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TimestampDateName of person completing form:Email:Telephone Number:Agency Affiliation:Title of Project/Effort:Which of the following Task Force objectives does this project/effort address? (Check all that apply)Which of the following audiences does this project target? (Check all that apply)Please provide more detail on the target audience of this effort if needed...Description of project/effort to date (since last report):Description of next steps:Description of products/tools developed:Are you willing/able to share any of these products/tools with other task force members? (if so, please email to steve@redproject.org)Are you willing to provide technical assistance to agencies wishing to implement a similar project?If so, please provide the name and contact info of who should be contacted at your agency for technical assistance requests: Name-Email-Telephone Number-Describe any strategies to evaluate the effect of the project and/or data to be used:Does your agency effort include prescribing or dispensing naloxone rescue kits?Number of naloxone kits prescribed/dispensed in the 1st quarter (January-March):Number of naloxone kits prescribed/dispensed in the 2nd quarter (April-June):Number of naloxone kits prescribed/dispensed in the 3rd quarter (July-September):Number of naloxone kits prescribed/dispensed in the 4th quarter (October-December):
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11/10/2017 15:57:0311/10/2017Lori Stegmierlstegmier@sbcglobal.net616-560-5879Fountain Hill ConsultingProvider EducationIntervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings.Healthcare Leadership, Healthcare ProvidersThrough this effort, we provide training to health care providers to increase: 1) awareness of the issue of opioid overdose and opioid overdose fatalities, 2) understanding of the role they can play in decreasing overdose risk through the co-prescribing of Naloxone when they prescribe opioids, 3) knowledge needed to effective speak to patients about the topic of opioid overdose and prescribe naloxone. The first presentation was given at Metro Health Southwest. Approximately 20 health care providers were in attendance.Two additional presentations have been scheduled. One for Behavioral Health Providers working in primary care settings in the Spectrum system. The other is a one-on-one meeting with a physician at a private practiceYesLori Stegmierlstegmier@sbcglobal.net616-560-5879None developed at this time.No
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11/10/2017 16:22:4511/10/2017Lori Stegmierlstegmier@sbcglobal.net616-560-5879Fountain Hill Consulting/Red ProjectHealth Care Technical AssistanceIntervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings.Healthcare Leadership, Healthcare ProvidersThrough this effort we provide technical assistance to health care providers and institutions with the goal of increasing their ability to distribute or prescribe naloxone to their patient people including people who use opioids and their caregivers. On November 2nd, we had a meeting with three individuals from Spectrum Health who were exploring distributing/prescribing naloxone through the Spectrum Emergency Room, inpatient facilities, and outpatient facilities. I provided some background on the overdose and overdose fatality issues, was able to share information on what is currently being done at Metro and Mercy, show them different types of kits, and be able to provide them with information about community partners who might be able to get them needed information and share information that will inform next steps. I will follow up with an email. No addition technical assistance sessions scheduled at this time.None developed at this time.No
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11/30/2017 16:51:5811/30/2017Crystal Gaylord
crystal.gaylord@metrogr.org
Metro Health - University of Michigan Health
0-180
Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives., Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Aftercare 5: Improve access to supportive services for people in situations that are high-risk for overdose. (i.e., recent overdose, discharge from substance use disorder services, release from incarceration.), Overarching 1: Develop and implement strategies for reducing stigma around opioid use/misuse, substance use disorder and substance use disorder treatment., Overarching 2: Develop and implement an awareness/social marketing campaign aimed at reducing overdose and overdose fatality.
Healthcare Leadership, Healthcare Providers, Family Members of People Who Use Opioids, People Who Use Opioids
no changesNarcotic Overdose KitYesNoYes25?
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12/4/2017 10:46:1612/4/2017
Leslie Pelkey and Susan DeVuyst-Miller
lesliepelkey@cherryhealth.com
616 776 2400Cherry Health
Opioid Overdose Prevention and Naloxone Education
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 2: Ensure health care provider awareness of, education on, and use of evidence-based non-opioid and non-pharmacological strategies for pain management., Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives., Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies., Aftercare 1: Increase community awareness of effective substance use disorder treatment options for individuals using/addicted to opioids, including those offered by the medical community., Aftercare 2: Increase availability of effective substance use disorder treatment options for individuals using/addicted to opioids including those offered by the medical community., Aftercare 3: Ensure health care provider awareness of, education on, and use of/referral to effective treatment options for individuals using/addicted to opioids, including those offered by the medical community., Overarching 2: Develop and implement an awareness/social marketing campaign aimed at reducing overdose and overdose fatality.
