DMAP Real Time Surveillance HIDTA Program Levels of Access The - - PowerPoint PPT Presentation

DMAP

Real Time Surveillance

HIDTA Program The Need Levels of Access Registration

Technology is nothing. What is important is that you have faith in people, that the are basically good and smart, and if you give them tools, they will do wonderful things with them.

High Intensity Drug Trafficking Area

64,000

F A T A L I T I E S

California Opioid Overdose Surveillance Dashboard

County

Humboldt 33 28 33 156,444 Mendocino 17 16 19 100,668 Sonoma 23 92 73 426,628 Lake 9 31 40 92,164 Marin 13 25 16 153,406 San Francisco 92 170 98 356,767 Contra Costa 51 98 152 762,114 Alameda 48 165 130 836,238 San Mateo 19 55 53 319,469 Santa Cruz 34 28 27 118,311 Santa Clara 66 85 88 713,379 Monterey 11 39 39 237,383 San Benito 1 2 2 37,747

CAPABILITES GAP

DMAP

ODMAP

To gain access to ODMAP your Agency needs to provide the following information when using the link on:

http://www.hidta.org/request-agency-access/

Required information:

• Agency Name
• Agency Type (state, local, federal, or tribal)
• Agency Identifier - not a required field
• State
• County - not a required field
• Signor Name
• Signor Title
• Signor phone
• Signor email

This will initiate the electronic Participation Agreement Process.

Gaining Agency Access

Gaining Agency Access Gaining Agency Access (Cont’d)

Upon approval, you will receive an email with:

• Your Agency Code
• Templates (2) to provide registration instructions to

your staff

• 1. Template for ODForm users
• 2. Template for Fire/EMS and other partners

Gaining Agency Access (Cont’d)

ODMAP

Level 1

How to register and use ODMAP for Fire/EMS and other partners

To Register Fire/EMS & other Partners

Go to http://ODMAP.hidta.org in any web browser on any device or computer.

Checking this box will save your password. Register New Users Register New Users

Registration

Fill in all of the fields. You must have the Agency Code.

Level I users should get their agency code from their agency head or

• designee. If they do not have this, they can contact the Help Desk

to find out the Agency Code.

How do I get my Agency Code?

HIDTA HELP DESK Days: Monday to Friday Hours: 8:30 to 4:30 Est. Phone: 301-489-1744

Please review the ODMAP Policies & Procedures to complete the registration

Click Register to complete the process

Policies & Procedures

Account Confirmation

How do I use ODMAP Level I?

ODMAP works on Windows, Android, iOS, and OS X based devices with a standard browser including Chrome, Firefox, and Safari. ODMAP Level I can be used in the field or in the office from any mobile device, mobile device terminal, or desktop computer. Some features require location services and cookies to be turned-on.

Devices

https://odmap.hidta.org

ODMAP Level I Login Page

Users will enter:

• Overdose incident

location

• Case number (optional)
• Type of overdose

After submission, the user will be able to add additional incidents.

Entering an Incident

Users can enter a location in three ways:

• 1. Use my current location
• 2. Enter an address (Must include city, state, and zip code)
• 3. Latitude & longitude (Must input at least 5 decimal places).
• Ex. -76.47508 39.03452

Entering an Incident Location

If using “use my current location” note that once an overdose type is selected the incident is automatically submitted. If using a Windows or Apple computer that is not GPS capable, it is recommended that an address is entered to input the location of the incident.

Using “My Current Location”

• You must select the full address displayed below the data entry field.
• The data entry field will then turn GREEN.

Using “I will enter address below”

Clicking the “Map it” Button allows the user to view the location before submitting.

Confirming the Location

The date and time fields automatically show the current date and time. The user may edit the date and time prior to submitting the incident.

Filling in the Date & Time

The overdose was entered successfully. The user can enter another incident.

Successful Submission

The overdose was entered successfully. The user can enter another incident.

Successful Submission

Users or administrators can manage their overdose submissions by clicking Manage

• Overdoses. Case Explorer users will find their submitted ODForms under their recent

cases. Administrators can view all ODForm submissions from all users in their role.

Manage Overdoses

Manage Overdoses (Cont’d)

All users will now be able to get to the Manage Overdoses link and there is a Search Records feature.

