OSOC (Overdose System of Care)
The Overdose System of Care (OSOC) was established in 2018 by Delaware Legislation (Section 9710) and brings together hospitals, emergency medical services (EMS), community treatment providers, and state partners to coordinate treatment and care provided to individuals who have overdosed or require acute management of opioid use disorder (OUD). The OSOC Committee is co-chaired by:
- Joanna R. Champney, M.A., Director, Division of Substance Abuse and Mental Health (DSAMH), Delaware Department of Health and Social Services (DHSS)
- Robert A. Rosenbaum, MD, FAEMS, FACEP, State EMS and Preparedness Section Medical Director, Delaware Emergency Medical Services and Preparedness Section (EMSPS), Division of Public Health (DPH), DHSS
The OSOC Committee is supported by three Subcommittees: the Acute OUD Stabilization Subcommittee, the Data and Quality Subcommittee, and the Naloxone Subcommittee.
Meeting dates, agendas, and minutes for the OSOC Committee and Subcommittees are available on Delaware’s Public Meeting Calendar: https://publicmeetings.delaware.gov/#/.
- This video presents testimonials from a variety of stakeholders, including DHSS leadership, substance use disorder treatment providers, emergency department clinicians, and paramedics to describe Delaware’s Overdose System of Care (OSOC).
- Participants talk about how OSOC has improved care coordination and access to care for individuals who have experienced an opioid overdose or are at risk of experiencing an overdose
- OSOC supports a coordinated response to connect patients to treatment, including medication for opioid use disorder, and other needed support.
- A key priority of OSOC is creating a consistent response, so patients receive the same high-quality cares options no matter where they enter the system.
- OSOC also works hard to close gaps in transitions of care, so patients can move seamlessly from paramedics to emergency department to ongoing outpatient or inpatient substance use treatment services.
OSOC Guidance Document on Opioid Use Disorder in the Emergency Department
The document outlines best practices in five priority areas:
- Screening: Implement brief, validated tools integrated into triage or electronic health record (EHR) workflows, supported by staff education and stigma-reduction training.
- Patient Engagement: Use trauma-informed, patient-centered communication and expand access to Certified Peer Recovery Specialists and Care Navigators to support consistent, 24/7 engagement.
- Medication Initiation & Withdrawal Care: Adopt flexible buprenorphine-naloxone initiation protocols, including high-dose (macro-induction) and home-start options, with built-in EHR order sets for efficiency and safety in starting medication and managing withdrawal.
- Transitions of Care: Utilize the Delaware Treatment Referral Network (DTRN) for seamless referrals and warm handoffs to community providers, supported by care navigators and tele-navigation options.
- Documentation and Billing: Use specific diagnosis and billing codes (e.g., G2213) to ensure accurate tracking, reimbursement, and program sustainability.
If you are seeking care or treatment for yourself or a loved one please click here for Help is Here resources. You can also reach out to the Delaware Hope Line at 1-(833) 9-HOPEDE or (833) 946-7333 and find mental health or addiction treatment resources by accessing Home – Treatment Connection.
The Delaware Hope Line – 1 (833) 9-HOPEDE or (833) 946-7333 – is open 24 hours a day, seven days a week to connect callers to a variety of resources and information, including support from clinicians and peer specialists plus crisis assistance. The Hope Line, which is free, provides a single point of contact for individuals to tap into DSAMH’s range of services and resources.
Delawareans can also get behavioral health tips and reminders by texting DEHOPE to 55753.