Washington State Targeted Opioid Crisis Response to the ... · Hub and Spoke numbers correspond to contact information on next slide. Cascade Medical Advantage Network. WHATCOM SAN

Monthly Summary Report

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Direct questions about this report to:

Lyz [email protected]

360.902.0802

July 2017 - July 2018

Washington State Targeted

Response to the Opioid Crisis

Hub and Spoke Monthly Summary Report

Opioid Crisis

WASHINGTON

TARGETED

RESPONSE

Get

ty Im

age

s/iS

tock

STATE

1DSHS | Research and Data Analysis Division

August 15, 2018

3,461

3,352

Transfers = 129

PHOTO

Getty Images/iStock

GENDER Male Female

54% 46%

PHOTO

Getty Images/iStock

Naltrexone

Hub and Spokes

All Sites STR Monthly Summary Report

Total Treatment Events

Unduplicated Patients

White

non-Hispanic

ALL SITES TARGET

MEDICATIONS

MethadoneBuprenorphine

RACE/

ETHNICITYMissing

Any

Minority

REFERRAL SOURCE

DEMOGRAPHICS

AGE DISTRIBUTION

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

18%

73%

9%

54%

7%

38%

Hub or Spoke Agency Outside Agency Self Referral

1,650

Jul-17 Sep-17 Nov-17 Jan-18 Mar-18 May-18 Jul-18

14%

43%

21%12% 9%

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

67%

13%

20%

Opioid Crisis

WASHINGTON STATE

TARGETED RESPONSE

Getty Images/iStock

New Inductees = 3,221

TARGET

Transfers = 129


August 15, 2018

NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT

3,461 100% 831 100% 393 100% 307 100% 862 100% 529 100% 539 100%

3,352 100% 790 100% 373 100% 301 100% 831 100% 528 100% 529 100%

3,221 96% 751 95% 371 99% 293 97% 772 93% 509 96% 525 100%

129 4% 39 5% 2 1% 8 3% 59 7% 19 4% 2 0%

486 14% 130 16% 39 10% 41 14% 115 14% 95 18% 66 12%

1,450 43% 353 45% 117 31% 132 44% 358 43% 259 49% 231 44%

705 21% 158 20% 94 25% 72 24% 176 21% 96 18% 109 21%

394 12% 86 11% 62 17% 29 10% 109 13% 48 9% 60 11%

302 9% 62 8% 61 16% 23 8% 67 8% 29 5% 60 11%

11 0% 0 0% 0 0% 2 1% 6 1% 0 0% 3 1%

1,811 54% 438 55% 228 61% 146 49% 425 51% 271 51% 303 57%

1,527 46% 351 44% 141 38% 154 51% 405 49% 253 48% 223 42%

5 0% 0 0% 3 1% 1 0% 0 0% 1 0% 0 0%

2 0% 1 0% 1 0% 0 0% 0 0% 0 0% 0 0%

5 0% 0 0% 0 0% 0 0% 0 0% 2 0% 3 0%

2,245 67% 528 67% 259 69% 260 86% 516 62% 312 59% 370 70%

678 20% 154 19% 110 29% 28 9% 158 19% 99 19% 129 24%

429 13% 108 14% 4 1% 13 4% 157 19% 117 22% 30 6%

620 18% 137 17% 0 0% 155 51% 328 39% 0 0% 0 0%

2,435 73% 616 78% 369 99% 126 42% 368 44% 448 85% 508 96%

292 9% 37 5% 4 1% 20 7% 135 16% 80 15% 16 3%

1,813 54% 735 93% 275 74% 111 37% 157 20% 72 14% 463 88%

229 7% 11 1% 12 3% 10 3% 134 17% 46 9% 16 3%