Manage Overdoses (Cont’d)

When a user goes to the Manage Overdoses page they will now be able to Edit and Delete records. A user can only edit a record if they created it. A user can only delete a record if they created it AND the has not been submitted.

Manage Overdoses (Cont’d)

You can now enter in a Case Number, Suspected Drug, Age and Gender when submitting a point on the main page.

Manage Overdoses (Cont’d)

Once a user submits a point from the main page, there will be a warning message to let them know that they are submitting a point to a live database. This same check occurs when a record is edited.

Manage Overdoses (Cont’d)

Once a user clicks on the box verify the point is the correct one, the system will check for any existing overdoses that are within 50 feet and 2 hours of the overdose they are attempting to save. If there are any matches (it matches on ALL records, not just the

• nes the user has submitted), it will return a warning message

with the contact info from the other user(s) and asks if they still want to submit the point.

Manage Overdoses (Cont’d)

Whether a point is submitted using an address or Lat/Long (this includes Use My Location), they will

• nly be able to edit that field. If they enter in an address, lat/long will be shown, but disabled and vice

versa. They may change which one is used, but the fields will be cleared and they will have to re-map it.

Looking for Level 2

If you are looking for Level 2 access to the ODMAP application go to: https://secure.hidta.org

• Click register for SSL account
• Fill out the registration form requesting SSL and ODMAP Level 2 access
• Return the registration request via email.
• Email to: Registration@wb.hidta.org
• Your access information will be emailed to you.

Analytical Users

Contacts for Questions

HIDTA HELP DESK Days: Monday to Friday Hours: 8:30 to 4:30 Est. Phone:301 489-1744

For any questions regarding user registration, please contact Kelly McCord by phone: (301) 489-1763 or by email: kmccord@wb.hidta.org

If you have any questions regarding the ODMAP Program, please contact Jeff Beeson by phone: (301) 489-1734 or by email: jbeeson@wb.hidta.org

ODMAP

Level 2 access

OD Map Dashboard

The ODMap Dashboard is a web-based app designed to

facilitate real-time surveillance of suspected overdoses. The dashboard provides level 2 users the ability to display locations

• f suspected ODs, entered by level 1 ODMAP users, and can be

used to identify clusters of suspected ODs and spikes in OD events. The Dashboard component of ODMap is designed to be used on a laptop or desktop computer, and is not designed to be used on small mobile devices.

Access will only be granted to vetted members of organizations that have signed the ODMap participation agreement. An agency’s ODMap Primary Representative will have to approve access for all users from that agency. Agency Participation Agreement.DOCX

Registering for Access:

Registering for Access:

If you are looking for Level 2 access to the ODMap application go to: https://secure.hidta.org

• Click register for SSL account: This opens/downloads a PDF
• document. Level II Registration.pdf
• Fill out the registration form requesting SSL and ODMap

Level 2 access

• Return the registration request via email.
• Email to: Regist

istration@w ration@wb.hidta b.hidta.org .org, CC hid idta ta-isc@ isc@ncric. ncric.ca. ca.go gov

• Your access information will be emailed to you if your

approval for access has been verified.

Analytical Users

Accessing the ODMap Dashboard

Go to: https://

s://se secur cure.hid .hidta ta.or .org

• 1. Enter the Username and Password provided to you as part of the SSL registration

process (this is a different Username and Password than the one you would use to collect OD data using the ODMap mobile website).

• 2. Once you Sign In, you will see links to ODMap Production and ODMap Training

under Web Bookmarks. The production system is the one that contains real suspected overdose data collected in the field. The ODMap Training link is used to view fictitious data collected during training.

• 3. To launch the ODMap Dashboard data viewer, click on the ODMap Production link.

Stakeholders are professionals who play a role in

• verdose

response

 DURIN RING G A SPIKE KE  Imple leme ment nt local l Overdos dose e Spike ke Respons

• nse

e Plan  coor

• rdinate

inate among local l stakeho hold lders ers  If appropriate (i.e. Health Department’s responsibility and spike is verified), issue PSA  POST-SPIKE SPIKE  ¨Eva valuat luate e data on a local l scale and distribu ibute te findin dings gs to stakehold

• lders

ers to improve

• ve respons
• nse

strate tegies gies

 PRE-OV OVERDOSE ERDOSE SPIKE KE  Identif tify infor format matio ion to be disseminate inated d during ing a spike  (Firs irst t responder nder supervi visor

• rs)

s) Develop lop a plan to reduce uce the likelih ihood

• od of first

t responder nder burnout. nout. (i.e.

