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Opioid use disorder/substance use disorder


(Sean Luo) #1

Hello,

I am a federally funded investigator who has a background in quantitative sciences and also a board certified addiction psychiatrist. I am looking for collaborators in the OHDSI program who have an interest in collaborating on this topic.

Please E-mail me at:
xsl2101@columbia.edu

-Sean

Sean X. Luo, M.D., Ph.D.

Assistant Professor of Clinical Psychiatry

Division on Substance Use Disorders

Department of Psychiatry

Columbia University

Room 3624

1051 Riverside Dr., Unit 66

New York, NY 10032

(646) 774-6144

xsl2101@cumc.columbia.edu


(Matt Spotnitz) #2

Hi Sean,

I am a postdoc at CUMC who would be happy to help you with this. I’ve sent you an e-mail and look forward to future correspondence.

-Matt


(Kristin Kostka, MPH) #3

+1 on this!

I might suggest engaging with your neighbors at Mt. Sinai. Joseph Finkelstein’s team is working on converting opioid treatment data. Not sure he’s on the OHDSI Forum – but can connect dots. @mattspotnitz you know how to get ahold of me if you need it. :slight_smile:


(Adam Black) #4

I’m sure many people are aware of this already but there has been real difficulty at my institution doing research on opioid use because of redaction. We use claims data and any claims with a Substance Use Disorder code are currently being redacted and are very difficult to access. It is a major barrier described in the paper “Long-Term Implications Of A Short-Term Policy: Redacting Substance Abuse Data” by Andrea M. Austin and others. There is also state by state variation in how the federal law requiring the redaction is interpreted and applied.


(Dmytry Dymshyts) #5

I’m interested as I’m a psychiatrist by training. And I’m leading OHDSI Vocabulary team, so I can be helpful in terminology questions.
So, please, count me in, although I’m not sure how much time can I spend on this.


(Christian Reich) #6

Is that true, @Adam_Black? Any claims, or just the CMS? I am too cheap to pay the $15, and too lazy, to look into the article, can you tell me what they are exactly redacting, so we could check it out?


(Adam Black) #7

Paywalls on scientific literature (particularly anything publicly funded) need to be retired. I can say for sure that Medicare, Medicaid, and commercial claims are affected in the Maine All Payer Claims dataset which is the only claims dataset I am very familar with. I think different datasets are affected differently but this page describes how the Maine All Payer Claims data is affected.
https://mhdo.maine.gov/sec_priv.htm

Substance Abuse and Mental Health Services Administration (SAMHSA)-Confidentiality of Substance Use Disorder (SUD) Patient Records, 42 CFR Part 2

MHDO applies the CMS/ResDAC filter to all data in the APCD including, commercial, Medicare and MaineCare data to redact claim lines containing SUD-related codes prior to releasing MHDO APCD data to authorized MHDO data users; which means we have removed any claim lines that have a code that is included on the redaction list. We leave any portion of a claim that doesn’t include one of these codes. This SUD-related data is stored in its own protected database and may be available to authorized MHDO data users under the terms and conditions of payment, health care operations and other health care related activities.
Notes:
* Commercial payers use their own filters to suppress SUD-related claim lines before submitting the data files to the MHDO. The application of the CMS/ResDac filter is an additional measure taken by the MHDO.
* A listing of the CMS/ResDAC codes used for redaction is available on our All Payer Claims Database (APCD) page.

I think the redaction process varies from state to state. I’m also not sure about the distinction between redacting just certain claims lines or redacting the entire claim when an SUD code appears. Since diagnosis codes are associated with a claim header and not a specific line I think that a SUD dx code on a claim would cause the entire claim to be redacted. I’m definitely not an expert on this but do know it is something to watch out for.


(Andrew Williams) #8

I’m a clinical psychologist by training and very interested in finding our more about this. Will send an email to follow up.


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