Healthcare Providers, People Who Use Opioids
1. Providers updated monthly on numbers of opioids filled and numbers of naloxone kits distributed.
2. Signs regarding the opioid epidemic and need for tapering are in each room and letters are given to patients when they pick up their prescriptions with information about support through pharmacy services.
3. Signs are in the pharmacy about naloxone (maybe we should be incorporating more information re: naloxone on the signs in offices and in the letter to patients?).
4. Patients on opioids have a controlled substance contract signed annually, get UDS done quarterly and have MAPS checked quarterly.
5. Opioid Tapering Agreement for patients to work with pharmacists
6. Unlearn your Pain training being put together by our Workforce development for our BH teams.
7. MAPS Report reviews of our prescribers
8. Naloxone trainings have been completed for providers for social workers and for each of the sites
9. New Vivitrol treatment program
10. Existing Methadone and Suboxone treatment programs
11. Finally, we will be upgrading our electronic medical record to have a direct link to MAPS in 2018 (possibly June?)




Focus on addressing stigma and enhance community involvement.
Signs in the pharmacy about Naloxone. Signs in the patient rooms about the opioid epidemic. Letters to patients who receive prescription opioids.
No
We are monitoring prescriptions filled at our pharmacy - numbers of opioids (hydrocodone) and numbers of naloxone kits (18 so far this year at our pharmacy, but many of our patients get these filled at outside pharmacies and through the Red Project).
Yes6462
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12/11/2017 11:34:4612/11/2017Ken Van Beek, LMSW
kvanbeek@exaltahealth.org
6164758446Exalta Health
Primary Care Training and Implementation
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 2: Ensure health care provider awareness of, education on, and use of evidence-based non-opioid and non-pharmacological strategies for pain management., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings.
Healthcare ProvidersResearched, developed and implemented a Patient Care Standard for the safe prescribing of Opioid Medications and Implemented Co-prescribing of Naloxone for all patients taking ongoing Opioid Medications Continued monitoring of patients receiving opioid medications.YesYes
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12/14/2017 10:57:2812/14/2017Robin Curtis
robin.curtis@spartannash.com
6168788616SpartanNash
Reducing opioid overdose through prevention, education, and outreach
Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies.
Healthcare Providers, Family Members of People Who Use Opioids, People Who Use Opioids
1. Completed training of all our pharmacists in the state by February 2017. Training was in person and covered prevention, education and outreach to our patients.
2. Naloxone kits available in 3 forms - IM injection with syringe, Nasal spray and autoinjector
3. Supported other programs in the community in development of additional programs following our model
Continuation of the discussion with the pharmacy team to increase our outreach
Training program and binder documents outlining procedures
YesRobin Curtis
robin.curtis@spartannash.com
6168788616Yes231818
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12/15/2017 16:30:2212/15/2017Vicki Makley
vicki.makley@priorityhealth.com
616-575-6188
Priority Health Insurance
Opioid Task Force/Chronic Pain Management
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 2: Ensure health care provider awareness of, education on, and use of evidence-based non-opioid and non-pharmacological strategies for pain management., Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives., Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies., Intervention 4: Increase access to Naloxone rescue kits through engagement of payors., Aftercare 2: Increase availability of effective substance use disorder treatment options for individuals using/addicted to opioids including those offered by the medical community., Aftercare 3: Ensure health care provider awareness of, education on, and use of/referral to effective treatment options for individuals using/addicted to opioids, including those offered by the medical community., Overarching 1: Develop and implement strategies for reducing stigma around opioid use/misuse, substance use disorder and substance use disorder treatment., Overarching 2: Develop and implement an awareness/social marketing campaign aimed at reducing overdose and overdose fatality.
Healthcare Leadership, Healthcare Providers, Family Members of People Who Use Opioids, People Who Use Opioids, General Community, Priority Health Staff, Care Management Providers
Priority Health has developed a 3 year plan to reduce opioid use by 25% within three years of inception. Priority has just completed rolling out the first year of the 3 year plan targeting the overall reduction of opioid use by plan members. In order to support this primary goal, PH has focused this first years efforts primarily on education for clinical staff regarding substance use disorders/chronic pain, reducing stigma, MAT as well as educating health providers/leaders, members, pharmacists on PH plan changes.