1,277 38% 44 6% 86 23% 180 60% 510 64% 410 78% 47 9%

All minorities

Race/Ethnicity Missing

TREATMENT

Methadone

Buprenorphine

Naltrexone

Hub or Spoke Referral

Outside Agency Referral

Self Referral

46-55

56+

Age Missing

Male

Female

Transgender

Other

Gender Missing

White, non-Hispanic

TOTAL COUNTS

Total Events


Inducted In Network

Inducted Out of Network

DEMOGRAPHICS

18-25

26-35

36-45

Hub and Spokes

STR Monthly Summary Report

TOTAL

Cascade

Medical

Advantage

Harborview

Medical Center

Lifeline

Connections

Northwest

Integrated

Health

Peninsula

Community

Health Valley Cities

All Sites Demographic and Treatment Data


August 15, 2018

MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL

7 7 0 0 1 1 3 3 0 0 3 3 0 0

142 149 33 33 10 11 17 20 39 39 37 40 6 6

206 355 36 69 18 29 11 31 47 86 43 83 51 57

237 592 47 116 21 50 16 47 45 131 43 126 65 122

271 863 31 147 32 82 17 64 69 200 45 171 77 199

242 1105 37 184 34 116 20 84 49 249 38 209 64 263

329 1,434 73 257 44 160 19 103 59 308 57 266 77 340

291 1,725 89 346 41 201 29 132 56 364 41 307 35 375

300 2,025 75 421 36 237 31 163 85 449 30 337 43 418

309 2,334 77 498 30 267 28 191 84 533 46 383 44 462

334 2,668 93 591 45 312 37 228 89 622 47 430 23 485

272 2,940 77 668 29 341 25 253 79 701 48 478 14 499

281 3,221 83 751 30 371 40 293 71 772 31 509 26 525

Note: Hub and Spoke networks are contractually obligated to induct a minimum of

25 unique patients onto medication assisted treatment.

MONTH

July 2017

August 2017

September 2017

October 2017

November 2017

December 2017

January 2018

Hub and Spokes

All Sites In Network Inductions by Month

February 2018

March 2018

April 2018

May 2018

June 2018

July 2018


MONTHLY

TOTAL

Cascade

Medical

Advantage

Harborview

Medical Center

Lifeline

Connections

Northwest

Integrated

Health

Peninsula

Community

Health Valley Cities


August 15, 2018

STR Hub site

STR Spoke location with MAT Services

DATA SOURCE: Division of Behavioral Health and Recovery.NOTES: STR Spokes may be behavioral health providers, primary care providers, referral only agencies, or provide other wrap around services. Hub and Spoke numbers correspond to contact information on next slide.

Cascade Medical Advantage Network

WHATCOM

SAN JUAN

ISLAND

SKAGIT

SNOHOMISH

Bellingham1

2 3a

3b

3c

4c

4b

4a

65

5

CLINIC LOCATION

Cascade Medical Advantage (1) Bellingham

Swinomish Tribe’s Didgwalic Wellness Center (2)

Anacortes

Skagit County Crisis Center (3a) Burlington

Whatcom Community Detox (3b) Bellingham

Pioneer Center North (3c) Sedro Woolley

Catholic Community Services (CCS) NW Recovery Centers (4a)

