Diversity Supplement - Rapid Actionable Data for Opioid Response in Kentucky (RADOR-KY)

摘要 阿片类药物使用障碍（OUD）是一个主要的公共卫生问题，阿片类药物参与了 疾病控制中心报告的107，622例过量死亡中约有75% (CDC)2021年近年来，药物过量率有所上升， 在国家和地方两级投入资金打击吸毒成瘾。协调努力， OUD可能是减少过量死亡的关键。为此，RADOR-KY项目将建立 一个强大的全州范围的监测系统，整合各种数据源，以监测和预测 药物过量死亡率和发病率。利益攸关方将利用这一系统提供数据- 推动行动，支持预防和治疗工作的协调和目标。作为 在父母补助金中提出的这一补充，RADOR-KY系统将集成几个 与OUD预防和治疗工作相关的数据来源。然而，在这方面存在差距。 这是RADOR-KY可用的数据。肯塔基州没有所有付款人索赔数据库， 因此，有关住宅OUD处理和处理支持系统的数据只能在 医疗补助受益人。在本提案中，我们将补充RADOR-KY工作，使用 采用信息学方法获取有关受资助的治疗和康复支助服务的数据 由肯塔基州阿片类药物反应努力（KORE），一个国家管理和联邦资助的 旨在减少过量死亡和扩大获得治疗和支持的计划 服务KORE资助治疗支持服务（例如，同行支助，恢复社区 对于没有保险和保险不足的人，提供药物和住院治疗。 KORE目前收集的数据用于向药物滥用和精神卫生部报告。 行政管理，但现有的办法是不标准的，导致效率低下，延误， 和质量问题，使KORE数据不适合在RADOR-KY中使用。的具体目标 该项目是为KORE机构建立一个新的平台，以提交标准化数据- 通过自动验证改进数据摄取-然后创建接近实时的 可视化和分析，使KORE机构和其他利益相关者能够改进和 将他们的努力集中在打击OUD上。这些数据将被集成到RADOR-KY中，支持 通过改进监测数据库和预测模型，实现父母补助金的目标。我们将 公开分享为该项目开发的代码和方法，允许其他机构在 以及肯塔基州以外的地区，以提高他们的分析和规划能力。这将是特别 有助于在其他州管理国家阿片类药物反应工作。

Abstract Opioid use disorder (OUD) is a major public health concern, with opioids being involved in approximately 75% of the 107,622 overdose deaths reported by the Centers for Disease Control (CDC) in 2021. Overdose rates have risen in recent years and substantial resources are invested in combatting OUD at the national and local levels. Coordination of efforts to combat OUD may be the key to reducing overdose deaths. To this end, the RADOR-KY project will build a robust state-wide surveillance system, integrating diverse data sources to monitor and predict drug overdose mortality and morbidity. This system will be used by stakeholders to inform data- driven action, supporting the coordination and targeting of prevention and treatment efforts. As proposed in the parent grant for this supplement, the RADOR-KY system will integrate several data sources related to OUD prevention and treatment efforts. However, there are gaps in the data that is available to RADOR-KY. Kentucky does not have an all-payer claims database and so data about residential OUD treatment and treatment support systems can only be obtained from Medicaid beneficiaries. In this proposal we will supplement the RADOR-KY efforts, using an informatics approach to capture data about treatment and recovery support services funded by the Kentucky Opioid Response Effort (KORE), a state-administered and federally funded program aimed at reducing overdose death and expanding access to treatment and support services. KORE funds treatment support services (e.g., peer support, recovery community centers) and, for uninsured and underinsured people, medication and residential treatment. KORE data is currently collected for reporting to the Substance Abuse and Mental Health Administration, but the existing approach is unstandardized, leading to inefficiencies, delays, and quality issues that make KORE data unsuitable for use in RADOR-KY. The specific aims of this project are to build a new platform for KORE agencies to submit standardized data – improving data ingestion through automated validation – and then to create near-real time visualizations and analyses that will allow KORE agencies and other stakeholders to refine and target their efforts to combat OUD. This data will be integrated into RADOR-KY, supporting the aims of the parent grant by improving the surveillance database and predictive models. We will share the code and methods developed for this project publicly, allowing other agencies within and beyond Kentucky to improve their analytic and planning capabilities. This will be especially helpful for administering State Opioid Response efforts in other states.