• e. If

f possible ble provi

• vide

e access ss to employee e assistance nce progra

• grams

ms or critica tical incide dent nt stress s manageme ment t to suppor

• rt

t staff ff follow lowing ing a s spike) e)

 DURIN RING G A SPIKE KE  Operate te under standard ard prot

• toc
• cols

ls to prevent nt overdos dose e fatalit litie ies (first irst respond

• nders

ers are the experts s in overdos dose e revers ersals) ls)  Ensure ure first rst respon

• nders

ders use local l safe handling ng guide delines lines  Carry additio iona nal l naloxone xone  Carry resource urce cards ds  Inform form supervi visor

• rs

s of low stock k of naloxone xone and resource urce cards ds  Coordinat dinate with local l emerge gency ncy departm tmen ents ts to ensure patients ts are transp spor

• rte

ted d to the appropriat

• priate emergency

ency depart rtment ment  (Firs irst t responder nder supervi visor

• rs)

s) Have a plan in place e to reduce uce the likelih lihood

• od of first

st respon

• nder

der burnout

• ut (i.e

.e. . If possib ible le provid

• vide access

s to employee e assistance nce programs grams or critica tical l incide ident t stress s manageme ment t to suppor

• rt

t staff ff follo llowi wing g a s spike ke)

 PRE-OV OVERDOSE ERDOSE SPIKE KE  Plan and host engageme ment t activi vitie ies to improve

• ve commu

munity ity view of law enfor

• rce

ceme ment nt  Identif tify a centralize alized d data reposit sitor

• ry for investigat

tigativ ive data sharing ing by law enfor

• rceme

ment t agencies ies  Establish blish an investigative tigative plan to execute te immediate tely ly upon spike e notificat fication

• n

 Ensure ure offic ficers s are traine ned d on the signs of an overdos dose  Ensure ure offic ficers s have access s to naloxone

• ne and resourc

urce cards ds  Promot mote e designa nate ted d prescr crip iption tion medica cation tion drop-off

• ff areas

 Establis blish h a proce

• cess

s with corone

• ner/med

edic ical l examiners ners and local l forens nsic ic labs to expedite ite analysis in the event of a spike  Establis blish h infor format matio ion sharin ing g polici icies

 DURIN RING G A SPIKE KE  Assess the threat/ t/ check ck ODMAP dashboa

• ard

d to identify tify potential tial cross ss jurisd isdicti ictiona

• nal

l impact ct of the spike and notify ify the law enfor

• rce

ceme ment nt leaders in those jurisd isdicti iction

• ns¨

 Contact act the Overdos dose Spike e Respons

• nse Plan Team Lead Incr

crease ase law enfor

• rce

ceme ment nt presence nce in known hotspot pots s to increas ease naloxon xone e availab abili ility ty¨ Ensur ure off ffice icers are aware of the overdos dose spike  Repor

• rt

t suspect ct packag kagin ing g to other law enfor

• rceme

ment nt agencies ies¨ Repor

• rt

t unusual ual symptoms

• ms to the health

h departme ment nt  Deploy

• y invest

stiga igativ ive plan  Ensure ure infor

• rmation

tion is entered ed into event and subject ct deconfl

• nflicti

iction

• n databases

es  Contact ct HIDTA and/or

• r regio

iona nal l Fusion

• n Center to promote

mote infor format matio ion n sharing ng acros

• ss

s juris isdict dictio ions ns  Request st state and/or

• r federa

eral l agency cy suppor

• rt

t for addition tional al investigat tigativ ive resources urces, , if needed

 PRE-SPI SPIKE  Develop

• p a c

coor

• rdin

dinat ated d plan for expedit iting ing evidence nce durin ing g spikes  Ensure ure that necessary ary evidence ence is collect lected ed to be admissible ible in court  Ensure ure that the necessary ry evide dence nce is coll llecte ected d to understa rstand nd and address ess the public lic health threat  Develop

