Friday, November 22, 2024
11/22/2024
Project Abstract Summary Project Name: The Harborview Medical Center Medication Assisted Treatment-Prescription Drug and Opioid Addiction Project (HMC MAT-PDOA) Project Summary: The HMC MAT-PDOA will expand access to integrated medication assisted treatment (MAT) for individuals with opioid use disorder (OUD). Building on our successful experience with a proven model of providing MAT in an urban safety net medical setting, we will expand capacity to treat more patients and enhance services for patients with OUD presenting for care in the HMC Emergency Department (ED) and HMC inpatient services. HMC-MAT-PDOA is a collaborative effort between Harborview Medical Center and Washington State to address the rising rates of opioid-related problems in Washington State, including overdose deaths and addiction treatment admissions. The populations to be served are adults with OUD in King County, Washington who are initiated onto MAT during an inpatient hospital or ED admission. Strategies and interventions include three Evidence-Based Practices (EBPs): 1) MAT with buprenorphine/naloxone, extended-release naltrexone, or injectable buprenorphine, 2) The Massachusetts Nurse Care Manager Model for providing MAT in medical settings, and 3) Peer Support Services. To address the specific needs of the target population, peer navigation services and inpatient addiction medicine physician consultations will be used to assess hospitalized patients for MAT, choose the appropriate medication, initiate MAT, and connect patients with transitional and primary care. Project goals are to: 1) increase MAT capacity using a proven model for providing integrated services in medical settings; 2) develop enhanced services for hospitalized and ED patients with OUD and high rates of stimulant (primarily methamphetamine) use and homelessness; and 3) advance DATA 2000 training for eligible medical providers serving marginalized patients in medical settings. Objectives include, but are not limited to: 1) serve 900 unduplicated patients over a five-year period (180 patients in each year), 2) assure access to comprehensive services in a culturally competent, patient-centered care manner, 3) reduce adverse OUD-related outcomes and substance use from baseline to 6-month follow-up, 4) maximize retention in MAT, 5) reduce disparities in MAT access, 6) increase the number of high-cost hospitalized patients who are engaged in MAT through inpatient physician consultations, 7) increase the use of peer navigation support for high need patients, 8) reduce the likelihood of medication diversion, 8) increase access to HIV/HCV screening and treatment, and tobacco cessation services, 9) increase referrals from local jails/prisons, 10) seek sustainable program financing, and 11) train clinical staff in the use of EBPs, including DATA waiver training. This project will be done in collaboration with the Washington State Research and Data Analysis, which will provide technical support, ongoing evaluation, and policy support.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
