Overdose Data to Action-Local

Overdose Data to Action: Limiting Overdose through Collaborative Actions in Localitie(OD2A-Local) funds 40 city, county, and territorial health departments to build a strong foundation of cooperation and partnership across public health, behavioral health, health systems, community organizations, and public safety. The goal is to build cohesive programs that that reach people throughout communities and to close gaps in access to services.

OD2A-Local is structured to provide jurisdictions with flexible resources to improve the surveillance of nonfatal and fatal drug overdoses and to collect and access data to inform and enhance local prevention activities.

OD2A-Local is designed to empower cities, counties, and territories to:

• Use data to inform and tailor prevention strategies, with an emphasis on reaching groups disproportionately affected by the overdose epidemic, at highest risk of overdose, and those historically underserved by prevention programs.
• Ensure implementation of culturally relevant interventions and equitable delivery of prevention services, informed through data and ongoing engagement with the population's programs they are intended to serve.
• Develop and grow multisectoral partnerships to strengthen the local overdose response.

OD2A-Local supports communities in addressing the overdose crisis through evidence-based prevention programs, harm reduction, and implementation of the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain.

Strategies focus on surveillance and prevention which include community, public safety, and health care settings: linkage to and retention in care, harm reduction, clinician, and health systems best practices.

To learn more about OD2A-Local please contact: Post.CHD06@flhealth.gov

Additional Information:

Find Help and Treatment | SAMHSA

Surveillance

The Florida Department of Health in Broward County (DOH-Broward) monitors and analyzes data including emergency department chief complaints, hospital discharge diagnoses, vital statistics, emergency medical services calls, and forensic toxicology testing to identify trends and outbreaks in fatal and nonfatal overdoses and to facilitate a timely and targeted community response.

Additional Information:

Substance Use Dashboard: Overview | CHARTS (flhealthcharts.gov)

Overdose Fatality Review

The Florida Department of Health in Broward County (DOH-Broward) conducts and hosts the Overdose Fatality Review Committee (OFR). DOH-Broward is one of two health departments in the state of Florida conducting these reviews. The shared understanding that overdose deaths are preventable guides the entire OFR process. The purpose of an OFR is to effectively identify gaps in the system of care and to create community-specific overdose prevention and intervention strategies.

The multidisciplinary OFR committee conducts case reviews of fatal overdoses that inform programmatic and policy recommendations to improve coordination and collaboration between agencies and community conditions to prevent future overdose deaths.

These recommendations are presented to a governing committee that supports and provides resources for implementation and a framework for accountability for action.

Academic (Physican) Detailing

The Florida Department of Health in Broward County (DOH-Broward) has implemented academic detailing (AD) as pioneered by the National Resource Center for Academic Detailing (NARCAD), to provide one-on-one outreach education to equip providers and health systems to make evidence-based prescribing decisions, have timely and complete information regarding non-opioid medications and non-pharmacologic treatments, and identify patients at risk for overdose or opioid use disorder and then can either offer or connect patients with appropriate care.

In addition to visiting individual provider practices and hospitals, the Broward AD team coordinates a regular bimonthly educational continuing medical education-accredited webinar hosting expert clinician speakers to discuss their clinical experience and cases of chronic pain and safe opioid prescribing practices.

Broward ADs also provide presentations on Screening, Brief Intervention, and Referral to Treatment (SBIRT), which is an evidenced-based and best practices screening tool and is an essential harm reduction public health strategy to improve maternal and infant outcomes by preventing certain health conditions among infants, such as neonatal abstinence syndrome. These trainings are provided to all clinicians with an emphasis on primary care, family medicine, and obstetrics/ gynecology communities in Broward County.

Broward’s AD team also creates educational presentations based on the 2022 CDC Clinical Practice Guideline. The Broward AD team discusses the topics of safe opioid prescribing, medications for opioid use disorder (OUD), polysubstance use, and stimulant use disorder (StUD) diagnosis, and treatment to best support linkage to care and care access expansion. Discussions also include ensuring care continuity for people taking long-term opioid therapy for chronic pain and people with substance use disorder training on OUD and StUD screening/ diagnosis/ treatment options. DOH-Broward also provides monthly educational training to medical students and students from any other allied health programs across the county.

For more information or to set up an academic detailing session please contact: Post.CHD06@flhealth.gov

Additional Information:

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