Updated February 2020

The number of patients treated at a Spoke in Chittenden County has been increasing slowly since 2013. For the past year, there have been upwards of 1000 patients treated at Chittenden County Spokes. The number of Spoke prescribers is also increasing and is currently at 93 in Chittenden County. However, only 18 of the 93 prescribers are prescribing to more than ten patients. To see all the number of Medicaid Beneficiaries treated at Chittenden County Spokes, click “Trend Line Comparison” in the top right corner of the graph. Approximately two-thirds of all patients treated at Chittenden County Spokes are Medicaid Beneficiaries.

• Vermont Department of Health
• Vermont Blueprint for Health
• University of Vermont Medical Center
• Howard Center
• Community Health Centers Burlington
• Community Prescribers across the County

• Medication-Assisted Treatment (MAT) is the most effective treatment for Opioid Use Disorder (OUD) [1]
• Patients receiving buprenorphine or vivitrol may move back and forth between Hub and Spoke settings over time, as their treatment needs change [2]
• Development and implementation of a hub-and-spoke system of care has contributed substantially to improvements in opioid agonist treatment capacity in Vermont [3]
• Develop materials to assist clinicians in explaining the typical course of MAT and positive and negative considerations of medication termination and post-MAT continuing care [4]
• Review and revise the patient placement instruments to improve placement of individuals in the Hub and Spoke system [5]
• Ensure there are enough waivered providers and clinicians in the county to meet the treatment demand