Real-Time Opioid Overdose Monitoring

The 1.0 version of a real-time opioid overdose monitoring system is ready to launch thanks to a coordinated effort across agencies and disciplines. Data will be updated weekly and currently include Emergency Medical Services ResponsesEmergency Department and Urgent Care Clinic Visits, and Fatal Overdoses. Stay tuned as more data sources are added.

Surveillance reports show more detailed information from each available data source:

Tri-County Opioid Safety Coalition's Data Brief Series

An ongoing series of data briefs, or short reports, discuss regional data being used to monitor progress on the Tri-County Opioid Safety Coalition’s three goals: 1) Decrease harms and overdose deaths from opioids, 2) Improve the quality of life for people with chronic pain, and 3) Improve the quality of life for people with opioid use disorder.

Published Data Briefs (updated March 2018)

Oregon Public Broadcasting’s “Opioid Crisis: The Ripple Effect” (Apr 2018)

Opioid Crisis: The Ripple Effect” will roll out new stories daily from April 9–13 online, on social media, and on OPB Radio and will cover a variety of topics, including how opioids affect Northwest homeless and prison communities, emerging pain management methods, and much more.

 How to follow along:

  • To stay up to date throughout this week of reporting, follow along on Facebook for ongoing coverage and information about the opioid crisis from across the country.
  • Local series coverage is also available online at opb.org/opioids, where you can explore stories and videos on addiction and its impact on Northwest communities, families and institutions, and more.
  • OPB will also broadcast a special live radio show that features national stories from the opioid crisis, April 10 at 11 a.m. on OPB Radio.

 

Oregon State Pain Commission Online Pain Module is Live (Feb 2018)

Announcing the release of the Oregon Pain Management Commission’s (OPMC) web-based pain education module Changing the Conversation About Pain: Pain Care is Everyone’s Job. The Module and Pain Care Toolbox are now available from the OPMC’s website or at www.oregonpainmodule.org. In addition to meeting the Oregon requirement for completing the web-based training provided by the Oregon Pain Management Commission, clinicians who complete the module will now qualify for CME.

Pain science and pain treatment have changed significantly in the recent years and this module reflects that change. The module is designed to apply to all levels of healthcare professionals and will provide the tools to improve pain care, better manage the impact of pain and decrease risks associated with opioid use.

 

CMS Pushing 7-Day Limit on Initial Opioid Scripts (Feb 2018)

The Centers for Medicare & Medicaid Services (CMS) is proposing that beginning in 2019, initial opioid prescriptions for acute pain be limited to 7 days.

CMS is taking comments on the proposal until March 5 and will publish the final requirements on April 2.

The Part D proposal builds on another CMS proposed rule, issued in December 2017. The agency was required by the Comprehensive Addiction and Recovery Act of 2016 to beef up opioid oversight.

As with that previous regulation, the newest proposal would exempt patients with cancer, in hospice, or in long-term care facilities from much of the strict oversight.

Read more

 

Quarterly Meeting of the Tri-County Opioid Safety Coalition Coordinating Committee (Dec 2017)

Highlights:

  • Opioid-related overdose surveillance data show an overdose spike in late July and stable numbers of events during the rest of 2017. Regional public health departments are developing an overdose emergency response communication plan.
  • The group is considering an expansion from only opioid use to substance use.
  • The group began to think about whether it should change its focus to trauma and substance use rather than opioids and pain.
  • The December Priority Survey results yielded multiple priority work areas for 2018. Priority setting will continue at next meeting.
  • Group members described numerous accomplishments for 2017.

See meeting notes for more information.

 

Creating a Safer Community Through Safe Consumption Spaces (Nov 2017)

Safer Spaces PDX is advocating for safe consumption spaces (SCS) in Portland, an evidence-based approach to promote public health and community safety. An SCS is a facility where people can use drugs supervised by trained staff, preventing fatal overdoses and HIV/Hepatitis C infections, decreasing public disposal of syringes, and connecting drug users to supportive services and treatment. Stay up to date with news, events, and information on the Safer Spaces PDX Facebook page.

 

CDC Launches Rx Awareness Campaign (Oct 2017)

The Centers for Disease Control and Prevention (CDC) has publicly launched the Rx Awareness Campaign which aims to increase awareness and knowledge about the risks of opioids by sharing real stories. The campaign website includes a variety of resources including digital, radio, and newspaper/billboard ad campaign materials to use.

 

Washington County Law Enforcement Agencies Combating Drug Overdose (Aug 2017)

The Washington County Sheriff’s Office, Beaverton Police Department, and Forest Grove Police Department are deploying medication in patrol vehicles to save the lives of those having an opioid drug overdose.

