Washington State Opioid Response · This report is intended for program monitoring of the State...

Washington State Opioid ResponseOpioid Treatment Network

These measures were produced by

the DSHS Research and Data

Analysis Division State Opioid

Response project in collaboration

with:

• HCA Division of Behavioral

Health and Recovery

• Substance Abuse Mental Health

Services Administration, Grant No.

TI081705

MONTHLY SUMMARY REPORT January 2019 - December 2019

Direct questions about this report to:

Lyz [email protected]

360.902.0802

Direct programmatic questions to:

Amy [email protected]

360.725.2019

About this ReportThis report is intended for program monitoring of the State Opioid Response (SOR) Opioid Treatment Networks (OTNs).

The OTNs are funded under the SOR grant through contracts with the Health Care Authority's Division of Behavioral

Health and Recovery. Each OTN is obligated to enroll a targeted number of patients per month with medication treatment

for opioid use disorder. This report describes the demographics of all persons enrolled in the OTN program and total

enrollment by OTN. Note that this report summarizes SOR-funded treatment and does not represent all efforts to treat

opioid use disorder with medications supported by Washington State.

January 10, 2020

DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division

PAGE

12

33

3

3

4 l

4

45

5

6 l

66

6 l

7

78 l

8

8

8

9 l

10

l

l

Valley Medical Center

Correctional Facilities

Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report

Q

January 10, 2020

UNDERSTANDING THE REPORT

What is an Opioid Treatment Network?Opioid Treatment Networks (OTN) were developed to increase the identification of

opioid use disorder (OUD) in emergency departments, jails, and community agencies

(syringe service programs, shelters, or fire departments). OTNs initiate medication

treatment for OUD (MOUD) with identified individuals and make referrals to community

providers for ongoing care. OTNs can offer all FDA-approved MOUDs (Buprenorphine,

Methadone, and Naltrexone).

Medication at InductionFor all events, the type of MOUD initially prescribed.

Reported Discharges

The percent of clients with a reported discharge from the program. Discharges

indicate an individual is no longer receiving MOUD through the SOR grant. This

is not a retention in treatment measure and relies on clinical reporting.

Klickitat Valley Health

Multicare Deaconess Hospital

Peace Health SW Medical Center

Summit Pacific Medical Center

Swedish Medical Center Edmonds

Community FacilitiesCapital Recovery Center

FIGURE 1.

Monthly TargetBenton County Jail

Franklin County Jail

Jefferson County Jail

Clients Total number of unique clients/patients with an MOUD episode by the OTN. Each client

is only counted once.

Discharges Discharges are recorded when a client is no longer receiving MOUD from the OTN.

Monthly TargetOTNs have a monthly contracted event target. The grey line (Figure 1) shows the OTN

monthly target (10), and the blue bar displays the number of events in that reporting

month (12).

DEFINITIONSEventsTotal number of MOUD events (episodes) initiated by the OTN. Single episodes are

marked by receipt of MOUD (buprenorphine, methadone, or naltrexone). Individuals

who discharge and return will have more than one event.

FIGURE 2.

Enrollments

Community Psychiatric Clinic

DESC Seattle

Tacoma Fire Department

Enrollment Events by MonthEnrollments Over Time Based on the monthly target, this graph (Figure 2) shows the cumulative events in

relation to the target. The grey line is the cumulative target (18) and the blue line is

cumulative OTN events (32).

Understanding the ReportAll Site SummaryMedical Facilities Family Health Center

Harborview Medical Center

CONTENTS

Kitsap County Jail

SCORE King County

OTN EVENTS

TARGET

OTN EVENTS

TARGET

DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 1

25%

56%

19%

Female Male Age

35% 64%

Note: 16 patients missing Gender; 3 patients under 18 or missing age; 141 patients missing Race/Ethnicity.

