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Basic ht program to date june 30, 2020

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Jeffrey Harris
Jeffrey Harris

This document summarizes metrics from the Rapid Responder Program from January 2018 through June 2020. It provides data on the number of clients served, their demographics, social determinants and health behaviors, referral sources, and outcomes of the program. Key findings include 957 total clients served, high rates of IV drug use (48%), homelessness (41%), and lack of transportation (67%). The program saw increases in naloxone administrations by EMS and follow ups by the program. Referrals to treatment and overall attendance in appointments also increased over time.

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RAPID RESPONDER PROGRAM Inbound Referrals Clients served=957 January 1, 2018-June 30, 2020
Basic ht program to date june 30, 2020
RAPID RESPONDER PROGRAM Demographics Age
RAPID RESPONDER PROGRAM Demographics Gender
RAPID RESPONDER PROGRAM Demographics Race-Ethnicity
RAPID RESPONDER PROGRAM Social determinants and health behaviors 6 Social determinants and health behaviors Percent Numerator Denominator Hx Multiple OD 14% 130 943 Hx Non EMS Reversal 52% 157 301 IV Drug Use 48% 142 294 No Reliable Transportation 67% 91 136 Homelessness 41% 223 540 Guardian of Minor 19% 55 283
RAPID RESPONDER PROGRAM Client Referrals 7
8 EMS Metrics CY2018 CY 2019 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Program to date Advance Practice Paramedic (APP) Encounters for Substance Use 717 935 169 186 281 299 306 333 2291 Opiate Overdose (OD) Receiving Narcan 436 556 115 119 123 199 184 190 1366 Opiate OD No Narcan 126 147 37 35 34 41 48 55 376 Narcan Administrations by EMS with APP/Healing Transitions Follow-Up 235 365 87 90 82 106 121 110 831 Opiate OD with Narcan but No EMS Transport 218 243 56 55 53 79 92 115 668 % Narcan Reversals with Follow Up by Healing Transitions 53.90% 65.65% 75.65% 75.63% 66.67% 53.27% 65.76% 57.89% 60.83% Incoming Clients (New to program) 312 360 84 86 90 100 106 179 957 Deceased 11 7 3 3 1 1 2 21 Discharged / Transitioned 19 17 3 4 5 5 14 5 55 Cummulative Total Population Engaged by Healing Transitions Peer Support 312 672 396 482 572 672 778 957 957 Wake EMS 247 331 75 82 77 97 97 90 765 Referred by Other Sources 65 29 9 4 13 3 9 89 192 Total Clients Referred 87 150 38 46 51 45 19 91 291 Note: Annual Unique Clients will not equal sum of quarterly Unique Clients as unique clients per quarter can occur in other quarterly time periouds. Total Referrals to Treatment, Support and HARM Services (Clients Can Have More Than One Referral) 201 411 70 70 144 127 30 189 831 Total Appointments Attended (Clients Can Have More Than One Appointment) 164 307 47 32 123 105 22 127 620 Show Rate All Referrals 81.59% 74.70% 67.14% 45.71% 85.42% 82.68% 73.33% 67.20% 74.61% Transportation Clients 1 6 47 49 Unique Transportation Events (one client per event) MAT 1 1 31 418 450 Metrics reported to County Stakeholders

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Basic ht program to date june 30, 2020

  • 1. RAPID RESPONDER PROGRAM Inbound Referrals Clients served=957 January 1, 2018-June 30, 2020
  • 6. RAPID RESPONDER PROGRAM Social determinants and health behaviors 6 Social determinants and health behaviors Percent Numerator Denominator Hx Multiple OD 14% 130 943 Hx Non EMS Reversal 52% 157 301 IV Drug Use 48% 142 294 No Reliable Transportation 67% 91 136 Homelessness 41% 223 540 Guardian of Minor 19% 55 283
  • 8. 8 EMS Metrics CY2018 CY 2019 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Program to date Advance Practice Paramedic (APP) Encounters for Substance Use 717 935 169 186 281 299 306 333 2291 Opiate Overdose (OD) Receiving Narcan 436 556 115 119 123 199 184 190 1366 Opiate OD No Narcan 126 147 37 35 34 41 48 55 376 Narcan Administrations by EMS with APP/Healing Transitions Follow-Up 235 365 87 90 82 106 121 110 831 Opiate OD with Narcan but No EMS Transport 218 243 56 55 53 79 92 115 668 % Narcan Reversals with Follow Up by Healing Transitions 53.90% 65.65% 75.65% 75.63% 66.67% 53.27% 65.76% 57.89% 60.83% Incoming Clients (New to program) 312 360 84 86 90 100 106 179 957 Deceased 11 7 3 3 1 1 2 21 Discharged / Transitioned 19 17 3 4 5 5 14 5 55 Cummulative Total Population Engaged by Healing Transitions Peer Support 312 672 396 482 572 672 778 957 957 Wake EMS 247 331 75 82 77 97 97 90 765 Referred by Other Sources 65 29 9 4 13 3 9 89 192 Total Clients Referred 87 150 38 46 51 45 19 91 291 Note: Annual Unique Clients will not equal sum of quarterly Unique Clients as unique clients per quarter can occur in other quarterly time periouds. Total Referrals to Treatment, Support and HARM Services (Clients Can Have More Than One Referral) 201 411 70 70 144 127 30 189 831 Total Appointments Attended (Clients Can Have More Than One Appointment) 164 307 47 32 123 105 22 127 620 Show Rate All Referrals 81.59% 74.70% 67.14% 45.71% 85.42% 82.68% 73.33% 67.20% 74.61% Transportation Clients 1 6 47 49 Unique Transportation Events (one client per event) MAT 1 1 31 418 450 Metrics reported to County Stakeholders