Support treatment of individuals with OUD; provide referrals to bridge medical, behavioral health, dental and other social service programs and supports. Increase provider and community understanding of Peer Recovery Support models.

Responsible Party:

Program Associate will partner with Peer Recovery Support Specialist embedded in LMAS Health Department

Expected Outcomes:

Engagement metrics identified and data collection process started.

Data Source and Evaluation Methodology:

Number of engagements

Maintain a public repository of all SUD/OUD related services available in the EUP-ORC region.

Responsible Party:

Program Associate

Expected Outcomes:

Repository created and housed on EUP-ORC Website.

Data Source and Evaluation Methodology:

Number of website hits via analytics.

A peer recovery specialist will be integrated into the evidenced based home visiting model Healthy Families America. The person with lived experience will operate in the Family Support Specialist role. The person will be responsible for initiating and maintaining regular and long-term contact/support with families, primarily in the family’s home.

Responsible Party:

Project Director

Expected Outcomes:

One peer recovery specialist employed as a Healthy Families of America Home Visitor.

Data Source and Evaluation Methodology:

Number of families with SUD/OUD assisted.

Advocate to state policy makers and third-party payers for funding and reimbursement mechanisms to assure affordable access to specialty/alternative care to treat chronic pain. (Pain clinics, post-surgical nerve blocks, physical therapy, yoga, etc.) and negotiated reduced rates from providers or assistance with co-pays.

Responsible Party:

EUP-ORC partnerships and collaborative efforts with the Michigan Association for Local Public Health and the MCRH

Expected Outcomes:

EUP-ORC partners meet with state lawmakers twice yearly.

Data Source and Evaluation Methodology:

Number of meetings.

Partner with The Rybar Group to offer “How to Perform a Chart Audit” training and instruction to capitalize on reimbursement for treatment encounters through proper documentation and coding once yearly during the three year project.

Responsible Party:

Project Director

Expected Outcomes:

3 Chart Audit Webinars offered.

Data Source and Evaluation Methodology:

Number of individuals trained.

Leverage training developed by the MCRH and the Association for Rural & Community Health Professional Coding to train providers, administrative staff, and other relevant stakeholders to maximize reimbursement for treatment encounters through proper coding and billing across insurance types to ensure financial sustainability of services.

Responsible Party:

Project Director

Expected Outcomes:

100% of Consortium Organizations have access in billing & coding best practices training.

Data Source and Evaluation Methodology:

Number of individuals trained.

Identify and outreach to providers, administrative staff and other stakeholders to participate in Billing & Coding Learning Collaborative.

Responsible Party:

Medical Director, Project Director and Associate

Expected Outcomes:

100% of Consortium Organizations engage in billing & coding best practices training.

Data Source and Evaluation Methodology:

Number of organizations reached.

Create and facilitate a Billing & Coding Learning Collaborative among organizations in the EUP-ORC region to address reimbursement issues; disseminate state level billing and coding education opportunities; host & conduct online Billing and Coding Learning Collaborative office hours; continue to recruit and promote learning collaborative to organizations in the region.

Responsible Party:

Project Director and Associate

Expected Outcomes:

Billing and Coding Learning Collaborative established.

Data Source and Evaluation Methodology:

Number of learning opportunities offered each year. Number of individuals participating in Billing and Coding Learning Collaborative.

Partner with the Division of EMS and Trauma at MDHHS to provide education and EUP Opioid EMS Data twice yearly during the 3 year project.

Responsible Party:

Project Director

Expected Outcomes:

6 EMS education and data presentations to EUP-ORC Consortium Members.

Data Source and Evaluation Methodology:

Number of presentations.

Promote Michigan State Police Angel Program and Family Against Narcotics Hope Not Handcuffs Program to the local communities as an access point to access SUD/OUD services including treatment.

Responsible Party:

Program Associate in coordination with Project Director

Expected Outcomes:

25% increase in usage of the MSP Angel Program.

Data Source and Evaluation Methodology:

Angel Program and Hope Not Handcuffs Program referral data reports.

Leverage the work being done by the Michigan Department of Health and Human Services Bureau of EMS, Trauma and Preparedness regarding the roll-out of Naloxone “leave behind” kit program. This program will establish capacity for EMS, to distribute naloxone kits to the family and friends of patients when they respond to overdose calls in the Consortium region.

Responsible Party:

EUP-ORC project staff

Expected Outcomes:

100% of EUP-ORC MCAs adopt EMS naloxone leave-behind program. Naloxone rescue kits to those at risk of opioid overdose or of witnessing an opioid overdose.

Data Source and Evaluation Methodology:

Number of MCAs in EUP-ORC region utilizing EMS naloxone leave-behind program. Number of naloxone kits provided through EUP-ROC.

Partner with the Division of EMS and Trauma at MDHHS on the Community Integrated Paramedicine Program’s SUD/OUD follow up and response efforts to expand bring a minimum of 1 program to the EUP Region within the 3 year project.

Responsible Party:

Project Director

Expected Outcomes:

Community Paramedic Program established within EUP-ORC region.

Data Source and Evaluation Methodology:

Number of communities participating in the Community Paramedicine Program.

Meet with criminal justice system leaders each year to ensure they have knowledge and connections to the resources to deliver MAT, either by continuing treatment from the community setting or through initiation of treatment for affected individuals.

Responsible Party:

Medical and Project Director

Expected Outcomes:

Medical and Project Director engage Criminal Justice System leaders.

Data Source and Evaluation Methodology:

Number of Meetings Number of jails in service area providing MAT

Conduct informational session on the importance of MAT and continuity of care in jails for law enforcement and EMS entities.

Responsible Party:

Program Associate

Expected Outcomes:

100% of EUP-ORC sheriff departments and EMS agencies have been offered an informational session.

Data Source and Evaluation Methodology:

Number of presentations by individuals in recovery to sheriff departments and EMS agencies.

Strengthens the education and dialogue between Dentistry care providers via virtual education twice yearly in collaboration with the Michigan Dental Association.

Responsible Party:

Medical Director

Expected Outcomes:

25% of dental practices adopt a prescription drug policy that follows CDC prescribing guidelines. 25% of dental practices note an increased knowledge of recognizing patients with SUD/OUD.

Data Source and Evaluation Methodology:

Numbers of practices that have a prescription drug policy. Number of people viewing the webinar provided by Zoom analytics.

Collaborate with Opioid Treatment Ecosystem Community of Practice and MTCAP to develop and promote evidence-based care for those working with criminal justice populations, treatment courts, and pre- and post-release from local jails.

Responsible Party:

Medical Director in coordination with Project Director

Expected Outcomes:

100 % of EUP-ORC providers received education.

Data Source and Evaluation Methodology:

Number of consortium members who received education. Number of education offerings.

Join Upper Peninsula Opioid Treatment Ecosystem Community of Practice to support access to, and education of, the proper use of medications for opioid use disorder (MOUD) and other essential services such as substance use disorder (SUD) treatment and behavioral health therapy.

Responsible Party:

Medical and Project Director

Expected Outcomes:

Medical and Project Director are members of Upper Peninsula Opioid Treatment Ecosystem Community

Data Source and Evaluation Methodology:

Number of meetings Upper Peninsula Opioid Treatment Ecosystem Community meetings attended.

Partner with the Regional 1 Perinatal Care System Collaborative to focus on building a locally linked, coordinated network to support the highest standards of health for mothers and their babies in the UP. Project Director will collaborate with Maternal Infant Health Maternal Infant Health Program (MIHP) Director to develop an integrated care team and a care coordination workgroup to address barriers to prenatal care, high-risk pregnancy screening and response protocols, pre-birth planning, safe-discharge planning for all pregnant women in the UP, disseminate universal home-visiting referral protocols for all pregnant women in the UP.

