Behavioral Health

Hotspotting the Overdose Epidemic Program

The Hotspotting the Overdose Epidemic Program (The Hotspotting Program), a partnership between Staten Island PPS and the MIT Sloan School Initiative for Health Systems, is a value-based care coordination program for overdose (OD) and opioid use disorder (OUD) treatment and prevention. The Hotspotting Program combines advanced predictive analytics, holistic person-centered medical and social needs support, and an innovative reimbursement paradigm. 

Staten Island was uniquely selected for the program’s pilot as it is one of the most socio-economically and demographically representative counties of the United States. In addition, Staten Island has disproportionately suffered from the overdose crisis. The number of overdose deaths per 100,000 on the island is about 170% higher than the national rate and it maintains the second highest borough rate of death due to overdoses in NYC.

The Hotspotting Program is distinguished by its analytics platform, developed in partnership with MIT, which has been proven to incorporate known high-risk factors for future opioid harm, and identify a small cohort of at-risk individuals of future opioid misuse events; the top 1% and 15% of which respectively will account for 70% and 90% of opioid misuse events within the following 12 months in the entire sample population.

Another important feature of The Hotspotting Program is its peer recovery led, person-centered care management model. Using this predictive data, the program then employs a proactive care coordination model to engage, screen and refer to care those most at-risk before an overdose occurs. The Hotspotting Program recognizes the powerful impact of engaging those at highest risk with individuals who have similar lived experiences.

To this end, The Hotspotting Program provides each care partner with fully funded Certified Peer Recovery Advocates (CPRA) who lead focused interventions, drive engagement in care and deliver care coordination to those most at risk and potentially hardest to reach.

You can learn even more about the Hotspotting Program here.

People Engaged in the Program


Reduction in Emergency Room Use for People Enrolled

Project Partners

The Secure Future Project