0920-1283 Organizational Capacity Assessment - Annual Reporting

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Exp. Date: xx/xx/xxx
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Self-Assessment Tool
Instructions: This tool is intended to guide CDC OD2A recipients in a systematic and objective assessment of their
existing capacity to address the overdose epidemic. Insight generated from application of this tool will be used to 1)
guide CDC’s programmatic and scientific technical assistance and resources we provide to recipients and 2)
measure progress in building and sustaining overdose prevention capacity.
This tool characterizes two main domains of capacity: overdose content specific and broader infrastructure
capacity. Within each of these broad domains, more specific elements are defined and described. Recipients can
use these descriptions and the included benchmarks to inform their self-assessment of their current status. The
activities being assessed in this tool are those related to the OD2A goals of increasing comprehensiveness and
timeliness of surveillance data; building jurisdictional and local capacity for public health programs determined to be
promising based on research evidence; making Prescription Drug Monitoring Programs (PDMPs) easier to use and
access; and working with health systems, insurers, and communities to improve opioid prescribing.
For questions about this survey contact your project officer

1

Multilevel Leadership
Multilevel Leadership is defined as the people and processes that make up leadership at all levels that interact with and have an impact
on the program. It includes leadership in the state health department or other organizational unit in which the program is located, as
well as leadership from other decision-makers, leadership within the program beyond the program manager and across programs that
have related goals, and leadership at the local level.
Respondents please select the level that best reflects your current capacity

Leadership for
overdose prevention
exists across levels

Leadership for
overdose
surveillance exists
across levels

No leadership exists
currently

No leadership exists
currently

Leadership exists in
only one level within
the health department
(e.g., within the
overdose prevention
program)

Leadership exists in
only one level within
the health department
(e.g., within the
overdose surveillance
program)

2

Executive leadership
exists at health
department (i.e.
State/Local/Territorial
Health Official) and on
multiple levels within
and across programs
in the health
department (e.g.,
leadership from injury
prevention, vital
records, infectious
disease, maternal and
child health, etc.)
Executive leadership
exists at health
department (i.e.
State/Local/Territorial
Health Official) and on
multiple levels within
and across programs
in the health
department (e.g.,
leadership from injury
prevention, vital
records, infectious
disease, maternal and
child health, etc.)

Leadership exists
throughout multiple
levels of government
from executive leaders
(e.g.,
Mayors/Governors) to Unsure
legislative entities (e.g.,
city or county councils,
state legislators) and
across to other heads
of department

Leadership exists
throughout multiple
levels of government
from executive leaders
(e.g.,
Mayors/Governors) to Unsure
legislative entities (e.g.,
city or county councils,
state legislators) and
across to other heads
of department

Multilevel Leadership, Continued
Respondents please select the level that best reflects your current capacity

Existing coordinating
unit or body in health
department

Ad-hoc meetings or
identified as a need
within the health
department

Health department
leaders coordinate with
leaders from other
Leaders coordinate
Leaders meet regularly
stakeholder sectors
activities across the
to discuss status of
(i.e. law enforcement,
health department
Unsure
work across the health
healthcare, PDMP,
(e.g., strategic planning
department
treatment services,
of efforts)
etc.) to develop and/or
review and update
coordinate response

Notes or comments:

3

Networked Partnerships
Networked partnerships are defined as strategic partnerships at all levels (national, state, and local) across sectors (health systems,
public safety) with multiple types of organizations (government, nonprofit) that enhance coordination of efforts toward a common goal,
foster champions, and contribute to sustainability.
Respondents please select the level that best reflects your current capacity
Partnerships with
public sectors

No partnerships exist
with public sector
entities

One or two public
sectors

Three public sectors

Four or more public
sectors

Unsure

Partnerships across
jurisdiction levels

No partnerships
across
jurisdictional levels

Only within your
jurisdiction level (e.g.,
state or territory)

Within your jurisdiction
and one additional
level (e.g., state and
city)

Partnerships across all
levels (state/territory,
county, and city)

Unsure

Public-private
partnerships (e.g.,
private entities are
non-profits,
universities)

No public-private
partnerships exist

Public partnerships
only

Mix of private and
public (health only)

Mix of private and
public (health and nonhealth)

Unsure

Partners regularly
participate in and
contribute to
prevention activities;
may serve as a
champion

Prevention focused
partnerships are
solidified via resource
sharing or operational
agreements like data
sharing agreements,
memoranda of
understanding
(MOUs), etc.

