CHIP Dash – Overdose Response Training

Health Improvement Strategy

Overdose Response Training

https://mygarrettcounty.com/groups/overdose-response-training/

Goal:

Reduce and/or prevent opioid overdose deaths in Garrett County.

Strategy Description:

Reduce and/or prevent opioid overdose deaths in Garrett County through distributing naloxone in the community and educating the community on administration and follow-up steps. To accomplish this the group will. Advertise the Overdose Response Training (ORT) classes to the community. Provide classes in a variety of locations and on demand. Distribute naloxone after the completion of training. Work with other organisations to distribute naloxone in high risk settings.

Level of Change:

Programs

Primary Focus Area:

Behavioral Health: including Substance Abuse and Mental Health

Data Category Tag:

GCHD Behavioral Health

Strategic Planning Alignment:

Estimated Implementation Date:

2017-08-21

Estimated Completion Date:

2022-12-31

Estimated Ease of Implementation:

Easy

Estimated Cost of Implementation:

Low

Potential Community Benefit:

High

Health Equity:

Research:

According to the results of a recent systematic review published in the Annals of Internal Medicine, 2 mg/mL intranasal naloxone may have comparable efficacy and tolerability to intramuscular naloxone. After overdose reversal, the benefits of transport to a hospital remain unclear. Researchers evaluated cohort studies and randomized trials that compared naloxone dosing, administration routes, and transport to a hospital after opioid overdose. Mortality, reversal of overdose, recurrence of overdose, and harms were the main outcomes assessed. Higher-concentration intranasal naloxone (2 mg/mL) was shown to have similar efficacy to intramuscular naloxone (2 mg) in one trial. In another trial, lower-concentration intranasal naloxone (2 mg/5 mL) was associated with lower effectiveness but reduced risk for agitation compared with intramuscular naloxone. https://bha.health.maryland.gov/NALOXONE/Pages/Naloxone.aspx https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5753997/ https://www.clinicalpainadvisor.com/home/topics/opioid-addiction/efficacy-tolerability-of-intranasal-vs-intramuscular-naloxone-for-opioid-overdose/

