Technology Improving Success of Medication-Assisted Treatment in Primary Care

Project Abstract The opioid epidemic is the U S andapos s most widespread behavioral public health problemwith a higher number of deaths due to drug overdose incompared to deaths due to HIV at the peak of the AIDS epidemicMedication assisted treatmentMATfor opioid use disorderOUDis highly efficaciousHoweveronly a fraction of persons with OUD access MATand treatment non adherence and drop out is commonThere is a dire need to improve systems to address these issues and to expand the use of MAT for many patients who are out of careThis RSTTR application responds to RFA DAHEAL InitiativeAmericaandapos s Startups and Small Businesses Build Technologies to Stop the Opioid CrisisIt joins an outstanding scientific team at UCLA and a small business that has developedOpioid Addiction Recovery SupportOARSa software platform that by integrating with the Electronic Health RecordEHRimproves clinical management of patients by primary care providersPCPstreating patients with OUD using MATOARS platform uses a dashboard to show real time measurement of patient achievements in recoveryIt provides opportunities for patients to interact with their PCPsallowing for better connection to and support from their PCPsOARS platform features artificial intelligence to analyze information from the EHR and from patients to provide relapse risk assessment for patients receiving MAT for OUDan innovation that sets OARS apart from other software solutionsThe specific aim of Phaseof this STTR Fast Track proposalis to modify the OARS platform for use in primary care settings by conducting interviews with PCPsNand their patients with OUDNin primary care settings to collect data on feasibility and acceptability of engaging with OARS to inform usercentered design of OARSThe specific aims of Phaseof this STTR Fast Track proposal are toemploy astepped wedgedesign to assess the effectiveness of OARS in improving opioid agonist treatment outcomes acrosstreatment programsNtreated patientsandevaluate sustainability and return on investment of OARS implementation acrosstreatment programsA commercialization plan documents progress to date for OARS platform and presents a market plan to improve both scale up and quality of MAT services delivered by PCPs in primary carewhich is a major contribution to addressing the ongoing opioid epidemic!Project Narrative With overoverdose deaths inof whichare attributable to opioid overdosethe opioid epidemic has become North America s most widespread behavioral public health problemMedication assisted treatmentMATfor opioid use disorderOUDis highly efficaciousThe Opioid Addiction Recovery SupportOARScomprises of a healthcare team portal connected to a patient mobile applicationto provide opioid related educationpromote connectedness with cliniciansand track MAT treatment progressThis STTR Fast Track proposal will conduct interviews with patients that will inform optimal design of OARS and utilize astepped wedgeeffectiveness design to assess the effectiveness of OARS in improving opioid agonist treatment outcomes in primary care settings and evaluate sustainability and return on investment