*Educated all PH medical and behavioral health staff on SUD /Opioid Disorders and chronic pain w/ focus on reducing stigma (knowing differences between addiction and dependence) - 3 Phase training over the course of 3 months
* Developed PH Care Management Safe Opioid Utilization Program referencing NREEP (National Registry of Evidence based Programs and Practices).
*Created a Chronic Pain Management Assessment for RN's to complete with members in order to provider appropriate referrals to pain management, non opioid, non pharmacological interventions and/ behavioral health needs.
*Increases MAT contracted providers
*Referral process/workflows from pharmacy to BH/Care Management to manage complex Co-Occurring cases
* SUD Directory for Suboxone providers created on PH website
* Narcan/Naloxone education sent to all priority health members.
* Established new opioid prescribing guidelines in fall of 2017
* Established reporting mechanisms to assist prescribers
Continue education on SUD/Opioid Use Disorders/Chronic Pain with point of care managers , specifically MiCCSI workgroup which will target state's new physician CME requirements. Courses will qualify for CME/CEU's. PH is in the early planning stages of pushing out media campaign focused on Opioid Crisis and continued focus on reducing stigma. Continue to improve care management services regarding chronic pain management, how to provide most appropriate resources and tx based on complex needs.
Subxone Directory and MAT providers are available on PH Website or contacting Behavioral Health Department at PH 1-800-673-8043.
YesVicki Makley
vicki.makley@priorityhealth.com
616-575-6188
Run analytics/data reporting to establish if there has been a decrease in actual use of opioids by members, and specifically looking at prescribing by providers/multiple provider's, as well as looking at overdoses/deaths.. Establish through database, if there has been an increase in mbrs receiving SUD treatment as well as engagement in MAT services.
Non/an/an/an/a
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1/26/2018 9:12:131/26/2018Steve Williamssteve.williams@miccsi.org6165510795
Michigan Center for Clinical Systems Improvement (Mi-CCSI)
Comprehensive Training for Pain Management
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 2: Ensure health care provider awareness of, education on, and use of evidence-based non-opioid and non-pharmacological strategies for pain management., Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives., Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Aftercare 3: Ensure health care provider awareness of, education on, and use of/referral to effective treatment options for individuals using/addicted to opioids, including those offered by the medical community., Overarching 1: Develop and implement strategies for reducing stigma around opioid use/misuse, substance use disorder and substance use disorder treatment.
Healthcare Leadership, Healthcare Providers, People Who Use Opioids
Training programs are designed for primary care teams throughout Michigan.
Conducted training for 113 providers, nurses, pharmacists, social workers and other staff on December 21, 2017A second training is scheduled for February 15, 2018 and other sessions are in planning.Various tools are available at www.miccsi.orgYesYesSteve Williamssteve.williams@miccsi.org6165510795 X-14Post-training evaluations and test for CMEYes
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1/30/2018 7:00:021/30/2018Eric Wilerwilere@wyomingmi.gov6165307366
Wyoming Department of Public Safety
Kent County Overdose Task Force
Aftercare 4: Identify and implement options for engaging law enforcement in strategies designed to increase access to substance use disorder treatment for individuals using/addicted to opioids.
Law Enforcement Officers
Continue to respond to overdoses and provide naloxone rescue kitsNoYes97612
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1/30/2018 9:45:351/30/2018Amanda Tarantowski
Amanda.Tarantowski@Network180.org
6168555242Network180
Naloxone Education and Distribution, Community-Based Recovery Teams, Project Assert
Intervention 5: Increase access to Naloxone rescue kits through community-based outreach strategies., Aftercare 2: Increase availability of effective substance use disorder treatment options for individuals using/addicted to opioids including those offered by the medical community., Aftercare 4: Identify and implement options for engaging law enforcement in strategies designed to increase access to substance use disorder treatment for individuals using/addicted to opioids., Aftercare 5: Improve access to supportive services for people in situations that are high-risk for overdose. (i.e., recent overdose, discharge from substance use disorder services, release from incarceration.)
People Who Use Opioids
We continue to fund Naloxone education and kits as well as several community-based outreach teams for individuals using opiates. We will continue to assess community need and respond accordingly. YesAmanda Tarantowski
Amanda.Tarantowski@Netowrk180.org
61685552Yes
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1/30/2018 15:01:301/29/2018Joann Hoganson
Joann.Hoganson@kentcountymi.gov
616-632-7067
Kent County Health Department
Drug exposed infant plan of safe care
Aftercare 3: Ensure health care provider awareness of, education on, and use of/referral to effective treatment options for individuals using/addicted to opioids, including those offered by the medical community.
