Data-Driven Responses to Prescription Drug Abuse

Prescription drug-related fatal overdoses have declined in Florida but other indicators of abuse and diversion remain areas of concern.  The Bureau of Justice Assistance-funded Florida drug-Related Outcomes Surveillance and Tracking (FROST) system has provided the state with improved surveillance capacity and the ability to impact at-risk populations such as veterans, recipients/prescribers of dangerous Rx drug combinations, and women of reproductive age.  Our project has three major impact areas.  First, to maintain, utilize, and expand FROST and increase the analysis of de-identified prescription data to address these at-risk populations.  To do so, we will use of advanced methods such as geographic information systems, social network analysis, and machine learning.  Second, to increase registration and utilization of the state PDMP by analyzing registration and utilization patterns by specialty, conducting analysis of a new PDMP user survey of nearly 6,000 providers, and reducing the PDMP staff time required to generate proactive reports sent to prescribers.  Also, we will determine the needs of medical examiners and develop a strategy for gaining legislative access to the PDMP.  Third, to expand our data-driven, multidisciplinary team to include county-level law enforcement in areas highly-impacted by drug abuse and new clinical expertise.  The latter goal includes a new collaboration with the OneFlorida Clinical Research Consortium which will give our project a state-wide forum for understanding and disseminating PDMP best practices.