Bellingham

CCS Catholic Housing Services (4b) Burlington

CCS Behavioral HealthCenter (4c) Everett

Sea Mar BehavioralHealth Clinic (5) Bellingham

Peace Health Cordata Main (6) Bellingham

Lummi Health Spirit Clinic (7) Bellingham

7

831

790

Transfers = 39

Transfers = 39

New Inductees = 751

PHOTO

Getty Images/iStock

GENDER Male Female

55% 44%

PHOTO

Getty Images/iStock

Any

Minority

Monthly Goal

50+830

Hub and Spokes

Cascade Medical Advantage

MEDICATIONS

Buprenorphine

CMA TARGET




RACE/

ETHNICITY

DEMOGRAPHICS

REFERRAL SOURCE

AGE DISTRIBUTION

Naltrexone

Methadone

White

non-Hispanic

275


17%

78%

5%

93%

1% 6%


16%

45%

20%11% 8%

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

67%

14%

19%

New Inductees = 751

TARGET

Transfers = 39


August 15, 2018

Missing


831 100% 218 100% 82 100% 86 100% 68 100% 130 100% 240 100%

790 100% 218 100% 79 100% 86 100% 65 100% 129 100% 231 100%

751 95% 212 97% 79 100% 50 58% 65 100% 129 100% 231 100%

39 5% 6 3% 0 0% 36 42% 0 0% 0 0% 0 0%

130 16% 34 16% 21 27% 11 13% 11 17% 33 26% 23 10%

353 45% 109 50% 33 42% 35 41% 26 40% 63 49% 92 40%

158 20% 43 20% 9 11% 20 23% 12 18% 22 17% 55 24%

86 11% 24 11% 10 13% 13 15% 6 9% 9 7% 30 13%

62 8% 8 4% 6 8% 7 8% 10 15% 2 2% 30 13%

0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%

438 55% 138 63% 41 52% 40 47% 30 46% 81 63% 119 52%

351 44% 79 36% 38 48% 46 53% 35 54% 48 37% 112 48%

0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%

1 0% 1 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%

528 67% 183 84% 76 96% 63 73% 49 75% 32 25% 138 60%

154 19% 15 7% 3 4% 20 23% 14 22% 9 7% 93 40%

108 14% 20 9% 0 0% 3 3% 2 3% 88 68% 0 0%

137 17% 0 0% 0 0% 0 0% 5 8% 0 0% 134 58%

616 78% 209 96% 72 91% 85 99% 59 91% 122 95% 84 36%

37 5% 9 4% 7 9% 1 1% 1 2% 7 5% 13 6%

735 93% 211 97% 79 100% 43 50% 60 92% 128 99% 231 100%

11 1% 0 0% 0 0% 8 9% 3 5% 1 1% 0 0%

44 6% 7 3% 0 0% 35 41% 2 3% 0 0% 0 0%

Didgwalic

Wellness Center



Inducted In Network


26-35

36-45

46-55

56+

18-25

Total Events

TOTAL

Cascade

Medical

Advantage

Hub and Spokes


Cascade Medical Advantage Demographic and Treatment Data

TOTAL COUNTS

DEMOGRAPHICS

Catholic

Community

Services Sea Mar

Peace Health at

St. Josephs &

Bellingham

Self Referral

Age Missing

Female

Transgender

Other

Gender Missing

White, non-Hispanic


All minorities

Male


Methadone

Buprenorphine

Naltrexone

TREATMENT

Pioneer Human

Services


August 15, 2018

STR Hub site

STR Spoke location with MAT services


Harborview Medical Center Network

KING

Seattle

1

42

3

5

6a

6b7

8

CLINIC LOCATION

Harborview Medical Center (HMC) Adult Medicine Clinic (1)

Seattle

HMC Aftercare Clinic (2) Seattle

HMC Mental HealthServices & Addiction Program (3) Seattle

HMC Inpatient Services (4) Seattle

Evergreen Treatment Services South King County Clinic (5)

Renton

Country Doctor Community Clinic (6a) Seattle

Country Doctor Carolyn Downs Family Medical Center (6b)

Seattle

University of Washington’s Pioneer Square Clinic (7) Seattle

393

373

Transfers = 22

Transfers = 2

New Inductees = 371

PHOTO

Getty Images/iStock

GENDER Male Female

61% 38%

PHOTO

Getty Images/iStock

Missing

RACE/

ETHNICITY

White

non-Hispanic


HMC TARGET REFERRAL SOURCE


Hub and Spokes Monthly Goal

Harborview Medical Center STR Monthly Summary Report

300 50

MEDICATIONS DEMOGRAPHICS

Buprenorphine

AGE DISTRIBUTION Any

MinorityMethadone

Naltrexone

99%

1%

74%

3%

23%


275


10%

31%25%

17% 16%

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

69%1%

30%

New Inductees = 371

TARGET

Transfers = 2


August 15, 2018


393 100% 1 100% 25 100% 97 100% 108 100% 78 100% 84 100%

373 100% 1 100% 25 100% 97 100% 105 100% 76 100% 83 100%

371 99% 1 100% 25 100% 97 100% 105 100% 76 100% 81 98%

2 1% 0 0% 0 0% 0 0% 0 0% 0 0% 2 2%

39 10% 0 0% 0 0% 12 12% 9 9% 7 9% 12 14%

117 31% 1 100% 4 16% 27 28% 31 30% 24 32% 34 41%

94 25% 0 0% 8 32% 20 21% 28 27% 24 32% 20 24%

62 17% 0 0% 4 16% 18 19% 15 14% 14 18% 13 16%

61 16% 0 0% 9 36% 20 21% 22 21% 7 9% 4 5%

0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%

228 61% 0 0% 21 84% 53 55% 67 64% 50 66% 46 55%

141 38% 1 100% 4 16% 40 41% 38 36% 26 34% 37 45%

3 1% 0 0% 0 0% 3 3% 0 0% 0 0% 0 0%

1 0% 0 0% 0 0% 1 1% 0 0% 0 0% 0 0%

0 0% 0 0% 0 0% 0 1% 0 0% 0 0% 0 0%

259 69% 1 100% 18 72% 62 64% 75 71% 55 72% 58 70%

110 29% 0 0% 7 28% 34 35% 28 27% 21 28% 24 29%

4 1% 0 0% 0 0% 1 1% 2 2% 0 0% 1 1%

0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0%

369 99% 0 0% 25 100% 96 99% 103 98% 75 99% 83 100%

4 1% 1 100% 0 0% 1 1% 2 2% 1 1% 0 0%

275 74% 1 100% 25 100% 3 3% 105 100% 76 100% 78 94%

12 3% 0 0% 0 0% 10 10% 0 0% 0 0% 2 2%

86 23% 0 0% 0 0% 84 87% 0 0% 0 0% 3 4%

Harborview Medical Center Demographic and Treatment Data Hub and Spokes

HMC After Care

Clinic/ Inpatient

Srvcs

Addictions &

Mental Health

Services HMC

ETS South King

County

TOTAL COUNTS


TOTAL

HMC Adult

Medicine Clinic

Pioneer Square

Clinic

Country Doctor

Community

Health Centers

18-25

26-35

36-45

46-55

56+

Total Events


Inducted In Network


DEMOGRAPHICS

Gender Missing

White, non-Hispanic

All minorities


TREATMENT

Age Missing

Male

Female

Transgender

Other

Self Referral

Methadone

Buprenorphine

Naltrexone




August 15, 2018


Lifeline Connections Network

11

STR Hub site


STR Spoke location without MAT services

WAHKIAKUM

GRAYS HARBOR

LEWISPACIFIC

COWLITZ

CLARK

SKAMANIA

Vancouver 1 34

5

6

7

2

8

910

11CLINIC LOCATION

Lifeline Connections (1) Vancouver

Lifeline Connections Grays Harbor (2) Aberdeen

Peace Health SW Washington Medical Center and Family Care Clinic (3)

