Surveilling drug users to save them

The ideas and innovators shaping health care
Sep 05, 2023 View in browser
 
Future Pulse

By Carmen Paun, Erin Schumaker and Daniel Payne

INNOVATORS

Britain's King Charles III with Minister of State at the Department of Science, Innovation and Technology, George Freeman, second left, and Secretary of State for Energy Security and Net Zero, Grant Shapps, left, during a visit to the Whittle Laboratory in Cambridge, England, Tuesday, May 9, 2023 to break ground on the new laboratory, meet with academics, aviation leaders and tour the facility. (Joe Giddens/Pool Photo via AP)

George Freeman, to the left of King Charles III, sees Britain as an emerging "science superpower." | AP

A sensor attached to the body to detect the first sign of an overdose.

Drone deliveries of the opioid overdose reversal drug naloxone.

Those are two of the 12 novel ideas the British government is funding in an effort to reduce fatal drug overdoses across England, Northern Ireland, Scotland and Wales.

The government’s Office for Life Sciences plans to invest the equivalent of $6.2 million in the projects.

Why it matters: The U.K. recorded 6,400 overdose deaths in 2021 in a population of some 126.5 million people — significantly lower than in the U.S. — but the number of fatalities has increased in recent years.

“This runs to the core of what our Science Superpower ambition is all about: tackling some of the biggest problems facing society so we can all live healthier, happier, safer lives,” said science, innovation and technology minister George Freeman in a statement.

So far: The U.K. has awarded up to $126,000 to fund each of 11 projects led by a combination of universities, private companies, health services and local authorities to develop prototypes over the next four months.

What’s next? Those whose projects show promising results can apply for grants of up to $630,000 to carry out a one-year demonstration starting in May.

A 12th project, which aims to create a remote monitoring platform to make opioid use safer, is already at that stage.

The project’s researchers plan to recruit 200 homeless people to test “a discrete, chest-worn biosensor paired to a mobile device” that can detect an overdose and alert emergency personnel, the Department of Health and Social Care said.

WELCOME TO FUTURE PULSE

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Boston, Mass. | Shawn Zeller

This is where we explore the ideas and innovators shaping health care.

Share any thoughts, news, tips and feedback with Carmen Paun at cpaun@politico.com, Daniel Payne at dpayne@politico.com, Evan Peng at epeng@politico.com or Erin Schumaker at eschumaker@politico.com.

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Today on our Pulse Check podcast, host Kelly Hooper talks with POLITICO HHS reporter Chelsea Cirruzzo about the threat of a government shutdown due to a funding standoff between Congress and the White House — and what that would mean for health care agencies.

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PROBLEM SOLVERS

LEIPZIG, GERMANY - NOVEMBER 18: A doctor tends to a patient on the Covid-19 intensive care unit at University Hospital Leipzig on November 18, 2021 in Leipzig, Germany. Hospitals are coping with a high influx of patients as the fourth wave of the coronavirus pandemic is sending infection rates to new record highs in Germany. Saxony is especially hard hit, with an average of over 750 new cases per 100,000   over a seven-day period, the highest for any state nationwide. Germany's vaccination rate, currently at about 67% of the population, is low compared to many other EU countries. The vast majority of people currently being admitted to hospital with Covid are unvaccinated. (Photo by Jens Schlueter/Getty Images)

AI could help when the next pandemic comes, Yale researchers say. | Getty Images

Yale researchers say the artificial intelligence platform they’ve developed using early pandemic hospital data can predict how severe a patient’s disease will be and how long they’ll stay in the hospital.

Armed with that information, the researchers expect health care workers could better allocate resources, sending home patients with milder symptoms while focusing on those with more severe ailments.

That could help prevent health systems from becoming overwhelmed as many were after the coronavirus arrived.

How it works: Researchers built the model using data collected from Yale New Haven Hospital patients hospitalized during a two-month period in 2020 and compared those results to a control group of healthy medical staff working at the hospital at the same time.

In addition to collecting data about the patients’ treatment needs — whether they required oxygen or intubation, for example — the researchers identified biomarkers in the patients’ plasma that correlated to disease severity.

Even so: The data collection took place before vaccines or many treatments for Covid had been developed.

Treatments might make it harder to observe differences in patients’ plasma biomarkers, although larger studies with more participants could overcome that.

Since the healthy control patients tended to be white while a high number of hospitalized patients in the study were Black, researchers couldn’t rule out race as a contributing factor.

The findings were published in the journal Human Genomics.

What's next? The researchers have made their Covid software available online for anyone to use. They’re also hoping to conduct follow-up studies on long Covid.

While the platform was trained on Covid data, Vasilis Vasiliou, co-author of the study and epidemiology professor at Yale School of Public Health, told Erin the methodology could be used for other types of outbreaks.

For example, researchers could start developing predictive models of what doctors should look for based on initial cases of an influenza outbreak.

“Precision public health, that is the whole idea,” Vasiliou said, adding, “The power that these algorithms are giving you is something amazing.”

WORKFORCE

Nurse makes phone call

Multi-tasking nurses help mitigate the labor shortage problem, Providence Health officials say. | Karen Ducey/Getty Images

“We still practice the same way we did when I graduated 34 years ago, and that, to me, is an indication that there’s something wrong.”

— Syl Trepanier, chief nursing officer at Providence Health

Providence Health, with hospitals in seven states and tens of thousands of nurses across its system, plans to expand a pilot program that uses virtual care to stretch its workforce, reduce burnout and improve outcomes.

“It doesn’t matter how good we are at hiring nurses. It doesn’t matter how good we are at retaining nurses,” Syl Trepanier, the health system’s chief nursing officer, told Daniel. “We’re simply never going to have enough if we keep on working the way we work right now.”

Trepanier sees part of the answer in boosting nurse efficiency.

How so? The pilot project tasked some nurses with monitoring patients remotely through a two-way, audio-video communication system. They handled admission, discharge, procedural preparations and medication reconciliation, among other functions.

The idea was to free up other nurses to interact with patients in person and make the work of both groups more efficient.

The model aims to keep nurses practicing at the top of their license instead of performing tasks that don’t require a nurse’s training.

How’s it going? Promising so far, Trepanier said.

Fewer patients were injured in falls, and they were discharged faster.

Staff turnover is down by more than 50 percent, with the quit rate among registered nurses down by more than 70 percent — a result Trepanier connects to the pilot project.

What’s next? Providence plans to expand the pilot by the end of the year.

“We're going slow to go fast eventually,” Trepanier said.

 

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