Assessing Definitions of Heroin Overdose in ED & EMS Data Using Hospital Billing Data


In 2016, the Centers for Disease Control and Prevention funded 12 states, under the Enhanced State Opioid Overdose Surveillance (ESOOS) program, to utilize state Emergency Medical Services (EMS) and emergency department syndromic surveillance (SyS) data systems to increase timeliness of state data on drug overdose events. An important component of the ESOOS program is the development and validation of case definitions for drug overdoses for EMS and ED SyS data systems with a focus on small area anomaly detection. In fiscal year one of the grant Kentucky collaborated with CDC to develop case definitions for heroin and opioid overdoses for both SyS and EMS data. These drug overdose case definitions are compared between these two rapid surveillance systems, and further compared to emergency department (ED) hospital administrative claims billing data, to assess their face validity.


The aim of this project was to assess the face validity of surveillance case definitions for heroin overdose in emergency medical services (EMS) and emergency department syndromic surveillance (SyS) data systems by comparing case counts to those found in a statewide emergency department (ED) hospital administrative billing data system.

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January, 2018

January 25, 2018

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