Jeff Beeson & Gordie Burke

Washington/Baltimore High Intensity Drug Trafficking Areas (W/B HIDTA)

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019

 Federal Partners

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 2 of 23

 Current Situation

 Increase in lethal drugs - Fentanyl

 Lack of real time data and non-fatal reporting
 Insufficient information sharing
 No consensus on what constitutes a spike

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 3 of 23

ODMAP
Level 1

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 4 of 23

 Controlled Unclassified Information (CUI)
Disclaimer

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 5 of 23

 ODMAP – Level 2

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 6 of 23

 ODMAP – Level 2

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 7 of 23

 ODMAP – Level 2

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 8 of 23

 Data in Action

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 9 of 23

 Spike Alert System

 ODMAP is designed to alert users when an overdose spike occurs in real

time
 Users can receive a spike alert within their jurisdiction or surrounding
jurisdictions
 It is intended to give the public safety and public health community real
time alerts to mobilize a response strategy
 W/B HIDTA created an Overdose Spike Response Framework

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 10 of 23

 May 31st – June 2nd, 2019 Spike Alert

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 11 of 23

 Oneida County, NY

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 12 of 23

 Multi-Disciplinary Response
Oneida County, NY

Source: https://www.oneidadispatch.com/news/local-news/oneida-county-tackling-opioid-crisis-with-overdose-response-
team/article_1ea19200-639b-11e9-9d7b-d7612eed5b22.html
Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 13 of 23
 Multi-Disciplinary Response
Oneida County, NY

Source: http://ocgov.net/oneida/sites/default/files/exec/OpioidIssue/Background%20%20ODMAP%20Initiative%20Final.pdf

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 14 of 23

 Multi-Disciplinary Response
Oneida County, NY

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 15 of 23

 ODMAP Participation

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 16 of 23

 BJA & CDC Select 8 States

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 17 of 23

 Application Programming Interface (API)
Standards
 ODMAP connects to diverse populations
 EMS
 Law Enforcement
 Health
 EMS has adopted the National Emergency Medical Services Information
Systems (NEMSIS)
 Law Enforcement does not have an industry adopted standard similar to
NEMSIS, although there have been attempts at utilizing the National
Information Exchange Model (NIEM) standards, it is not implemented
nationally
 As a result, ODMAP developed a custom API which is simple to consume across
all disciplines

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 18 of 23

 Application Programming Interface (API)
 Examples of Agencies currently utilizing the API:
 Wisconsin State Patrol (WI)
 Philadelphia PD (PA)
 Guilford County (NC)
 Fayetteville PD (NC)
 All Maryland EMS data (MD)
 Los Angeles County Fire (CA)
 Memphis Fire & Rescue (TN)
 Suffolk County (NY)
 Snohomish County (WA)
 Warren County Sheriff’s Office (OH)
 North Shore Fire Rescue (WI)
 Orange County Fire Rescue (FL)
 Skagit County Public Health (WA)
 Action Ambulance (MA)
 Saint Paul Police Department (MN)
 Rhode Island State Police - HOPE
Initiative (RI)
 Whitehall Division of Fire (OH)

 Once an Agency identifies the data in their RMS, it takes approximately 2-3
weeks to implement the API.
 The API does not require future updates as it is “backwards compatible”

