The Office of the District Attorney in Alabama’s 22nd Judicial Circuit will concentrate on response and prevention. Response will include the formation of the opiate abuse prevention task force, which will be responsible for providing expedited responses for all opiate overdoses as well as for violent crimes involving opiates. The office will provide training for all local first responders on proper crime scene management and preservation as well as treating overdose victims and witnesses. Overdose response kits will be distributed to all police and fire departments in the county. Advertising campaigns will encourage those present during an overdose to call 9-1-1 without fear of arrest, provided they are not directly responsible for the overdose. The task force will host meetings with local doctors and pharmacists to develop and promote safe prescribing protocols. In the event that patients are found to be abusing prescriptions, the office will take the proper procedures to hold them accountable and to promote treatment through rehabilitation. The office will take all available steps to prosecute any doctors found to be illegally or unnecessarily prescribing opiates. Prevention efforts will be directed at high school students through part-time work-study peer helpers, who will be hired to maintain communication with students to warn them about the dangers of opioid use. The office will also partner with Operation Save Teens, a program that shows area teenagers the dangers of opiate abuse.
Alabama's Department of Mental Health (ADMH), working in partnership with the Alabama Department of Economic Affairs and multiple state agencies as well as community organizations, will develop a Centralized Data Repository (CDR) to hold data and distribute results to identified agencies. Combining the information from an arrest to treatment to death to hospital care to community impact will offer a data solution that allows analysis informing targeted strategies to reduce prescription drug abuse and opioid addiction. This combined data-driven initiative will aid in reducing the number of people diverting, misusing, and abusing prescription drugs and opioids in Alabama in a way that siloed data as it exists now will never be able to accomplish.
Alabama’s Department of Mental Health, in partnership with the Alabama Bureau of Justice Assistance, a division of the Alabama Department of Economic and Community Affairs, will pilot an evidence-based model or models of diversion from incarceration for opioid-addicted individuals interacting with the criminal justice system and to study the impact/outcomes of such interventions, spreading successful intervention statewide at the completion of the project period, to reduce incarceration, recidivism, morbidity, and mortality for adults with opioid use disorders (OUDs) who are cycling through the criminal justice system.
Alabama’s Department of Mental Health, in partnership with the Alabama Bureau of Justice Assistance, a division of the Alabama Department of Economic and Community Affairs, proposes to conduct a statewide comprehensive needs assessment and plan for the design and implementation of criminal justice diversion and treatment services in select counties in Alabama. The proposed project is called ROAD to Recovery (Reducing Opioid Addiction through Diversion).Project Profile
The Alabama Department of Public Health will develop updated training for prescription drug monitoring program (PDMP) users, produce public service announcements to educate the public, integrate the PDMP into electronic health records and pharmacy dispensing software, and analyze the PDMP data.
The Institute of Business Analytics (IBA) is the research hub for the Culverhouse College of Business at the University of Alabama. IBA will develop the Unified Nexus for Leveraging Opioid Crime Knowledge (UNLOCK) system, which will provide decision makers with the information they need to allocate resources and policies in a timely manner. The UNLOCK system will serve as a data communications pipeline whereby information from the Alabama Department of Forensic Sciences, Medicaid, and other future partners can flow back up the chain to decision makers in a de-identified manner. The data will consist of summarized toxicology information, evidence test results, and coroner death report information and other georeferenced data that will assist decision makers. The UNLOCK system will be deployed to field officers, law enforcement administrators, prosecutors, community affiliates, public health providers, and researchers to provide them with complete analytics capability.
The Arkansas Department of Health seeks to convene an action group, the Prescription Drug Overdose (PDO) Advisory Council, to encourage and support cross-system planning and collaboration to reduce the incidence of morbidity and mortality related to opioid overdose. The approach will include integrating prescription drug monitoring program (PDMP) data with all identified data sets, developing composite tables that combine indicators across data sources, providing training and education to opioid prescribers, assessing the impact of specific policy changes to the PDMP, and creating the Opioid Misuse Action Group to provide feedback on the data sets. The Arkansas Department of Health will also implement the Dose of Reality educational campaign to combat opioid abuse.
The Arkansas Department of Health will create a data repository that links prescription drug monitoring program (PDMP) data, emergency department/hospitalization data, and death certificates using semantic integration; develop a risk prediction tool for identifying individuals at risk for opioid overdose using the linked data sets, creating a graphical user interface for the linked databases and a risk-prediction tool; and implement a statewide campaign using the new tools created by this application to increase awareness of opioid overdose risk in Arkansas.
The Arkansas Office of the State Drug Director, together with Arkansas Foundation for Medical Care, proposes to create a statewide data sharing infrastructure with a single data repository/database; an interactive Web portal accessible by law enforcement, criminal justice, and health-care stakeholders; and syndromic drug overdose surveillance via dashboards and heat maps. The objectives of the project are to promote cross-system planning and coordination of opioid abuse prevention and treatment interventions through information-sharing partnerships with key stakeholders; increase the timeliness, comprehensiveness, and reporting of fatal and nonfatal opioid overdose data; disseminate surveillance findings to key stakeholders and policymakers to inform prevention and response efforts; and monitor use of the data sharing system and implement ongoing quality controls.
The Hoopa Valley Tribe will deliver customized interventions through the criminal justice system of Humboldt County and the Hoopa Valley Tribal Court. Among this project's deliverables are a full community needs assessment, an opioid diversion work plan, the implementation of data tracking systems across multiple domains, and broadened awareness of best practices for both county and tribal partners. The proposed project will be one of the first cross-jurisdictional diversion programs in Indian Country specifically designed to meet the opioid epidemic.
The Los Angeles County Bridges Program will facilitate a working group that will share information locally, regionally, and nationally through a monthly report. The Los Angeles County Bridges executive director will gather intelligence from the working group’s pre-planned monthly meetings, the program researcher, and the program analyst. Traditionally, entities have worked in silos, minimizing their capacity. By bridging these gaps and utilizing information sharing, data analysis, and targeted responses, the service to the applicant’s communities will be more effective and efficient. The Los Angeles County Bridges Program will raise awareness, educate the county's communities, enhance enforcement, and reduce opioid abuse and opioid fatalities. The information will be combined with information from the JRIC and CYBER portals within the Los Angeles County Sheriff’s Department. The compiled data will then be given to an information analyst, who will extrapolate law enforcement-sensitive data and compile a current analytical report.