Healthcare Providers, Child Welfare workers (DHHS)
This is a collaborative effort between KCHD MIHP program and DHHS CPS workers to provide for a plan of safe care for babies born to mothers who used opioids or other drugs during their pregnancies.
Joann Hoganson has met with administrators from DHHS Child Welfare programs to establish policy regarding referrals to KCHD's MIHP program for babies who test positive for drugs in the neonatal unit of local hospitals upon birth. Normally these moms are reported to CPS for investigation. CPS is then required to develop a plan of safe care for the drug exposed infant addressing needs such as safety upon discharge. One of the first interventions identified as a part of the plan of safe care is the presence of evidence-based home visiting in the home. CPS will now provide a referral to KCHD MIHP in order for the nurse or social worker to make a visit in the home and assess the safety of the infant as well as the readiness of the new mother to address her drug habit. The goal is for the baby to be safe in the home, the family to stay intact, and the mother to receive the appropriate treatment for her drug use.
A more systematic referral system was put in place in January of 2017. Since that time we have had increasing numbers of referrals each quarter. The next step is to formalize the communication pathway between DHHS (CPS) and the KCHD MIHP home visitors.
A guildeline for communication between CPS and KCHD MIHP is in a draft form. As soon as it is complete, I would be glad to share it.
YesYesJoann Hoganson
Joann.Hoganson@kentcountymi.gov
616-632-7067
We are tracking the incoming referrals right now to determine the number of referrals from CPS to KCHD, whether or not the referrals are receptive to our services, and how many continue to receive the full compliment of services. We also anticipate evaluating outcome two years after enrollment to determine if the family remained intact, if the baby was maintained safe in the home, if the mother received treatment for her drug use, and if the mother is in recovery.
No
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1/30/2018 15:52:361/29/2018Joann Hoganson
Joann.Hoganson@kentcountymi.gov
616-632-7067
Kent County Health Department
Proper disposal of used Fentanyl patches in long term care facilities in order to prevent diversion
Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives.
Healthcare Leadership
Nurse administrators of long term care facilities where Fentanyl patches are used for pain management
Adam London and I prepared a letter alerting the nurse administrators of long term care facilities in Kent County of the danger of diversion of used fentanyl patches. In this letter resources for policy as well as suggested policy changes were provided so that fentanyl patches are disposed of safely and properly and not diverted into the community where they become easy access for those with opioid addiction to suck on, chew on, or grind up for their fentanyl content.
The next step is for the many long term care facilities in Kent County to follow the recommendations in the letter to decrease the flow of used fentanyl patches into the wrong hands.
A letter YesJoann Hoganson
Joann.Hoganson@kentcountymi.gov
616-632-7067
We do not have any objective outcome data to evaluate the success of our efforts.
No
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2/2/2018 14:52:152/2/2018Lauren Wolf
lauren.wolf@mercyhealth.com
616-685-6772
Mercy Health Saint Mary's
Naloxone kits
Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies., Intervention 4: Increase access to Naloxone rescue kits through engagement of payors., Intervention 5: Increase access to Naloxone rescue kits through community-based outreach strategies.
Family Members of People Who Use Opioids, People Who Use Opioids, General Community
Saint Mary's emergency department initiated the dispensing of naloxone rescue kits in September 2017. ED providers are able to write a prescription for a naloxone kit upon discharge of a patient who came in due to an overdose, who is at high risk for overdose, etc. based on the provider's clinical judgment. The prescription is sent to the inpatient pharmacy where the kits are physically stored. The kit is then sent to the ED and given to the patient before they leave the ED. The physical prescription gets sent to our Mercy Health Wege outpatient pharmacy to be billed through insurance, if covered, or else it will be billed as a cash payment. We have dispensed 33 total kits from the ED from September-December 31, 2017. 17 kits have been fully covered, 12 have been cash, and 4 have had other co-pay costs.
We will continue to encourage our providers to think about prescribing a naloxone rescue kit to high risk patients prior to ED discharge.
The naloxone kit contains two 0.4mg/mL vials and the products necessary for safe intramuscular administration. The kit also contains an instruction sheet and links to other resources for patients, friends, and family members.