Washington State Opioid Response

Gender

EVENTS

CLIENTS

DISCHARGES

TOTAL COUNTSALL SITE SUMMARY

Community

Agencies

Cumulative Enrollment EventsJanuary 2019 - December 2019

COMMUNITY AGENCIES

MEDICAL FACILITIES

CORRECTIONAL FACILITIES

Mu

ltic

are

Dea

con

ess

Client Demographics

Race/Ethnicity

Correctional

Failities

Medical

Facilities

TOTAL

SCO

RE

Jail

4,369

Kit

sap

Co

un

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ail

Sum

mit

Pac

ific

Med

ical

Mu

ltic

are

Dea

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Pea

ce H

ealt

h

DES

C-S

eatt

le

Over or Under Monthly Enrollment Target by Site

Val

ley

Med

ical

Co

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Psy

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Klic

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alle

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Fire

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8992,3891081

4,369

Fran

klin

Co

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ail

Val

ley

Med

ical

Co

mm

un

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Psy

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tric

Klic

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Fire

Dep

t

SCO

RE

Jail

Fran

klin

Co

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ail

Opioid Treatment Network Monthly Summary Report January 10, 2020

3,755 2,731

3,117

Jan-19 Mar-19 May-19 Jul-19 Sep-19 Nov-19

18%

47%

21%

9%5%

18-25 26-35 36-45 46-55 56+

74%

22%

8% 7% 4% 1% 4%

White

Only

Any Minority

Hispanic

American Indian/ Alaska Native Black

Asian/ Pacific Islander Other

MINORITY DETAILPersons may be in more than one group.

-15 -13 -11 -9 -8 -7 -5 -3 -3

2 3 5 5

2943 43

111

TARGETYear 2Year 1



12/31/2019

125

108

58

12/31/2019

191916

12/31/2019

403416

Harborview Medical Center

EVENTS

CLIENTS

DISCHARGES

Monthly Target

Nal

trex

on

e

Medication at Induction

Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report January 10, 2020

MEDICAL FACILITIES

Enrollment Trend Reported Discharges

38%

Family Health CenterCounts as of

Bu

pre

no

rph

ine

Met

had

on

e

DISCHARGES 84%

Klickitat Valley HealthMonthly Target Enrollment Trend Reported Discharges Medication at Induction

Counts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

Counts as of

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 32%

1618

125

229

Jan-19 Dec-19

98%

0% 2%

2

10

19

63

Jan-19 Dec-19

84%

11% 5%

4

15

40

150

Jan-19 Dec-19

60%

0%

40%


12/31/2019

163

152

107

12/31/2019

116111

86

12/31/2019

310303

75

Opioid Treatment Network Monthly Summary Report January 10, 2020

Washington State Opioid Response

MEDICAL FACILITIESMulticare Deaconess Hospital


Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 64%

Peace Health SW Medical CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

EVENTS

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 24%

CLIENTS

DISCHARGES 74%

Summit Pacific Medical CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

23

18

163

180

Jan-19 Dec-19

88%

12%0%

1518

116

180

Jan-19 Dec-19

93%

7%0%

21

18310

180

Jan-19 Dec-19

97%

0% 3%


12/31/2019

96

94

86

12/31/2019

303016

Enrollment Trend Reported Discharges Medication at Induction


MEDICAL FACILITIES

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 53%

Valley Medical CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 89%

Swedish Medical Center EdmondsCounts as of Monthly Target

5

10

96

100

Jan-19 Dec-19

100%

0% 0%

3

18

30

180

Jan-19 Dec-19

93%

7%0%



12/31/2019

1,693

1,392

1,471

12/31/2019

265220227

12/31/2019

887477DISCHARGES 85%

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS


Jefferson County Jail

EVENTS

CLIENTS

DISCHARGES 84%

Franklin County JailCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 83%


CORRECTIONAL FACILITIESBenton County Jail

Counts as of

Bu

pre

no

rph

ine

Met

had

on

e

Monthly Target Enrollment Trend Reported Discharges Medication at Induction

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

129

25

1,693

201

Jan-19 Dec-19

99%

0% 1%

39

15

265

115

Jan-19 Dec-19

100%

0% 0%

1115

88

171

Jan-19 Dec-19

83%

0%

17%


12/31/2019

198

191

60

12/31/2019

145140

13

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 6%

SCORE King CountyCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 29%

CORRECTIONAL FACILITIESKitsap County Jail



20

18 198

180

Jan-19 Dec-19

79%

0%

21%

15

10145

100

Jan-19 Dec-19

75%

1%

24%



12/31/2019

826

788

343

12/31/2019

878541

12/31/2019

115113

36

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 30%

DESC SeattleCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 46%

Community Psychiatric ClinicCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 40%

