Project Save Lives: Rapid treatment protocol using peer recovery specialists in the emergency department

Bilello, Lori; Bull, Katryne Lukens; Gautam, Shiva; Pomm, Raymond

doi:10.17352/2455-3484.000038

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…By providing a framework of the prototypical patient characteristics and the charges associated with care, we hope to illustrate the need to provide these patients with addiction counseling services and reduce hospital costs. Initiatives, such as Project Save Lives in Duval County implemented locally, have already shown to be effective in providing care to patients while decreasing costs; [22] it is our hope that a similar program can be passed state-wide to cover this gap in care. Addiction counseling services would allow not only a better quality of life for the patient, but also a lower financial burden to the patient and the healthcare system.…”

Section: Discussionmentioning

confidence: 99%

Hospitalized patients co-diagnosed with infective endocarditis and opioid drug dependence in Florida, 2015-2018

Litvintchouk

Bilello

Smotherman

et al. 2021

JHA

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Objective: As the opioid addiction epidemic continues to grow, other serious health issues regarding drug use has also increased. This study examines the trends in admissions and population characteristics of those who experience infective endocarditis with opioid drug dependence.Methods: We used ICD-9-CM and ICD-10-CM codes to identify patients admitted to a hospital with infective endocarditis and with a secondary diagnosis of opioid use related disorders using data released by the Florida Agency for Health Care Administration (AHCA). Data included age, gender, ethnicity, race, discharge disposition, admission type, payer status, total charges, and zip code of patients’ residence.Results: During the four-year period, the percent of patients diagnosed with infective endocarditis and a diagnosis code associated with opioid abuse or dependence doubled (4.48% to 8.52%). Of the patients dually diagnosed, the mean age was 37.47 and the majority were white (90.78%), non-Hispanic (91.96%), and female (58.55%). Nearly 47% of the patients did not have health insurance. The percentage of patients with both diagnosis codes living in urban counties was 91.37%. Median length of stay was 10 days and median total charges for patients was $101,604.Conclusions: With the increasing incidence of opioid dependence and addiction within the United States, there is a rise in infective endocarditis, a costly and debilitating disease. Our analysis provides the framework for hospital systems to identify patients who may benefit from addiction services, which through downstream effects will cause less of a health and financial burden.

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Section: Discussionmentioning

confidence: 99%

Hospitalized patients co-diagnosed with infective endocarditis and opioid drug dependence in Florida, 2015-2018

Litvintchouk

Bilello

Smotherman

et al. 2021

JHA

View full text Add to dashboard Cite

show abstract

“…This funding, often awarded in the form of block or discretionary grants, generated $1 billion dollars to support projects to address the opioid overdose crisis, disseminated primarily via State Targeted Response (STR) grants (HHS.gov/opioids) and State Opioid Response (SOR) grants. One of the requests of these grants was to increase PSSs in ED settings [34; [ 22 ]; SAMHSA.gov/grants), and several ED-based PSS models implemented during this time demonstrated positive outcomes related to patient engagement and successful linkages to treatment [ 3 , 7 , 22 , 25 , 32 , 33 ], and [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Characterization of peer support services for substance use disorders in 11 US emergency departments in 2020: findings from a NIDA clinical trials network site selection process

Jennings,

Lander,

Lawdahl

et al. 2024

Addict Sci Clin Pract

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Introduction Emergency departments (ED) are incorporating Peer Support Specialists (PSSs) to help with patient care for substance use disorders (SUDs). Despite rapid growth in this area, little is published regarding workflow, expectations of the peer role, and core components of the PSS intervention. This study describes these elements in a national sample of ED-based peer support intervention programs. Methods A survey was conducted to assess PSS site characteristics as part of site selection process for a National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) evaluating PSS effectiveness, Surveys were distributed to clinical sites affiliated with the 16 CTN nodes. Surveys were completed by a representative(s) of the site and collected data on the PSS role in the ED including details regarding funding and certification, services rendered, role in medications for opioid use disorder (MOUD) and naloxone distribution, and factors impacting implementation and maintenance of ED PSS programs. Quantitative data was summarized with descriptive statistics. Free-text fields were analyzed using qualitative content analysis. Results A total of 11 surveys were completed, collected from 9 different states. ED PSS funding was from grants (55%), hospital funds (46%), peer recovery organizations (27%) or other (18%). Funding was anticipated to continue for a mean of 16 months (range 12 to 36 months). The majority of programs provided “general recovery support (81%) Screening, Brief Intervention, and Referral to Treatment (SBIRT) services (55%), and assisted with naloxone distribution to ED patients (64%). A minority assisted with ED-initiated buprenorphine (EDIB) programs (27%). Most (91%) provided services to patients after they were discharged from the ED. Barriers to implementation included lack of outpatient referral sources, barriers to initiating MOUD, stigma at the clinician and system level, and lack of ongoing PSS availability due to short-term grant funding. Conclusions The majority of ED-based PSSs were funded through time-limited grants, and short-term grant funding was identified as a barrier for ED PSS programs. There was consistency among sites in the involvement of PSSs in facilitation of transitions of SUD care, coordination of follow-up after ED discharge, and PSS involvement in naloxone distribution.

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Project Save Lives: Rapid treatment protocol using peer recovery specialists in the emergency department

Cited by 2 publications

References 23 publications

Hospitalized patients co-diagnosed with infective endocarditis and opioid drug dependence in Florida, 2015-2018

Hospitalized patients co-diagnosed with infective endocarditis and opioid drug dependence in Florida, 2015-2018

Characterization of peer support services for substance use disorders in 11 US emergency departments in 2020: findings from a NIDA clinical trials network site selection process

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