1

Welcome!

Brought to you by your friends:

3

A WORD FROM OUR SPONSOR

​

​

​

Joseph Divis

Assistant Vice President

External Affairs, Mid-Atlantic Region

​

Caroline Tunick

Area Retail Sales Manager

Greater Philadelphia Area

4

Organizers:

• Karla Fettich, R Ladies Philly
• Michael Chow, Code for Philly
• Joey Logan, CHOP
• Michael Becker, DataPhilly
• Dan Larson, Data Jawn
• Marieke Jackson, Code for Philly

The Opioid Epidemic in Philadelphia

• 2017: 88% of drug-related deaths involved opioids
• 655,000 pounds of opioids were ingested in Philadelphia in 2016

6

The Opioid Epidemic in Philadelphia

7

HACKATHON GOALS

Cause we’ve got hack hopes

https://github.com/CodeForPhilly/datahack2020

General Questions

• Can we visualize the recovery process with regards to building understanding in the general public and better tools for warm handoffs?
• What have been the effects of citizens’ access to Narcan?
• Can we estimate the population of individuals using IV drugs in Philadelphia?

9

https://github.com/CodeForPhilly/datahack2020

Outcomes

• For Partners
• Useful Insights
• Knowledge Sharing
• Understandable
• Transferable Output

​

​

• For Participants
• Learn new tools/skills
• Explore new analyses
• Make new data science friends
• Work on projects that have a real impact

​

​

10

https://github.com/CodeForPhilly/datahack2020

HEALTH FEDERATION OF PHILADELPHIA

Catherine Abrams, MPH, MMT, MT-BC

Opioid Response Program Manager

Opioid Program

​

​

Catherine Abrams

Opioid Response Program Coordinator

​

Describing buprenorphine access

w w w. healthfederation.org

About HFP

The Health Federation of Philadelphia serves as a keystone supporting a network of Community Health Centers as well as the broader base of public and private-sector organizations that deliver health and human services to vulnerable populations. We take a collaborative approach to promoting health by:

• Improving access to and quality of health care.
• Identifying, testing and implementing solutions to health disparities.
• Providing training and technical assistance to help other organizations operate more efficiently and effectively.

​

w w w. healthfederation.org

We offer many programs...

https://healthfederation.org/programs

​

​

​

​

​

​

​

w w w. healthfederation.org

The Opioid Program

​

Project Goal:

Increase access to medication assisted treatment (MAT) to Philadelphians who have opioid use disorder.

​

Objective:

Increase the number of medical providers who prescribe medications for opioid use disorder (MOUD) in primary care settings.

​

​

w w w. healthfederation.org

Medications for Opioid Use Disorder (MOUD)

Methadone -

• highly regulated and only available at an Opioid Treatment Program
• requires daily visits ‘liquid handcuffs’

Buprenorphine

• prescriber must have waiver training
• referred to as ‘gold standard’ evidence based treatment

Naltrexone - extended release

• less restrictive access

​

w w w. healthfederation.org

Abstinence works for some...

​

however the risk of overdose is extremely high if relapse occurs

​

​

​

​

w w w. healthfederation.org

Buprenorphine access

Withdrawal Management

• Emergency Department
• Crisis Response Center
• Accesspoint

Prison

Substance Use Treatment

• Inpatient Substance Use Treatment
• Intensive Outpatient (IOP)

Primary Care

Mobile Van

w w w. healthfederation.org

and sometimes it is sold on the street

​

​

​

​

​

“But drug users, advocates, and researchers say that many people aren’t buying buprenorphine to get high. Rather, they’re using it to protect themselves from overdoses, to get through the pain of withdrawal, or even to engineer their own do-it-yourself addiction treatment”.

w w w. healthfederation.org

Waiver?

Federal law (DATA 2000) mandates training in order to write a prescription for buprenorphine (which is a controlled substance).

• MD/DO - 8 hour training
• Nurse Practitioners and Physician Assistants - 24 hour training

Waiver limits:

• 30 patients at first
• after a year, can apply for 100 or 275 patients

w w w. healthfederation.org

Why is access an issue if PA has the second highest total number of waivered providers behind New York?

​

PA waivered providers:

• 6489 total

​

In Philadelphia:

• 527 waivered
• 385 prescribing

​

​

565 at 275

1,424 up to 100

4,500 up to 30 - can assume this group is not seeing many patients

https://www.samhsa.gov/medication-assisted-treatment/practitioner-program-data/certified-practitioners

w w w. healthfederation.org

w w w. healthfederation.org

Is this still true and how accessible are they?

w w w. healthfederation.org

Intern project: Which local FQHCs* offer Medications for OUD?

Anya Slizik, Intern

​

Philadelphia sites were contacted to determine:

• appointment availability
• whether there are established referral pathways with other levels of care
• contact information for referrals
• number of waivered providers at the site

*Federally Qualified Health Centers

w w w. healthfederation.org

Her findings...