Responsible Party:

Project Director

Expected Outcomes:

Project Director is member of UP Regional Perinatal Collaborative.  100% of Consortium members utilize screening tool in their organization. Resources for pregnant women and new mothers disseminated to consortium members.

Data Source and Evaluation Methodology:

Number of UP Regional Perinatal Collaborative meetings attended. Number of consortium member organizations participating in MIHP initiative.

Maintain a repository of evidence-based SUD/OUD training and other professional development opportunities to increase the number of providers, including physicians, behavioral health providers, advance practice nurses, pharmacists, and other health and social service professionals, who are able to identify SUD/OUD.

Responsible Party:

Medical Director in coordination with Project director

Expected Outcomes:

100% of consortium members have access to educational resources via EUP-ORC Website.

Data Source and Evaluation Methodology:

Number of professional opportunities offered.

Offer a minimum of four webinars per year on various topics to support providers and support staff, such as, nurses, medical assistants, case managers, and community health workers to help further educate related to SUD/OUD treatment.

Responsible Party:

Project Director

Expected Outcomes:

12 webinar offerings listed on EUP-ORC website.

Data Source and Evaluation Methodology:

Number of webinars offered. Number of participants who attended webinars.

Work collaboratively with local health care organizations to create a regional learning network for support staff such as nurses, medical assistants, case managers, and community health workers to discuss best practices and aid MAT service delivery. Collaborative will convene virtually each quarter through the 3-year project.

Responsible Party:

Project Director

Expected Outcomes:

EUP-ORC Regional Network for support staff created.

Data Source and Evaluation Methodology:

Number of network learning opportunities Number of support staff who access to resources.

Provide technical assistance on all applicable State and Federal loan repayment programs to all eligible providers and employers as needed.

Responsible Party:

MCRH

Expected Outcomes:

100% of Consortium members have access to technical assistance.

Data Source and Evaluation Methodology:

Technical Assistance tracked via TruServ.

Provide technical assistance to all eligible EUP-ORC Consortium members to apply to become NHSC approved sites.

Responsible Party:

MCRH

Expected Outcomes:

100% of eligible Consortium members become NHSC approved sites.

Data Source and Evaluation Methodology:

Consortium members post and update positions in 3RNet.

Attend the 2020-2022 3RNet Academy.

Responsible Party:

Consortium members

Expected Outcomes:

At least three (3) Consortium organizations attend the 3RNet Academy per year.

Data Source and Evaluation Methodology:

Consortium members participation in the 3RNet Academy is tracked and reported by 3RNet to MCRH.

Provide education and assist Consortium members with posting positions on 3RNet.

Responsible Party:

MCRH

Expected Outcomes:

75% Consortium members are utilizing 3RNet.

Data Source and Evaluation Methodology:

Consortium members report on the recruitment of providers.

Create EUP-ORC website, maintain and expand a comprehensive electronic repository of training materials and county by county educational resources to support evidence-based treatment of SUD/OUD.

Responsible Party:

Project Director

Expected Outcomes:

EUP-ORC website created and maintained.

Data Source and Evaluation Methodology:

Number of website hits via analytics.

Support and connect Consortium members with an opioid and pain-related Extension for Community Healthcare Outcomes (ECHO) Project through Saginaw Valley State University.

Responsible Party:

Medical Director in coordination with Project Director

Expected Outcomes:

100% of Consortium organizations have access to evidence-based approaches with a focus on case-based learning to help develop healthcare professionals’ confidence and familiarity with opioid and pain-related topics.

Data Source and Evaluation Methodology:

Number of providers who have registered with Project ECHO (SVSU Database).

Annually provide 2 virtual trainings on the process of building a behavioral health integration (BHI) program, including workflow, coding, documentation and best practices to sustain BHI.

Responsible Party:

Program Director

Expected Outcomes:

6 trainings provided over the 3- year period. 25% Increase in number of primary care offices offering BHI services.

