Evaluating the Usability, Efficacy and Commercial Utility of a Digital Platform to Deliver Comprehensive Treatment for Opioid Use Disorder

PROJECT SUMMARY Opioid use disorderOUDis a problem of national concernMedication based treatmentMTreduces opioid useassociated risk behaviors and deathDespite evidence supporting MT with buprenorphinein more thanof US countiesmainly ruralthere are no prescribersPatients travel long distancesjoin waitlistsor go without MTOther barriers to care include lack of transportationcompeting demandsworkchildcareand stigmaCombinedlack of access and barriers leaves millions without treatmentOur innovative solutionBoulderis a telehealth based treatment solution offering long term support for OUDOur vision is to deploy care teamsPrescribing ClinicianNurse CoachCare Advocate and Certified Peer Coach for each patientto deliver a comprehensive array of servicessupervised by addiction specialists with decades of experienceTechnology enables us to effectively scale a program that meets all of NIDAandapos s guidelines for appropriate oversightand provides low barrierpatient centered interventionse gvideo medication monitoring and privateat homerandom observed saliva drug testingThe long term goal of this proposal is to build a scalable solution able to reach patients who are unable to access evidence based treatmentOur digital program promises to dramatically improve the patient experienceboosting patient retentionsatisfactionmedication adherenceand functional outcomes by providing low barrierquality careThe patient facing product is developedIn preliminary testingpatients reported high satisfactionengagementand usabilityand access to care was increased byin three monthsThe overall objective is to evaluate the ability of a virtual platform to create the necessary paradigmatic shift in OUD treatmentTo achieve this objectivewe propose the following aimsPhase IAim IAdvance Boulderandapos s mobile platform development and obtain patient feedbackPhase IIAim IIDetermine Boulderandapos s impact on patient engagementprogram retentionaccess to careand care continuityand Phase IIAim IIIDetermine Boulderandapos s impact on opioid use and patient functional statusPurchasers of our producte gprivate commercial governmental payorsat risk provider groupsetcwho provide remuneration on a per patientper month basisrealizing substantial cost savings through our integrated servicesUnlike typical fee for service care deliveryour economic model aligns incentives around delivering superior patient outcomesThe virtual OUD treatment productandapos s end users are resource constrained patients who will access care no cost to themTechnology enables our team of medicalbehavioraland social service providers to bring comprehensive telehealth based care for the longitudinal management of addictive disease directly to the patientrather than bringing the patient to the careThe research team includes staff and affiliates of Boulderthe Addiction Research and Education Foundation and community partnersBoulderandapos s current investors provide a wide range of support services to ensure success through a national network of experienced entrepreneurs and leaders that provide mentorship and guidancePROJECT NARRATIVE It is very difficult to find quality care for opioid use disorderMost programs have a lot of requirements that make it hard to start treatment and stay with itBoulderandapos s app brings your team of doctors and coaches right to youOur program will help people will stay in treatment longerbe happierand have a better quality of life