Determining where treatment is available is difficult even for a college educated person with access to cell service and the internet.

​

Getting complete data was impeded by:

• Lack of awareness of front desk staff
• Long wait times and transfers that sometimes led to the wrong person
• Incorrect information
• Reluctance to give information

w w w. healthfederation.org

Can you help us identify what access really looks like in Philadelphia?

​

w w w. healthfederation.org

Resources about Medications for Opioid Use Disorder or MAT

​

Articles:

https://www.pewtrusts.org/en/research-and-analysis/fact-sheets/2016/11/medication-assisted-treatment-improves-outcomes-for-patients-with-opioid-use-disorder

​

Podcasts:

The Opioid Tragedy, Part 1: “We've Addicted an Entire Generation” (Ep. 402)

The Opioid Tragedy, Part 2: “It's Not a Death Sentence” (Ep. 403)

w w w. healthfederation.org

Contact information:

​

​

cabrams@healthfederation.org

​

215-246-5588

w w w. healthfederation.org

The Health Federation of Philadelphia

is continually developing new programs in response to both the needs of underserved communities and the availability of data indicating improved approaches to health care and behavioral support.

​

For more information about our initiatives, please visit:

w w w. healthfederation.org

w w w. healthfederation.org

HEALTH FEDERATION DATASETS

• Provider bupernorphine prescription limits
• Med-assisted Treatment Centers in Philadelphia

30

https://github.com/CodeForPhilly/datahack2020

PREVENTION POINT

Mary Craighead

Overdose Prevention & Harm Reduction Coordinator

mary.craighead@ppponline.org

​

Susanna Rhodes

SSP Lead and Community Partner Liaison

susanna@ppponline.org

WHO WE ARE

• Prevention Point Philadelphia is a non-profit, public health organization committed to protecting the health and welfare of drug users and sex workers. PPP uses harm reduction theory to reduce the harm associated with drug use and sex industry work by offering a safe and humane alternative to the war on drugs.

32

What is HARM REDUCTION?

Key Principles

Harm reduction is a set of practical public health strategies designed to reduce the negative consequences of drug use and promote healthy individuals and communities without necessarily reducing drug use.

• Designs & promotes public health interventions that minimize the harmful effects of drug use
• Understands drug use as a complex, multi-faceted issue that encompasses behaviors from severe abuse to total abstinence.
• Meets people where they are in the course of their drug use.
• Affirms and empowers drug users and communities to be the primary agents of change.

33

Agency Goals

• To reduce or stabilize HIV seroconversion rates in the target population
• To reduce or stabilize the Hepatitis B & C rates in the target population
• To educate the target population about transmission of HIV, Hep B/C, and strategies for risk reduction
• To reduce or stabilize new cases of sexually transmitted diseases among the target population by providing education and access to treatment
• To serve as a harm reduction services center specializing in dissemination of information to the target population on how to reduce drug-related harm
• To provide access to healthcare regardless of insurance status
• To provide a bridge to housing services
• To provide a bridge to recovery-related services

34

Services and Programs

• Syringe Exchange
• Harm Reduction Education
• Overdose Prevention Education/Training
• Overdose Surge Response
• Drop-In Center/Referrals
• Free Medical Clinics in-building and on the street including specialized wound care and MAT
• Mail service for individuals w/o housing
• HIV and HCV Rapid Testing

• Medication Assisted Treatment
• Case Management
• HCV Case Management and Treatment
• HIV Case Management
• Routinized Overdose Screening and Naloxone Distributing
• Homeless Outreach
• Respite Emergency Housing
• Navigation Center
• Police Assisted Diversion
• PREP Clinic

35

Narcan Program

• How is it helpful to know the effects of the Narcan program?

​

​

• How is it helpful for us to know an estimate of IV drug users?

​

​

• How would it help us to be able to improve navigating the referral system?

36

PREVENTION POINT DATASETS

• Narcan Refills
• Refill-grain
• Zip aggregates

​

• Dummy forms

37

https://github.com/CodeForPhilly/datahack2020

• 2019 SEP exchanges
• Syringes exchanged
• x site
• x month
• Distinct participants
• x site
• x month

Q&A

https://github.com/CodeForPhilly/datahack2020

THE HACK

https://github.com/CodeForPhilly/datahack2020

CODE OF CONDUCT

• Remember
• Everyone here is volunteering their time
• Everyone has different skills and experiences
• Everyone here wants to help
• Be respectful and considerate with one another
• Attempt collaboration before conflict
• Encourage and support each other
• If you see something, say something (to organizers)

