Melanie Cline
Melanie Cline
Assistant Director, Lean Services
Andrew Marimon-Cabamalan
Andrew Marimon-Cabamalan
Lead Quality Advisor


The Small Care Neighborhood−Opioids Response initiative is funded by the Indiana Family & Social Services Administration through a Centers for Medicare and Medicaid Services 90/10 matching grant for which Purdue University matches ten percent. Awarded in November of 2018, the effort is funded for two years with the potential for a third-year extension.


Andrew accepted an award  from the United Way-sponsored Tippecanoe Celebration of Recovery Rally for public health work with the county's Opioids Task Force. More than 300 people attended the rally in Lafayette that kicked off Overdose Awareness Month in Sept. 2019.

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Small Care Neighborhood−Opioids Response


Enrollment Status: Full/Closed

About the Program

SCNThe Small Care Neighborhood−Opioids Response ("SCN−Opioids") initiative aims to improve the quality and cost of care for Indiana Medicaid by helping two Indiana communities ― Lafayette and Fort Wayne ― respond in a strategic, community-focused way to the opioid epidemic. Small Care Neighborhoods are collaboratives comprised of stakeholders who provide medical and non-medical services that impact the opioids response services in a geographic area. Purdue Healthcare Advisors works within these "neighborhoods" to provide community-building strategy, technical assistance expertise, and process improvement training and coaching.

Allen CountyFort Wayne/Allen County Small Care Neighborhood−Opioids Response

As part of the Regenstrief Center for Healthcare Engineering at Purdue University, PHA is working with the Fort Wayne/Allen County “neighborhood” to provide community-building strategy, technical assistance expertise, and process improvement training and coaching. This specific neighborhood is taking a population health approach to the opioids epidemic with a focus on a specific segment of the population afflicted by it: Pregnant women with substance use disorder whose unborn babies are exposed to substances prenatally.

The project team has identified and secured as its neighborhood anchor Parkview Health, which operates the only hospital in the area with board-certified neonatologists on site 24/7 as well as eight birthing centers with direct access to the hospital’s Newborn Intensive Care Unit.

Community partners are essential to the success of small-care neighborhoods. The Fort Wayne/Allen County collaborative is recruiting stakeholders now.

Short-term goals for this collaborative include developing relationships within the community in preparation for several Value Stream Analyses (VSA). The first VSA will address prenatal care from first appointment through delivery; the second will address delivery through discharge for both mom and baby; and the final VSA is anticipated to involve the period of time for the child from hospital discharge through to kindergarten. The collaborative's long-term goal is to develop an NAS Systems Intervention Model to reduce the number of women who use substances harmful to their pregnancies and to improve outcomes for mother and baby.

Program Update 3/12/2020: As part of the work, Parkview Heath is implementing the Perinatal Substance Use Practice Bundle, which is a toolkit for hospitals developed by the Indiana Perinatal Quality Improvement Collaborative in 2018.

Contact: Melanie Cline

Tippecanoe CountyLafayette/Tippecanoe County Small Care Neighborhood−Opioids Response

PHA is working in conjunction with Purdue's School of Public Health and Purdue's School of Nursing to strategically collaborate to increase access to addiction treatment/recovery services as well as reduce opioids use disorder-related prescribing/overdosing. The team will leverage electronic health record (EHR) systems technology, specialized registries, and coordination of care among providers to help Tippecanoe County increase the number of opioids-use disorder patients screened, better utilize PDMP technology, and improve the transition of patients to addition/mental health treatment.

Specific goals for this collaborative include:

  • Integrating the INSPECT database with these practices 
  • Helping practices understand how to spot patients who may be addicted to opioids
  • Helping practices manage the referral of these patients to the next provider of care
  • Gaining a better understanding of upstream/downstream patient-flow issues

Contact: Andrew Cabamalan

To read about Purdue Healthcare Advisors' work on opioids in Fayette County, Ind., visit the Empowered Communities Initiative.

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