A HANDLE ON HEROIN

March 20, 2019 at 5:00 am

Massachusetts Institute of Technology and a medical group on Staten Island have partnered on a groundbreaking approach to treating heroin addiction.

Aired on March 19, 2019.

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>>> IN NEW YORK, STAT STEN
ISLAND HAS BEEN ONE OF THE
HARDEST HIT PLACES BY THE OPIOID
EPIDEMIC DEM MON MONTH
STRAIGHTED BY THE SCHARP RISE IN
OPIOID DEATHS OVER THE LAST
DECADE.
ON THE GROUND, DOZENS OF HEALTH
ORGANIZES ARE WORKING AROUND THE
CLOCK TO COMPAT THE PUBLIC
HEALTH CRISIS.
NOW, ONE OF THE GROUPS DOING THE
CRITICAL WORK IS PARTNERING WITH
M.I.T. TO SEE HOW DATA AND
TECHNOLOGY CAN HELP DETERMINE
WHAT IS WORKING WHEN IT COMES TO
FIGHTING OPIOID ADDICTION AND
WHAT IS NOT.
JOINING US NOW TO TALK ABOUT
THIS UNIQUE COLLABORATION IS
ANNA, DIRECTOR OF HEALTH SYSTEMS
INNOVATION AT M.I.T. SLOAN
SCHOOL OF MANAGEMENT.
AND ASHLEY, MANAGING DIRECTOR OF
STRATEGIC INITIATIVES AT STATEN
ISLAND PBS.
WELCOME TO THE PROGRAM.
>> THANK YOU.
>> I WANT TO START WITH YOU AND
ASK, WHAT IS STATEN ISLAND PPS?
WHAT IS YOUR ORGANIZATION AND
WHAT IS IT THAT YOUR DOOG.
>> THE STATEN ISLAND PERFORMING
PROVIDER SYSTEM OR PPS, WAS
FORMED UNDER THE MEDICAID
REDESIGN PROGRAM IN NEW YORK
STATE.
WE'RE A NETWORK OF SOCIAL
SERVICE, MEDICAL, AND BEHAVIORAL
HEALTH PROVIDERS THAT WORK
TOGETHER AND COLLABORATE ON
DIFFERENT PROGRAMS AND PRACTICES
USING EVIDENCE-BASED STANDARDS,
PATIENT ENGAGEMENT TECHNIQUES TO
IMPROVE HEALTHCARE CONDITIONS
AND CHRONIC HEALTH CONDITIONS
ACROSS THE BOARD RELATED TO
PRIMARY CARE, AS MA, DIABETES
AND SPECIFICALLY TODAY
BEHAVIORAL HEALTH AND OPIOIDS.
>> SO HOW DOES M.I.T. GET
CONNECTED WITH THIS ORGANIZATION
AND WHAT IS IT THAT YOU'RE
POSSIBLY BRINGING TO THE TABLE?
>> SO WE GOT -- M.I.T. SLOAN GOT
INTERESTED IN LOOKING AT HOW TO
USE HEALTH ANALYTICS, NOT JUST
ON HEALTHCARE DATA, BUT ALSO ON
SOCIAL DATA.
SO WE'VE BEEN LOOKING FOR
COLLABORATORS WHO HAVE DATA AND
WHO ARE SIMILARLY INCLINED.
AND SO WE FOUND THE STATEN
ISLAND PPS THROUGH -- THROUGH
VARIOUS RELATIONSHIPS THAT WE
HAVE.
AND WE STARTED TALKING WITH THEM
ABOUT WHAT IS IT THAT THEY'RE
DOING?
ASHLEY DID NOT TALK ABOUT THEIR
DATA YET.
BUT WHAT THEY HAVE DONE IS PUT
TOGETHER A VERY UNIQUE DATASET
OF NOT JUST MEDICAL DATA, HR
DATA, BUT ALSO AS SHE WAS
TALKING ABOUT WITH THE SOCIAL
SERVICES PARTNER SOME OF THE
SOCIAL DATA AROUND EMERGENCY
MEDICAL SERVICES, AROUND THE
CRIMINAL JUSTICE SYSTEM, AND
OTHER SOCIAL AGENCIES ON STATEN
ISLAND.
SO YOU HAVE A MUCH RICHER
DATASET ABOUT THE PEOPLE THAT
THEY SERVE.
WHICH ALLOWS US TO WORK WITH