Vancouver

Columbia River Mental Health North Star Clinic (4) Vancouver

Community Services Northwest (5) Vancouver

Hudson’s Bay Medical Group (6) Vancouver

SHARE (7) Vancouver

Clark County Corrections (8) Vancouver

Clark County Public Health Needle Exchange Program (9) Vancouver

Vancouver Treatment Solutions (10) Vancouver

Evergreen Treatment Services Grays Harbor Clinic (11) Hoquiam

Choice Wellness (12) Vancouver

The Vancouver Clinic Vancouver12

13

307

301

Transfers = 498

Transfers = 8

New Inductees = 293 PHOTO

Getty Images/iStock

GENDER Male Female

49% 51%

Missing

PHOTO

Getty Images/iStock

50Unduplicated Patients

LLC TARGET REFERRAL SOURCE

White

non-Hispanic


Lifeline Connections STR Monthly Summary Report

40Total Treatment Events0

RACE/

ETHNICITYNaltrexone

Naltrexone

MEDICATIONS DEMOGRAPHICS

Methadone Buprenorphine

AGE DISTRIBUTIONAny

Minority

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

51%

42%

7%

37%

3%

60%


275


14%

44%

24%

10% 8%

18-25 26-35 36-45 46-55 56+87%

4%9%

New Inductees = 293

TARGET

Transfers = 8


August 15, 2018


307 100% 100 100% 16 100% 5 100% 102 100% 75 100% 4 100%

301 100% 100 100% 16 100% 5 100% 100 100% 75 100% 4 100%

293 97% 93 93% 15 94% 5 100% 100 100% 75 100% 4 100%

8 3% 7 7% 1 6% 0 0% 0 0% 0 0% 0 0%

41 14% 14 14% 6 38% 1 20% 13 13% 7 9% 0 0%

132 44% 53 53% 5 31% 1 20% 42 42% 29 39% 2 50%

72 24% 21 21% 3 19% 2 40% 22 22% 23 31% 2 50%

29 10% 6 6% 1 6% 1 20% 13 13% 6 8% 0 0%

23 8% 5 5% 1 6% 0 0% 10 10% 7 9% 0 0%

2 1% 0 0% 0 0% 0 0% 0 0% 2 3% 0 0%

146 49% 40 40% 5 31% 5 100% 50 50% 42 56% 2 50%

154 51% 60 60% 11 69% 0 0% 50 50% 32 43% 2 50%

1 0% 0 0% 0 0% 0 0% 0 0% 1 1% 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%

260 86% 74 74% 13 81% 5 100% 93 93% 70 93% 4 100%

28 9% 15 15% 3 19% 0 0% 5 5% 5 7% 0 0%

13 4% 11 11% 0 0% 0 0% 2 2% 0 0% 0 0%

155 51% 0 0% 0 0% 0 0% 87 87% 66 88% 4 100%

126 42% 86 86% 15 94% 5 100% 13 13% 9 12% 0 0%

20 7% 14 14% 1 6% 0 0% 0 0% 0 0% 0 0%

111 37% 84 84% 15 94% 5 100% 4 4% 0 0% 4 100%

10 3% 2 2% 0 0% 0 0% 8 8% 0 0% 0 0%

180 60% 14 14% 1 6% 0 0% 88 88% 75 100% 0 0%

Lifeline Connections Demographic and Treatment Data Hub and Spokes

Columbia River

Mental Health

Vancouver

Treatment

Solutions

Evergreen

Treatment

Services

TOTAL COUNTS


TOTAL

Lifeline

Connections in

Vancouver

Lifeline

Connections in

Grays Harbor

Peace Health

Family Medical

18-25

26-35

36-45

46-55

56+

Total Events


Inducted In Network


DEMOGRAPHICS

Gender Missing

White, non-Hispanic

All minorities


TREATMENT

Age Missing

Male

Female

Transgender

Other

Self Referral

Methadone

Buprenorphine

Naltrexone




August 15, 2018

NUMBER PERCENT NUMBER PERCENT

307 100% 5 100% . .

301 100% 5 100% . .

293 97% 5 100% . .

8 3% 0 0% . .

41 14% 0 0% . .

132 44% 0 0% . .

72 24% 2 40% . .

29 10% 3 60% . .

23 8% 0 0% . .

2 1% 0 0% . .

146 49% 4 80% . .

154 51% 1 20% . .

1 0% 0 0% ###### ######

0 0% 0 0% . .

0 0% 0 0% . .

260 86% 5 100% . .

28 9% 0 0% . .

13 4% 0 0% . .

155 51% 0 0% . .

126 42% 0 0% ###### ######

20 7% 5 100% ###### ######

111 37% 0 0% . .

10 3% 0 0% . .

180 60% 5 100% . .

The Vancouver

Clinic

Lifeline Connections Demographic and Treatment Data Continued Hub and Spokes


TOTAL Choice Wellness

TOTAL COUNTS

Total Events


Inducted In Network


DEMOGRAPHICS

18-25

26-35

36-45

46-55

56+

Age Missing

Male

Female

Transgender

Other

Gender Missing

White, non-Hispanic

All minorities


TREATMENT

Methadone

Buprenorphine

Naltrexone



Self Referral


August 15, 2018

DATA SOURCE: Division of Behavioral Health and Recovery.NOTES: STR Spokes may be behavioral health providers, primary care providers, referral only agencies, or provide other wrap around services. Hub and Spoke numbers correspond to contact information on next slide. Kitsap County is primarily served by the Peninsula Community Health Services

Hub and so is shaded blue.

