Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

OPioid use disorder Team structure In emergency Medicine: Associations with short- and Long-term outcomes (OPTIMAL)

Award Number: F31DA066305
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 09/01/2026
PERIOD OF PERFORMANCE END DATE: 08/31/2028

Group Awards By:

View Award Description

OPioid use disorder Team structure In emergency Medicine: Associations with short- and Long-term outcomes (OPTIMAL) - Project Summary The opioid crisis in the United States remains a major concern with >2.5 million Americans diagnosed with opioid use disorder (OUD) but only 13% receiving medications for opioid use disorder (MOUD). MOUD including methadone, buprenorphine, and naltrexone are the most effective treatment for OUD. The emergency department (ED) is a primary access point to the health care system for people with OUD, and presents an opportunity to connect patients to high-quality care including MOUD. Care coordination is believed to facilitate ED OUD interventions but is difficult to measure in real-world settings at scale. Electronic health record (EHR) audit logs capture clinician interactions with the EHR, providing opportunities to measure real- world workload and care coordination. This F31 proposal seeks to investigate the associations between EHR measures of coordination with short-term (buprenorphine orders) and long-term (ED readmission) outcomes for patients with OUD or opioid overdose treated in the ED at Washington University in St. Louis / Barnes- Jewish Christian health system. It is based on Donabedian’s Framework for healthcare quality, which categorizes quality measures into structure, process, and outcome. Aim 1 (structure) will identify social networks of care coordination for ED OUD treatment using Epic EHR audit logs. Care coordination is defined as two clinicians performing actions on the EHR in the same time window, and will investigate those individuals’ roles (e.g. physician, social worker, nurse, etc). Associated training goals will be for the applicant to learn and apply graph theory to calculate network-level measures. Aim 2 (process) will determine care coordination associations with buprenorphine orders. Associated training goals will be to improve the applicant’s understanding of ED treatment of OUD and opioid overdose including shadowing an ED physician, discussing clinical implications with a psychiatrist, and coursework. Aim 3 (outcome) is to determine associations between care coordination and ED readmission, and whether ED buprenorphine orders mediate the relationship after controlling for comorbidities and patient characteristics. Associated training goals include learning and applying survival analysis and mediation analysis for causal inference. If funded, the proposed work could reveal ED resource allocation strategies for optimal short- and long-term outcomes for patients with OUD. The developed method will also be translatable to EHR audit log research in other sites or patient populations with minimal work, resulting in a public code repository for generalizability. This proposal is responsive to stated NIDA priority to “Leverage Data Science and Analytics to Understand Real-World Complexity” and the High-Priority Interest to Enhance Data Science Research Training in Addiction Research. Building upon skills gained as a NIDA T32 predoctoral fellow, this training and research plan will prepare the applicant for an independent career in data-science driven addiction health services research by developing social network analysis abilities, clinical understanding of ED OUD treatment, and statistical skills.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $37,312 )
2026	2026	WASHINGTON UNIVERSITY, THE	1 BROOKINGS DR	SAINT LOUIS	MO	63130	SAINT LOUIS	USA	Drug Use and Addiction Research Programs	001	1	4/21/2026	NEW	$0
2026	2026	WASHINGTON UNIVERSITY, THE	1 BROOKINGS DR	SAINT LOUIS	MO	63130	SAINT LOUIS	USA	Drug Use and Addiction Research Programs	000	1	4/21/2026	NEW	$37,312
														Subtotal = $37,312

Grand Total All Awards = $37,312

Top

All Categories

About

Search

Reports

Data Submission

Award Information

OPioid use disorder Team structure In emergency Medicine: Associations with short- and Long-term outcomes (OPTIMAL)

Award Number: F31DA066305

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 09/01/2026

PERIOD OF PERFORMANCE END DATE: 08/31/2028

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer