Florida Department of Health
Bureau of Community Health Assessment
Division of Public Health Statistics and Performance Management

Opioid Use Dashboard

Select a County, Year and click on Display Report button. Select County: Florida Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Miami-Dade DeSoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam St. Johns St. Lucie Santa Rosa Sarasota Seminole Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington   Select Year: 2020 2019 2018 2017 2016 2015                 Data shown are provisional and subject to change.

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Opioid Use Dashboard, Florida - 2020 Indicator Measure Year Jan-Mar (Provisional) Apr-Jun (Provisional) Jul-Sep (Provisional) Oct-Dec (Provisional) Year-to-Date (Provisional) Case Definition Health Status and Quality of Life Opioid Overdose deaths Count Opioids identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied by Florida Department of Law Enforcement. Drug Overdose deaths Count Drugs identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied bythe Florida Department of Law Enforcement. Opioid Overdose Annual Age-Adjusted Death Rate Per 100,000 persons Opioids identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied by Florida Department of Law Enforcement. Drug Overdose Annual Age-Adjusted Death Rate Per 100,000 persons Drugs identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied bythe Florida Department of Law Enforcement. Suspected Non-fatal Opioid-involved Overdose Count 2020 4,425 5,540 5,100 Patients with an identified non-fatal opioid overdose during an emergency medical service transport, data from Florida’s EMSTARS database which includes 90% of Florida's prehospital emergency transports. These data come from the Florida Enhanced State Opioid Overdose Surveillance Program Dashboard County Report. Suspected Non-fatal All Drug Overdose Count 2020 10,081 11,410 13,638 Patients with an identified non-fatal drug overdose during an emergency medical service transport, data from Florida's EMSTARS database which includes 90% of Florida's prehospital emergency transports. These data come from the Florida Enhanced State Opioid Overdose Surveillance Program Dashboard County Report.  All drug non-fatal overdose emergency department visits Count 2020 11,306 11,554 Non-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E905.0-E950.5, E962.0, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional, intentional self-harm, assault, and undetermined intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.  Opioid-involved non-fatal overdose emergency department visits Count 2020 4,992 5,831 Non-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02, 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.  Heroin-involved non-fatal overdose emergency department visits Count 2020 2,435 2,681 Non-fatal emergency department visits with either of the following: ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.  Stimulant-involved non-fatal overdose emergency department visits Count 2020 696 633 Non-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.  All drug non-fatal overdose hospitalizations Count 2020 7,089 7,089 Non-fatal hospitalizations either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E905.0-E950.5, E962.0, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional, intentional self-harm, assault, and undetermined intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.  Opioid-involved non-fatal overdose hospitalizations Count 2020 1,940 2,241 Non-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02 or 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.  Heroin-involved non-fatal overdose hospitalizations Count 2020 484 652 Non-fatal hospitalizations with either of the following: 1) ICD-9-CM diagnosis codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM diagnosis codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.  Stimulant-involved non-fatal overdose hospitalizations Count 2020 1,188 1,228 Non-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence. Neonatal Abstinence Syndrome Birth Defect Count Infants less than 28 days old who were exposed to opioid prescription or illicit drugs during the mother’s pregnancy. Neonatal Abstinence Syndrome was added to the List of Reportable Diseases/Conditions on June 4, 2014 making it a public health issue requiring on-going surveillance. Data were supplied by the Florida Birth Defects Registry. Neonatal Abstinence Syndrome Birth Defect Annual Rate Per 10,000 live births Neonatal Abstinence Syndrome cases per 10,000 live births. Early Steps Clients Experiencing Neonatal Abstinence Syndrome Count 2020 26 25 25 Infants and toddlers (birth to thirty-six months) served by Florida Early Steps program that have been identified as having neonatal abstinence