Saturday, September 7, 2024
9/7/2024
Western New York Regional 24-7 Virtual On-Call MAT Center The goal of this initiative is to expand, enhance, and sustain access to medication-assisted treatment (MAT) services and recovery supports for persons with opioid use disorder (OUD) seeking or receiving MAT in the Western New York Region. Three measurable objectives that align the region’s needs and treatment gaps will be capable of serving 456 people over 5 years (starting with 48 in year 1 and reaching 120 annually by year 5): Obj. 1: Implement/Sustain Telemedicine 24/7 MAT Initiation to expand the number of individuals with Opioid Use Disorder (OUD) receiving MAT (engage & start MAT); Obj. 2: Implement/Sustain Cascade of Care Framework to connect 24/7 initiation to long-term recovery supports (retain over 6 months with eventual remission); and Obj. 3: Progress Reporting, Performance Evaluation, & Sustainment. The project catchment area is the western end of New York State, comprised of two metropolitan counties (home to Buffalo, NY and Niagara Falls, NY) surrounded by six rural counties, with an estimated 1.5+ million population. The area has over 72,000 persons with opioid use disorder involving non-medical or illicit use of opioids. Over the last two years there has been a spike in both opioid overdose deaths (57%) and opioid related ED visits (58%) along with growing treatment gaps due to COVID shutdowns. The approach is founded on the evidenced-based use of MAT via the deployment of an existing pool of University at Buffalo x-waivered trained practitioners including nine physicians Board-Certified in Addiction Medicine who will work on-call in a new regional 24-7 Virtual MAT Center (Obj. 1). Adapting the “ED-initiated buprenorphine with facilitated transitions” evidence-based practice, our initiative will modify the model to a virtual Telemedicine approach. To further address treatment gaps, the regional On-Call MAT Center will also serve as the rapid access front-end for an evidence-based Value Network Cascade of Care Framework (Obj. 2) that will connect MAT initiated cases to long-term recovery supports. This is a Behavioral Health Care Collaborative of over 85 partners that serve patients in all 8 counties of Western NY. In this proposal, the Telemedicine MAT-Initiation model (On-Call MAT Center) will be connected to this SUD treatment agency collaborative via navigators. This proposal also uses other revenue sources realized from the delivery of services to establish and sustain the program. The call-time expense of the on-call physicians staffing the Virtual On-Call MAT Center is anticipated to be supported by revenue over the project period. Lastly, performance-based program assessments will drive adjustments to fully sustain the On-Call MAT Center beyond the grant (Obj. 3).
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).
