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8

/ Canadian Government Executive

// November 2016

Data Management

HowData Analytics Can

Combat the Opioid Crisis

Greg

Horne

E

arlier this year the Ontario

Ministry of Health announced

that it will delist high-dose opi-

oids in January 2017 in order to

help reduce the number of opioid over-

dose deaths in the province. While this

is a start, addressing the opioid epidemic

will require a comprehensive, data-based

approach that touches all aspects of the

health system, from prevention to treat-

ment and recovery. Data analytics will be

the key.

Proper data management and analysis

can provide a broad spectrum of integrat-

ed solutions. It can help develop better

treatment protocols, enable pharmacies

to identify dispensing anomalies, and

allow large hospital systems and public

health agencies to better analyze the pos-

sible outcomes of well-intentioned initia-

tives. But for any solution to be effective,

each of these groups must work together

by sharing data and creating a flow of in-

formation.

Where to Start?

Fighting this epidemic is a highly com-

plex challenge that requires a variety of

players to collaborate in order to fully un-

derstand and address the problem. The

key health and government groups that

must be involved include:

• Public Health Agency of Canada, as

well as local substance abuse and men-

tal health service groups whose mandate

is to strengthen intergovernmental col-

laboration on public health and facilitate

national approaches to public health

policy and planning

• Provincial health agencies that set local

policy and standards for physician edu-

cation

• Pharmaceutical companies, distributors,

and pharmacies that constitute the phys-

ical supply chain

• Insurance companies and government

services that pay for the prescriptions

• Treatment centres that are at the front-

line of assisting the addicted

• Law enforcement agencies that deal

with opioid abusers and can influence

whether they are charged or treated

• Physicians who are responsible for pre-

scribing the drugs

All of these players have access to data

that can be useful to one another. Data-

bases of written and filled prescriptions,

electronic health records, and emergency

room records are all key pieces of the data

puzzle the come directly from the health-

care system’s frontlines.

Working together to

address a complex

information management

issue

Information on opioid use and abuse is par-

tial, fragmented, and often not actionable. If

stakeholders worked together to share and

more effectively manage the data owned

by each of these players, the origins of the

problem would be better understood. The

resulting insights could help make smart

policy changes while motivating physicians

and patients to change their behaviours.

Analytics can enable all of these players to

be more forward looking and predictive,

and to avoid unanticipated consequences

of well-intentioned initiatives.