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，阿片类药物涉及 在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，服药过量的比率有所上升，大量资源 在国家和地方两级投入抗击。协调打击工作 OUD可能是减少过量死亡的关键。为此，RADOR-KY项目将建立 强大的全州监控系统，集成不同的数据源进行监控和预测 药物过量的死亡率和发病率。利益相关者将使用该系统向数据提供信息- 推动行动，支持预防和治疗工作的协调和定向。AS 在这一补充的父母拨款中提议的RADOR-KY系统将集成几个 与艾滋病预防和治疗工作有关的数据来源。然而，在这一点上， 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，只能获得有关住宅OUD治疗和治疗支持系统的数据 来自医疗补助受益人。在这项提案中，我们将补充RADOR-KY的努力，使用 获取有关治疗和康复支助服务资助的数据的信息学方法 由肯塔基州阿片类药物反应努力(Kore)发起，这是一家由州政府管理、联邦政府资助的机构 旨在减少过量死亡和扩大获得治疗和支持机会的方案 服务。韩国资助治疗支助服务(例如，同伴支助、康复社区 中心)，对于未参保和参保不足的人，提供药物和住院治疗。 目前正在收集Kore数据，以便向药物滥用和精神卫生部门报告 行政管理，但现有的方法不规范，导致效率低下，延误， 以及使韩国数据不适合用于RADOR-KY的质量问题。的具体目标 该项目旨在为韩国机构提交标准化数据搭建一个新平台-- 通过自动验证改进数据接收，然后创建接近实时的 可视化和分析，使韩国机构和其他利益攸关方能够细化和 瞄准他们的努力打击OUD。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来实现父母赠款的目标。我们会 公开分享为这个项目开发的代码和方法，允许其他机构在 并超越肯塔基州，以提高他们的分析和规划能力。这将是特别的 有助于管理其他州的国家阿片类药物应对努力。

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.