The University of California, Davis (UC Davis) will work with the California Department of Justice and other partners to perform a rigorous evaluation of California’s new law mandating use of its prescription drug monitoring program. The evaluation will focus on effects of mandated PDMP use on prescribing patterns and health outcomes, including potential unintended consequences. UC Davis will work with the Northern California High Intensity Drug Trafficking Area (HIDTA) to establish a foundational relationship between public health and law enforcement agencies. In particular, UC Davis will focus on exploring new data sources from law enforcement agencies to share with public health agencies about opioid supply and overdose. The goal is to develop protocols to predict opioid overdose and share information about supply disruptions with emergency departments, first responders, and other key agencies. UC Davis will also explore protocols for communicating directly with local emergency services directors.
The Ventura County Health Care Agency–Ventura County Behavioral Health Department, the Ventura County Sheriff’s Office, the Ventura County Public Health Department, the Ventura County Emergency Medical Services Agency, and the Ventura County Ambulatory Care Department will convene the County Opioid Abuse Suppression Taskforce (COAST) to improve the quality, consistency, sharing, and integration of local and state prescription drug monitoring program (PDMP) data to monitor community-level conditions/outcomes and target/coordinate resources to increase impact in response to the opioid abuse epidemic. Funds will also be used to complete, document, and disseminate an evaluation of state and local prescriber trends by scope of practice and to deploy the ESRI ArcGIS Opioid Epidemic Solution. EVALCORP Research and Consulting will serve as the research partner for the proposed project.
Boulder County Community Justice Services will work with the project partners to develop diversion and policy-related programming across intercept points as alternatives to traditional prosecution for offenders with low criminogenic risk who are facing opioid-related charges, those with treatment needs who are residing in jail, or those reentering the community, with a focus across all interventions on those who are high system utilizers. The OMNI Institute will serve as the research partner for the proposed project.
The Longmont Department of Public Safety, located in Boulder County, Colorado, will expand its Crisis Outreach Response and Engagement (CORE) program. Grant funds will be used to support a paramedic, two peer case managers, a project coordinator, and treatment for individuals who are struggling with substance use or co-occurring disorders. The University of Colorado, Boulder, will serve as the research partner on the proposed project.
The Colorado Department of Public Health and Environment (CDPHE) will expand Colorado’s existing innovative, multidisciplinary approach to reduce opioid abuse and overdose by linking prescription drug monitoring program (PDMP) data to key public health and public safety data sets to create a de-identified analytic data file that can be used to identify hot spots throughout the state. Specifically, CDPHE and its partners will achieve the following goals during the three-year project period: (1) enhance public safety/behavioral health/public health treatment partnerships to leverage key data sets to better understand Colorado’s opioid epidemic; (2) increase data-driven responses to Colorado’s opioid epidemic; and (3) assess the impact of the implementation of Colorado Senate Bill 18-022 on PDMP utilization and patient outcomes. The University of Colorado School of Medicine will serve as the evaluator for the proposed project.
The Connecticut Prescription Monitoring Program (PMP), in partnership with other state agencies, will merge the Office of the Chief Medical Examiner (OCME) and the state forensic laboratory system with the Connecticut Prescription Monitoring and Reporting System (CPMRS) to allow prescribers and pharmacists to identify patients who have died and reduce inappropriate dispensing; create a new module to allow law enforcement users access to both death data and toxicology information within the CPMRS to assist in their investigations; and conduct educational campaigns to introduce these new features and the benefits that would expand the ability of prescribers, pharmacists, and law enforcement to avoid and deter controlled substance misuse or diversion.
The Department of Emergency Services and Public Protection will use the grant funds to implement and populate a commercial off-the-shelf (COTS) software Uniform Crime Reporting repository with geographic information system (GIS) capabilities. The goal is for federal, state, and local law enforcement to use this system to direct available investigative and patrol resources more efficiently and effectively.
The Florida Department of Health will enhance the Florida Prescription Drug Monitoring Program (PDMP) system, known as E-FORCSE (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), by employing an epidemiologist to provide data analysis to inform and guide health-care practitioners and policymakers and expanding existing outreach and education. E-FORCSE will also fund integration of PDMP information into clinical workflow by providing mini-grants to small physician practices and independent pharmacies.
Pinellas County is developing a Strategic Information Partnership (SIP) to (1) support real-time/timely data collection from key stakeholders to better articulate the current state of the problem; (2) improve communication for targeted outreach, enforcement, and education; (3) support cross-system planning and data evaluation to better inform policymakers on targeted interventions; and (4) leverage scarce resources and avoid duplication of efforts.
Florida faces a pharmaceutical and nonpharmaceutical opioid epidemic that requires a strong multidisciplinary approach with effective collaboration and intelligence sharing between public safety and public health. The Florida drug-Related Outcomes and Surveillance Tracking System (FROST) is a valuable resource for providing timely analysis, visualization, and reporting of pharmacoepidemiologic data. This project at the University of Florida aims to: (1) expand the FROST system and its technology to (a) enhance public safety and public health collaboration and strategic decision making in Florida and (b) increase uptake of county-level prescribing indicators generated by the Prescription Behavioral Surveillance System (PBSS) for Florida and California; (2) evaluate synthetic opioid-related deaths by establishing a fatality review team in the Sarasota Medical Examiner's Office region; and (3) evaluate the impact of national prescribing guidelines on high-risk prescribing associated with negative public health and safety outcomes in two large states, Florida and California.
The Cobb District Attorney’s Office will create an Opioid Fatality Review Project and provide wraparound services to families that have lost a loved one to an overdose; establish a case manager to provide wraparound services to opioid offenders who do not qualify for one of Cobb’s existing Accountability Courts; and establish an investigator to initiate deep-dive investigations into opioid dealers and distributors. Applied Research Services, Inc. will serve as the evaluator for the proposed project.
The Georgia Bureau of Investigation (GBI) will use the grant funds to update its in-house case management system, Justice Information Management Network (JIMNet). The goal is to increase technology to identify and impact crime trends in Georgia.
