through changes in laws, policies, and protocols.The review team’s findings and recommendations are shared with officials at the state level, who use the information to inform policies and programs aimed at preventing future overdose deaths.<sup class="reference">[5]</sup>
#Involve people from all levels within an organization
** '''Outcomes''':
#Be open to expanding your perspective and accepting new roles.
*** Quality of referral systems improved
#Maintain a community focus.<sup class="reference">[1]</sup>
*** Increased focus on outreach to families to provide overdose prevention & treatment services by local health departments and other providers
 
*** Identification of new target audiences for Overdose Response Program (naloxone) trainings
<br/> <u>'''Data Collection and Sharing'''</u><br/> <u>Current Barriers</u>
*** Increased awareness of member agency staff of overdose related issues and Overdose Response Program training for member agency staff
 
*** <span style="color: #000000; font-family: arial,sans-serif; font-size: 10pt">Changes to intake questionnaires to include questions about overdose history </span>
*access to timely mortality data
** '''Website:''' [http://bha.dhmh.maryland.gov/OVERDOSE_PREVENTION/Pages/OFR-.aspx]
*access to medical and pharmacy records
** '''Contact''': <span style="font-family: arial,sans-serif; font-size: 10pt">Erin Haas (Program Manager) </span>[[mailto:erin.haas@maryland.gov.%20|erin.haas@maryland.gov]]
*access to law enforcement data (access to the results of forensic tests conducted on drugs that are seized by police or sheriffs’ departments, data on the locations of arrests and drug enforcement activities would help them develop more targeted interventions)<sup class="reference">[2]</sup>
<br /> <br />
 
=Community Anti-Drug Coalitions of America (CADCA)=
<br/> <u>Examples of Data Sharing</u>
  CADCA is devoted to building community coalitions to fight substance use. To date, they have built over 200 coalitions in 23 countries.<sup class="reference">[6]</sup> Through CADCA's [http://www.cadca.org/ website] interested organizations and individuals can [http://www.cadca.org/webform/join-existing-coalition join an existing coalition] or [http://www.cadca.org/start-new-coalition start their own]. For more info on CADCA, view this video:<br />  <br /> <br /> <br /> <br />
 
=Deloitte Center for Health Solutions (DCHS)=
*''RxStat (New York, NY)''<sup class="reference">[3]</sup>
  The Deloitte Center for Health Solutions, part of Deloitte LPP's Life Sciences and Health Care practice, is a source for fresh perspectives in health care. It looks deeper at the biggest industry issues and provides new thinking around complex challenges. Cutting-edge research and thought-provoking analysis give their clients the insights they need to see things differently, and address the changing landscape.<sup class="reference">[7]</sup> DCHS developed a report called, "[http://www.modernhealthcare.com/assets/pdf/CH115670524.PDF Strategies for stemming the opioid crisis]" that describes how data analytics can help health plans and pharmacy benefit managers chart their course. To learn more about the DCHS and their research, visit [http://www.deloitte.com/centerforhealthsolutions].<br /> <br />  According to their major findings, potential strategies for health plans and pharmacy benefit managers (PBMs) include:<sup class="reference">[8]</sup><br />  
**'''Partners''': the New York City Department of Health and Mental Hygiene with their public safety partners.
**'''Approach''': RxStat consists of two general phases: collecting timely and accurate data and using the data to develop targeted interventions aimed at reducing overdose deaths.
**'''Outcomes''': Staten Island has seen a 29 percent decrease in prescription opioid deaths since officials first began implementing RxStat. 
 
&nbsp;
 
*''Project Vision (Rutland, VT)''<sup class="reference">[4]</sup>
**'''Partners''': Rutland Police Department (led by Chief Brian Kilcullen), elected officials, representatives from the medical field, social service providers, local businesses, criminal justice agencies, schools, nonprofit organizations, mental health providers, faith-based groups, federal and state law enforcement agencies, and other stakeholders.
**'''How it works''': RuStat meetings every other week. During the meetings, representatives from the police department present specific addresses within the community that have been the subject of three or more police visits during the previous two-week period. Project VISION members can then determine whether they are familiar with the addresses through their own work—for example, a social worker who is at the meeting may have a client at the address. From there, Project VISION partners can devise a plan to provide the person identified with the appropriate services. According to Scott Tucker, Executive Director of Project VISION, many of the crimes associated with drug use have decreased since the program started.
**'''Outcomes''': From 2014-2016, burglaries decreased by 60 percent, shoplifting decreased by 36 percent, and larcenies went down by 40 percent.
**'''Website''': [http://projectvisionrutland.com [1]]
**'''Contact''': [http://projectvisionrutland.com/contact/ [2]] 
 
