Countywide counts of newborn hospital stays with Neonatal Abstinence Syndrome (NAS) and countywide rates of newborn hospital stays with (NAS) per 1,000 newborn stays. Neonatal Abstinence Syndrome, or neonatal drug withdrawal, is an array of problems that develops shortly after birth in newborns who were exposed to addictive drugs, most often opioids, while in the mother’s womb. Withdrawal signs develop because these newborns are no longer exposed to the drug for which they have become physically dependent. This analysis is restricted to newborns with Pennsylvania-state residence who were hospitalized in Pennsylvania hospitals.
Disclaimer: Pennsylvania Health Care Cost Containment Council (PHC4) database contains statewide hospital discharge data submitted to PHC4 by Pennsylvania hospitals. Every reasonable effort has been made to ensure the accuracy of the information obtained from the Uniform Claims and Billing Form (UB-82/92/04) data elements. Computer collection edits and validation edits provide opportunity to correct specific errors that may have occurred prior to, during or after submission of data. The ultimate responsibility for data accuracy lies with individual providers. PHC4 agents and staff make no representation, guarantee, or warranty, expressed or implied that the data received from the hospitals are error-free, or that the use of this data will prevent differences of opinion or disputes with those who use published reports or purchased data. PHC4 will bear no responsibility or liability for the results or consequences of its use.

This indicator includes the hospitalization count and rate of hospitalization per 1,000 individuals estimated to have Drug Use Disorder for any of the following reasons: Opioid Use Disorder (OUD), Cellulitis, Osteomyelitis, Endocarditis, Soft skin tissue infection, or Viral Hepatitis (B, C, and D) for individuals diagnosed with OUD in the same calendar year.
Analyses were completed by the University of Pittsburgh using data from the PA Health Care Cost Containment Council and in cooperation with PA DOH.
PHC4’s database contains statewide hospital discharge data submitted to PHC4 by Pennsylvania hospitals. Every reasonable effort has been made to ensure the accuracy of the information obtained from the Uniform Claims and Billing Form (UB-82/92/04) data elements. Computer collection edits and validation edits provide opportunity to correct specific errors that may have occurred prior to, during or after submission of data. The ultimate responsibility for data accuracy lies with individual providers.

NOTE:
This data set measures how many hospitalizations per 1,000 individuals are primarily for conditions related to opioid use. Each of the categories in this data set—Opioid Use Disorder, Intracranial and intraspinal Abscess, Osteomyelitis, Endocarditis, Soft skin tissue infection (Cellulitis), and Viral Hepatitis (B, C, and D)—measure the number of individuals with a primary diagnosis for that condition on their hospitalization record. Each of those records, except for Opioid Use Disorder, must also have at least one secondary diagnosis for Opioid Use Disorder. The full list of ICD-10 codes used to identify these conditions are in the excel spreadsheet listed under attachments below.

County rates of hospitalizations