THEM TO CREATE NEW KINDS OF
ANALYTIC CAPABILITIES AND TEST
THEM IN THE FIELD TO HELP WITH
UNDERSTANDING WHICH
INTERVENTIONS SEEM TO WORK.
BUT BEYOND THAT, HOW THEY WORK,
WHY THEY WORK, AND PERHAPS HOW
THEY COULD WORK BETTER.
>> SO I THINK THAT'S ONE OF THE
PLACES, THAT'S AN EXCELLENT
POINT TO MAKE, BUT ONE OF THE
PLACES WHERE I THINK PEOPLE
MIGHT BE A LITTLE BIT CONFUSED,
BECAUSE DATA SEEMS SO COLD AND
DISTANT AND INHUMAN AND WHAT
WE'VE SEEN WITH THE OPIOID
CRISIS IS SO PERSONAL AND SO
EMOTIONAL.
AND SO IT'S SO DIFFICULT FOR
PEOPLE TO DEAL WITH.
SO HOW IS IT THAT YOU'RE ABLE TO
TAKE THE -- SHE'S ABLE TO TAKE
THE DATA THAT YOU GUYS HAVE
COLLECTED AND THEN BE ABLE TO
DETERMINE AT LEAST FROM THEIR
STANDPOINT WHAT THE DATA IS
SHOWING THAT'S WORKING AND
YOU'RE ABLE TO PUT THAT TO
ACTUAL USE?
>> RIGHT.
SO LIKE ANNA MENTIONED BEFORE,
WE TAKE MEDICAL/SOCIAL DATA.
WE HAVE A WAREHOUSE, STATE OF
THE ART DATA PLATFORM THAT
COMBINES A NUMBER OF DATA SOURCE
DOLLARS.
WE'RE ABLE TO PUSH THIS OUT
LOOKING AT HOT SPOTTING AREAS
OF -- WHERE HIGH OVERDOSES ARE
OCCURRING.
>> OKAY.
>> AREAS WHERE THE HIGHEST
NUMBER OF 911 CALLS ARE
OCCURRING.
ALSO LOOKING AT PEOPLE'S
SUBSTANCE ABUSE DISORDER HISTORY
AND OTHER MEDICAL HISTORY,
PUTTING THAT TOGETHER AND A WAY
TO IMPACT PEOPLE WOULD BE TO
DEVELOP PREDICTIVE ANALYTICS
ALGORITHM THAT COULD HELP US
PREDICT OR KNOW WHO WOULD BE AT
RISK OF HAVING A SUBSEQUENT OR
EVEN A FIRST OVERDOOSE.
>> WOW.
>> SO WE'RE HOPING TO GO FROM
REACTIVE TO PREDICTIVE USING THE
DATA SOURCES THAT WE HAVE AND
M.I.T.'S RIGOR IN THAT FIELD TO
DEVELOP SOME ANALYTICS AND TEST
THEM IN THE FIELD.
>> BUT EVEN WITH THIS DATA YOU
WOULD HAVE AND TO BE ABLE TO PUT
TOGETHER A PREDICTIVE, I GUESS,
METHOD OR SOMETHING THAT COULD
TELL YOU AT LEAST WHO WOULD BE
MOST AT RISK FOR AN OVERDOSE,
DOESN'T THAT -- DOES THE HUMAN
FACTOR STILL FACTOR IN THIS?
BECAUSE DO YOU TAKE THAT AND
TELL THE PATIENT THAT THEY'RE AT
A HIGHER RISK?
BECAUSE HOW MUCH OF IT IS STILL
GOING TO BE THAT PERSON VUG WELL
THEIR OWN INNER DEMONS AND THE
EFFECT OF THE DRUGS?
>> ANOTHER POINT IS GETTING AT
THE CAUSES AND NOT THE
CONSEQUENCES.
AND SO ANOTHER POINT THAT -- OR
ANOTHER POINT OF RESEARCH THAT
WE HOPE M.I.T. CAN HELP US WITH
IS LOOKING AT THE ROOT CAUSES
IFR OF ADDICTION.
WHICH IS THE UNDERLYING ISSUE
WHEN YOU TALK ABOUT OPIOIDS AND
OVERDOSES.
THAT COULD BE ADVERSE CHILDHOOD
EXPERIENCES THAT ARE COULD BE
OTHER SOCIAL FACTORS THAT HAPPEN
EARLY ON IN A PERSON'S LIFE.
SO WE WANT TO TRY TO UNDERSTAND
MORE OF THOSE ISSUES AND ALSO
WORK UPSTREAM ON ALSO IMPACTING
THOSE AS WELL.
>> WOW.