syndrome. Data were supplied by Florida Early Steps. Florida Poison Information Network - calls related to opioids Count 2020 606 543 623 590 2,362 Calls to the Florida Poison Control Centers indicating exposure to prescription opioids, opioid combinations with other drugs and heroin. All calls are self-reported when the public or healthcare professionals report an exposure to a substance. Therefore, opioid call data are a good indicator for opioid use/abuse but it does not show all the people who had opioid exposure. Data are extracted from ToxSentry® Web Query Builder. Prescription and Patient Measures Number of Prescriptions Dispensed Count 2020 3,097,085 2,917,735 3,045,407 3,043,588 12,103,815 Opioid prescriptions dispensed in Florida by dispenser’s county, data supplied by the Prescription Drug Monitoring Program. Number of Unique Patients Count 2020 1,331,325 1,224,651 1,322,682 1,326,403 2,906,322 Patients with opioid prescriptions that were dispensed in Florida regardless of the prescriber’s location by dispenser’s county, data supplied by the Prescription Drug Monitoring Program. Number of Unique Prescribers Count 2020 60,898 57,600 58,468 59,635 84,479 Prescribers with opioid prescriptions dispensed in Florida regardless of practice location by dispenser’s county, data supplied by the Prescription Drug Monitoring Program. Prescriptions Dispensed per Patient Per patient 2020 2.3 2.4 2.3 2.3 4.2 Prescriptions dispensed from prescribers per number of unique patients. The annual rate is calculated as the total number of SII-SIV opioid prescriptions dispensed divided by the number of FL patients aged 18 and over who received at least one SII-SIV opioid prescription in the given year. Prescriptions Dispensed per Prescriber Per prescriber 2020 50.9 50.7 52.1 51.0 143.3 Prescriptions dispensed per number of unique prescribers. The annual rate is calculated as the total number of SII-SIV opioid prescriptions dispensed divided by the number of prescribers who wrote at least one SII-SIV opioid prescription to FL patients aged 18 and over in the given year. Drug-related Consequences Annual Drug arrests Count Arrests attributed to possession or sale of illegal drugs. Data are from the Florida Department of Law Enforcement. Annual Adult Drug Arrests Count Arrests of persons 18 and over attributed to possession or sale of illegal drugs. Data are from the Florida Department of Law Enforcement. Annual Juvenile Drug Arrests Count Arrests of persons under 18 attributed to possession or sale of illegal drugs. Data are from the Florida Department of Law Enforcement. Alcohol Confirmed Motor Vehicle Traffic Crashes Count A crash involving a Driver and/or Non-Motorist who had a Blood Alcohol Content greater than 0.00. This excludes Drug Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Alcohol Confirmed Motor Vehicle Traffic Crash Fatalities Count The death of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had a Blood Alcohol Content greater than 0.00. This excludes Drug Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Alcohol Confirmed Motor Vehicle Traffic Crash Injuries Count Non-fatal injury of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had a Blood Alcohol Content greater than 0.00. This excludes Drug Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug Confirmed Motor Vehicle Traffic Crashes Count A crash involving a Driver and/or Non-Motorist who tested positive for drugs at the time of the crash. This excludes Alcohol Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug Confirmed Motor Vehicle Traffic Crash Fatalities Count The death of a person as a direct result of a crash involving a Driver and/or Non-Motorist who tested positive for drugs at the time of the crash. This excludes Alcohol Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug Confirmed Motor Vehicle Traffic Crash Injuries Count Non-fatal injury of a person as a direct result of a crash involving a Driver and/or Non-Motorist who tested positive for drugs at the time of the crash. This excludes Alcohol Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug & Alcohol Confirmed Motor Vehicle Traffic Crashes Count A crash involving a Driver and/or Non-Motorist who had BOTH a BAC greater than 0.00 AND a positive drug test. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug & Alcohol Confirmed Motor Vehicle Traffic Crash Fatalities Count The death of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had BOTH a BAC greater than 0.00 AND a positive drug test. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug & Alcohol Confirmed Motor Vehicle Traffic Crash Injuries Count Non-fatal injury of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had BOTH a BAC greater than 0.00 AND a positive drug test. Data are from the Florida Department of Highway Safety and Motor Vehicles.

