The proposed grant, Data Informed Overdose Prevention in Illinois, targets the high burden areas of the opioid overdose epidemic in Illinois with the overall goal of decreasing opioid-related harms throughout the state. The Illinois Department of Public Health (IDPH) and the Illinois Department of Human Services Prescription Monitoring Program (PMP) are collaborating on the submission addressing the multifaceted and evolving opioid overdose epidemic in Illinois. This will be accomplished through enhancing surveillance data, supporting local capacity, and improving access to the Prescription Drug Monitoring Program (PDMP). The proposal includes surveillance and prevention activities under the following strategies: Surveillance Strategies 1) Collect and disseminate timely emergency department (ED) data Tier 1, 2) Collect and disseminate descriptions of drug overdose death circumstances Tier 1, 3a) PDMP Data Linkages; 3b) Innovative Surveillance of the Illicit Opioid Drug Supply; Prevention Strategies 4) Prescription Drug Monitoring Program; 5) State-local Integration; 6) Linkage to Care; 7) Providers and Health Systems Support; and 8) Public Safety Partnerships.
IDPH and PMP are currently collaborating on three CDC grants: Prescription Drug Overdose Prevention for States (PDO-PFS) grant, Cooperative Agreement for Emergency Response: Public Health Crisis Response (Opioid Crisis CoAg), and the Enhanced Opioid Overdose State Surveillance (ESOOS). As the state’s public health authority, the Illinois Department of Public Health supports the state’s response through surveillance and prevention. The Illinois PMP is the third oldest PMP in the country and is a leader in prescription monitoring innovation and electronic health record integration. In 2017, Illinois released the State Opioid Action Plan (SOAP), a strategic framework that outlines key strategies under the three pillars of Prevention, Treatment and Recovery, and Response. The strategies and activities outlined in this submission are supported by the SOAP.
In 2017, there were 2,202 opioid overdose deaths in Illinois affecting all counties and demographic groups. The primary target population of this proposal is in the high burden communities of the state such as Chicago, Cook County and the Delta Regional Authority. DPH and PMP will use syndromic and sentinel data systems to continuously monitor these high burden areas to inform and evaluate prevention activities.
DPH and PMP are committed to the integration of state and local response and will coordinate with local partners including local health departments, community-based organizations, health care associations, law enforcement, and other stakeholders. DPH and PMP will utilize the state’s established syndromic surveillance system and hospital reporting infrastructure to improve data dissemination to multiple stakeholders to inform community prevention response efforts. Partnership will continue with Ann & Robert H. Lurie’s Children’s Hospital for SUDORS data collection and dissemination. Since 2005, Lurie staff has operated the Illinois Violent Death Reporting System based on the NVDRS model. Given that fentanyl is the leading cause of overdose deaths in Chicago, IDPH will also partner with Chicago Department of Public Health and a local harm reduction organization (Chicago Recovery Alliance) on street based real-time drug checking. Additionally, to increase local health department access to the PMP and assist healthcare providers in preventing potential drug interactions and misuse of controlled substances, PMP and DPH will work with Eastern Illinois University, Southern Illinois University, and Logicoy. The partnership between IDPH and PMP emphasizes a collaborative approach and uses data to guide and monitor the state’s opioid overdose prevention and response efforts.