The Iowa Governor’s Office of Drug Control Policy will facilitate the collation and dissemination of data from multiple sectors into a statewide opioid dashboard, the Iowa Opioid Data Exchange (IODE). The Division of Intelligence and Fusion Center will be the lead implementation agency for this project. Key partners include state agencies and other organizations with primary responsibility for administration of data, which are central to the success of this project. These partners include the Governor’s Office of Drug Control Policy, Department of Public Health, Iowa Board of Pharmacy (Prescription Drug Monitoring Program [PDMP]), Iowa Office of State Medical Examiner, Division of Intelligence/State Fusion Center (in coordination with the Midwest High Intensity Drug Trafficking Areas [HIDTA]), State Crime Laboratory, Iowa Emergency Medical Services Bureau, Iowa Poison Control Center, and Iowa Division of Criminal and Juvenile Justice Planning. The multidisciplinary dashboard will provide a holistic and timely opioid-related surveillance report from a variety of public health and public safety data sets. IODE aims to improve the connectivity, cohesiveness, timeliness, and overall effectiveness of opioid-related surveillance data collection, analysis, and sharing to enhance the health and public safety response in rural communities and larger cities across Iowa.
The Idaho Department of Health and Welfare (IDHW) will build a sustainable data infrastructure to ensure timely collection, analysis, and dissemination of opioid data. In addition, an action researcher will establish a suspected drug-induced death mortality review team. The data will be shared with Idaho’s strategic planning workgroup and other stakeholders. To address vulnerable populations, IDHW will work with the Idaho Office of Drug Policy to distribute naloxone in communities across Idaho. To educate prescribers in rural Idaho on substance abuse treatment and safe prescribing, IDHW will work with the University of Idaho to extend its Project ECHO program, an evidence-based, technology-enabled collaborative learning model that builds a clinician’s knowledge and ability to treat complex conditions. To evaluate Idaho’s efforts in educating prescribers on safe prescribing and prescription drug monitoring program (PDMP) utilization, IDHW will contract with a third-party evaluator.
Cook County will hire an epidemiologist at the Cook County Medical Examiner’s Office (CCMEO) to assist in fulfilling data requests from partner agencies and performing drug-related statistical analysis pertaining to opioid-related deaths; install progressive updates in the CCMEO’s digital case management system to include additional data that may be pertinent to the collaborating agencies; and quantitate naloxone concentrations in postmortem samples if the drug is present in a decedent’s system. Partnering agencies will include the Cook County Department of Public Health, the Chicago Department of Public Health, the Cook County Health and Hospitals System, and the Chicago High Intensity Drug Trafficking Area.
The Illinois Department of Public Health (IDPH) intends to use the grant funds to bring together multidisciplinary partners in a workgroup, which will then build a centralized repository of cross-sector data, provide enhanced data analyses with data dashboard outputs based on stakeholder needs, and evaluate best practices for data dissemination into the communities. This project will leverage key data sets to create a holistic view of the Illinois environment to facilitate targeted interventions and will identify best practices for information sharing. The workgroup will report data and seek input from the Illinois Opioid Crisis Response Advisory Council, which is led by the Illinois Department of Human Services. The opioid-related data available for this project include IDPH data on overdose deaths, hospitalizations, emergency department visits, emergency transport naloxone administration, neonatal abstinence syndrome, and viral hepatitis statewide case reporting data.
The Hamilton County, Indiana, Council on Alcohol and Other Drugs will implement an initiative known as the Community Opioid Prevention Effort (COPE). COPE will follow the Quick Response Team (QRT) diversion model, which will provide immediate intervention at on-scene overdoses, conduct visits to survivors of nonfatal overdoses, and provide recovery support and other community resources to individuals and their families. Treatment providers and recovery coaches will develop and implement strategies to identify and provide treatment and recovery support services. COPE will also encourage cross-system planning and collaboration among community officials, law enforcement, pre-trial services, the courts, probation, health-care providers, public health providers, emergency medical services, and substance abuse treatment providers.
The Indiana State Department of Health (ISDH) will increase the timeliness and robustness of fatal drug overdose reporting. This will be accomplished by funding comprehensive toxicology testing for suspected cases of drug overdose deaths across Indiana. ISDH will also obtain more comprehensive demographic data of persons who have suffered fatal drug overdoses. By providing mini-grants to overcome barriers associated with using ISDH’s coroner case management system, coroners will be encouraged to utilize this system and thus provide more comprehensive demographic data on fatal overdoses. ISDH will link toxicology results with existing demographic information regarding the deceased persons and disperse aggregated data to the opioid data working group. ISDH will also develop an innovative pilot project that will involve the enhanced toxicology testing of leftover clinical samples (blood and/or urine) from patients who are treated in a hospital following a suspected drug overdose event. Such testing will provide more robust public health information including situational awareness of illicit and licit drug use that results in drug overdose events. It will also allow local and state officials to track drugs circulating in Indiana as well as identify novel substances in its communities. Finally, ISDH will utilize the data collected by the toxicology testing from both fatal and nonfatal drug overdoses to inform targeted interventions. Indiana University–Purdue University will serve as the researcher for the proposed project.
The Kenton County Detention Center will reduce the prevalence of opioid abuse in Covington, Kentucky. In 2015, northern Kentucky lost nearly five times more residents to drug overdoses than to car accidents. This project proposes to address the issue by implementing the Kentucky Overdose Prevention and Education Project (KOPE), which has three main goals: to conduct an analysis of the severity of the opioid crisis; develop a multidisciplinary approach to address the needs of overdose survivors; and incentivize, propagate, and support pre-arrest diversion and naloxone distribution programs in the targeted region. This proposal will support naloxone distribution programs in the region. The Kenton County Detention Center will collaborate with local police departments and health-care and rehabilitation providers. Northern Kentucky University will serve as an action research partner.
The Kentucky Cabinet for Health and Family Services will implement several enhancements to Kentucky’s Prescription Drug Monitoring Program (PDMP), KASPER. Funding will be used to implement a KASPER Direct Messaging system component to support communications and alerts among KASPER users; analyze and develop algorithms and techniques to increase the effectiveness of interstate data-sharing systems; and increase utilization of KASPER data for studies and research focusing on reducing controlled substance abuse and overdose risk factors.
The University of Kentucky Research Foundation, on behalf of the Kentucky Injury Prevention and Research Center (KIPRC), a bona fide agent for the Kentucky Department for Public Health (DPH), will (1) develop an algorithm-based mechanism to identify high-volume, high-risk opioid prescribing specialty groups within a health-care system to provide actionable information to health-care leadership to initiate targeted education; (2) develop an algorithm to identify inpatients whose specific principal diagnoses increase the likelihood that they will receive opioid prescriptions upon discharge and during follow-up care; and (3) develop diagnosis-specific patient education materials to facilitate a health-care system intervention for inpatients with these diagnoses. The results will be disseminated by developing reports, peer-reviewed manuscripts, and a repository of developed and tested patient- and prescriber-oriented educational materials to facilitate replication in other health-care systems and settings.
