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Washington State Opioid ResponseOpioid Treatment Network
These measures were produced by
the DSHS Research and Data
Analysis Division State Opioid
Response project in collaboration
with:
• HCA Division of Behavioral
Health and Recovery
• Substance Abuse Mental Health
Services Administration, Grant No.
TI081705
MONTHLY SUMMARY REPORT January 2019 - December 2019
Direct questions about this report to:
360.902.0802
Direct programmatic questions to:
360.725.2019
About this ReportThis report is intended for program monitoring of the State Opioid Response (SOR) Opioid Treatment Networks (OTNs).
The OTNs are funded under the SOR grant through contracts with the Health Care Authority's Division of Behavioral
Health and Recovery. Each OTN is obligated to enroll a targeted number of patients per month with medication treatment
for opioid use disorder. This report describes the demographics of all persons enrolled in the OTN program and total
enrollment by OTN. Note that this report summarizes SOR-funded treatment and does not represent all efforts to treat
opioid use disorder with medications supported by Washington State.
January 10, 2020
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division
PAGE
12
33
3
3
4 l
4
45
5
6 l
66
6 l
7
78 l
8
8
8
9 l
10
l
l
Valley Medical Center
Correctional Facilities
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report
Q
January 10, 2020
UNDERSTANDING THE REPORT
What is an Opioid Treatment Network?Opioid Treatment Networks (OTN) were developed to increase the identification of
opioid use disorder (OUD) in emergency departments, jails, and community agencies
(syringe service programs, shelters, or fire departments). OTNs initiate medication
treatment for OUD (MOUD) with identified individuals and make referrals to community
providers for ongoing care. OTNs can offer all FDA-approved MOUDs (Buprenorphine,
Methadone, and Naltrexone).
Medication at InductionFor all events, the type of MOUD initially prescribed.
Reported Discharges
The percent of clients with a reported discharge from the program. Discharges
indicate an individual is no longer receiving MOUD through the SOR grant. This
is not a retention in treatment measure and relies on clinical reporting.
Klickitat Valley Health
Multicare Deaconess Hospital
Peace Health SW Medical Center
Summit Pacific Medical Center
Swedish Medical Center Edmonds
Community FacilitiesCapital Recovery Center
FIGURE 1.
Monthly TargetBenton County Jail
Franklin County Jail
Jefferson County Jail
Clients Total number of unique clients/patients with an MOUD episode by the OTN. Each client
is only counted once.
Discharges Discharges are recorded when a client is no longer receiving MOUD from the OTN.
Monthly TargetOTNs have a monthly contracted event target. The grey line (Figure 1) shows the OTN
monthly target (10), and the blue bar displays the number of events in that reporting
month (12).
DEFINITIONSEventsTotal number of MOUD events (episodes) initiated by the OTN. Single episodes are
marked by receipt of MOUD (buprenorphine, methadone, or naltrexone). Individuals
who discharge and return will have more than one event.
FIGURE 2.
Enrollments
Community Psychiatric Clinic
DESC Seattle
Tacoma Fire Department
Enrollment Events by MonthEnrollments Over Time Based on the monthly target, this graph (Figure 2) shows the cumulative events in
relation to the target. The grey line is the cumulative target (18) and the blue line is
cumulative OTN events (32).
Understanding the ReportAll Site SummaryMedical Facilities Family Health Center
Harborview Medical Center
CONTENTS
Kitsap County Jail
SCORE King County
OTN EVENTS
TARGET
OTN EVENTS
TARGET
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 1
25%
56%
19%
Female Male Age
35% 64%
Note: 16 patients missing Gender; 3 patients under 18 or missing age; 141 patients missing Race/Ethnicity.