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Measurements	Target Goal	Status	Desired Trend	Contributor	January 2017	February 2017	March 2017	April 2017	May 2017	June 2017	July 2017	August 2017	September 2017	October 2017	November 2017	December 2017	January 2018	February 2018	March 2018	April 2018	May 2018	June 2018	July 2018	August 2018	September 2018	October 2018	November 2018	December 2018	January 2019	February 2019	March 2019	April 2019	May 2019	June 2019	July 2019	August 2019	September 2019	October 2019	November 2019	December 2019	January 2020	February 2020	March 2020	April 2020	May 2020	June 2020	July 2020	August 2020	September 2020	October 2020	November 2020	December 2020	January 2021	February 2021	March 2021	April 2021	May 2021	June 2021	July 2021	August 2021	September 2021	October 2021	November 2021	December 2021	January 2022	February 2022	March 2022	April 2022	May 2022	June 2022	July 2022	August 2022	September 2022	October 2022	November 2022	December 2022	January 2023	February 2023	March 2023	April 2023	May 2023	June 2023	July 2023	August 2023	September 2023	October 2023	November 2023	December 2023	January 2024	February 2024	March 2024	April 2024	May 2024	June 2024	July 2024	August 2024	September 2024	October 2024	November 2024
1) # of Training's	17	Active	Increase		1	1	0	1	4	3	1	2	2	2	1	3	2	2	1	4	0	2	5	6	2	5	3	5	2	3	4	4	8	7	5	4	4	4	3	2	4	5	2	0	0	0	0	13	10	3	1	3	4	6	9	7	6	5	2	0	2	2	2	0	1	4	0	5	2	4	2	0	7	1	1	0	1	5	4	2	3	6	4	5	5	3	1	0	1	2	1	2	4	5	3	1	1	4	0
2) Units dispensed (2 doses per unit)	20	Active	Increase		12	6	0	8	29	30	21	13	26	24	5	39	31	21	20	32	0	15	48	38	15	36	16	62	78	44	25	37	49	35	23	12	25	19	13	7	32	47	18	0	0	0	5	74	152	62	19	7	8	27	58	56	28	70	39	11	42	25	49	10	12	31	15	15	51	61	15	56	109	64	46	30	34	141	88	102	74	93	19	73	45	42	41	18	93	58	37	147	110	102	63	184	81	75	23
3) # of new participants	15	Active	Increase		11	5	0	8	29	28	21	8	18	20	5	37	12	19	20	30	0	15	33	34	15	33	10	41	48	33	18	36	46	33	23	8	25	18	12	6	25	27	18	0	0	0	0	51	96	50	16	5	8	26	44	37	12	61	24	7	39	19	13	8	8	21	65	46	37	27	15	25	95	43	27	10	25	106	78	72	45	68	14	63	29	15	10	6	38	33	11	82	67	57	52	111	49	40	10
4) # of recertified participants	5	Active	Increase		1	1	0	0	17	1	0	5	8	4	0	2	19	2	0	2	0	0	3	3	0	1	2	3	8	4	1	0	1	2	0	0	0	1	1	0	6	15	0	0	0	0	0	5	21	0	0	1	1	1	0	1	4	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
5) # of additional Medication received following original training	0	Active	Increase		1	0	0	0	0	0	0	0	0	0	0	0	0	1	0	0	0	0	12	1	0	2	4	18	22	7	6	4	2	2	0	0	0	1	0	0	1	8	0	0	0	0	5	5	0	0	0	2	2	1	0	4	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
6) Number of individuals receiving Fentanyl Test Strips	100	Active	Increase	Sandy Miller																																		0				19	1	0	0	0	7	28	22	10	8	0	7	2	2	0	1	4	2	3	19	2	1	2	0	0	0	0	4	11	2	2	1	2	12	3	2	10	3	8	2	15	4	16	3	6	1	3	10	3	4	19	10	28	6	22	44	9	7
7) Units (2 doses per unit) Dispensed R+ing Total by FY	240	Active	Increase		69	75	75	83	112	142	21	34	60	84	89	128	159	180	200	232	232	247	48	86	101	137	153	215	293	337	362	403	452	487	23	35	57	76	89	95	127	174	192	192	192	192	5	79	252	314	333	340	348	374	432	484	512	566	39	50	92	117	166	176	188	219	234	249	300	361	15	71	180	244	290	320	354	495	583	685	759	852	19	92	137	179	220	238	331	389	426	573	683	785	63	247	328	403	426
8) Number of Instructors trained (Cumulative)		Active	Increase		6	6	6	6	6	6	6	6	8	9	9	9	10	11	11	12	13	13	14	14	14.32	17	17	17	17	17	17	17	17	17	17	17	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	22	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	24	25	25	25	26	26	26	26
10) Number of Fentanyl Test Strips distributed		Active		Sandy Miller																				0	0	0	0	1	1	2	6	2	7	3	3	0	0	0				94	5	0	0	0	59	156	94	80	65	0	40	10	20	0	3	35	15	15	48	27	50	36	0	0	0	0	25	110	8	15	10	24	50	16	16	68	15	61	20	150	42	70	25	19	8	12	92	33	45	60	105	236	44	110	314	43	31
11) Number of Xylazine Test Strips Distributed		Active																																																																																	30	62	28	13	0	5	80	32	50	53	115	218	54	105	80	43	31
12) Number of people receiving Xylazine test strips		Active																																																																																	3	9	3	4	0	1	7	3	5	17	11	20	6	21	21	9	7
# ORP- Gender X - (non-specified or other)		Active																																																																					0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	7	0	3	2	0	0
# ORP Gender-Female		Active																					27	24	6	14	4	32	45	18	13	22	29	24	11	9	20	10	6	6	18	31		0	0	0	0	35	77	18	7	4	5	16	31	30	7	24	16	5	17	12		4	6	19	45		17	17	6	11	39	24	12	8	22	45	42	58	25	56	11	43	12	13	9	3	24	17	7	55	35	27	25	51	21	30	8
# ORP Gender-Male		Active																					21	12	9	22	12	30	31	26	12	15	20	11	12	3	2	1	7	0	13	11		0	0	0	0	21	40	32	9	2	4	11	13	8	9	37	8	2	22	7		4	2	12	7		34	10	8	14	56	19	15	2	3	61	36	14	20	12	3	20	17	2	1	3	14	16	4	27	32	23	27	57	26	10	2

Data Narrative

Goals may be set by month or by year. Running total = Measure begins at zero each fiscal year. (eg. 6. Units dispensed running total) Cumulative = Measure will continue to climb from year to year. (eg. 7. Number of trainers trained)

Overdose Response Training

Goal:

Strategy Description:

Level of Change:

Primary Focus Area:

Data Category Tag:

Strategic Planning Alignment:

Estimated Implementation Date:

Estimated Completion Date:

Estimated Ease of Implementation:

Estimated Cost of Implementation:

Potential Community Benefit:

Health Equity:

Research:

Last Modification

Contributing Community Participants

Data Narrative

Scaled Data Visualization

Fiscal Year 2017 Data Visualization (July-June)

Calendar Year 2017 Data Visualization

Fiscal Year 2018 Data Visualization (July-June)

Calendar Year 2018 Data Visualization

Fiscal Year 2019 Data Visualization (July-June)

Calendar Year 2019 Data Visualization

Fiscal Year 2020 Data Visualization (July-June)

Calendar Year 2020 Data Visualization

Fiscal Year 2021 Data Visualization (July-June)

Calendar Year 2021 Data Visualization

Fiscal Year 2022 Data Visualization (July-June)

Calendar Year 2022 Data Visualization

Fiscal Year 2023 Data Visualization (July-June)

Calendar Year 2023 Data Visualization

Fiscal Year 2024 Data Visualization (July-June)

Calendar Year 2024 Data Visualization