The Oregon-Idaho High Intensity Drug Trafficking Area (HIDTA) program provided grant funding for the naloxone kits. Metro West Ambulance supplied additional kits, and has also committed to replacing kits that are administered or expire. Tualatin Valley Fire & Rescue (TVF&R) and Forest Grove Fire & Rescue provided specialized training to deputies and officers carrying the naloxone kits in their patrol vehicles.

 

Quarterly Meeting of Tri-County Opioid Safety Coalition Coordinating Committee (June 2017)

Highlights

  • Featured projects
    • Wheelhouse, CODA and Central City Concern
    • Opioid and benzodiazepine prescribing guidelines, Kaiser Permanente
    • IMPACT, OHSU
    • LEAD®, Multnomah County
  • Opioid prescribing decreased last six quarters
  • Tri-County Monitoring work group convened
  • Oregon HB 3440 passed, awaiting governor signature

See the Meeting Summary for more information

 

FDA Calls on Drugmaker to Pull a Powerful Opioid off the Market (June 2017)

The Food and Drug Administration requested Thursday that the drugmaker Endo Pharmaceuticals stop selling Opana ER — its extended-release version of Opana.

The FDA says the move marks the first time the agency has taken steps to remove an opioid from the market because of “public health consequences of abuse.”

Read more

 

Local TV Series on Pain Pills, Heroin, and Addiction in Washington County (May 2017)

Washington County’s Public Health Department just wrapped up a four-part series on the Community Matters local cable access show. Check the series out below! For more information, please contact Wendy Gordon, Washington County Health and Human Services Public Information Officer.

  • Part One – An overview of the issue, featuring Deputy Health Officer Dr. Christina Baumann.
  • Part Two – First responders’ perspective, featuring Cpl. Brad Davis from the Westside Interagency Narcotics Team and Shawn Wood with Metro West Ambulance.
  • Part Three – Getting help. What treatment looks like and how to access it. Our guest is Dr. Eve Klein, medical director at CODA, a local addictions treatment provider.
  • Part Four – A mother’s story. Angela Pettit is the mom of two sons, one in recovery, one still addicted to heroin. A must-see for parents.

 

Quarterly Meeting of Tri-County Opioid Safety Coalition Coordinating Committee (March 2017)

Highlights

  • Numbers of non-tramadol opioid prescriptions decreased
  • Monitoring Impact work group will be convening
  • Tri-County summit on coordinating a public health and public safety response to prescription and illicit drug abuse is in planning stages
  • Clinician pain education efforts moving forward
  • Oregon House Bill 3440 introduced

See the Meeting Summary for more information.

 

Opioid Public Information Campaign Evaluation (March 2017)
The evaluation of the Anyone PDX media campaign, which ran ads from Aug-Nov 2016, has been completed.  Among the findings:
  • >26 million impressions, or opportunities for a person to see or interact with an ad.
  • Of 152 survey respondents, 75% had seen an ad about prescription pain pills and addiction.
  • Of those who recalled seeing the ads, 26% would stop and think before taking prescription pain pills.

Visual summary of results

Evaluation report

 

2016 Tri-County Region Opioid Trends Report (Feb 2017)

The 2016 Tri-County Region Opioid Trends is organized in five chapters: fatal overdoses, 9-1-1 overdose responses (non-fatal overdoses), opioid prescribing trends, syringe exchange trends and client survey, and substance use treatment. The Executive Summary presents the key points from each chapter of the report alongside considerations for future policy.

Executive Summary

Full Report

 

Oregon Leads the US in Inpatient Rate Increase for Opioid-Related Conditions (Jan 2017)

The rate of opioid-related inpatient stays increased in most States between 2009 and 2014, with the greatest increases in Oregon (88.9 percent), North Carolina (81.8 percent), and South Dakota (74.1 percent).

 Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. 

 

Expanding Access to Naloxone in Clackamas County (Jan 2017)

Clackamas County Corrections staff in partnership with Clackamas County Public Health will roll out their naloxone distribution project to clients of the Transition Center this month.  Research has shown that individuals with substance use histories who experience a period of incarceration are at increased risk of overdose and overdose-related death upon re-entering the community. The Transition Center provides the perfect opportunity to screen clients post-release, educate on opioid addiction, and distribute naloxone kits to those who are at risk and transitioning back into the community.

In addition, over 50 parole and probation officers and staff of the Community Corrections residential drug and alcohol treatment program received naloxone training in November.   Through these efforts, Clackamas County has been able to improve the infrastructure of naloxone access and rescue by expanding to an extremely vulnerable population and those likely to encounter an overdose situation.

 –Apryl Herron, Public Health Program Coordinator, Clackamas County Public Health Division

 

Newly Released Oregon Pain Management Commission Legislative Report (Jan 2017)

Read The Oregon Pain Management Commission’s  2017 Legislative Report report on health care educational institutions’ curricula on pain and pain management, per the legislative requirement in Oregon Revised Statute 413.572