8/28/2017. HOPE Consortium: A Collaborative Rural Model for Opioid Use Disorder Treatment and User Friendly Health Information Exchange

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1 HOPE Consortium: A Collaborative Rural Model for Opioid Use Disorder Treatment and User Friendly Health Information Exchange Rachel Stankowski, PhD, Project Manager Marshfield Clinic Center for Community Outreach Leila Deering, Application Analyst Marshfield Clinic Research Institute Biomedical Informatics Research Center Origins of the HOPE Consortium State Funded Opioid Treatment Program Goals Provide treatment for opioid addiction 2. Improve quality of life: Increase retention Reduce relapse 3. Reduce opioid related deaths 4. Prioritize women, especially pregnant women 1

2 Partners HOPE Consortium DLM Consulting, LLC, Minocqua Options Counseling/Koinonia Family Health Center Alcohol& Residential Treatment Center, Drug Recovery Center, Minocqua Rhinelander Forest County Potawatomi AODA Price County Health and Human Services, Crandon Services, Phillips Iron County Human Services, Sokaogon Chippewa Community Hurley Health Clinic, Crandon Lac du Flambeau Chippewa Family Resource Center, Minocqua Ministry Ascension Behavioral Health, Rhinelander The Human Service Center (Forest, Oneida, and Vilas counties), Rhinelander Service Area Grantee: Family Health Center of Marshfield, Inc. Staff Support: Marshfield Clinic Center for Community Outreach Vision & Mission Vision Build hope in communities together to overcome substance use disorders and support recovery. Mission Coordinated treatment and recovery support for those affected by substance use in Northwoods communities. Infrastructure HOPE Consortium Administrative/staff support from Marshfield Clinic Health System: Family Health Center of Marshfield, Inc. Center for Community Outreach Steering Committee Partners (up to 2 members per partner) Other Agency Representatives (up to 6 Ex Officio members) Training Committee Treatment Path Committee Ad Hoc Committees HOPE Consortium Listserv 2

3 Unified Approach to Treatment & Recovery Regional providers engaged, committed to best practices Training, education, and resources available Marketing, Access, and Resources HOPE Consortium Help Card Payer of last resort Medication Quantitative urinalysis Care Coordination Grant Funded Client Services Provide wraparound services Lead client care team Develop personalized service plan Resource guide for clients and families 3

4 Needed solution for: Data collection Reporting Provider communication Outcome analysis Health Information Exchange What is REDCap? Research Electronic Data Capture Why REDCap? Availability Secure and web based Fully customizable Audit trails Regulatory compliance 4

5 Collaborative Teamwork What does REDCap do? ugins/pid64/dashboard/?pid=64 REDCap Rewards 5

6 REDCap Limitations REDCap Resources To set up REDCap: Web server Database server SMTP server Qualified programmer with the ability to code in PHP to write the plug in REDCap support person Answer questions Perform audits Project Resources Project specific training Project user manual Agency plan for data entry Legal agreements: Memorandum of Understanding Business Associates Agreement Patient Consent Release of Information 6

7 Health Information Exchange Lessons Learned Define your processes before you begin software building Define what you want out of the system for reports to be sure you are collecting the data We Own What We Build Consortium Infrastructure Building relationships Identifying common goals Aligning priorities Navigating organizational differences Investing time and energy Impressive Success I m still in the program. I love it! It has helped me in a variety of ways. The suboxone really helps my cravings and helps a little with my pain relief. My care coordinator is very resourceful. I really enjoy my wrap appointments. I think it is great that Ihave a whole healthcare team helping me sort out all my problems, develop realistic goals that are attainable, and to help me see how far I ve come and compliment me on my progress. All this helps me to keep working hard and stay on task. Thanks for all your help with me living a happy life in recovery. I like that my care coordinator has been down the road I m on and has found success in getting away from drugs. It gives me hope that I can do the same. Wisconsin Department of Health Services Opioid Treatment Programs Progress Report,

8 What s next for the HOPE Consortium? Launch of MCHS Recovery Corps Greater regional collaboration Expansion to include other substances Consortium replication in other locations Greater Regional Collaboration 8

9 Expansion to Other Substances Relationships and infrastructure established Needs: REDCap modifications Resources to support care coordination for non opioid users Expansion and Replication Updates to policies and procedures to encompass other substance use disorders Replication in Other Locations Publish HOPE Consortium as effective rural model for substance abuse treatment Needs: Financial, technical, and staff resources Willing partners Time and energy Chaotic to Serene and Peaceful Rachel s Story I never saw where I m at today coming, I thought I would die from this. The HOPE program gave me light, hope I don t know what I d do without it. Rachel, 23, Rhinelander HOPE Consortium Client, celebrated one year of recovery on June 1 MCHS Recovery Corps Applicant Thank you for joining us! 9