The Kentucky Injury Prevention and Research Center (KIPRC), bona fide agent for the Kentucky Department for Public Health, intends to implement a project that will strengthen interagency as well as researcher-practitioner collaborations, expand data sharing, and improve decision making of regulatory and law enforcement agencies and public health officials in their efforts to reduce prescription drug misuse and diversion as well as illicit drug use. The goals of the project are to evaluate the impact of Kentucky Law SB32, which required the inclusion of drug conviction data in Kentucky All Schedule Prescription Electronic Reporting (KASPER); develop and provide education for prescribers and dispensers on the content of conviction data within KASPER patient reports; evaluate changes in gabapentin prescribing and diversion since gabapentin became a Schedule V controlled substance in Kentucky in 2017; analyze existing and new data sets for identification of drug abuse; and hold quarterly action team meetings to review recent data. The project's research component will be performed by action researchers from KIPRC, the Institute for Pharmaceutical Outcomes and Policy (IPOP), and the Center on Drug and Alcohol Research (CDAR), University of Kentucky.
The Louisiana Office of Behavioral Health is partnering with the Louisiana Commission on Law Enforcement and Administration of Criminal Justice to expand the Louisiana Opioid Surveillance System to include nonhealth data sources, which will be built by third-party contractor GCR, Inc. The goals are to enhance surveillance of the opioid abuse continuum from pre- and post-legislative impacts and relationships between parolees, etc., to support data-driven methods for cross-system planning and collaboration, and to engage a stakeholder group to develop best practices for data sharing efforts. A multidisciplinary action group will be formed to develop targeted interventions in select areas. Brandeis University will assist in the evaluation of longitudinal data related to the PMP.
St. Tammany Parish will develop an information system to analyze and track the opioid client population across justice system and health intercepts in order to reduce cases of overdose and increase treatment and recovery service access. Key partners for this project include the 22nd Judicial District Court, the Safe Haven Advisory Board, St. Tammany Parish Hospital, the St. Tammany Parish Sheriff’s Office and Jail, and the District Attorney’s Office.
The St. Tammany Parish Government aims to reduce the incidence of opioid overdoses and increase community access to care for substance abuse and behavioral health needs in Mandeville, Louisiana. The project will plan and implement a cross-system collaboration to address opioid use and promote jail diversion, treatment, and recovery. A program coordinator will create a unified data entry system to track data on opioid users when they enter hospitals, the criminal justice system, or recovery services in order to track their progress. The grantee will analyze data metrics to identify high-frequency users for enhanced programmatic targeting.
The Holyoke Police Department will use funds primarily for salaries that support a project coordinator, a narcotics intervention officer, a recovery coach, and a mental health supervisor. Through the Project Recovery and Engagement of Addicts and Chronic users of Heroin (REACH) Project, the Holyoke Police Department will address the significant opiate drug problem in Holyoke, Massachusetts. Project goals are to decrease the number of overdose victims, decrease the number of narcotics crimes, and increase the support systems for people addicted to opioids in Holyoke.
The Holyoke Police Department will implement Project Heroin Addiction Recovery Team Support (HARTS), designed to address the significant opiate drug problem in Holyoke, Massachusetts. The Holyoke Police Department will partner with the recovery coach to meet with all survivors of an opioid overdose, either in the community or at the emergency department. The University of Massachusetts, Amherst, will serve as the evaluator for the proposed project.
The Trial Court of Massachusetts, on behalf of six states (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont), will establish a New England Regional Judicial Opioid Initiative (RJOI). This project will support comprehensive cross-system planning and collaboration among officials who work in multiple justice and justice related settings while staying focused on the judiciary and judiciary stakeholders (e.g. law enforcement, pre-trial services, the courts, probation and parole, child welfare, reentry, prescription drug monitoring programs (PDMPs), and emergency medical services, as well as health-care providers, public health partners, and agencies that provide substance use disorder treatment and recovery support services). The New England RJOI will also develop and enhance public safety, behavioral health, and public health information-sharing partnerships that leverage key public health and public safety data sets and implement interventions based on this information. The project will have a researcher and is presently completing contract negotiations for these services.
The Massachusetts Department of Public Health will enhance its Prescription Monitoring Program (PMP) to accomplish three goals: (1) develop enhancements to the online Massachusetts Prescription Awareness Tool (MassPAT); (2) improve the quality of prescription information by flagging non- or intermittently reporting pharmacies and by reaching out to pharmacies that have high error submission rates; and (3) analyze and report out on trends in stimulant prescribing. The Department of Public Health will accomplish these goals by evaluating and/or reporting the impact of MassPAT enhancements funded by COAP funding, monitoring the frequency of pharmacies not reporting to the Massachusetts PMP and evaluating the efficacy of pharmacy outreach to correct error submissions, and reporting out on trends on stimulant prescribing.
The Maryland Department of Health will develop a multidisciplinary data-governing framework and will partner with the Chesapeake Regional Information System for our Patients (CRISP) for data linking and for the establishment of a data warehouse. The data-governing framework will inform the design of a data warehouse to more efficiently utilize state resources while enabling secure access to drug-involved data. The data-governing framework and warehouse infrastructure will work in concert to produce key, data-driven, actionable recommendations guiding the state’s opioid response and enhance public safety, public health, and behavioral health partnerships and program evaluations.
St. Mary’s County Health Department in Maryland will work with other community agencies to expand the data that are used to support the Opioid Intervention Team. The utilization of Overdose Detection Mapping Application Program (ODMAP), Prescription Drug Monitoring Program (PDMP), and first responder data will be increased. In addition, the agency will increase the multidisciplinary engagements with community organizations and neighboring jurisdictions and increase recovery support services and educational opportunities for prescribers and patients.
The Detroit Police Department’s Opioid Abuse Diversion Program will create and implement a law enforcement-led pre- and post-arrest diversion in Detroit using the Law Enforcement Assisted Diversion (LEAD) model. The School of Criminal Justice at Michigan State University will serve as the research partner for the proposed project. The applicant agreed to provide data through the Overdose Detection Mapping Application Program (ODMAP).