Unsure

Level of engagement
for prevention
activities

No partners are
engaged in prevention
activities

Partners have
situational awareness
of prevention activities

4

Networked Partnerships, Continued
Respondents please select the level that best reflects your current capacity

Level of engagement
for surveillance
activities

Shared planning of
prevention activities

Shared planning of
surveillance
activities

No partners are
engaged in
surveillance activities

Partners have
situational awareness
of surveillance
activities

Partners regularly
participate in and
contribute to
surveillance activities;
may serve as a
champion

There are no shared
planning of prevention
activities

Prevention planning
occurs exclusively
within the health
department with
situational awareness
of partner activities

Prevention planning
occurs by the health
department in
consultation with
partners

There are no shared
planning of
surveillance activities

Surveillance planning
occurs exclusively
within the health
department with
situational awareness
of partner activities

Surveillance planning
occurs by the health
department in
consultation with
partners

Notes or comments:

5

Surveillance focused
partnerships are
solidified via resource
sharing or operational
agreements like data
sharing agreements,
memoranda of
understanding
(MOUs), etc.
Prevention planning is
strategic and
deliberately
coordinated with
partners and the
health department to
plan, execute, and
assess impact of
prevention strategies
Surveillance planning
is strategic and
deliberately
coordinated with
partners and the
health department to
plan, execute, and
assess impact of
prevention strategies

Unsure

Unsure

Unsure

Responsive Plans and Planning
Responsive planning as part of the state strategic plan is defined as a dynamic process that evolves and responds to contextual
influences such as changes in the science, health department priorities, funding levels, and external support from the public and
leadership. It also promotes action and the achievement of public health goals.

No strategic plan or
opioid response plan
exists

Need for a strategic
plan for opioid
overdose is
recognized and efforts
are underway to
develop a plan

No plan exists
currently to address all
overdoses.

Need to broaden initial
opioid response plan
to address all
overdose substances
is recognized and
efforts are underway
to broaden it.

The strategic
plan/opioid response
plan pertains to the
following entities:

No plan exists
currently.

Public health
governmental entities
only (e.g.,
Territory/State/City/Co
unty health
departments)

Plan coordination

There is no planning
for coordination

Strategic plan has
limited coordination

Sustainability plan

There is no planning
for sustainability

Need recognized but
no action taken on a
sustainability plan

Strategic plan for
opioid overdose
response or opioid
response plan

Overdose response
plan that addresses
all substances (e.g.,
stimulants) and
strategies to address
them

6

A Strategic plan for
opioid overdose
exists.

The strategic plan for
opioid overdose is a
living document.
Partners actively use
and consult the plan in
their work and future
planning efforts

Unsure

Current strategic plan
for opioid overdose
addresses other
substances, but in a
limited manner (e.g.,
response strategies
still primarily focus on
opioids)

The strategic plan is
comprehensive;
addresses multiple
substances involved in
overdose and
strategies to address
them.

Unsure

All governmental
agencies/entities at a
variety of levels in your
jurisdiction
Strategic plan is
coordinated across
sectors or levels for at
least one strategy
Sustainability plan only
applies for one or two
strategies

All governmental and
non-governmental
entities in your
jurisdiction and at a
variety of levels (e.g.,
public and private)
Strategic plan is
coordinated across
sectors or levels for
multiple strategies
Sustainability plan
exists for overdose
prevention

Unsure

Unsure

Unsure

Responsive Plans and Planning, Continued
Respondents please select the level that best reflects your current capacity

Plan updates

There is no known
updating process for
the plan

Opioid response
incorporated into
other jurisdictional
planning efforts (e.g.,
State Health
Improvement Plan
(SHIP))

Overdose response is
not incorporated into
jurisdictional planning
efforts

Plan is updated rarely
or every 3 years

Plan is only visited
when there are
emergent needs

Plan is a living
document; regularly
reviewed and updated
to address trends and
respond to needs

Unsure

Overdose response
needs to be
incorporated into
jurisdictional planning
efforts

Overdose response
plan is referenced in
jurisdictional planning
efforts like the SHIP or
action plan

