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To address a rise in overdose deaths, Maryland used an innovative and focused approach to bring together data on overdose decedents across multiple agencies. The effort was focused on developing discrete intervention points based on information yielded on decedents' lives, such as vulnerability upon release from incarceration. Key aspects of this approach included gubernatorial leadership, a unified commitment to data sharing across agencies with memoranda of understanding, and designation of a data management team. Preliminary results have yielded valuable insights and have helped inform policy. This process of navigating legal and privacy concerns in data sharing across multiple agencies may be applied to a variety of public health problems challenging health departments across the country.<\/jats:p>","DOI":"10.1177\/003335491613100209","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T15:47:01Z","timestamp":1467215221000},"page":"258-263","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Sharing Overdose Data across State Agencies to Inform Public Health Strategies: A Case Study"],"prefix":"10.1177","volume":"131","author":[{"given":"Sara","family":"Cherico-Hsii","sequence":"first","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene, Baltimore, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Bankoski","sequence":"additional","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene, Baltimore, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Singal","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine, Baltimore, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Horon","sequence":"additional","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene, Baltimore, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Beane","sequence":"additional","affiliation":[{"name":"Office of the Governor of Maryland, Annapolis, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Casey","sequence":"additional","affiliation":[{"name":"Office of the Governor of Maryland, Annapolis, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Rebbert-Franklin","sequence":"additional","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene, Behavioral Health Administration, Catonsville, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Sharfstein","sequence":"additional","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene, Baltimore, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,3,1]]},"reference":[{"key":"bibr1-003335491613100209","unstructured":"Maryland Department of Health and Mental Hygiene. 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