The Clare County, Michigan, Prosecuting Attorney’s Office will establish a task force to focus on drug-related problems, to include the opioid epidemic. Representatives from all five of the law enforcement agencies that service Clare County, medical personnel, substance abuse counselors, pharmacists, a representative from probation and parole, and any other professionals who are identified during the implementation will comprise the task force. Federal agencies will also be invited to participate in the task force to participate in investigations that might be more effectively prosecuted at the federal level. The assistant prosecutor in charge of the program will coordinate with the U.S. Attorney’s Office for the Eastern District.
The Michigan State Police, in partnership with the University of Michigan, will develop and pilot Community Overdose Assessment Teams (COATs) in up to three counties. The purpose of a COAT will be to review each overdose to identify causes and incidences of opioid overdose deaths within the selected sites, identify risk factors and gaps in the systems, develop recommendations to agencies of each local COAT to prevent future deaths, and provide recommendations to the state on how to address the epidemic, such as changes to laws or regulations.
The Minnesota Board of Pharmacy will move to the new prescription monitoring program (PMP) AWARxE platform with the inclusion of the deployment of NarxCare analytics, visualizations, and clinical intervention tools. To educate users about the database and the updated functionalities to ensure continued, accurate use of the system, a Quick Tips Guide—which was an appreciated educational tool in the past—will be created and distributed. Finally, the PMP will expand the system’s report-generation capabilities as used by the PMP administrator and the PMP pharmacist consultant to analyze and identify trends and provide requested data to stakeholders.
The Minnesota Bureau of Criminal Apprehension will create a drug monitoring initiative within the Minnesota Fusion Center. Key partners include local, state, federal, and tribal public safety and public health agencies, including the Minnesota Prescription Monitoring Program (MNPMP), Minnesota Department of Health, Department of Human Services, and Minnesota Poison Control.
The purpose of this project in St. Louis, Missouri, is to develop an information sharing ecosystem in order to create a repository for storing and managing anonymized, case-level data from across the enterprise to allow authorized personnel to access aggregated data through specially designed dashboards and analytics tools for tactical and strategic decision making. We will develop the technical and governance infrastructure to securely pass information between criminal justice and public health agencies in a timely, efficient, and accurate manner that conforms to national justice information sharing standards and industry best practices. The goal is to use the summary data to monitor progress on diverting the target population to develop sustainable, community-based prevention initiatives to combat opioid misuse and promote population health. Summary data from an array of data contributors will assist the City to ensure that the practices and policies that are implemented meet the needs of the target population.
The Opioid Community of Practice (OCP) began in October 2017 and is coordinated by St. Louis County Department of Public Health. The OCP is a multijurisdictional learning collaborative composed of public health entities and action researchers that provides a designated space for strategic planning, knowledge sharing, protocol evaluation, peer review, and innovation. OCP members are engaged in a continuous process of learning to identify barriers, highlight successful interventions, and identify new opportunities for potential collaboration. Participation of local public health agencies ripples from anchoring jurisdictions from St. Louis County, St. Louis City, St. Charles County, Kansas City, Jackson County, Clay County, Columbia–Boone County, and Springfield–Greene County. The group aims to improve outreach on OCP initiatives to the growing number of jurisdictions (currently 72) participating in the St. Louis County Prescription Drug Monitoring Program (PDMP) and beyond. The group also includes researchers from the Missouri Institute of Mental Health at the University of Missouri–St. Louis and leaders from local law enforcement, the Missouri Hospital Association, United Way of Greater St. Louis, the Behavioral Health Network of Greater St. Louis, and the Missouri Department of Health and Senior Services. The goals and objectives for this project are: (1) collaborate to improve data identification, collection, and utilization of opioid data; (2) prioritize and enhance community-based interventions and system-level strategies using improved opioid data and collective action that address social determinants of health; and (3) leverage action researchers, local public health entities, and regional data collaborative groups to evaluate the collective impact of the learning community and the impact of resulting interventions on reducing opioid misuse. St. Charles County, Kansas City, Jackson County, Clay County, Columbia–Boone County, and Springfield–Greene County. The group aims to improve outreach on OCP initiatives to the growing number of jurisdictions (currently 72) participating in the St. Louis County Prescription Drug Monitoring Program (PDMP) and beyond. The group also includes researchers from the Missouri Institute of Mental Health at the University of Missouri–St. Louis and leaders from local law enforcement, the Missouri Hospital Association, United Way of Greater St. Louis, the Behavioral Health Network of Greater St. Louis, and the Missouri Department of Health and Senior Services. The goals and objectives for this project are: (1) collaborate to improve data identification, collection, and utilization of opioid data; (2) prioritize and enhance community-based interventions and system-level strategies using improved opioid data and collective action that address social determinants of health; and (3) leverage action researchers, local public health entities, and regional data collaborative groups to evaluate the collective impact of the learning community and the impact of resulting interventions on reducing opioid misuse.
The Mississippi State Department of Health will improve data quality for ongoing monitoring of the impact of opioid abuse in the state by (1) incorporating Syndromic Surveillance clinical data; (2) integrating emergency medical services (EMS) data with Syndromic Surveillance so that providers may view opioid overdose events; (3) enhancing EMS data quality so as to report opioid/drug overdose events; and (4) enhancing law enforcement data quality.
The Mississippi State Department of Health will establish a state opioid and heroin data center to serve as an information resource for Mississippi. A comprehensive analysis of multiple data sources produced from this center will be utilized by the community, health-care providers, and other stakeholders to reduce the number of inappropriate opioid prescriptions and decrease the number of opioid fatalities in Mississippi. The objectives are to leverage key data sets to create a holistic view of the environment; inform Mississippi prescribers, policymakers, law enforcement, other stakeholders, and the public about the impact of prescription drug and heroin abuse for development of data-driven, evidence-based interventions; and use data to examine state and local-level policies for conformance with best practices and facilitation of positive interventions.
The Eastern Band of Cherokee Indians’ Integrated Opioid Abuse Program will develop a task force composed of tribal decision makers who will create policies and keep agencies accountable to indicators of success. A multidisciplinary team will provide direct services to high-frequency drug users and their families. These two teams will work together to develop a plan to create a secured mental health/opioid abuse treatment center and secure transportation for participants becoming certified peer recovery support specialists.