YesYesLauren Wolf
lauren.wolf@mercyhealth.com
616-685-6772
The 2 ED pharmacists and the pharmacy manager at Wege outpatient pharmacy have been keeping a tracking log of all kits dispensed and their coverage which is frequently assessed.
Yes1419
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2/2/2018 15:58:252/2/2018Scott Rifenbergsrifenbe@grcity.us616-456-3326
Grand Rapids Police Department
No specific title
Aftercare 1: Increase community awareness of effective substance use disorder treatment options for individuals using/addicted to opioids, including those offered by the medical community., Aftercare 3: Ensure health care provider awareness of, education on, and use of/referral to effective treatment options for individuals using/addicted to opioids, including those offered by the medical community., Aftercare 4: Identify and implement options for engaging law enforcement in strategies designed to increase access to substance use disorder treatment for individuals using/addicted to opioids., Overarching 4: Develop and implement strategies for shaping and/or supporting legislation designed to decrease opioid availability, opioid addiction, opioid overdose, and opioid overdose fatalities.
Law Enforcement Administrators, Law Enforcement Officers, Family Members of People Who Use Opioids, People Who Use Opioids, General Community
All Patrol Officers are equipped and trained in the use of Naloxone. Responding Officers to any OD scene supply information on treatment programs to the individual and any family members present. GRPD has put out several press releases as it pertains to this epidemic. GRPD personnel have attended several community events in the past year that relate to the epidemic focusing on education and available treatment options. Any Fatal OD's in the city are investigated by the Major Case Team and Narcotics Units with the goal to aggressively target the sellers of the narcotics and not the victims of the overdose. Continue with the above efforts.
Nothing specific we continue to use tools and resources from the various Social Service Agencies and Medical facilities.
Yes
Captain Scott Rifenberg
srifenbe@grcity.us616-456-3326
We continue to track overdoses in Grand Rapids. Currently there does not appear to be any pattern as far as Geography or Demographic. This is a wide spread problem that touches all Geographical and Demographic boundaries.
No
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2/4/2018 13:24:462/4/2018Lori Stegmierlstegmier@sbcglobal.net6165605879
Fountain Hill Consulting (under contract with the Red Project)
Provider Education
Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings.
Healthcare ProvidersOn November 2nd, meet with representatives from Spectrum to provide information on opioids and naloxone co-prescription and distribution of naloxone in an Emergency Department setting. On November 8th, provided an in-service on overdose, naloxone co-prescription, and the role mental health professionals can play in addressing the opioid issue for social workers and nurse care managers working in a Spectrum Health primary care setting; there were approximately 20 providers in attendance. On November 27, 2017, along with Brandon Hool from the Grand Rapids Red Project, developed and staffed a booth at the 2017 Psychiatry and Behavioral Medicine Symposium. In addition, gave a brief presentation on opioids and overdose at the luncheon session of the conference; approximately 150 were in attendance.Will continue to look for opportunities to provide training and technical assistance.
Expanded a fact sheet on how to start conversations about opioids, overdose, and co-prescription. Developed a fact sheet on opioids, overdose, and Michigan's standing order/cooperative agreement.
YesYesLori Stegmierlstegmier@sbcglobal.net6165605879NoneNo
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2/4/2018 13:34:132/4/2018Lori Stegmierlstegmier@sbcglobal.net6165605879
Fountain Hill Consulting (under contract with the Red Project)
Community Forums/Education
Overarching 1: Develop and implement strategies for reducing stigma around opioid use/misuse, substance use disorder and substance use disorder treatment., Overarching 2: Develop and implement an awareness/social marketing campaign aimed at reducing overdose and overdose fatality.
Family Members of People Who Use Opioids, General Community
As part of its Marketing/Public Relations Campaign, the Kent County Opioid Task Force will host community forums targeting the general public. Between one and three community forums will be held; the goal is to have forums held in geographic locations most impacted by opioids and overdose. Each forum will have speakers who will briefly address prevention, intervention, and after care strategies as they related to the opioid epidemic. There will also be time committed to audience input/questions. To date, a planning committee has been convened with representation from the prevention, intervention, and after care subcommittees.
Planning Committee meetings will be scheduled. The goal is to hold community forums in April.
None to date.YesLori Stegmierlstegmier@sbcglobal.net6165605879To be determinedNo
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2/4/2018 15:56:522/4/2018Ross Buigtendorp
ross.buitendorp@network180.org
6168555240Network180Suboxone Clinic
Aftercare 2: Increase availability of effective substance use disorder treatment options for individuals using/addicted to opioids including those offered by the medical community.