Opioid Use Dashboard, Florida - 2020 Indicator Measure Year Jan-Mar (Provisional) Apr-Jun (Provisional) Jul-Sep (Provisional) Oct-Dec (Provisional) Year-to-Date (Provisional) Case Definition Health Status and Quality of Life Opioid Overdose deaths Count Opioids identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied by Florida Department of Law Enforcement. Drug Overdose deaths Count Drugs identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied bythe Florida Department of Law Enforcement. Opioid Overdose Annual Age-Adjusted Death Rate Per 100,000 persons Opioids identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied by Florida Department of Law Enforcement. Drug Overdose Annual Age-Adjusted Death Rate Per 100,000 persons Drugs identified as the cause of death by Florida Medical Examiners by county where death occurred, data supplied bythe Florida Department of Law Enforcement. Suspected Non-fatal Opioid-involved Overdose Count 2020 4,425 5,540 5,100 Patients with an identified non-fatal opioid overdose during an emergency medical service transport, data from Florida’s EMSTARS database which includes 90% of Florida's prehospital emergency transports. These data come from the Florida Enhanced State Opioid Overdose Surveillance Program Dashboard County Report. Suspected Non-fatal All Drug Overdose Count 2020 10,081 11,410 13,638 Patients with an identified non-fatal drug overdose during an emergency medical service transport, data from Florida's EMSTARS database which includes 90% of Florida's prehospital emergency transports. These data come from the Florida Enhanced State Opioid Overdose Surveillance Program Dashboard County Report. All drug non-fatal overdose emergency department visits Count 2020 11,306 11,554 Non-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E905.0-E950.5, E962.0, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional, intentional self-harm, assault, and undetermined intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.      Unintentional/undetermined non-fatal drug overdose emergency department visits Count 2020 9,458 9,965      Intentional self-harm non-fatal drug overdose emergency department visits Count 2020 1,854 1,597 Opioid-involved non-fatal overdose emergency department visits Count 2020 4,992 5,831 Non-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02, 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.      Unintentional/undetermined non-fatal opioid-involved non-fatal overdose emergency department visits Count 2020 4,817 5,669      Intentional self-harm non-fatal opioid-involved non-fatal overdose emergency department visits Count 2020 174 163 Heroin-involved non-fatal overdose emergency department visits Count 2020 2,435 2,681 Non-fatal emergency department visits with either of the following: ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.      Unintentional/undetermined non-fatal heroin-involved non-fatal overdose emergency department visits Count 2020 2,395 2,630      Intentional self-harm non-fatal heroin-involved non-fatal overdose emergency department visits Count 2020 40 52 Stimulant-involved non-fatal overdose emergency department visits Count 2020 696 633 Non-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.      Unintentional/undetermined non-fatal stimulant-involved non-fatal overdose emergency department visits Count 2020 608 577      Intentional self-harm non-fatal stimulant-involved non-fatal overdose emergency department visits Count 2020 87 54 All drug non-fatal overdose hospitalizations Count 2020 7,089 7,089 Non-fatal hospitalizations either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E905.0-E950.5, E962.0, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional, intentional self-harm, assault, and undetermined intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.      Unintentional/undetermined non-fatal drug overdose hospitalizations Count 2020 4,658 4,808      Intentional self-harm non-fatal drug overdose hospitalizations Count 2020 2,520 2,373 Opioid-involved non-fatal overdose hospitalizations Count 2020 1,940 2,241 Non-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02 or 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.      Unintentional/undetermined non-fatal opioid-involved non-fatal overdose hospitalizations Count 2020 1,682 2,019      Intentional self-harm non-fatal opioid-involved non-fatal overdose hospitalizations Count 2020 266 227 Heroin-involved non-fatal overdose hospitalizations Count 2020 484 652 Non-fatal hospitalizations with either of the following: 1) ICD-9-CM diagnosis codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM diagnosis codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.      Unintentional/undetermined non-fatal heroin-involved non-fatal overdose hospitalizations Count 2020 446 611      Intentional self-harm non-fatal heroin-involved non-fatal overdose hospitalizations Count 2020 38 40 Stimulant-involved non-fatal overdose hospitalizations Count 2020 1,188 1,228 Non-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.      