The Nebraska Department of Health and Human Services will form a multidisciplinary action group; develop a data dashboard utilizing a combination of vital records data, hospital discharge data, Nebraska Prescription Drug Monitoring Program (NePDMP) data, and geographic information of treatment services available in Nebraska; and increase the number of toxicology trainings and reports on suspected drug-related overdose fatalities. This data dashboard will aid in areas such as developing targeted interventions, creating data-driven responses, and determining best practices. The action group will encompass representatives from areas such as behavioral health and treatment agencies, pharmacies, hospitals, law enforcement, and local agencies, all of whom will then oversee the development of this dashboard. The prescription drug overdose prevention epidemiologist will be the staff member responsible for collecting and reporting the required performance measures.
The goal is to use grant funds to establish a data-sharing platform and agreements among all stakeholders to exchange critical pieces of information (or data elements) to conduct real-time data analysis. The process would entail using victim information contained in existing data sets to develop a notification system to alert stakeholders in real time when a high-frequency overdose victim becomes “active” in one of the data sets. The activation would also trigger a response by health care partners to provide the appropriate intervention and treatment options. This notification system would be leveraged through artificial intelligence (AI) and machine learning techniques.
The Morris County Sheriff’s Office will use funds to maintain and expand its Hope One Mobile Outreach vehicle program, which is deployed twice a week to areas experiencing a high volume of opiate overdoses. This expansion will include the launch of a Police Assisted Addiction and Recovery Initiative (PAARI), utlizing municipal and county law enforcement with the assistance of community partners. The research partner, Epiphany Community Services, will be provided with the data to track client progress and report progress so that any necessary program adjustments can be made.
The New Jersey Department of Law and Public Safety (DLPS) will collaborate with state agencies to develop a computerized, data-sharing dashboard, known as the Integrated Drug Awareness Dashboard (IDAD). The IDAD will leverage data sets specific to each agency, such as the New Jersey State Police and the Division of Consumer Affairs, and include identified and de-identified arrest and drug seizure data and Prescription Drug Monitoring Program (PDMP) data in one centralized platform. The goal is to synthesize multiagency information to create specialized and user-specific reports that will improve the sharing of opioid information across state agencies. The dashboard will create a holistic picture of the opioid environment, help develop targeted interventions, develop analytic opioid hot spots, and push notifications. Montclair State University will serve as the action research partner.
The New Jersey Department of Law and Public Safety (DLPS) will collaborate with state agencies to develop a computerized, data-sharing dashboard, known as the Integrated Drug Awareness Dashboard (IDAD). The IDAD will leverage data sets specific to each agency, such as the New Jersey State Police and the Division of Consumer Affairs, and include identified and de-identified arrest and drug seizure data and Prescription Drug Monitoring Program (PDMP) data into one centralized platform. The goal is to synthesize multiagency information to create specialized and user-specific reports that will improve the sharing of opioid information across state agencies. The dashboard will create a holistic picture of the opioid environment, help develop targeted interventions, develop analytic opioid hot spots, and push notifications. Montclair State University will serve as the action research partner.
The Pueblo of Pojoaque will create the Pueblo of Pojoaque Opioid Prevention and Intervention Project, a court-based, pre-prosecution diversion program. A project coordinator and an outreach worker/case manager will be hired. The State of New Mexico Sentencing Commission will serve as the evaluation partner for the proposed project.
The Nevada State Board of Pharmacy will support the proactive use and enhancement of the Prescription Drug Monitoring Program (PDMP) by (1) enhancing the Nevada PDMP with the addition of NarxCare, a software platform that will improve prescription monitoring program (PMP) reports by allowing for the incorporation of NarxCare analytics, visualizations, clinical intervention tools, and additional public health data sets into Nevada’s PMP AWARxE database; (2) improving the quality and accuracy of PMP data through an extension of the Board of Pharmacy and PMP’s current Audit Project, which looks at the accuracy and completeness of the data in the Nevada PMP; and (3) enhancing the PMP’s ability to provide quality reports of suspected fraudulent or otherwise unlawful or inappropriate prescribing patterns to authorized law enforcement agencies and/or occupational licensing boards for further investigation.
The Reno Police Department, in partnership with the Washoe County Health Department and other community partners, will implement evidence-based practices in the field of tobacco prevention by launching a mass-reach health communication campaign with the goal of changing the social norms surrounding prescribed opioids. This program will also follow up with individuals/families who have experienced a suspected overdose and provide information regarding resources such as how to seek a substance abuse evaluation and/or counseling, medication-assisted treatment (MAT) and other treatment, and where to obtain naloxone. Finally, the program will launch a prescriber education campaign.
The Dutchess County Department of Behavioral and Community Health will lead an effort to prevent overdose fatalities through timely, comprehensive information sharing within a communitywide collaborative that includes public safety, public and behavioral health, and other vested partners. This will strengthen community capacity to respond to acute overdose-related risks and build a sense of shared efficacy and resiliency in the face of an ongoing, ever-evolving epidemic. These goals will be achieved by applying objective methodology in three areas: (1) transformation of an existing underdeveloped task force into a streamlined, well-equipped, data-driven, opioid response collaborative, (2) enhanced overdose surveillance relating to populations at risk as well as emergent, high-risk substances, and (3) comprehensive capacity building initiatives aimed at integrating harm-reduction principles into existing service delivery models and identifying and addressing disparities in access to behavioral health services.
In response to the 303 percent increase in synthetic opioid-related deaths from 2014 to 2015, the Erie County Department of Health will increase community access to naloxone and link overdose survivors to treatment. The project aims to more effectively link individuals across the sequential intercept model to care. In cases in which individuals cannot be connected directly to care, they can be linked to local organizations for support. Funds will also be used to create an ongoing systematic geospatial analysis of law enforcement and emergency medical services (EMS) calls for service and the product that caused each overdose. To take advantage of other information systems, the program will leverage data from I-STOP, the state’s prescription drug monitoring program. The program will be led by a multidisciplinary team with representatives from consumer peer groups, EMS, and behavioral health. Researchers from the University of Buffalo will serve as the research partner for the proposed project.
Erie County, New York, will establish an opioid mortality review board to inform future public health practice and policy related to primary and secondary prevention of opioid addiction and mortality through action research that operationalizes insight gained from mortality reviews.
The Bronx District Attorney, in partnership with the Bronx Criminal Court and the Center for Court Innovation/Bronx Community Solutions, will address the crisis in opioid deaths and overdose by enhancing the Overdose Avoidance Recovery (OAR) Program. This enhanced OAR Program will be expanded into two additional courtrooms. BetaGov/Litmus at NYU will serve as the evaluator for the proposed project.
The Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County will use grant funds to support a Data Subcommittee of the Heroin and Opioid Task Force (HOTF). The Data Subcommittee will develop an action plan and a blueprint for an integrated data sharing platform to be implemented by the HOTF. Begun Center of Case Western Reserve University will serve as the research partner for the proposed project.
The objective of the initiative is to enhance public safety, behavioral health, and public health by leveraging existing data sets to inform implementation of highly focused opioid interventions. Columbus Public Health will hire a HIDTA/ODMAP data integration project manager and contract with an IT vendor to develop and implement application program interfaces to export real-time, first responder overdose data from the local records management system to ODMAP. The project team will then train local police and fire departments on how to access and analyze countywide HIDTA data. Columbus Public Health will also hire a substance use disorder epidemiologist to combine local public health and social determinant data with HIDTA public safety data. This data set will serve as the foundation for a countywide interactive overdose data tool. Mighty Crow, Inc. will serve as the evaluator for the data integration project.
Public health – Dayton and Montgomery County will work with county partners and Ascend Innovations to create a more robust multidisciplinary approach to data sharing by incorporating law enforcement data, coroner’s office data, mortality data, crime lab data, criminal justice data, treatment data, hospital emergency department and inpatient encounter data, and naloxone administration data. The data will be used by the county’s Community Overdose Action Team and the Poisoning Death Review Committee to create a comprehensive view of the addicted population in Montgomery County, Ohio, and to assist in developing specific plans for prevention and intervention strategies. Ascend Innovations will also serve as the evaluator on the proposed project.
Fairfield County, Ohio, will implement the Fairfield County Overdose Response Team (FORT). Strategies include deploying an Overdose Response Team to perform follow-up visits with persons who have had a nonfatal overdose; providing expedited access to treatment, including medication-assisted treatment (MAT), to persons who have had a nonfatal overdose; performing overdose fatality case reviews; connecting people who identify as having a substance use disorder with available treatment and recovery options outside of the criminal justice system; and tracking every overdose in real-time using the Overdose Detection Mapping Application Program (ODMAP). Miami University in Oxford, Ohio, will serve as the research partner for the proposed project.
Marion County will expand its Law Enforcement-Assisted Diversion (LEAD) initiative in targeted neighborhoods in Salem, Oregon. The Oregon Criminal Justice Commission will serve as the research partner for the proposed project.
The Montgomery County Department of Public Safety (MCDPS) will develop and enhance public safety, behavioral health, and public health information sharing partnerships that leverage key public health and public safety data sets (e.g., de-identified prescription drug monitoring program [PDMP] data, naloxone administrations, emergency medical services [EMS] run data, fatal and nonfatal overdose data, 9-1-1 dispatch information) by implementing the Emergency Medical Overdose Surveillance System (EMODSS) Project. The EMODSS Project will be established as a permanent initiative under MCDPS, Division of Homeland Security, Intelligence Fusion Center. The EMODSS Project will be used to supplement Overdose Detection Mapping Application Program (ODMAP) data with a goal of creating an automatic feed from EMODSS to ODMAP. The information acquired through EMODSS will enhance the Liberty High Intensity Drug Trafficking Areas (HIDTA) regional situational awareness picture.
The Pennsylvania Commission on Crime and Delinquency (PCCD) will fund projects for counties that work with the Technical Assistance Center at the University of Pittsburgh School of Pharmacy’s Program Evaluation and Research Unit to implement evidence-based programs to reduce overdose deaths.
The Pennsylvania Department of Health will develop and implement a systematic, sustainable Web-based solution to obtain timely and accurate statewide drug overdose death report data from Pennsylvania county coroners and medical examiners. Overdose death data collected and analyzed through this solution will be used to support statewide, county, and local-level drug death information sharing for public safety, behavioral health, and public health prevention, as well as rescue and treatment initiatives. This data will also be incorporated into Pennsylvania’s Opioid Data Dashboard.
The Pennsylvania State Police will use funds to implement Project TRIAD, which will synchronize innovative, technology-driven enforcement strategies, leveraging information received through community input. Project TRIAD is named for its three component parts: Component 1–Targeted Enforcement; Component 2–Problem Oriented Policing through Community Partnerships; and Component 3–Public Outreach. In addition, a research component will be funded to assess impact.
The Philadelphia Department of Public Health Opioid Data Working Group will develop a comprehensive opioid epidemic data report to establish a baseline and monitor the epidemic, use data matched across departments to identify barriers and opportunities, establish use of real-time data such as the Overdose Detection Mapping Application Program (ODMAP) and hospital syndromic data to support a rapid response plan to surges in overdose, and establish an overdose death review team that will review, in depth, a smaller number of fatal opioid-related overdose cases to identify factors, including system-level failures, that may have contributed to the fatalities.
The Rhode Island State Police will implement the Heroin-Opioid Prevention Effort (HOPE) Initiative, the nation’s first statewide law enforcement-led opioid overdose outreach program, modeled after the Police Assisted Addiction and Recovery Initiative (PAARI). The HOPE Initiative engages law enforcement personnel in a proactive outreach strategy to combat the opioid overdose epidemic by bringing together substance-use professionals and members of law enforcement with the mission of reaching out to individuals at risk of overdosing and encouraging them to be assessed and treated. The project will support the technology, professional expertise, and partnerships needed to gather comprehensive data, perform outreach visits, execute research, and contribute to the administration of the HOPE Initiative. Data gathered through the HOPE Initiative will be shared with the Overdose Detection Mapping Application Program (ODMAP). Kelley Research Associates will serve as the project evaluator.
Lancaster County, South Carolina, will implement a pre-arrest diversion program based on the Law Enforcement Assisted Diversion (LEAD) model. A research partner will be selected at the time of the award. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Tennessee Bureau of Investigation Crime Lab will decrease response times for reporting drug analysis and case results to stakeholders, expand forensic testing to improve the comprehensiveness of drug data available, and develop an avenue to report drug abuse in more real time than is currently available in the state.
The Tennessee Department of Health will create an overdose epidemic response coordinator position; integrate data on overdoses that occur and are treated in the field, including data from emergency medical services and law enforcement; and increase the ability to expand analytic work such as studying the roles of new drugs of concern including gabapentin, stimulants, and illicit drugs.