Overdose response
plan is integrated into
jurisdictional planning
efforts like the SHIP or
action plan

Unsure

Notes or comments:

7

Data to Action
Data to Action refers to identifying and working with data in a way that promotes action and ensures that data are used to promote
public health goals.
Respondents please select the level that best reflects your current capacity

Needs assessment

Data sharing

Use/linkage of Drug
Overdose Data

No needs assessment
has been performed

No data sharing
occurs currently

The health department
does not regularly
conduct drug
overdose surveillance
activities

Needs
assessment performe
d but limited in scope

Needs assessment
performed at regular
intervals; but lacks
data on specific needs
of high-risk
populations or
regions/areas

Data sharing is limited
to within the health
department

Data sharing occurs
across several
governmental entities
and Data Use
Agreements may exist
formalizing these
relationships

Health department
conducts analysis and
trend reporting of
mortality data (e.g.,
vital records death
data and medical
examiner death data)

Surveillance activities
include analysis and
trend reporting of
mortality data and
morbidity data (e.g.,
emergency
department discharge
and hospital inpatient
data and syndromic
surveillance)

8

Needs assessment
performed on a
regular basis;
additional needs
assessments
conducted about highrisk populations or
regions/areas
Data sharing is
formalized by legal
documents like Data
Use Agreements; data
sharing is enhanced
through shared
resources (e.g., health
department pays for
PDMP analysts or
epidemiologists) and
occurs across
jurisdictions.
Health department
conducts data
linkages with mortality
and/or morbidity drug
overdose data and
other surveillance data
sources (e.g., PDMP,
EMS, or administrative
billing discharge data)

Unsure

Unsure

Unsure

Data to Action, Continued
Respondents please select the level that best reflects your current capacity
Access and use of
Non-traditional data
sets (e.g., Law
Enforcement,
Criminal Justice,
Naloxone
Administrations,
ODMAP, Neonatal
Abstinence
Syndrome, Syringe
Associated
Infections, Social
Service or Child
Welfare, Medicaid,
Worker's
Compensation,
Veteran's)

Data dissemination

These data are not
accessed or used
currently

Data are not currently
disseminated

Access to nontraditional data has
been identified as a
need and efforts are
underway to gain
access.

Health department has
access to and
conducts trend
analysis with nontraditional data sets

Data dissemination
planning is occurring
and mechanisms for
distribution are being
explored

Data dissemination
occurs often (e.g.,
more than once a
year), formal
Data dissemination
dissemination
occurs regularly and
mechanisms exists
formal mechanisms
and are tailored to the
exist for disseminating
needs of various
data to key partners
stakeholders.
(e.g., data dashboard,
Additional training and
legislative reports,
technical assistance
PDMP reports to
may be provided to
licensing boards)
help stakeholders to
understand and take
action on the data they
receive.

9

Health department
conducts data
linkages with nontraditional data sets
with morbidity and/or
mortality data

Unsure

Unsure

Data to Action, Continued
Respondents please select the level that best reflects your current capacity
Data action plans
(e.g., plans that
guide stakeholders
on actions that can
be taken based on
drug trends or
overdose spikes in
their areas)

There is not interest
and no data action
plans exist for my
jurisdiction

Data action plans are
a recognized need but
no current guidance
has been developed.

Notes or comments:

10

Data action plans exist
but are limited in
scope (e.g., only
address opioids) and
offer a narrow list of
activities that can be
undertaken

Data action plans
exist, cover all
possible overdose
substances, and are
widely used by
stakeholders to plan
overdose responses
efforts

Unsure

Managed Resources
Managed resources refers to funding and social capital or relationships that produce social benefits.
Respondents please select the level that best reflects your current capacity

Funding sources

Scope of funded
activities

There are currently no
funds available to
support prevention
efforts.

There are currently no
funds available to
support prevention
efforts.