Northwest Integrated Health Network

THURSTON

PIERCE

KITSAP

Lakewood

1a1b

1c2

3a

3b

4

5

6

78

9a

9b

15

STR Hub site



CLINIC LOCATION

Northwest Integrated Health (NIH) Lakewood (1a) Lakewood

NIH Puyallup (1b) Puyallup

NIH Tacoma (1c) Tacoma

Puyallup Tribal Health (2) Tacoma

Pierce County Alliance (PCA) Pierce County Drug Court (3a) Tacoma

PCA Thurston County Drug Court (3b) Olympia

Point Defiance AIDS Project (4) Tacoma

Olalla Recovery Center (5) Olalla

Nisqually Tribal Health (6) Olympia

Greater Lakes Mental Health (7) Lakewood

Pierce County Fire District (8) Tacoma

CHI Franciscan St. Clare Hospital Emergency Department (ED) (9a)

Lakewood

CHI Franciscan St. Joseph Medical Center ED (9b) Tacoma

Evergreen Treatment Services: South Sound Clinic (10) Olympia

10

862

831

Transfers =

Transfers = 59

New Inductees = 772

PHOTO

Getty Images/iStock

GENDER Male Female

51% 49%

PHOTO

Getty Images/iStockMissing

DEMOGRAPHICS

Buprenorphine

AGE DISTRIBUTION White

non-Hispanic

RACE/

ETHNICITY

MEDICATIONS

Any

Minority

50+Unduplicated Patients

NWIH TARGET REFERRAL SOURCE


Northwest Integrated Health STR Monthly Summary Report

71Total Treatment Events0

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

40%44%

16%

20% 17%

64%


275


14%

43%

21%13%

8%

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

62%19%

19%

New Inductees = 772

TARGET

Transfers = 59


August 15, 2018

Naltrexone

Methadone


862 100% 846 100% . . . . 10 100% 6 100% 0 0%

831 100% 819 100% . . . . 10 100% 6 100% 0 0%

772 93% 760 93% . . . . 10 100% 6 100% 0 0%

59 7% 59 7% . . . . 0 0% 0 0% 0 0%

115 14% 114 14% . . . . 1 10% 0 0% 0 0%

358 43% 357 44% . . . . 1 10% 0 0% 0 0%

176 21% 173 21% . . . . 3 30% 1 17% 0 0%

109 13% 108 13% . . . . 1 10% 3 50% 0 0%

67 8% 67 8% . . . . 0 0% 0 0% 0 0%

6 1% 0 0% . . . . 4 40% 2 33% 0 0%

425 51% 419 51% . . . . 5 56% 2 33% 0 0%

405 49% 400 49% . . . . 4 44% 4 67% 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%