Washington State Opioid Response
Gender
EVENTS
CLIENTS
DISCHARGES
TOTAL COUNTSALL SITE SUMMARY
Community
Agencies
Cumulative Enrollment EventsJanuary 2019 - December 2019
COMMUNITY AGENCIES
MEDICAL FACILITIES
CORRECTIONAL FACILITIES
Mu
ltic
are
Dea
con
ess
Client Demographics
Race/Ethnicity
Correctional
Failities
Medical
Facilities
TOTAL
SCO
RE
Jail
4,369
Kit
sap
Co
un
ty J
ail
Sum
mit
Pac
ific
Med
ical
Mu
ltic
are
Dea
con
ess
Pea
ce H
ealt
h
DES
C-S
eatt
le
Over or Under Monthly Enrollment Target by Site
Val
ley
Med
ical
Co
mm
un
ity
Psy
chia
tric
Klic
kita
t V
alle
y
Taco
ma
Fire
Dep
t
Har
bo
rvie
w M
ed C
ente
r
Jeff
erso
n C
ou
nty
Jai
l
Swed
ish
Ed
mo
nd
s
Pea
ce H
ealt
h
DES
C-S
eatt
le
Kit
sap
Co
un
ty J
ail
Sum
mit
Pac
ific
Med
ical
Har
bo
rvie
w M
ed C
ente
r
Jeff
erso
n C
ou
nty
Jai
l
Swed
ish
Ed
mo
nd
s
Fam
ily H
ealt
h C
ente
r
Oly
mp
ia B
up
e C
linic
Ben
ton
Co
un
ty J
ail
Fam
ily H
ealt
h C
ente
r
Oly
mp
ia B
up
e C
linic
Ben
ton
Co
un
ty J
ail
8992,3891081
4,369
Fran
klin
Co
un
ty J
ail
Val
ley
Med
ical
Co
mm
un
ity
Psy
chia
tric
Klic
kita
t V
alle
y
Taco
ma
Fire
Dep
t
SCO
RE
Jail
Fran
klin
Co
un
ty J
ail
Opioid Treatment Network Monthly Summary Report January 10, 2020
3,755 2,731
3,117
Jan-19 Mar-19 May-19 Jul-19 Sep-19 Nov-19
18%
47%
21%
9%5%
18-25 26-35 36-45 46-55 56+
74%
22%
8% 7% 4% 1% 4%
White
Only
Any Minority
Hispanic
American Indian/ Alaska Native Black
Asian/ Pacific Islander Other
MINORITY DETAILPersons may be in more than one group.
-15 -13 -11 -9 -8 -7 -5 -3 -3
2 3 5 5
2943 43
111
TARGETYear 2Year 1
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 2
Valley Medical Center
12/31/2019
125
108
58
12/31/2019
191916
12/31/2019
403416
Harborview Medical Center
EVENTS
CLIENTS
DISCHARGES
Monthly Target
Nal
trex
on
e
Medication at Induction
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report January 10, 2020
MEDICAL FACILITIES
Enrollment Trend Reported Discharges
38%
Family Health CenterCounts as of
Bu
pre
no
rph
ine
Met
had
on
e
DISCHARGES 84%
Klickitat Valley HealthMonthly Target Enrollment Trend Reported Discharges Medication at Induction
Counts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
Counts as of
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 32%
1618
125
229
Jan-19 Dec-19
98%
0% 2%
2
10
19
63
Jan-19 Dec-19
84%
11% 5%
4
15
40
150
Jan-19 Dec-19
60%
0%
40%
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 3
12/31/2019
163
152
107
12/31/2019
116111
86
12/31/2019
310303
75
Opioid Treatment Network Monthly Summary Report January 10, 2020
Washington State Opioid Response
MEDICAL FACILITIESMulticare Deaconess Hospital
Counts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 64%
Peace Health SW Medical CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
EVENTS
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 24%
CLIENTS
DISCHARGES 74%
Summit Pacific Medical CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
23
18
163
180
Jan-19 Dec-19
88%
12%0%
1518
116
180
Jan-19 Dec-19
93%
7%0%
21
18310
180
Jan-19 Dec-19
97%
0% 3%
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 4
12/31/2019
96
94
86
12/31/2019
303016
Enrollment Trend Reported Discharges Medication at Induction
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report January 10, 2020
MEDICAL FACILITIES
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 53%
Valley Medical CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 89%
Swedish Medical Center EdmondsCounts as of Monthly Target
5
10
96
100
Jan-19 Dec-19
100%
0% 0%
3
18
30
180
Jan-19 Dec-19
93%
7%0%
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 5
Valley Medical Center
12/31/2019
1,693
1,392
1,471
12/31/2019
265220227
12/31/2019
887477DISCHARGES 85%
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
Counts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Jefferson County Jail
EVENTS
CLIENTS
DISCHARGES 84%
Franklin County JailCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 83%
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report January 10, 2020
CORRECTIONAL FACILITIESBenton County Jail
Counts as of
Bu
pre
no
rph
ine
Met
had
on
e
Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
129
25
1,693
201
Jan-19 Dec-19
99%
0% 1%
39
15
265
115
Jan-19 Dec-19
100%
