Evidence map›Paper›PMID 42176193›Full record

ArticleJournal of medical systems2026

A Standardized Framework for Evaluating State Opioid Surveillance Dashboards: A Health Informatics Assessment.

Chance Aguiar, Maria Bolus, Seshadri C Mudumbai

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Article in Journal of medical systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Chance AguiarCalifornia Northstate University College of Medicine, Elk Grove, CA, USA.
Maria BolusAnesthesiology, Perioperative and Pain Medicine Service, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (112A), Palo Alto, CA, 94304, USA.
Seshadri C MudumbaiAnesthesiology, Perioperative and Pain Medicine Service, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (112A), Palo Alto, CA, 94304, USA. mudumbai@stanford.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundState public health agencies across the U.S. depend on opioid surveillance dashboards to monitor overdose trends and guide interventions. Despite their central role in decision-making, no standardized framework exists to evaluate how well these dashboards actually function.

objectiveWe developed a health informatics framework to systematically assess state opioid surveillance dashboards and applied it across all 50 U.S. states.

methodsOur framework evaluates dashboards across nine domains (including temporal analysis, geographic granularity, data disaggregation, visualization features, narrative support, simplification techniques, and interactive functionality) using 28 specific sub-variables. Sub-variables were selected based on public health informatics literature on effective dashboard design, including features identified in COVID-19 dashboard evaluations and usability frameworks. We scored each feature as either present or absent, creating composite scores with a theoretical maximum of 28 points. All 50 U.S. state-level dashboards were reviewed twice by the study team, with an external consistency check on a subset of 10 dashboards. We calculated the correlation coefficient between dashboard scores and state population estimates.

resultsDashboard scores varied widely, ranging from 12 to 22 points (mean:19.18, standard deviation:2.20). Three states (Delaware, Indiana, and New York) achieved the highest score of 22 by offering comprehensive geographic detail, extensive data breakdowns, and full interactive capabilities. Interactive filtering was present in 92% of dashboards, but only 80% enabled switching between visualization modes. While nearly all dashboards showed time trends, only 6% provided zip code-level detail, and over a third lacked race and ethnicity data. Single external reviewer demonstrated strong correlation (r = 0.84, p = 0.002). Dashboard scores were not correlated with state population size (r = 0.187, p = 0.193).

conclusionsState opioid surveillance dashboards varied substantially in observable capabilities. This framework provides a standardized method to compare dashboard features and identify gaps that may inform future refinement.

Indexed as

Dashboard SystemsOpioid EpidemicPublic Health InformaticsPublic Health SurveillanceAnalgesics, OpioidHumansUnited StatesAnalgesics, OpioidEvaluation frameworkHealth informaticsOpioid surveillancePublic health dashboards

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.