516 62% 508 62% . . . . 6 60% 5 83% 0 0%

158 19% 155 19% . . . . 3 30% 1 17% 0 0%

157 19% 156 19% . . . . 1 10% 0 0% 0 0%

328 39% 328 40% . . . . 0 0% 0 0% 0 0%

368 44% 356 43% ###### ###### ###### ###### 10 100% 6 100% 0 0%

135 16% 135 16% ###### ###### ###### ###### 0 0% 0 0% 0 0%

157 20% 145 18% . . . . 10 100% 6 100% 0 0%

134 17% 134 17% . . . . 0 0% 0 0% 0 0%

510 64% 510 65% . . . . 0 0% 0 0% 0 0%

Evergreen

Treatment

Services

Northwest Integrated Health Demographic and Treatment Data Hub and Spokes

Ollala Recovery

Center Puyallup Tribe

St. Joseph

Medical Center

ED

St. Clare

Hospital ED

TOTAL COUNTS


TOTAL

Northwest

Integrated

Health

18-25

26-35

36-45

46-55

56+

Total Events


Inducted In Network


DEMOGRAPHICS

Gender Missing

White, non-Hispanic

All minorities


TREATMENT

Age Missing

Male

Female

Transgender

Other

Self Referral

Methadone

Buprenorphine

Naltrexone




August 15, 2018


Peninsula Community Health Services Network

18

STR Hub site



CLINIC LOCATION

Peninsula Community Health Services (PCHS) 6th

Street Bremerton Medical Clinic (1)Bremerton

PCHS Port Orchard Medical Clinic (1a) Port Orchard

PCHS Poulsbo Medical Clinic (1b) Poulsbo

PCHS Wheaton Medical Clinic (1c) Bremerton

PCHS Almira Medical Clinic (1d) Bremerton

PCHS Kingston Medical Clinic (1e) Kingston

PCHS Belfair Medical Clinic (1f) Belfair

North Olympic Healthcare Network (2) Port Angeles

Discovery Behavioral Health Network (3) Port Townsend

Kitsap Mental Health (4) Bremerton

Kitsap Recovery Center (5) Port Orchard

Clallam County Syringe Exchange (6) Port Angeles

Peninsula Behavioral Health (PBH) Port Angeles (7a)

Port Angeles

PBH Sequim (7b) Sequim

Jamestown Family Health (8) Sequim

JEFFERSON

CLALLAM

KITSAPBremerton 1

23

5

6

4

7a8 7b

1a

1b

1c1d

1e

1fMASON

529

528

Transfers =

Transfers = 19

New Inductees = 509

PHOTO

Getty Images/iStock

GENDER Male Female

51% 48%

PHOTO

Getty Images/iStock Missing

Buprenorphine



DEMOGRAPHICS

White

non-Hispanic

Monthly Goal

310 50

REFERRAL SOURCE

Any

Minority

Methadone

Naltrexone

PCHS TARGET

MEDICATIONS

Hub and Spokes

Peninsula Community Health Services STR Monthly Summary Report

RACE/

ETHNICITY

AGE DISTRIBUTION

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

85%

15%

14%9%

78%


275


18%

49%

18%9% 5%

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

59%22%

19%

New Inductees = 509

TARGET

Transfers = 19


August 15, 2018

NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT NUMBER PERCENT

529 100% 293 100% 236 100% . . . .

528 100% 292 100% 236 100% . . . .

509 96% 291 100% 218 92% . . . .

19 4% 1 0% 18 8% . . . .

95 18% 49 17% 46 19% . . . .

259 49% 150 51% 109 46% . . . .

96 18% 55 19% 41 17% . . . .

48 9% 24 8% 24 10% . . . .

29 5% 14 5% 15 6% . . . .

0 0% 0 0% 0 0% . . . .

271 51% 166 57% 105 45% . . . .

253 48% 124 42% 129 55% . . . .

1 0% 0 0% 1 0% ###### ###### ###### ######

0 0% 0 0% 0 0% . . . .

2 0% 2 0% 0 0% . . . .

312 59% 223 76% 89 38% . . . .

99 19% 40 14% 59 25% . . . .

117 22% 29 10% 88 37% . . . .

0 0% 0 0% 0 0% . . . .

448 85% 225 77% 223 94% ###### ###### ###### ######

80 15% 67 23% 13 6% ###### ###### ###### ######

72 14% 8 3% 64 27% . . . .

46 9% 11 4% 35 15% . . . .

410 78% 273 93% 137 58% . . . .

Peninsula Community Health Services Demographic and Treatment Data Hub and Spokes

Discovery

Behavioral

Health

Jamestown

Family Health

TOTAL COUNTS


TOTAL

Peninsula

Community

Health

North Olympic

Healthcare

Network

18-25

26-35

36-45

46-55

56+

Total Events


Inducted In Network


DEMOGRAPHICS

Gender Missing

White, non-Hispanic

All minorities


TREATMENT

Age Missing

Male

Female

Transgender

Other

Self Referral

Methadone

Buprenorphine

Naltrexone




August 15, 2018

KING

KING

Seattle 1a

3d

2a

5 4

2b

2c

2d

1b

1c

1d

1e

1f

1g, 3g

1h

3b

3c

3f

3e

3a


* Not shown on maps. These referral sites are by appointment only.