Unintentional/undetermined non-fatal stimulant-involved non-fatal overdose hospitalizations Count 2020 1,083 1,098      Intentional self-harm non-fatal stimulant-involved non-fatal overdose hospitalizations Count 2020 105 131 Neonatal Abstinence Syndrome Birth Defect Count Infants less than 28 days old who were exposed to opioid prescription or illicit drugs during the mother’s pregnancy. Neonatal Abstinence Syndrome was added to the List of Reportable Diseases/Conditions on June 4, 2014 making it a public health issue requiring on-going surveillance. Data were supplied by the Florida Birth Defects Registry. Neonatal Abstinence Syndrome Birth Defect Annual Rate Per 10,000 live births Neonatal Abstinence Syndrome cases per 10,000 live births. Early Steps Clients Experiencing Neonatal Abstinence Syndrome Count 2020 26 25 25 Infants and toddlers (birth to thirty-six months) served by Florida Early Steps program that have been identified as having neonatal abstinence syndrome. Data were supplied by Florida Early Steps. Florida Poison Information Network - calls related to opioids Count 2020 606 543 623 590 2,362 Calls to the Florida Poison Control Centers indicating exposure to prescription opioids, opioid combinations with other drugs and heroin. All calls are self-reported when the public or healthcare professionals report an exposure to a substance. Therefore, opioid call data are a good indicator for opioid use/abuse but it does not show all the people who had opioid exposure. Data are extracted from ToxSentry® Web Query Builder. Prescription and Patient Measures Number of Prescriptions Dispensed Count 2020 3,097,085 2,917,735 3,045,407 3,043,588 12,103,815 Opioid prescriptions dispensed in Florida by dispenser’s county, data supplied by the Prescription Drug Monitoring Program. Number of Unique Patients Count 2020 1,331,325 1,224,651 1,322,682 1,326,403 2,906,322 Patients with opioid prescriptions that were dispensed in Florida regardless of the prescriber’s location by dispenser’s county, data supplied by the Prescription Drug Monitoring Program. Number of Unique Prescribers Count 2020 60,898 57,600 58,468 59,635 84,479 Prescribers with opioid prescriptions dispensed in Florida regardless of practice location by dispenser’s county, data supplied by the Prescription Drug Monitoring Program. Prescriptions Dispensed per Patient Per patient 2020 2.3 2.4 2.3 2.3 4.2 Prescriptions dispensed from prescribers per number of unique patients. The annual rate is calculated as the total number of SII-SIV opioid prescriptions dispensed divided by the number of FL patients aged 18 and over who received at least one SII-SIV opioid prescription in the given year. Prescriptions Dispensed per Prescriber Per prescriber 2020 50.9 50.7 52.1 51.0 143.3 Prescriptions dispensed per number of unique prescribers. The annual rate is calculated as the total number of SII-SIV opioid prescriptions dispensed divided by the number of prescribers who wrote at least one SII-SIV opioid prescription to FL patients aged 18 and over in the given year. Drug-related Consequences Annual Drug arrests Count Arrests attributed to possession or sale of illegal drugs. Data are from the Florida Department of Law Enforcement. Annual Adult Drug Arrests Count Arrests of persons 18 and over attributed to possession or sale of illegal drugs. Data are from the Florida Department of Law Enforcement. Annual Juvenile Drug Arrests Count Arrests of persons under 18 attributed to possession or sale of illegal drugs. Data are from the Florida Department of Law Enforcement. Alcohol Confirmed Motor Vehicle Traffic Crashes Count A crash involving a Driver and/or Non-Motorist who had a Blood Alcohol Content greater than 0.00. This excludes Drug Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Alcohol Confirmed Motor Vehicle Traffic Crash Fatalities Count The death of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had a Blood Alcohol Content greater than 0.00. This excludes Drug Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Alcohol Confirmed Motor Vehicle Traffic Crash Injuries Count Non-fatal injury of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had a Blood Alcohol Content greater than 0.00. This excludes Drug Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug Confirmed Motor Vehicle Traffic Crashes Count A crash involving a Driver and/or Non-Motorist who tested positive for drugs at the time of the crash. This excludes Alcohol Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug Confirmed Motor Vehicle Traffic Crash Fatalities Count The death of a person as a direct result of a crash involving a Driver and/or Non-Motorist who tested positive for drugs at the time of the crash. This excludes Alcohol Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug Confirmed Motor Vehicle Traffic Crash Injuries Count Non-fatal injury of a person as a direct result of a crash involving a Driver and/or Non-Motorist who tested positive for drugs at the time of the crash. This excludes Alcohol Confirmed individuals. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug & Alcohol Confirmed Motor Vehicle Traffic Crashes Count A crash involving a Driver and/or Non-Motorist who had BOTH a BAC greater than 0.00 AND a positive drug test. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug & Alcohol Confirmed Motor Vehicle Traffic Crash Fatalities Count The death of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had BOTH a BAC greater than 0.00 AND a positive drug test. Data are from the Florida Department of Highway Safety and Motor Vehicles. Drug & Alcohol Confirmed Motor Vehicle Traffic Crash Injuries Count Non-fatal injury of a person as a direct result of a crash involving a Driver and/or Non-Motorist who had BOTH a BAC greater than 0.00 AND a positive drug test. Data are from the Florida Department of Highway Safety and Motor Vehicles.

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