Opioid-related morbidity and mortality impacts quality of life and is costly to individuals and medical systems. The complex and evolving nature of the opioid epidemic highlights the need for an interdisciplinary, comprehensive, and cohesive public health approach which would be informed by the efforts of the CDC Overdose Data to Action Grant (OD2A?CE19.1904). States, territories, and local partners need access to complete and timely data on prescribing, and on nonfatal/fatal drug overdoses to understand the scope, direction, and contours of the epidemic. Tools and resources are needed to use data to inform and target prevention and response efforts. The Florida Department of Health?s development and maintenance of surveillance systems are steps towards increasing the efficacy of real-time data-analysis to combat the overdose crisis in Florida through evidence-informed actions but additional work through this proposed grant (FL-OD2A) is necessary to improve system efficacy and responsiveness. FL-OD2A strategies and activities will include 1: Improving the ability of the National Syndromic System Platform (NSSP) and the Florida Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE-FL) system to collect and disseminate timely emergency department (ED) data and report every 2 weeks (Tier 1); 2) Collect and disseminate descriptions of drug overdose death circumstances through the Florida Enhanced State Opioid Overdose Surveillance (FL-ESOOS)/SUDORS systems which will report every 8 to 13 months (Tier 2); 3) Implement innovative surveillance projects with the Public Health Laboratory to increase detection practice and through a Neonatal Abstinence Syndrome (NAS) data validation effort; 4) Enhance the capacity for the Prescription Drug Monitoring Program (PDMP) functionality and state inter-operability, 5) Improve State-local Integration through targeted mini-grants to local communities with evidence of
need through health equity analysis and demographic factors; 6) Linkage to Care through partnerships to establish and improve hospital bridge and peer-navigator programs; 7) Providers and Health Systems Support work achieved through an assessment of all substance abuse/behavioral health service providers in the state to identify ones that meet recommended guidelines and through technology integration to inform treatment and referrals in hospital settings; 8) Public Safety Partnerships achieved through our School Health Services Program to fund Professional Registered School Nurses to help implement substance abuse health education and activities for public school students, staff and community members; 9) Empowering Individuals through outreach activities that cover a range of opportunities and audiences, from social media delivery to presentations at universities and professional meetings; and 10) through a Prevention Innovation paramedicine project using Community paramedics to change the EMS response to overdose and addiction through application of harm reduction techniques. The FL-OD2A goals are to improve health outcomes through the implementation of evidence-based and innovative surveillance and prevention efforts. Long-term outcomes include: 1) Decreased drug overdose death rate, including prescription opioid and illicit opioid overdose death rates 2) Decreased rate of opioid misuse and opioid use disorder, 3) Increased provision of evidence-based treatment for opioid use disorder and 4) Decreased rate of ED visits due to misuse or opioid use disorder. To accomplish these objectives, FL-OD2A will partner with many agencies including the Departments of Children and Families and Law Enforcement and the Medical Examiner?s Commission and will work with all relevant surveillance systems including NSSP/ESSENCE-FL, PDMP, FL-ESOOS, and the Florida Violent Death Reporting System.