Valley Cities Network

21

STR Hub site



CLINIC LOCATION

Valley Cities: Recovery Place at Beacon Hill (1a); Enumclaw (1b); Federal Way (1c); Midway – at Health Point (1d); Auburn (1e); Kent (1f), Meridian Center for Health (1g); Pike Place Market (1h)

Seattle (1a, 1g, 1h); Enumclaw (1b); Federal Way (1c); Des Moines (1d); Auburn (1e); Kent (1f)

Health Point Medical Clinic (2a, 2b, 2c); Health Point Community Health Center (2d)

Kent (2a); Auburn (2b); Tukwila (2c); Des Moines (2d)

Neighborcare Health: 45th Street (3a); Ballard (3b); High Point (3c); Lake City (3d); Rainer Beach (3e); Pike Place Market (3f); Meridian (3g)

Seattle (All sites)

Integra Health (4) Bellevue

Swedish Family Medicine Cherry Hill OB Clinic (5) Seattle

Community Center for Alternative Programs Seattle*

King County Jail Release Seattle*

539

529

Transfers =

Transfers = 2

New Inductees = 525

PHOTO

Getty Images/iStock

GENDER Male Female

57% 42%

Methadone PHOTO

Getty Images/iStockMissing


VC TARGET

Valley Cities

MEDICATIONS

Buprenorphine



Monthly Goal

Naltrexone

Hub and Spokes

RACE/

ETHNICITY

DEMOGRAPHICS

50

AGE DISTRIBUTION Any

Minority

260

REFERRAL SOURCE

White

non-Hispanic

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

97%

3%

88%

3%9%


275


12%

44%

21%11% 11%

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

70%

6%

24%

New Inductees = 525

TARGET

Transfers = 2


August 15, 2018


539 100% 157 100% 196 100% . . 92 100% 90 100% 4 100%

529 100% 157 100% 195 100% . . 92 100% 86 100% 4 100%

525 100% 156 100% 195 100% . . 91 99% 84 99% 4 100%

2 0% 0 0% 0 0% . . 1 1% 1 1% 0 0%

66 12% 24 15% 20 10% . . 14 15% 8 9% 1 25%

231 44% 83 53% 64 33% . . 41 45% 43 50% 2 50%

109 21% 31 20% 41 21% . . 16 17% 21 24% 1 25%

60 11% 9 6% 34 17% . . 7 8% 11 13% 0 0%

60 11% 10 6% 36 18% . . 11 12% 3 3% 0 0%

3 1% 0 0% 0 0% . . 3 3% 0 0% 0 0%

303 57% 102 65% 100 51% . . 52 57% 52 60% 0 0%

223 42% 55 35% 93 48% . . 39 42% 34 40% 4 100%

0 0% 0 0% 0 0% ###### ###### 0 0% 0 0% 0 0%

0 0% 0 0% 0 0% . . 0 0% 0 0% 0 0%

3 0% 0 0% 2 0% . . 1 0% 0 0% 0 0%

370 70% 104 66% 135 69% . . 74 80% 60 70% 1 25%

129 24% 51 32% 48 25% . . 16 17% 12 14% 3 75%

30 6% 2 1% 12 6% . . 2 2% 14 16% 0 0%

0 0% 0 0% 0 0% . . 0 0% 0 0% 0 0%

508 96% 144 92% 191 98% ###### ###### 92 100% 82 95% 4 100%

16 3% 12 8% 0 0% ###### ###### 0 0% 4 5% 0 0%

463 88% 97 63% 195 100% . . 91 99% 81 95% 4 100%

16 3% 14 9% 0 0% . . 0 0% 2 2% 0 0%

47 9% 44 28% 0 0% . . 1 1% 2 2% 0 0%

Valley Cities Demographic and Treatment Data Hub and Spokes

Inducted In Network


DEMOGRAPHICS

Health Point

Valley Cities

Detox

Swedish Family

Medicine First

Hill

TOTAL COUNTS


TOTAL Valley Cities

Neighborcare

Health Integra Health

Total Events


Self Referral

Methadone

Buprenorphine

Naltrexone



Gender Missing

White, non-Hispanic

All minorities


TREATMENT

Age Missing

Male

Female

Transgender

Other

18-25

26-35

36-45

46-55

56+


August 15, 2018

Documents

Washington State Targeted Opioid Crisis Response to the ... · Hub and Spoke numbers correspond to contact information on next slide. Cascade Medical Advantage Network. WHATCOM SAN