Olympia Bupe Clinic at Capital Recovery CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

COMMUNITY FACILITIES


68

25

826

250

Jan-19 Dec-19

100%

0% 0%

1218

87

229

Jan-19 Dec-19

100%

0% 0%

1518

115

180

Jan-19 Dec-19

97%

0% 3%


12/31/2019

53

53

3

Bu

pre

no

rph

ine

Met

had

on

e

Nal

trex

on

e

EVENTS

CLIENTS

DISCHARGES 6%

Tacoma Fire DepartmentCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction

COMMUNITY FACILITIES


9

18

53

162

Jan-19 Dec-19

98%

0% 2%



YEAR MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL

2019 4 4 0 0 0 0 2 2 4 4 0 0 5 5

3 7 0 0 1 1 1 3 3 7 8 8 6 11

7 14 0 0 4 5 4 7 1 8 25 33 6 17

4 18 1 1 1 6 9 16 8 16 43 76 9 26

13 31 1 2 3 9 12 28 8 24 34 110 12 38

13 44 2 4 0 9 11 39 9 33 17 127 10 48

15 59 2 6 5 14 19 58 17 50 28 155 10 58

11 70 4 10 8 22 22 80 8 58 28 183 6 64

14 84 1 11 4 26 17 97 17 75 33 216 10 74

10 94 6 17 7 33 19 116 14 89 38 254 5 79

15 109 0 17 3 36 24 140 12 101 35 289 12 91

16 125 2 19 4 40 23 163 15 116 21 310 5 96


April

MONTH

January

February

March

January 10, 2020

Enrollment Events by Month

Swedish EdmondsSummit Pacific

Medical Center

Family Health

Center

Harborview

Medical CenterKlickitat Valley

Multicare

Deaconess HospitalPeace Health

December

October

May

August

June

November

July

September



YEAR MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL

2019 0 0 28 28 1 1 1 1 1 1 1 1 37 37

0 0 217 245 5 6 7 8 1 2 9 10 56 93

1 1 160 405 12 18 7 15 9 11 6 16 79 172

1 2 152 557 14 32 2 17 28 39 8 24 98 270

1 3 128 685 29 61 6 23 17 56 5 29 88 358

3 6 153 838 19 80 7 30 18 74 6 35 83 441

3 9 142 980 31 111 10 40 20 94 15 50 59 500

5 14 150 1,130 24 135 12 52 20 114 25 75 84 584

6 20 169 1,299 33 168 10 62 17 131 28 103 54 638

5 25 146 1,445 28 196 6 68 25 156 17 120 71 709

2 27 119 1,564 30 226 9 77 22 178 10 130 49 758

3 30 129 1,693 39 265 11 88 20 198 15 145 68 826

August

January

October

Kitsap County Jail

July

September

May

March

April

MONTH

November

Olympia Bupe

ClinicBenton County Jail Franklin County Jail

Valley Medical

Group

Jefferson County

JailSCORE King County


December

January 10, 2020

Enrollment Events by Month

June

February



YEAR MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL

2019 0 0 1 1 0 0 85 85

0 0 1 2 0 0 318 403

10 10 2 4 0 0 333 736

3 13 1 5 0 0 382 1,118

9 22 9 14 0 0 375 1,493

10 32 9 23 0 0 370 1,863

9 41 17 40 1 1 403 2,266

5 46 11 51 9 10 432 2,698

4 50 7 58 14 24 438 3,136

14 64 28 86 7 31 446 3,582

11 75 14 100 13 44 380 3,962

12 87 15 115 9 53 407 4,369

November

September

July

March

MONTH

August

June

May

October

April

February

January

January 10, 2020

December

All Sites


Community

Psychiatric ClinicDESC-Seattle

Tacoma Fire

Department


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