&nbsp;
 
*''Local Overdose Fatality Review program (Maryland)''  
**'''Partners''': Maryland Department of Health and Mental Hygeine (DHMH), overdose fatality review teams in each county in the state.  
**'''How it works''': For each overdose incident, the DHMH provides the local review team with information from the state medical examiner’s office including raw information about the death and any substances found during the medical examination and other information it can gather such as the deceased’s drug treatment records. Team members must sign a confidentiality agreement to obtain access to protected health information. The local review teams examine these data and all other information they receive about each case. Based on this review, the team develops a set of findings about what potentially could have been done to prevent the death including any missed opportunities for prevention, gaps in the system, and areas for increased collaboration among agencies and stakeholders at the local level. The team also develops recommendations for how these deficiencies could be addressed through changes in laws, policies, and protocols.The review team’s findings and recommendations are shared with officials at the state level, who use the information to inform policies and programs aimed at preventing future overdose deaths.<sup class="reference">[5]</sup>  
**'''Outcomes''':  
***Quality of referral systems improved  
***Increased focus on outreach to families to provide overdose prevention & treatment services by local health departments and other providers  
***Identification of new target audiences for Overdose Response Program (naloxone) trainings  
***Increased awareness of member agency staff of overdose related issues and Overdose Response Program training for member agency staff  
***<span style="color: #000000; font-family: arial,sans-serif; font-size: 10pt">Changes to intake questionnaires to include questions about overdose history</span>  
**'''Website:''' [http://bha.dhmh.maryland.gov/OVERDOSE_PREVENTION/Pages/OFR-.aspx [3]]  
**'''Contact''': <span style="font-family: arial,sans-serif; font-size: 10pt">Erin Haas (Program Manager) </span>[[mailto:erin.haas@maryland.gov.%20|erin.haas@maryland.gov [4]]]  
 
<br/> &nbsp;
 
= Community Anti-Drug Coalitions of America (CADCA) =
 
  CADCA is devoted to building community coalitions to fight substance use. To date, they have built over 200 coalitions in 23 countries.<sup class="reference">[6]</sup> Through CADCA's [http://www.cadca.org/ website] interested organizations and individuals can [http://www.cadca.org/webform/join-existing-coalition join an existing coalition] or [http://www.cadca.org/start-new-coalition start their own]. For more info on CADCA, view this video:
 
 
 
 
 
 
= Deloitte Center for Health Solutions (DCHS) =
 
  The Deloitte Center for Health Solutions, part of Deloitte LPP's Life Sciences and Health Care practice, is a source for fresh perspectives in health care. It looks deeper at the biggest industry issues and provides new thinking around complex challenges. Cutting-edge research and thought-provoking analysis give their clients the insights they need to see things differently, and address the changing landscape.<sup class="reference">[7]</sup> DCHS developed a report called, "[http://www.modernhealthcare.com/assets/pdf/CH115670524.PDF Strategies for stemming the opioid crisis]" that describes how data analytics can help health plans and pharmacy benefit managers chart their course. To learn more about the DCHS and their research, visit [http://www.deloitte.com/centerforhealthsolutions [5]].
 
  According to their major findings, potential strategies for health plans and pharmacy benefit managers (PBMs) include:<sup class="reference">[8]</sup>
 
 
*Leveraging data and emerging technologies
*Working toward more streamlined data collection and sharing
*Supporting the development of evidence-based standards and quality metrics to define and encourage successful treatment
*Advocating for policy changes at the federal level
 
<br/> This complex, multifaceted problem calls for systematic solutions across the healthcare system.<sup class="reference">[9]</sup> Read more about [https://www2.deloitte.com/insights/us/en/industry/health-care/strategies-health-plans-pbms-to-stem-opioid-crisis-with-data-technology.html#interactive?id=us:2el:3dp:mdrnhlth:eng:lshc:060118 strategies for stemming the opioid crisis].
 
= Tools & Resources =
 
[[TR_-_Improve_Alignment_&_Teamwork_Among_Existing_Programs_&_Opioid_Related_Coalitions|TR - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions]]
 
= Scorecard Building =
 
[[PO_-_Improve_Alignment_&_Teamwork_Among_Existing_Programs_&_Opioid_Related_Coalitions|Potential Objective Details]]<br/> [[PM_-_Improve_Alignment_&_Teamwork_Among_Existing_Programs_&_Opioid_Related_Coalitions|Potential Measures & Data Sources]]<br/> [[PA_-_Improve_Alignment_&_Teamwork_Among_Existing_Programs_&_Opioid_Related_Coalitions|Potential Actions and Partners]]
 