• p a c

commu munica icatio ion n plan with drug g task force point nt of conta tact ct  DURIN RING G A SPIKE KE  ¨ Prioriti

• ritize the evidence

nce analysis, s, per the develop loped ed plan  ¨ Implem emen ent t the communi unica cation tion plan with the drug g task force ce to identif ify importa tan evidence nce to collect lect and test

 Pre-Spi Spike ke Recomm

• mmen

enda dation tions  Establis blish h discha charge ge protocol tocols  Establis blish h a follow llow up proce

• cess

ss  Develop

• p a p

peer recover

• very specialist

list conta tact ct list and contact tact plan in the event of a spike  Identif tifyin ing g availabili bility ty of detox resources urces  Ensure ure naloxon xone is available ble  Identif tify staff ff for each shift t that are respons

• nsible

ible for

• r educat

ating ing patients nts at disch charge arge and provi viding ding take home educati tion

• n

 Identif tify point nt of conta tact ct for r follow llow-up p of indivi viduals duals who expre ress ss an intere rest st in treatm tment nt  Prepare are HIPAA compli pliant nt release e of infor format matio ion paperwor

• rk

k for

• r any 3rd party

ty follow llow-up up or refe ferrals ls

 During ing a Spike ke Recomm

• mmenda

ndation tion  Contact act Overdose

• se Spike Respon
• nse

se Plan Team Lead  Restock

• ck naloxone

xone  When appro ropr priate te, , make peer recove

• very

ry specialist lists s availabl ble  Identif tify place ces for linkage ge to longe ger-te term m care/Look /Look for available ble treatme ment nt facili ilitie ties so that they can link incom

• ming

ing patients nts to places s that have the resourc urces to help  Repor

• rt

t increas eased ed trend d to local l health h departm tment nt (as appropr

• priat

iate) e)  Deploy

• y discha

charge ge protocol tocols to expedite ite connect ectio ions ns to treatme ment nt servi vice ces

 PROMIS MISING ING PRACTICE TICE  Evaluat luate patients nts using the evidence nce-ba base sed d approa

• ach

ch Screen ening, ing, Brief ef Interve ervent ntio ion n and Referr erral l to Treatme ment nt (SBIRT) BIRT)  Have eligibl ble e patient nts s provi

• vide

de consent sent to be connect ected ed to a Peer Recove

• very

ry Specialist st  Contact act on-ca call ll Peer Recovery

• very Special

cialist ist supervi visor sor  Dispatc tch h Peer Recovery very Specialis ialist t to the ED within n 20 minute tes. s.  Contact act patient nts s over the next 3 days to facili ilitat ate e the conne nect ctio ion n to treatm tmen ent t or recovery

• very

resourc urces

 PRE-SPI SPIKE  Develop

• p a p

peer recove

• very referral

erral system  Identif tify appropriat

• priate refer

ferral l channels els (i.e. . who can refer er to Peer Recove

• very Specialis

ialists) s)  Identif tify appropriat ropriate refer ferra ral l criteria teria (i.e. . when to refe fer r to a Peer Recove

• very

ry Specialis lists) s)  Establis blish h a refe ferral l proce

• cess

ss  Establis blish h proce

• cess

ss for conta tact cting ing Peer Recovery

• very Specialis

ialists ts in the event of an overdos dose e spike  DURIN RING G A SPIKE KE  ¨ Implemen ement t a peer recove

• very

ry referr erral l system

 PRE-SPI SPIKE  Identif tify and share infor format mation

• n with the Overdose

dose Respons

• nse Plan Team that is specifi

ific c to

• verdos

dose preven ention tion (i.e .e. . naloxone xone access ss, , Good Samaritan itan Law promot motio ions ns, , Public ic Servi vice ce Announcem ncements nts, , harm reductio uction n tips)  Identif tify infor format matio ion sharin ing g channels els that can be used to share infor format matio ion during ing a spike  Coordinat dinate with Overdos dose Spike ke Respons

• nse Plan Team Lead to develop

lop an Overdos dose Spike ke Respon

• nse

se Plan  DURIN RING G A SPIKE KE  Imple leme ment nt Overdose

• se Spike

ke Response nse Plan

 PRE-SPI SPIKE  Identif tify educat atio iona nal l materials ials to provi vide de in the parol