Only CDC funds
overdose prevention
efforts in my
jurisdiction

CDC and other federal
entities fund overdose
prevention efforts in
your jurisdiction

Funds support work
implemented only
within the state or local
or territorial health
agency

Funds support work
implemented outside
of the health agency
across
public government
entities at multiple
levels to expand and
enhance prevention
activities (e.g., fund
local health districts/
departments)

11

An array of partners
fund overdose
prevention efforts in
your jurisdiction. This
may include the
following: CDC, other
federal
entities, jurisdictional
funds, private entities,
and/or foundations
Funds support
prevention efforts
implemented by
partners across
sectors or levels. This
includes funding staff
positions in other
entities outside the
health department
(e.g., PDMP
administrators,
recovery coaches)

Unsure

Unsure

Managed Resources, Continued
Respondents please select the level that best reflects your current capacity

Staffing levels

Resource sharing

Health agency does
not have the resources
or mechanisms to staff
all essential positions
needed to support
overdose prevention
efforts (i.e. case
abstractors, epi,
prevention specialists,
etc.)

Overdose program
has the resources but
not the infrastructure
or mechanisms to fill
staffing positions to
manage and operate
overdose prevention
programs (e.g.,
vacancies are difficult
to fill)

Health department
does not share any
resources with
partners.

Health department
shares limited
resources with a few
partners (e.g., funding
positions or efforts in
partner agencies,
providing training or
technical assistance)

12

Overdose program
has high quality staff
to manage and
operate programs and
Overdose program
all essential positions
has sufficient staff to
are filled (e.g.,
manage and operate
vacancies have been
overdose
easy to fill and attract
prevention programs
high quality candidates
to function as epis,
prevention specialists,
case abstractors, etc.)
Health department and
partners share
resources in
Health department and
coordinated and
partners share
strategic manner.
resources (e.g., in-kind
Resources are shared
staff, training,
at multiple levels and
technical assistance)
forms (e.g., in-kind
staff, training,
technical assistance)

Unsure

Unsure

Managed Resources, Continued
Respondents please select the level that best reflects your current capacity
Social capital (e.g.,
features of an
organization like
networks, norms,
and social trust that
facilitate
coordination and
cooperation for
mutual benefit)

Potential partners do
not currently work
together. Therefore,
no social capital
exists.

Overdose prevention
partners have a low
degree of social
capital (e.g., partners
lack diversity, trust,
coordination and
cooperation)

Notes or comments:

13

Overdose prevention
partners have
sufficient social capital
to move prevention
efforts forward, but
improvements could
be made to strengthen
partner trust, diversity,
coordination, and
cooperation

Overdose prevention
partners have high
degree of social
capital (e.g., trust is
high, partnership is
diverse, and active
levels of coordination
and cooperation exist)

Unsure

Topical Capacity
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Conducting
Public Health
Surveillance
(e.g.,
syndromic vs.
conventional
surveillance,
high burden
areas
identified)

No
systematic
public health
surveillance
of opioid
misuse and
overdose.

Limited public
health surveillance
of opioid misuse
and overdose that
does not extend
beyond overdose
morbidity/mortality
and only sometimes
informs intervention
planning.

Public health
surveillance of misuse
and overdose as well
as key risk factors.
Data informs
intervention planning
and action.

Public health surveillance
data on opioid misuse,
overdose, risk factors and
protective factors is a
critical part of the
recipient’s response to the
opioid epidemic

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

14

Recipient has
implemented
comprehensive public
health surveillance as
well as innovative
approaches such as
linking datasets or
conducting rapid needs
assessments.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Medical
Examiners/Cor
oners/Toxicolo
gists share
data with
public health
agency on
drug overdose
deaths

No data
sharing

Limited data
sharing

Some data sharing, but
lack full state coverage,
receive data slowly or
receive data
inconsistently.

Data sharing across the
state in a timely manner
with some problems.

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

15

Rapid data sharing and
ongoing
communication.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Analysis and
dissemination
of ME/C data
including
toxicology by
health
department

No ongoing
analysis or
disseminatio
n.

Some basic
analyses and
dissemination, but
is periodic and
inconsistent.

Ongoing analysis and
dissemination of data,
but not well integrated
into prevention and
response efforts.

Consistent ongoing
dissemination of the data
that is well integrated into
prevention and response
efforts.

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

16

Consistent
dissemination of data to
support prevention and
response efforts
coupled with innovative
analyses and
dissemination efforts.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).

Capacity to
conduct
comprehensiv
e death
investigation
of drug
overdose
deaths by
ME/C agencies

Death
investigation
s tend to use
limited
toxicology
screens
(e.g., do not
test for
fentanyl) and
provide
limited
information
beyond the
death
certificate.