= <span style="background-color: #ffffff">Resources to Investigate</span> =
 
[[RTI_-_Improve_Alignment_&_Teamwork_Among_Existing_Programs_&_Opioid_Related_Coalitions|RTI - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions]]<br/> <br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>


* Leveraging data and emerging technologies
* Working toward more streamlined data collection and sharing
* Supporting the development of evidence-based standards and quality metrics to define and encourage successful treatment
* Advocating for policy changes at the federal level
<br />  This complex, multifaceted problem calls for systematic solutions across the healthcare system.<sup class="reference">[9]</sup> Read more about [https://www2.deloitte.com/insights/us/en/industry/health-care/strategies-health-plans-pbms-to-stem-opioid-crisis-with-data-technology.html#interactive?id=us:2el:3dp:mdrnhlth:eng:lshc:060118 strategies for stemming the opioid crisis].<br />
=Tools & Resources=
[[TR - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions]]<br />
=Scorecard Building=
[[PO - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions|Potential Objective Details]]<br /> [[PM - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions|Potential Measures & Data Sources]]<br /> [[PA - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions|Potential Actions and Partners]]<br />
=<span style="background-color: #ffffff">Resources to Investigate</span>=
[[RTI - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions]]<br /> <br /> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br /> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span><br />
{| class="wiki_table"
{| class="wiki_table"
| '''Reviewer'''<br />
| '''Date'''<br />
| '''Comments'''<br />
|-
|-
| <br />
| '''Reviewer'''
| <br />
| '''Date'''
| <br />
| '''Comments'''
|-
| &nbsp;
| &nbsp;
| &nbsp;
|}
|}
=<span style="background-color: #ffffff">Sources</span>=
 
= <span style="background-color: #ffffff">Sources</span> =


----
----


# Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf]
#Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf [6]]  
# Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf]
#Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf [7]]  
# Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf]
#Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf [8]]  
# Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf]
#Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf [9]]  
# Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf]
#Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [https://ric-zai-inc.com/Publications/cops-p356-pub.pdf [10]]  
# [http://www.cadca.org/]
#[http://www.cadca.org/ [11]]  
# [http://www.modernhealthcare.com/assets/pdf/CH115670524.PDF]
#[http://www.modernhealthcare.com/assets/pdf/CH115670524.PDF [12]]  
# [http://www.modernhealthcare.com/article/20180524/SPONSORED/180529949]
#[http://www.modernhealthcare.com/article/20180524/SPONSORED/180529949 [13]]  
# [http://www.modernhealthcare.com/article/20180524/SPONSORED/180529949]
#[http://www.modernhealthcare.com/article/20180524/SPONSORED/180529949 [14]]  
</div>
</div> </div>

Revision as of 06:49, 9 January 2019

div class="mw-parser-output">

Improve Alignment & Teamwork Among Existing Programs & Opioid-Related Coalitions

Return to Opioid Top-Level Strategy Map
 

Background

This Objective addresses a few different things:
 
  1. Fragmentation with regard to the many different groups working to address the opioid crisis. In any mid-to-large metro area or state, there are likely many different opioid-related groups that are not well aligned or coordinated. A community will be more effective if the many different groups can work together. In some cases, they may have most of the right people and organizations together at the table, but they still may not be working as a team.
  2. This would include multi-sector teamwork, such as social services, law enforcement, public health, treatment programs, etc. (like you share below.)
  3. This would also include coordinated continuum of care including integrating addiction treatment into primary care, and community care coordination using tools like XCare Community or The Good Grid.
  4. Availability of supportive social services (especially re-integration after incarceration)
  5. Other community connections to support the success of people dealing with substance misuse (like job programs, faith communities, etc.)

Current Status

Building Effective Public Safety-Public Health Partnerships


Principles for Building Better Relationships
The Police Executive Research forum reports 5 principles for building better partnerships between law enforcement agencies, public health organizations, treatment providers, and other stakeholders from their April 2016 meeting. The five principles are:

  1. Find common ground and work toward shared goals.
  2. Respect and Learn from one another's positions and perspectives
  3. Involve people from all levels within an organization
  4. Be open to expanding your perspective and accepting new roles.
  5. Maintain a community focus.[1]


Data Collection and Sharing
Current Barriers

  • access to timely mortality data
  • access to medical and pharmacy records
  • access to law enforcement data (access to the results of forensic tests conducted on drugs that are seized by police or sheriffs’ departments, data on the locations of arrests and drug enforcement activities would help them develop more targeted interventions)[2]


Examples of Data Sharing

  • RxStat (New York, NY)[3]
    • Partners: the New York City Department of Health and Mental Hygiene with their public safety partners.
    • Approach: RxStat consists of two general phases: collecting timely and accurate data and using the data to develop targeted interventions aimed at reducing overdose deaths.
    • Outcomes: Staten Island has seen a 29 percent decrease in prescription opioid deaths since officials first began implementing RxStat.