• le/proba

e/probation tion off ffice ice waiting g room, m, includin luding: g: Naloxon xone e train ining, ing, Good d Samarit itan an Law awareness ss, , treatme ment nt resourc urces  Coordinat dinate with Overdos dose Spike ke Respons

• nse Plan Team lead to develop
• p an Overdos

dose e Spike ke Respon

• nse

se Plan  Identif tify infor format matio ion sharin ing g channels els that can be used to disseminate inate infor format matio ion to parolee lees/proba s/probatio tioners ners, , and their familie lies s during ing a s spike  Identif tify infor format matio ion to be shared during ing a spike, , and develop

• p template

tes, , as appropr priate iate

 DURIN RING G A S A SPIKE KE  Deploy

• y Overdos

dose Spike e Respons

• nse Plan

 Reinfor nforce best pract ctice ices s for reducing cing overdose doses, , if meeting g with parolee lees/proba s/probatio tioners ners  Inform form friend iends and familie lies s of parole lees/pr s/prob

• bat

atio ioners ners of spikes s and ensure they are aware of available ble evidence nce-ba base sed d pract ctice ices

 PRE-SPI SPIKE  Coordinat dinate with Overdos dose Spike ke Respons

• nse Plan Team Lead to develop

lop an Overdos dose Spike ke Respon

• nse

se Plan  Identif tify infor format matio ion to be shared with inmates s upon n release se , includ luding: ing: infor

• rmat

matio ion about increas eased d risk/re k/reduce duced d tolerance ance after er a period

• d of abstine

nence nce  Determi mine ne the resource urce availability lity to provi vide de naloxo xone ne kits to inmates es upon release se  Identif tify list of resour urce ces on where to obtain n treatm tmen ent  Identif tify suppor

• rt group

up resource urces s (i.e .e. . 12-step ep meetings, gs, peer suppor

• rt

t grou

• ups

ps)  DURIN RING G A SPIKE KE  Imple lement ment Overd rdose

• se Spike

ke Response nse Plan

 PRE-SPI SPIKE  Coordinat dinate with Overdos dose Spike ke Respons

• nse Plan Team Lead to develop

lop an Overdos dose Spike ke Respon

• nse

se Plan  ¨ Ensure ure firs irst t responde

• nders

s are traine ned d and aware of protocol tocols for overdos dose e incide ident nts s that involve

• lve

a child ld  ¨ Identify tify infor

• rmation

tion to be shared d from rom first rst respon

• nders

ders to Child ld Prote tective ctive Servi vice ces(de s(dete termine rmine the protocol tocols s and repor

• rting

ting requi uireme ments) nts)  ¨ Identify tify proces cess s for notify ifyin ing g schoolres

• lresour
• urce

ce officer, ficer, counse selor lors, s, or appropriat

• priate staff

ff during ing

• verdos

dose spike

 DURIN RING G A S A SPIKE KE  Deploy

• y Overdos

dose Spike e Respons

• nse Plan

 Notify ify school

• l resource

urce offic ficer, , couns nselors lors or appropriat

• priate staff

ff of overdos dose e spike  Alert t school

• l administ

istrati tion

• n of overdose
• se spike

 Imple lement ment handle e with care approa

• ach

ch school

• l-wide

de

 PRE-SPI SPIKE  Stakehol holder ders develop

• p a c

conse sens nsus us of how and when to use the media to disseminate inate messages to the public ic regard rding ng overd rdos

• se

e spikes  Develop

• p a p

plan for

• r using

g media outlets ts to commu munica icate e messages s to the public ic  Identif tify media outlets ts to be used and corresp sponding

• nding points

ts of conta tact ct, , as necessary ary  Consult ult a media training ning specialis ialist t to determi mine ne how to best portr tray messages using g the selected ed media outle lets  Prepare are template tes or scrip ipts ts that can be swiftly tly tailor

• red

ed in the event of an overdose dose spike e warran anting ting messaging ing to the public lic  DURIN RING G SPIKE KE  Release e messages s via media outle lets s as outlined ined in the developed

• ped plan

Mark A Karandang : mkarandang@ncric.ca.gov Baltimore HIDTA: Registration@wb.hidta.org NCHIDTA: hidta-prevention@ncric.ca.gov