Death
investigations tend
to provide only
basic information or
vary substantially in
quality across
county ME/C
agencies.

Death investigations
tend to provide useful
information on the
circumstances of drug
overdose deaths as
well as detect fentanyl
and fentanyl analogs,
but may lack resources
to conduct autopsies
and comprehensive
toxicology screens on
all cases.

Death investigations are
thorough including
autopsy, comprehensive
toxicology testing, and
field investigations that
provide actionable insights
into the circumstances of
drug overdose deaths.

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

17

Death investigation is
comprehensive and
involves innovative
components such as
fatality review.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).

Naloxone
tracking and
analysis of
administration
data to identify
hot spots

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

18

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Hospital,
healthcare, or
emergency
systems (e.g.,
to increase
access to
timely data
EHR/PDMP
integration,
quality
improvement
initiatives,
CDC guideline
concordance)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

19

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Access to any
rapid and
reliable data
on drug
overdoses
(e.g.,
Emergency
Department,
EMS, or other
data)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

20

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Provider
support &
education
(e.g., academic
detailing,
guideline
concurrence,
addiction
medicine
training, opioid
prescribing
and tapering
training)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

21

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Public
safety/first
responders
(police, EMS,
Fire, 911,
poison control)
like training on
naloxone
administration,
Good
Samaritan
Laws, or SUD;
quick
response
teams

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

22

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Mass media or
awareness
campaigns
(anti-stigma,
information
about local
treatment and
recovery
resources and
Good
Samaritan
Laws)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

23

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
PDMP (e.g.,
mandatory
use,
identifying
high
prescribers,
prescriber
reports)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

24

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Opioid
overdose
education and
naloxone
distribution
(harm
reduction
education,
SUD training,
and targeted
outreach)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

25

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Health
Insurers/payer
s
(Medicare/Medi
caid/Workers
Comp) to
increase
treatment
access (e.g.,
removing prior
authorization,
lock-in
programs,
coverage of
non-opioid
pain
management
treatment)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required
26

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Linkage to care (peer
support, warm
handoff, wraparound
services such as
mental health,
transportation, or
housing services in
variety of settings
from community
based Quick
Response Teams,
ERs, first responders,
and harm reduction
organizations,
corrections)

No efforts
are
currently
underway

Preliminary
efforts and
plans are
underway
(e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

27

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Substance use
treatment (e.g.,
expanding
access by
integrating
MAT into
primary care,
buprenorphine
waiver,
accessibility,
co-locating
treatment in
high-risk
settings)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

28

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Highest
burden
populations
identification,
assessment of
needs, and
targeted
initiatives to
address needs
(e.g., AA,
NA/AI, Women
Reproductive
age,
Adolescents,
Senior
Citizens,
Chronic Pain
Patients)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required
29

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.

Topical Capacity, Continued
Please select the description that best fits your health agency's capacity related to the topic. If you select the leftmost column you will
be prompted to identify the barriers preventing capacity building for this function. Please select the top three to five barriers that apply
(common list of barriers for all topics can be found at the end of this section).
Justice system
and its
involved
populations
(e.g., linkage
and continuity
of care in
corrections
and probation;
drug courts or
drug diversion
programs;
naloxone and
SUD training
for correction
and probation
officers)

No efforts
are currently
underway

Preliminary efforts
and plans are
underway (e.g., an
action plan)

Have assessed and
developed initial
responses, but
important program
gaps or challenges
remain

Initiatives are developed
but are either 1) targeted
to the general population
and not specifically to
those in need or 2) a few
minor program gaps or
challenges remain
(resource plan in
development to fill gaps)

Challenges and Barriers
If you selected the left-most column, select three to five challenges or barriers from the list below:
Lack of personnel due to funding issues
Lack of trained personnel
Lack of plans/incomplete plans
Administrative barriers
Lack of equipment
Lack of IT systems
Lack of supporting infrastructure
Other (please explain)

Lack of personnel due to hiring issues
Lack of subject matter experts
Legal barriers
Issues with procurement/contracting process
Lack of IT equipment
Lower priority function
Corrective actions and/or exercising is required

30

Have targeted
initiatives to those in
need (e.g., data may be
shared and discussed multilateral sharing). All
gaps and challenges
related to implementing
strategy has been
addressed.