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

多样性补充 - 肯塔基州阿片类药物反应的快速可操作数据 (RADOR-KY)

• 批准号: 10789054
• 负责人: Svetla Stefanova Slavova
• 金额: $ 29.07万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10789054
• 关键词: Algorithms; Area; Centers for Disease Control and Prevention (U.S.); Cessation of life; Code; Communities; County; Custom; Data; Data Collection; Data Linkages; Data Reporting; Data Sources; Databases; Decision Making; Developmental Disabilities; Ecosystem; Emergency Care; Evidence based treatment; Focus Groups; Funding; Grant; Harm Reduction; Health Services Accessibility; Individual; Informatics; Insurance; Intellectual functioning disability; Investments; Kentucky; Leadership; Link; Machine Learning; Medicaid; Mental Health; Methods; Monitor; Morbidity - disease rate; Online Systems; Opioid; Overdose; Overdose reduction; Performance; Persons; Pharmaceutical Preparations; Predictive Analytics; Prevention; Process; Public Health; Recovery; Recovery Support; Reporting; Residential Treatment; Resource Allocation; Resources; Risk; Secure; Services; Source; Standardization; Statistical Models; Substance abuse problem; Support System; System; Techniques; Time; Transportation; Underinsured; Uninsured; United States Substance Abuse and Mental Health Services Administration; Validation; Visual; Visualization; Visualization software; Work; behavioral health; beneficiary; combat; community center; computerized data processing; dashboard; data infrastructure; data ingestion; data lake; data standards; data submission; data visualization; design; disorder prevention; diverse data; health administration; improved; inpatient service; insight; medication for opioid use disorder; mortality; novel; opioid overdose; opioid use disorder; overdose death; overdose prevention; parent grant; peer support; population based; predictive modeling; prevent; programs; recovery services; response; service utilization; surveillance data; treatment services; trend; web app

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.

摘要