 

  • Project Vision (Rutland, VT)[4]
    • Partners: Rutland Police Department (led by Chief Brian Kilcullen), elected officials, representatives from the medical field, social service providers, local businesses, criminal justice agencies, schools, nonprofit organizations, mental health providers, faith-based groups, federal and state law enforcement agencies, and other stakeholders.
    • How it works: RuStat meetings every other week. During the meetings, representatives from the police department present specific addresses within the community that have been the subject of three or more police visits during the previous two-week period. Project VISION members can then determine whether they are familiar with the addresses through their own work—for example, a social worker who is at the meeting may have a client at the address. From there, Project VISION partners can devise a plan to provide the person identified with the appropriate services. According to Scott Tucker, Executive Director of Project VISION, many of the crimes associated with drug use have decreased since the program started.
    • Outcomes: From 2014-2016, burglaries decreased by 60 percent, shoplifting decreased by 36 percent, and larcenies went down by 40 percent.
    • Website: [1]
    • Contact: [2]

 

  • Local Overdose Fatality Review program (Maryland)
    • Partners: Maryland Department of Health and Mental Hygeine (DHMH), overdose fatality review teams in each county in the state.
    • How it works: For each overdose incident, the DHMH provides the local review team with information from the state medical examiner’s office including raw information about the death and any substances found during the medical examination and other information it can gather such as the deceased’s drug treatment records. Team members must sign a confidentiality agreement to obtain access to protected health information. The local review teams examine these data and all other information they receive about each case. Based on this review, the team develops a set of findings about what potentially could have been done to prevent the death including any missed opportunities for prevention, gaps in the system, and areas for increased collaboration among agencies and stakeholders at the local level. The team also develops recommendations for how these deficiencies could be addressed through changes in laws, policies, and protocols.The review team’s findings and recommendations are shared with officials at the state level, who use the information to inform policies and programs aimed at preventing future overdose deaths.[5]
    • Outcomes:
      • Quality of referral systems improved
      • Increased focus on outreach to families to provide overdose prevention & treatment services by local health departments and other providers
      • Identification of new target audiences for Overdose Response Program (naloxone) trainings
      • Increased awareness of member agency staff of overdose related issues and Overdose Response Program training for member agency staff
      • Changes to intake questionnaires to include questions about overdose history
    • Website: [3]
    • Contact: Erin Haas (Program Manager) [[4]]


 

Community Anti-Drug Coalitions of America (CADCA)

CADCA is devoted to building community coalitions to fight substance use. To date, they have built over 200 coalitions in 23 countries.[6] Through CADCA's website interested organizations and individuals can join an existing coalition or start their own. For more info on CADCA, view this video:
  
 
 
 
 

Deloitte Center for Health Solutions (DCHS)

The Deloitte Center for Health Solutions, part of Deloitte LPP's Life Sciences and Health Care practice, is a source for fresh perspectives in health care. It looks deeper at the biggest industry issues and provides new thinking around complex challenges. Cutting-edge research and thought-provoking analysis give their clients the insights they need to see things differently, and address the changing landscape.[7] DCHS developed a report called, "Strategies for stemming the opioid crisis" that describes how data analytics can help health plans and pharmacy benefit managers chart their course. To learn more about the DCHS and their research, visit [5].
 
  According to their major findings, potential strategies for health plans and pharmacy benefit managers (PBMs) include:[8]
 
  • Leveraging data and emerging technologies
  • Working toward more streamlined data collection and sharing
  • Supporting the development of evidence-based standards and quality metrics to define and encourage successful treatment
  • Advocating for policy changes at the federal level


This complex, multifaceted problem calls for systematic solutions across the healthcare system.[9] Read more about strategies for stemming the opioid crisis.

Tools & Resources

TR - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions

Scorecard Building

Potential Objective Details
Potential Measures & Data Sources
Potential Actions and Partners

Resources to Investigate

RTI - Improve Alignment & Teamwork Among Existing Programs & Opioid Related Coalitions

PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer Date Comments
     

Sources


  1. Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [6]
  2. Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [7]
  3. Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [8]
  4. Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [9]
  5. Police Executive Research Forum. 2016. Building Successful Partnerships between Law Enforcement and Public Health Agencies to Address Opioid Use. COPS Office Emerging Issues Forums. Washington, DC: Office of Community Oriented Policing Services. [10]
  6. [11]
  7. [12]
  8. [13]
  9. [14]