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.

抽象的 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 疾病控制中心报告的 107,622 例服药过量死亡中约 75% (CDC) 2021 年。近年来，用药过量率有所上升，需要大量资源 投资于在国家和地方各级打击 OUD。协调打击力度 OUD 可能是减少用药过量死亡的关键。为此，RADOR-KY项目将建设 强大的全州监控系统，整合不同的数据源进行监控和预测 药物过量死亡率和发病率。该系统将被利益相关者用来告知数据- 驱动行动，支持预防和治疗工作的协调和针对性。作为 在该补充的母基金中提议，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，在这方面还存在差距 RADOR-KY 可用的数据。肯塔基州没有所有付款人的索赔数据库，并且 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。在本提案中，我们将补充 RADOR-KY 的努力，使用 采用信息学方法来获取有关资助的治疗和康复支持服务的数据 由肯塔基州阿片类药物应对计划 (KORE) 发起，这是一个由州管理、联邦政府资助的项目 旨在减少用药过量死亡并扩大获得治疗和支持的机会的计划 服务。 KORE 资助治疗支持服务（例如同伴支持、康复社区 中心），对于没有保险和保险不足的人，还提供药物治疗和住院治疗。 目前收集 KORE 数据用于向药物滥用和心理健康部门报告 管理，但现有方法不标准化，导致效率低下、延误、 以及导致 KORE 数据不适合在 RADOR-KY 中使用的质量问题。具体目标 该项目旨在为 KORE 机构建立一个新的平台来提交标准化数据 – 通过自动验证改进数据摄取，然后创建近乎实时的数据 可视化和分析，使 KORE 机构和其他利益相关者能够完善和分析 他们的目标是打击 OUD。该数据将集成到 RADOR-KY 中，支持 通过改进监测数据库和预测模型来实现母基金的目标。我们将 公开共享为此项目开发的代码和方法，允许内部的其他机构 以及肯塔基州以外的地区，以提高他们的分析和规划能力。这将特别 有助于管理其他州的阿片类药物应对工作。