40

https://github.com/CodeForPhilly/datahack2020

TIMELINE

• Tomorrow: First hack day
• Weekly hack nights on Tuesdays (pizza provided!)
• March 6 (4 weeks from now!)
• Wrap up analyses and start writing up report and presentation
• March 17 (5.5 weeks from now!): Presentation night
• March 24: Final reports due

41

https://github.com/CodeForPhilly/datahack2020

FIRST HACK DAY (TOMORROW)

• Brainstorm areas for analyses with input from partners
• Find like-minded scientists and form teams
• Pick a team leader
• Formulate research questions
• Develop analysis plan (break analysis into components)
• Set up all the needed tools
• Decide on team logistics (meeting frequency, location, etc)

42

https://github.com/CodeForPhilly/datahack2020

TEAM CONSIDERATIONS

• Analysis software: Python vs. R
• OS: Mac vs PC
• Visualization tools
• Preferences: Containerized vs non
• Change management experience: Git/GitHub
• Time pressure preferences

43

https://github.com/CodeForPhilly/datahack2020

Homework:

Which of the 3 areas are most interesting to you? Why? What do you hope to learn?

​

Start thinking about a team you may want to join: https://bit.ly/2GNdA5J

Join the Code for Philly slack channel:

codeforphilly.org/chat

44

See you tomorrow!

45

YOU CAN ALSO SPLIT YOUR CONTENT

White

Is the color of milk and fresh snow, the color produced by the combination of all the colors of the visible spectrum.

Black

Is the color of coal, ebony, and of outer space. It is the darkest color, the result of the absence of or complete absorption of light.

46

IN TWO OR THREE COLUMNS

Yellow

Is the color of gold, butter and ripe lemons. In the spectrum of visible light, yellow is found between green and orange.

Blue

Is the colour of the clear sky and the deep sea. It is located between violet and green on the optical spectrum.

Red

Is the color of blood, and because of this it has historically been associated with sacrifice, danger and courage.

​

47

A PICTURE IS WORTH A THOUSAND WORDS

A complex idea can be conveyed with just a single still image, namely making it possible to absorb large amounts of data quickly.

48

WANT BIG IMPACT?

USE BIG IMAGE.

49

USE DIAGRAMS TO EXPLAIN YOUR IDEAS

50

AND TABLES TO COMPARE DATA

51

MAPS

52

our office

89,526,124

Whoa! That’s a big number, aren’t you proud?

53

89,526,124$

100%

185,244 users

That’s a lot of money

Total success!

And a lot of users

54

OUR PROCESS IS EASY

55

LET’S REVIEW SOME CONCEPTS

Yellow

Is the color of gold, butter and ripe lemons. In the spectrum of visible light, yellow is found between green and orange.

Blue

Is the colour of the clear sky and the deep sea. It is located between violet and green on the optical spectrum.

Red

Is the color of blood, and because of this it has historically been associated with sacrifice, danger and courage.

​

Yellow

Is the color of gold, butter and ripe lemons. In the spectrum of visible light, yellow is found between green and orange.

Blue

Is the colour of the clear sky and the deep sea. It is located between violet and green on the optical spectrum.

Red

Is the color of blood, and because of this it has historically been associated with sacrifice, danger and courage.

​

56

You can insert graphs from Google Sheets

57

MOBILE PROJECT

Show and explain your web, app or software projects using these gadget templates.

58

Place your screenshot here

TABLET PROJECT

Show and explain your web, app or software projects using these gadget templates.

59

Place your screenshot here

DESKTOP PROJECT

Show and explain your web, app or software projects using these gadget templates.

60

Place your screenshot here

THANKS!

Any questions?

You can find me at

• @username
• user@mail.me

61

CREDITS

Special thanks to all the people who made and released these awesome resources for free:

• Presentation template by SlidesCarnival
• Photographs by Unsplash

62

PRESENTATION DESIGN

This presentation uses the following typographies and colors:

• Titles: Titillium Web ExtraLight
• Body copy: Titillium Web

You can download the fonts on this page:

https://www.fontsquirrel.com/fonts/titillium

​

Bluish gray #6e86b6 · Dark bluish gray #465573

63

You don’t need to keep this slide in your presentation. It’s only here to serve you as a design guide if you need to create new slides or download the fonts to edit the presentation in PowerPoint®

​

​

64

SlidesCarnival icons are editable shapes.

​

This means that you can:

• Resize them without losing quality.
• Change line color, width and style.

​

Isn’t that nice? :)

​

Examples:

​

​

65

Now you can use any emoji as an icon!

And of course it resizes without losing quality and you can change the color.

​

How? Follow Google instructions https://twitter.com/googledocs/status/730087240156643328

​

​

​

​

✋👆👉👍👤👦👧👨👩👪💃🏃💑❤😂😉😋😒😭👶😸🐟🍒🍔💣📌📖🔨🎃🎈🎨🏈🏰🌏🔌🔑 and many more...

😉

Free templates for all your presentation needs