Data Source and Evaluation Methodology:

Number of people viewing the webinar provided by Zoom analytics. Number of primary care practices sites offering BHI to patients as reported by Consortium members

Collaborate with MOC to provide consultation via phone/email or video to support patient questions and treatment for SUD/OUD and IBH treatment to all providers within the EUP-ORC region. MOC will provide local clinical mentoring support and guidance to prescribers and key health professionals on prevention, identification, and treatment of opioid use disorder.

Responsible Party:

Medical Director

Expected Outcomes:

75% increase in the number of providers offering SUD/OUD treatment services.

Data Source and Evaluation Methodology:

Number of consortium member entities offering MAT and IBH baseline measurement.

Work in collaboration with Michigan Center for Rural Health (MCRH) to host two Grand Rounds on addiction, treatment and recovery per year during the three-year project. Offerings will educate the medical community on the adoption of evidence-based policies, programs, and practices to prevent opioid misuse, and to diagnose and treat OUD and co-occurring substance misuse.

Responsible Party:

Medical Director

Expected Outcomes:

6 Grand Rounds offered on addiction, treatment and recovery.

Data Source and Evaluation Methodology:

Number of Grand Rounds offered. Number of providers who attend Grand Rounds; number of CMEs provided to EUP providers.

Recruit primary care professionals and coordinate a minimum of two Data 2000 DEA no cost waiver trainings per year during the three-year project for providers in the EUP-ORC region.

Responsible Party:

In partnership with the Central Michigan University’s (CMU) PCTE-PA grant and/or MOC, EUP-ORC the Project Director and Medical Director

Expected Outcomes:

75% increase in the number certified practitioners with the Data 2000 DEA waiver in the EUP- ROC region. 75% increased access to MAT treatment services for persons with SUD/OUD.

Data Source and Evaluation Methodology:

Number waivered providers in the EUP-ORC region baseline measurement. Number of consortium member organizations offering MAT and IBH baseline measurement.

Conduct outreach and coordination to a minimum of 10 primary care providers in the EUP – ORC region each year during the three-year project, to recruit, promote and provide technical assistance to help new providers set up their clinic and train their cl

Responsible Party:

Medical and Program Director in partnership with Michigan Opioid Collaborative (MOC)

Expected Outcomes:

30 providers contacted, resulting in increased understanding of the critical role primary care plays in addressing SUD/OUD, stigma and prejudice and increased provider willingness to provide SUD/OUD treatment services. 75% increase in the number of prov

Data Source and Evaluation Methodology:

Number of primary care providers contacted. Number of consortium member entities offering MAT and IBH baseline measurement.

Coordinate with both Chippewa and LMAS Health Departments to create a linkage to HIV testing, syringe exchange services and naloxone distribution and training for high risk populations in EUP-ORC region.

Responsible Party:

Program Associate

Expected Outcomes:

Standardized process for both EUP-ORC health departments developed for creating linkages to HIV testing, syringe service programs and naloxone distribution and training developed

Data Source and Evaluation Methodology:

Number of individuals served

Work with MDHHS HIV Consultation program (a partnership between MDHHS and Henry Ford Health System) to provide virtual education on their provider consultation resources once per year during the three-year project.

Responsible Party:

Program Associate

Expected Outcomes:

45% of EUP-ORC providers receive education on MDHHS’s HIV Consultation program by the end of the 3-year grant program.

Data Source and Evaluation Methodology:

Number of attendees at each educational event.

Provide education to EUP-ORC Consortium Members on their referral process and information that is available to patients on harm reduction protocols including: PrEP, Hep A and B Vaccinations, free sterile syringes/needles, sharps containers and needle disp

Responsible Party:

Chippewa and LMAS Health Departments

Expected Outcomes:

100% of EUP-ORC Consortium Members will have received education about the programs in which they can share and utilize with their patient population.

Data Source and Evaluation Methodology:

Number of attendees at educational event.