SO THEN THIS SOUNDS LIKE
SOMETHING THAT COULD BE
INCREDIBLY USEFUL FOR SO MANY
OTHER COMMUNITIES ACROSS THE
COUNTRY.
>> ABSOLUTELY.
>> BUT I'M WONDERING SINCE THIS
IS STILL VERY MUCH IN ITS
BEGINNING STAGES, HOW MUCH TIME
DO YOU EXPECT THAT THIS NEEDS TO
GERMINATE ON STATEN ISLAND
BEFORE YOU CAN BEGIN TO MOVE OUT
IN OTHER COMMUNITIES?
>> WE DON'T KNOW EXACTLY HOW
LONG THIS WILL TAKE.
IT IS RESEARCH, IT IS NEW.
WHAT WE ARE DOING IS WORKING
VERY CLOSELY WITH OUR
COLLABORATORS ON THE GROUND.
SO AS WE ARE LEARNING, WE'RE
LEARNING TOGETHER.
AND THE PPS IS AMAZING AT
TESTING OUT, TRYING OUT NEW
IDEAS AND GATHERING DATA ABOUT
IT.
SO I EXPECT WE HAVE A FAIRLY
RAPID TURNAROUND TIME, AS
QUICKLY AS WE CAN MAKE IT.
WHAT WE ALSO, AS YOU MENTIONED,
IT'S SCALEABLE, YOU KNOW, FOR
OTHER PLACES.
WHAT WE'RE LOOKING TO BE ABLE TO
DO IS TO REALLY UNDERSTAND
WHAT'S GOING ON SO WE CAN ADAPT
IT AND MAKE IT SUSTAINABLE AND
HELP SCALE IT IN OTHER
COMMUNITIES THAT ALSO MAY HAVE
DATA.
AND THAT WILL ACTUALLY SPEED
THINGS UP FURTHER, THE MORE DATA
YOU HAVE, THE MORE UNDERSTANDING
ON GROUND YOU HAVE, THE BETTER
YOU CAN PUT THAT TOGETHER AND
LEARN AND ADAPT AND TRY NEW
INNOVATIONS.
WE
>> WE ARE ONE OF THE ONLY
ORGANIZATIONS OF OUR TYPE THAT
HAS IMPLA MATED A SYSTEM OF CARE
ACROSS MULTIPLE DOMAINS.
WE WORK WITH CRIMINAL JUSTICE
PARTNERS, INSTITUTES OF HIGHER
EDUCATION AND LOCAL GOVERNMENT,
ACROSS THE BOARD USING DATA AND
ANALYTICS TO CREATE TARGETED
POPULATION HEALTH INITIATIVES.
WE'VE SEEN A 60% REDUCTION IN
PREVENTAL HOSPITAL VISITS FOR
PEOPLE WITH BEHAVIORAL ISSUES.
WE'VE SEEN 60% REDUCTION IN
OVERDOSE DEATHS IN STAT HE
ISLAND IN THE PAST TWO
CONSECUTIVE YEARS.
AND WE'VE INCREASED THREE FOLD
THE NUMBER OF PEOPLE THAT HAVE
ACCESS TO SUBSTANCE ABUSE
DISORDER TREATMENT ON STATEN
ISLAND ALREADY.
>> WE'D LOVE TO HAVE YOU BOTH
BACK TO GIVE US AN UPDATE ON
PROGRESS AND IF THE DATA POINTS
HAVE CHANGED OR WHAT IT IS
YOU'VE LEARNED.
BUT THANK YOU SO MUCH FOR AT
LEAST BEING BOLD ENOUGH TO TRY
SOMETHING THIS NEW AND UNIQUE TO
ADDRESS A PROBLEM THAT SO MANY
COMMUNITIES ARE STRUGGLING WITH.
>> ABSOLUTELY.
>> THANK YOU.
>> THANKS SO MUCH.

Funders

MetroFocus is made possible by James and Merryl Tisch, Sue and Edgar Wachenheim III, the Sylvia A. and Simon B. Poyta Programming Endowment to Fight Anti-Semitism, Bernard and Irene Schwartz, Rosalind P. Walter, Barbara Hope Zuckerberg, Jody and John Arnhold, the Cheryl and Philip Milstein Family, Janet Prindle Seidler, Judy and Josh Weston and the Dr. Robert C. and Tina Sohn Foundation.

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