A HANDLE ON HEROIN

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.

TRANSCRIPT

> 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 Sue and Edgar Wachenheim III, the Sylvia A. and Simon B. Poyta Programming Endowment to Fight Anti-Semitism, Bernard and Denise Schwartz, Barbara Hope Zuckerberg, Janet Prindle Seidler, Jody and John Arnhold, the Cheryl and Philip Milstein Family, Judy and Josh Weston and the Dr. Robert C. and Tina Sohn Foundation.

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