People Who Use Opioids
November of 2017 Arbor Circle began a one day Suboxone Clinic with Dr. Dettman and Medicaid/Healthy Michigan/indigent clients. We hope to have it open for two days per week some time this year.Increase number of days available to community members.YesRoss Buitendorp
ross.buitendorp@network180.org
855-5240Yes
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2/4/2018 17:19:442/2/2018ken fawcett
ken.fawcett@spectrumhealth.org
616-486-2260spectrum health
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives., Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Overarching 4: Develop and implement strategies for shaping and/or supporting legislation designed to decrease opioid availability, opioid addiction, opioid overdose, and opioid overdose fatalities.
Healthcare Leadership, Healthcare Providers, General Community
We are working with prescribers to identify evidenced-based prescribing which are based upon best practice. We are working synergistically with other health systems to identify appropriate quantities of controlled substances based on conditions/procedures, a standardized approach to naloxone co-prescribing, and creation of an easy-to-use drop off program for unused/unwanted medications.Build upon the above and engage in primary prevention efforts in the community/schools.YesNo
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2/5/2018 8:02:542/2/2018Lt. Robert DeckerRobertdecker3@grcc.edu616-234-3579
Grand Rapids Community College Campus Police
Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership.
Law Enforcement Officers
All Officers equipped with Naloxone kits. YesOfficer Tom Stasiaktstasiak@grcc.edu616-234-4910All Officers equipped with Naloxone kits. None used in 2017.Yes0000
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2/5/2018 10:32:332/5/2018
Laura Vollmer, PharmD, BCPS
laura.vollmer@spectrumhealth.org
6162671481
Spectrum Health - Pharmacy Department
Naloxone Administration in the ED/ Pain Management Pilot Project ED Obs
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies., Intervention 4: Increase access to Naloxone rescue kits through engagement of payors., Intervention 5: Increase access to Naloxone rescue kits through community-based outreach strategies.
Healthcare Providers, People Who Use Opioids, General Community
In processContinuation of naloxone administration opportunitiesNoYes
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2/5/2018 11:52:412/5/2018
Leslie Pelkey, Susan Devuyst-Miller, Brett Gingrich
brettgingrich@cherryhealth.com
616-965-8200Cherry Health
Opioid Overdose Prevention and Naloxone Education
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 2: Ensure health care provider awareness of, education on, and use of evidence-based non-opioid and non-pharmacological strategies for pain management., Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives., Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies., Aftercare 1: Increase community awareness of effective substance use disorder treatment options for individuals using/addicted to opioids, including those offered by the medical community., Aftercare 2: Increase availability of effective substance use disorder treatment options for individuals using/addicted to opioids including those offered by the medical community., Aftercare 3: Ensure health care provider awareness of, education on, and use of/referral to effective treatment options for individuals using/addicted to opioids, including those offered by the medical community., Overarching 2: Develop and implement an awareness/social marketing campaign aimed at reducing overdose and overdose fatality.
Healthcare Providers, People Who Use Opioids
Increased provider training, doing community trainings, MICCSI trainingProviders completing MICCSI trainingYesNoYes
23
2/6/2018 8:07:402/6/2018Tara Nichols
tara.nichols@mercyhealth.com
6166856627Mercy Health
Naxolone Kits Distrubution
Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies.
Healthcare Leadership, Healthcare Providers, People Who Use Opioids, General Community
There are two issues MHSM will address. The first is limited access to Naloxone Opioid Overdose Rescue Kits and the need for more Health Care Professionals' education about saving lives in the community with Naloxone kits. MHSM is dispensing Naloxone Opioid Overdose Rescue Kits at the following locations:
1. Retail Pharmacies – (Wege, Cathedral Square, Rockford, and Southwest) – kits are dispensed upon patient request, offered to all patients with a Morphine Milligram Equivalent (MME) ≥50. For example, Methadone 20mg/day MME= 60, Norco 10/325mg 5 tablets/day MME=50, and Oxycontin 40mg/day MME=60. and offered to all patients receiving an opioid and a benzodiazepine.