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 19 of 23

 National Reach
► Connecticut (Statewide Expansion Grantee): Public Act No. 18-166 states any EMS provider
who treats a patient for an opioid overdose shall report the overdose to the Department of
Public Health in a manner prescribed by the Commissioner of Public Health. The Commissioner
has directed EMS providers to report all opioid overdoses to the Connecticut Poison Control
Center, who will enter the data into ODMAP.
► Georgia (Statewide Expansion Grantee): SB 121 “Naloxone approved for over-the –counter
dispense” HB 965/AP Signed “Georgia 9-1-1 Overdose Reporting/Medical Amnesty Law (Good
Samaritan)
► Florida (Statewide Expansion Grantee): CS/CS/HB 249 – Drug Overdoses was passed in June
2017 which authorized ODMAP as an appropriate method for EMS reporting of suspected
overdoses.
► Illinois: Senate Bill 1258 signed and enacted August 2019 as Public Act 101-0320. This act
amends the Emergency Medical Services (EMS) Systems Act to include that when a patient care
report of an overdose is made, they shall report the overdose to ODMAP within 24 hours.
► Maine: Maine Department of Health and Human Services (DHHS) is actively working on
statewide implementation with support of federal funding, and a recognized need for increased
access to real-time overdose data. The state-level Public Safety and Public Health partnership
will utilize this data as a cornerstone for developing strategies for combatting emerging drug
threats in Maine. “Good Samaritan” law enacted May 2019.

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 20 of 23

 National Reach
► Maryland: House Bill 0359 – Reporting of Overdoses was passed in April 2018 which
authorized EMS providers and Law Enforcement officers to report overdoses within 24
hours to ODMAP. In October 2017, the Maryland Attorney General’s Office released a
memorandum in support of ODMAP, noting ODMAP does not violate HIPAA.
► Minnesota (Statewide Expansion Grantee): The Minnesota Department of Health
received a CDC grant to assist with statewide implementation of ODMAP through an
ODMAP Coordinator. In 2019 passed a version of the “Good Samaritan” law.
► Nevada (Statewide Expansion Grantee): In March 2018, the Nevada Attorney General
announced the formation of the Statewide Partnership on the Opioid Crisis (SPOC). As a
result, the ODMAP Subcommittee was formed and tasked with statewide
implementation. Currently, the Nevada Attorney General’s Office is working in
collaboration with the Nevada Department of Health. In June 2019, the Attorney
General’s Office released an opinion in support of ODMAP noting ODMAP does not violate
HIPAA.
► New Jersey (Statewide Expansion Grantee): The New Jersey State Police (NJSP) Drug
Monitoring Initiative (DMI) has partnered with the New Jersey Attorney General’s Office
to onboard over 500 Law Enforcement Agencies throughout the state onto ODMAP and
ODFORM.

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 21 of 23

 National Reach
 Ohio (Statewide Expansion Grantee): As of June 2019, 202 agencies in 68 counties are using
ODMAP in Ohio. The Ohio Department of Health (ODH) is seeking to work in the eight Ohio EMS
Regional Physicians Advisory Board (RPAB) regions to increase use of ODMAP in those areas. In
addition, ODH will be supporting API connections and coordinating an effort to identify and
facilitate best practices in higher-burden areas. ODH will be working with key partners in
behavioral health, public health, law enforcement, and EMS to create strategic plans that will
rely on ODMAP to provide key geographic data.
 Oklahoma: The Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD) announced in
October 2018 their effort to roll-out ODMAP statewide. November 2019, SB 1446 sets
prescribing limitations and guidelines.
 Rhode Island (Statewide Expansion Grantee): September 2019, The Rhode Island Department
of Health (RIDOH) uses data from ODMAP to target outreach to areas where it is most needed.
RIDOH will provide sub-awards to high-burden communities to help facilitate utilization of
rapid-response data that can inform targeted local response efforts.
 South Carolina: The South Carolina Attorney General’s Office released an opinion in March 2019
in support of ODMAP, noting ODMAP does not violate HIPAA.
 West Virginia: Senate Bill 520 – Requiring Entities to Report Drug Overdoses was passed in
March 2019. The Bill requires EMS, Law Enforcement, Hospitals, Medical Examiners,
Pharmacies, and Health Care Providers to report suspected overdoses within 24 hours to ODMAP.

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 22 of 23

 Contact Information

 Jeff Beeson
Deputy Director
jbeeson@wb.hidta.org

 Gordie Burke
ODMAP Outreach Coordinator
gburke1@wb.hidta.org

Presentation to the CCJJ: Opioid Investigations Subcommittee, 12/12/2019 23 of 23