0% 0%
1115
88
171
Jan-19 Dec-19
83%
0%
17%
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 6
12/31/2019
198
191
60
12/31/2019
145140
13
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 6%
SCORE King CountyCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 29%
CORRECTIONAL FACILITIESKitsap County Jail
Counts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report January 10, 2020
20
18 198
180
Jan-19 Dec-19
79%
0%
21%
15
10145
100
Jan-19 Dec-19
75%
1%
24%
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 7
Valley Medical Center
12/31/2019
826
788
343
12/31/2019
878541
12/31/2019
115113
36
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 30%
DESC SeattleCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 46%
Community Psychiatric ClinicCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 40%
Olympia Bupe Clinic at Capital Recovery CenterCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
COMMUNITY FACILITIES
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report January 10, 2020
68
25
826
250
Jan-19 Dec-19
100%
0% 0%
1218
87
229
Jan-19 Dec-19
100%
0% 0%
1518
115
180
Jan-19 Dec-19
97%
0% 3%
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 8
12/31/2019
53
53
3
Bu
pre
no
rph
ine
Met
had
on
e
Nal
trex
on
e
EVENTS
CLIENTS
DISCHARGES 6%
Tacoma Fire DepartmentCounts as of Monthly Target Enrollment Trend Reported Discharges Medication at Induction
COMMUNITY FACILITIES
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report January 10, 2020
9
18
53
162
Jan-19 Dec-19
98%
0% 2%
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 9
Valley Medical Center
YEAR MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL
2019 4 4 0 0 0 0 2 2 4 4 0 0 5 5
3 7 0 0 1 1 1 3 3 7 8 8 6 11
7 14 0 0 4 5 4 7 1 8 25 33 6 17
4 18 1 1 1 6 9 16 8 16 43 76 9 26
13 31 1 2 3 9 12 28 8 24 34 110 12 38
13 44 2 4 0 9 11 39 9 33 17 127 10 48
15 59 2 6 5 14 19 58 17 50 28 155 10 58
11 70 4 10 8 22 22 80 8 58 28 183 6 64
14 84 1 11 4 26 17 97 17 75 33 216 10 74
10 94 6 17 7 33 19 116 14 89 38 254 5 79
15 109 0 17 3 36 24 140 12 101 35 289 12 91
16 125 2 19 4 40 23 163 15 116 21 310 5 96
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report
April
MONTH
January
February
March
January 10, 2020
Enrollment Events by Month
Swedish EdmondsSummit Pacific
Medical Center
Family Health
Center
Harborview
Medical CenterKlickitat Valley
Multicare
Deaconess HospitalPeace Health
December
October
May
August
June
November
July
September
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 10
Valley Medical Center
YEAR MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL
2019 0 0 28 28 1 1 1 1 1 1 1 1 37 37
0 0 217 245 5 6 7 8 1 2 9 10 56 93
1 1 160 405 12 18 7 15 9 11 6 16 79 172
1 2 152 557 14 32 2 17 28 39 8 24 98 270
1 3 128 685 29 61 6 23 17 56 5 29 88 358
3 6 153 838 19 80 7 30 18 74 6 35 83 441
3 9 142 980 31 111 10 40 20 94 15 50 59 500
5 14 150 1,130 24 135 12 52 20 114 25 75 84 584
6 20 169 1,299 33 168 10 62 17 131 28 103 54 638
5 25 146 1,445 28 196 6 68 25 156 17 120 71 709
2 27 119 1,564 30 226 9 77 22 178 10 130 49 758
3 30 129 1,693 39 265 11 88 20 198 15 145 68 826
August
January
October
Kitsap County Jail
July
September
May
March
April
MONTH
November
Olympia Bupe
ClinicBenton County Jail Franklin County Jail
Valley Medical
Group
Jefferson County
JailSCORE King County
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report
December
January 10, 2020
Enrollment Events by Month
June
February
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 11
Valley Medical Center
YEAR MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL MONTHLY CUMUL
2019 0 0 1 1 0 0 85 85
0 0 1 2 0 0 318 403
10 10 2 4 0 0 333 736
3 13 1 5 0 0 382 1,118
9 22 9 14 0 0 375 1,493
10 32 9 23 0 0 370 1,863
9 41 17 40 1 1 403 2,266
5 46 11 51 9 10 432 2,698
4 50 7 58 14 24 438 3,136
14 64 28 86 7 31 446 3,582
11 75 14 100 13 44 380 3,962
12 87 15 115 9 53 407 4,369
November
September
July
March
MONTH
August
June
May
October
April
February
January
January 10, 2020
December
All Sites
Washington State Opioid ResponseOpioid Treatment Network Monthly Summary Report
Community
Psychiatric ClinicDESC-Seattle
Tacoma Fire
Department
DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division 12