2. Meds-to-go – Inpatients are identified by the discharging provider and a naloxone kit is ordered if necessary.
3. Emergency Department Locations - Patients are identified by providers as "at risk for overdose" during their ED visit. The ED provider offers the patient the option of receiving a naloxone kit before discharge and a prescription and a face sheet for the patient are sent to the main pharmacy. The main pharmacy forwards these prescriptions to Wege pharmacy, who provides the ED with the kits. While awaiting the naloxone kit from the main pharmacy, the patient's nurse shows the patient two educational videos. The first video is about 3 minutes long and tells the patient how to draw up and administer a naloxone injection. The second video is about 17 minutes long and reviews causes of an overdose, signs/symptoms of an overdose and management of an overdose including rescue breathing and administration of naloxone.

Develop Meds-to-Go process Clarifying process w/ Jason – this will take some time as there are numerous barriers to consider.
Complete SBAR on Naloxone Distribution targeted to all Health Care Professionals.
ED applying for grant to support cost.
SBAR explaining process to Health Care Professionals at MH
Two Naloxone Kits (Nasal and Injection)
Naloxone Administration Education sheet for Nasal and injection administration (English and Spanish)
Naloxone administration post cards

YesYesTara Nichols
tara.nichols@mercyhealth.com
616 685 0315Naloxone administration post cards
Number of kits distrusted from each location
Yes
I do not have these numbers at this time
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2/6/2018 11:24:512/6/2018Robin Curtis
robin.curtis@spartannash.com
6168788616SpartanNash
Reducing opioid overdose through prevention, education, and outreach
Prevention 3: Decrease the supply of opioids in the community through decreased prescribing of opioids, decreased opioid diversion, and implementation of opioid take back initiatives., Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies.
Healthcare Providers, Family Members of People Who Use Opioids, People Who Use Opioids
Continued support of other community projects around naloxone dispensing and awareness.
Updated Michigan Pharmacists Association webpage to include resources for other pharmacies looking to implement opioid safety programs and naloxone dispensing.
Continue to progress to other states to spread opioid safety message
YesRobin Curtis
robin.curtis@spartannash.com
6168788616
none developed to assess implementation of opioid safety (which is the main goal of our program), but can count number of naloxone kits dispensed.
Yes23181828
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2/6/2018 14:46:132/6/2018Nayaab Sattar
nayaab.sattar@kentcountymi.gov
(616)632-7273
Kent County Health Department
Prescription Drug and Opioid Overdose Prevention Program
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies.
Healthcare Providers, Family Members of People Who Use Opioids, People Who Use Opioids
(1) Compiled list of non-chain pharmacies in Kent County for outreach efforts (2) Sent initial outreach letters to pharmacies
(3) Developed draft of Pharmacist toolkit for in-person, one-on-one trainings, which will include information on signing up under the standing order, reducing/preventing patient OD, educating patients on safe use of medicine, and materials to educate patients about Naloxone.
(4) Developed draft of patient education card- accordion style print material for distribution by pharmacists. Card contains information on opioids, safe use of prescriptions, signs of an opioid emergency, emergency response instructions, and list of resources.
Finalizing drafts, printing materials and contacting pharmacies to schedule trainings in the summer months
draft form patient education cardYesYesNayaab Sattar
nayaab.sattar@kentcountymi.gov
(616)632-7273
pre and post survey to track standing order sign ups and change in naloxone prescriptions, track number of patient education cards distributed
No
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2/9/2018 22:07:152/9/2018John Wittkowskijwittkow@grcity.us616-745-3326
Grand Rapids Police Department
Intervention - Statistics
Overarching 3: Develop and implement strategies for evaluating the impact of overdose prevention efforts in Kent County, identify data needed for evaluation efforts, and name a centralized evaluation lead.
Law Enforcement Administrators
In looking at data for the Grand Rapids PD last year (2017), we had 20 fatal ODs, 157 non-fatal overdoes and 30 Naloxone applications. This data is not completely accurate, but pretty close. We made some changes in the fall to better reflect Naloxone uses and better separating opioid ODs (fatal and non-fatal), from ODs as the result of other substances. The overwhelming majority however are the result of heroin. Also we are tracking better the success rate of Naloxone. Although there are several factors a Naloxone application may not be successful, it appears we were successful 80 to 85% of the time.