Bexar County Commissioners Court will create a strategic plan, develop a dashboard of all data related to opioid use and abuse, and fund evidence-based outpatient and residential treatment. The University of Texas at San Antonio will serve as the evaluator for the proposed project.
The Montgomery County, Texas, District Attorney’s Office will take the lead with a multiagency collaboration to comprehensively tackle issues surrounding prescription opioid abuse in the county. A preventive and proactive data-driven approach will be adopted to identify doctor shoppers, “pill mill” doctors, problematic pharmacies, and prescription opioid addicts. The goal is to hold doctors and pharmacies accountable and to prosecute doctor shoppers who divert prescription opioids to streets for profit. The two primary components of the project include a pre-crime unit and a Prescriber Outreach and Education Program.
The Utah Department of Health Violence and Injury Prevention Program proposes to develop a data information sharing system with public safety and local health departments. The key indicators will include mortality, morbidity, and prescription of behavior-related data using data from death certificates, medical examiner records, syndromic surveillance, prescription drug monitoring data (known as the Controlled Substance Database), emergency department records, and poison control data. These efforts will assist in developing an information sharing system that is timely to inform prevention efforts.
Fairfax County will develop a Secure Integrated Data approach with engagement by representatives of the Fairfax County health and human services community; public safety, education, legal, and technology representatives of the organizations involved; state prescription drug monitoring program (PDMP) representatives; and service providers to adopt and promote the information sharing efforts. The team will develop data governance structures to support the policy for data sharing and then develop a data sharing model by using global information sharing standards to share data across various systems. George Mason University will serve as the research partner for the proposed project. IJIS Institute will provide technical support for the development of a data governance structure.
The State of Vermont Department of Health Division of Alcohol and Drug Abuse Programs will identify community-level data sets pertaining to opioid use/misuse and associated physical, mental, environmental, and social health consequences and develop a data platform for community groups to access and manipulate data to identify pertinent local areas of concern. Vermont is recruiting a research partner for the proposed project.
The Washington State Department of Health (DOH) will link prescription drug monitoring program (PDMP) data with various public health data sets housed within DOH and expand data visualizations and data sharing to help Washington State (and local partners) make data-based decisions regarding treatment and prevention of prescription drug-related health outcomes.
Kenosha County, Wisconsin, has the fourth-highest rate of opiate-related overdose deaths and the highest rate of heroin-related overdose deaths in the state. To stem increasing rates of opioid overdose, the Kenosha County Department of Human Services will implement the Kenosha County Opioid Overdose Reduction Project, which builds on the community's naloxone distribution-enabling Wisconsin Prescription Drug/Opioid Overdose-Related Deaths Prevention Project (WI-PDO). The project utilizes certified peer specialists to link overdose survivors with treatment. In addition, the project stipulates the creation of a community education campaign about opioid abuse, harm reduction, and abuse treatment alternatives. To ensure long-lasting success, the project will leverage key data sets to provide an extensive analysis of the opioid crisis to guide policymaking. NJM Management Services, Inc. will serve as the action research partner.
The Menominee Indian Tribe of Wisconsin will develop a Police Assisted Addiction and Recovery Initiative (PAARI) model of law enforcement diversion to reduce opioid abuse and the number of overdose fatalities. Grant funds will be used to support a program coordinator, who will assist in implementing the program; a clinical therapist; and three peer support specialists. The applicant agreed to make data available through the Overdose Detection Mapping Application Program (ODMAP).
The Menominee Indian Tribe of Wisconsin will mitigate the impact of opioid abuse on crime victims within the Menominee tribal jurisdiction by hiring two full-time crisis response case managers at Tribal Social Services to work with first responders, the Clinic of Behavioral Health, and the Child Protection Team when children are present at the scene of an overdose or are impacted by familial substance abuse. The grant funds will also be used to support a program coordinator who will assist in implementing the program, a clinical therapist, and a family preservation worker.
The West Allis Health Department will implement the Cardiff Model, an enhanced violence surveillance system and intervention that involves information sharing and violence prevention among law enforcement, public health, and the medical field. The model requires (1) the collection, linking, and mapping of interpersonal violence information from emergency departments, police departments, and other relevant areas (e.g., emergency medical services [EMS]); and (2) the convening of a multidisciplinary stakeholder consortium to discuss and utilize timely information to implement data-informed violence-prevention activities. The Cardiff Model has not been evaluated regarding its impact in the United States and requires evaluation in the proposed health-care, population, and environmental contexts. Further, by incorporating and discussing opioid-related data sets (e.g., the Overdose Detection Mapping Application Program [ODMAP], the Prescription Drug Monitoring Program [PDMP]) alongside violence data sets, this model may have utility for addressing the intersection of violence and opioid misuse. The Medical College of Wisconsin and its Comprehensive Injury Center will serve as the research partner for the proposed project.
The Wisconsin Department of Justice (DOJ), in partnership with the Wisconsin Department of Safety and Professional Services, Department of Health Services, and Medical College of Wisconsin, will develop and enhance local and state information sharing partnerships by adding overdose fatality review teams in eight jurisdictions, providing training to these new teams, and piloting a bidirectional information sharing of the Prescription Drug Monitoring Program (PDMP) with the DOJ, emergency medical services, and the medical examiner to better inform prescribers of overdose activity.
The Wisconsin Department of Justice, in partnership with the Wisconsin Department of Health Services, will develop a comprehensive state plan that will assist the state and localities in engaging and retaining individuals in the justice system in diversion, treatment, and recovery services. This plan will identify training and technical assistance programs for localities aimed at improving treatment engagement and client outcomes; supporting the tracking, compiling, coordinating, and dissemination of statewide and local data; and expanding the collaborative efforts between state and local agencies. Funding is also provided to implement the plan once it is approved.
The West Virginia Department of Health and Human Resources proposes a partnership among the West Virginia Office of Emergency Medical Services (EMS); the West Virginia Poison Control Center; medical examiners; the West Virginia Office of Maternal, Child and Family Health; and EMS, fire, and law enforcement personnel. The project will develop and enhance information sharing partnerships by linking data and distributing performance measure reports with respect to prehospital naloxone administration as well as fatal and nonfatal overdoses. The University of North Carolina–Chapel Hill Department of Emergency Medicine EMS Performance Improvement Center will serve as the research partner for the proposed project. A Web service will be developed that delivers data to the Overdose Detection Mapping Application Program (ODMAP).