Identification / Life Saving
Increase Naloxone use, continue to monitor the rate of ODs and robustly investigate all OD deaths
Data Base / InterventionYesYesJohn Wittkowskijwittkow@grcity.us616-745-3326
To better understand geographic dispersion of ODs (as well as other socio-economic data) in the city
Yes
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2/14/2018 13:43:412/14/2018Amanda Tarantowski
Amanda.Tarantowski@Netowrk180.org
6168555242Network180
Opiate Use Disorder Interventions
Intervention 5: Increase access to Naloxone rescue kits through community-based outreach strategies., Aftercare 2: Increase availability of effective substance use disorder treatment options for individuals using/addicted to opioids including those offered by the medical community., Aftercare 4: Identify and implement options for engaging law enforcement in strategies designed to increase access to substance use disorder treatment for individuals using/addicted to opioids., Aftercare 5: Improve access to supportive services for people in situations that are high-risk for overdose. (i.e., recent overdose, discharge from substance use disorder services, release from incarceration.)
Family Members of People Who Use Opioids, People Who Use Opioids
-We have added a Recovery Management team which is an out-reach based service for individuals struggling with addiction.
-We have continued to fund Naloxone education and distribution
-We work in conjunction CIM to begin Project Assert- Recovery Coach response to opiate overdose in the ER.
- We work in conjunction with Arbor Circle's SPA program- providing support to pregnant, opiate-using women.
-We received a grant to provide transportation assistance to individuals in medication assisted treatment.
-We have increased capacity for MAT, bringing on two new providers.
YesAmanda Tarantowski
amanda.tarantowski@Network180.org
616-855-5242No
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4/19/2018 17:06:584/19/2018Lauren Wolf
lauren.wolf@mercyhealth.com
616-685-6772
Mercy Health Saint Mary's
Naloxone Kit Distribution from the ED
Intervention 1: Increase access to Naloxone rescue kits through engagement of health systems leadership., Intervention 2: Increase access to Naloxone rescue kits through engagement of health care providers, including those working in primary care and pain management settings., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies., Intervention 4: Increase access to Naloxone rescue kits through engagement of payors., Intervention 5: Increase access to Naloxone rescue kits through community-based outreach strategies.
Family Members of People Who Use Opioids, People Who Use Opioids, General Community
Our physicians and mid-levels identify patients at risk for overdose, whether the patient came in following an opioid overdose or is opioid-naïve and initiated on an opioid (it is all up to the provider's discretion). The patient and family/friends of patient who have accompanied the patient in the ED are then educated about the use of naloxone.
Naloxone kit dispensing from the ED at MHSM began in September 2017. We dispensed 33 kits from September 2017 to December 31 2017. Since the new year, we have dispensed an additional 23 kits. The prescriptions are sent to our outpatient pharmacy (Wege pharmacy) for billing.
We will continue to remind our nurses and providers of this capability in hopes to target more patients/families who may benefit having a naloxone kit.
Naloxone kits include two vials of the 0.4mg/mL generic naloxone, in addition to supplies such as alcohol swabs, bandaids, intramuscular syringes + needles, gloves, etc.
YesYesLauren Wolf
lauren.wolf@mercyhealth.com
616-685-6772
I have kept a Microsoft Excel log of the number of kits dispensed and whether or not they were covered by insurance. I do not know how many of these kits have actually been used in the patients we have given them to.
Yes20
29
7/30/2018 10:14:337/30/2018Brett Gingrich
brettgingrich@cherryhealth.com
616-965-8200Cherry Health
Prevention 1: Ensure health care provider awareness of, education on, and use of evidence-based guidelines for prescribing opioids for chronic pain including those from: 1) The American Pain Society, 2) The Institute for Clinical Systems Improvement, . . ., Prevention 2: Ensure health care provider awareness of, education on, and use of evidence-based non-opioid and non-pharmacological strategies for pain management., Prevention 4: Increase counseling and education of patients on safe use, storage and disposal for every prescribed opioid., Intervention 3: Increase access to Naloxone rescue kits through engagement of pharmacies.
Healthcare Leadership, Healthcare Providers, Family Members of People Who Use Opioids, People Who Use Opioids, General Community
Procedures have been updated to include new language, medication consent (start talking) forms to remain compliant with new Michigan Opioid Laws
Providers were updated and provided education at provider meetingsNoYes
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John WittkowskiGRPDIn looking at our data for last year, we had 20 fatal ODs, 157 non-fatal overdoes and 30 Naloxone applications. This data is not completely accurate, but pretty close. We made some changes in the fall to better reflect Naloxone uses and better separating opioid ODs (fatal and non-fatal), from ODs as the result of other substances. The overwhelming majority however are the result of heroin. Also we are tracking better the success rate of Naloxone. Although there are several factors a Naloxone application may not be successful, it appears we were successful 80 to 85% of the time. 30
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