This map provides an estimate of the number of people aged 15-34 years with newly identified confirmed chronic (or past/present) hepatitis C infection, by county and by year.
The underlying data is limited to persons aged 15 to 34 because hepatitis C infection is usually asymptomatic for decades after infection occurs. Cases are usually identified because they have finally become symptomatic, or they were screened. Until very recently, screening for hepatitis C was not routinely performed. This makes it very challenging to identify persons with recent infection. Limiting the age of newly identified patients to 15-34 years makes it more likely that the cases included in the dashboard were infected fairly recently. It is not meant to imply that the opioid crisis’ effect on hepatitis C transmission is limited to younger people.
The patient zip code, as submitted to PA-NEDSS, is used to determine the case’s county of residence at the time of initial case report. In some instances, the patient zip code is unavailable. In those circumstances, the zip code of the provider that ordered the lab test is used as a proxy for patient zip code.
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 file contains general information about the candidate, lobbyist or committee who file campaign expense reports, including information about the election(s) and filing cycle(s) for which reports were filed. The data is also available and searchable on www.campaignfinanceonline.pa.gov.
This file contains information about expenditures made by candidates, lobbyists or committees for the purpose of influencing elections. It includes the identification number of the filer and information about the election (s) and filing cycle (s) during which expenditures were made, as well as general information about the payees. The data is also available and searchable on www.campaignfinanceonline.pa.gov.
This file contains information about the debt(s) by which a candidate or committee is encumbered, including information about the person or entity to whom the debt is owed. The data is also available and searchable on www.campaignfinanceonline.pa.gov.
This file contains information about the receipts or “credits” to a candidate or committee’s expense account, including information about the source of each receipt. This file contains items such as contributions, refunds, interest income, etc. The data is also available and searchable on www.campaignfinanceonline.pa.gov.
This dataset contains summary information on candidate and committee campaign finance contributions received during the 2017 election cycle. The data is also available and searchable at www.campaignfinanceonline.pa.gov.
This dataset reports the name, street address, city, county, zip code, telephone number, latitude, and longitude of Pennsylvania Department of Drug and Alcohol Programs (DDAP) drug and alcohol treatment facilities in Pennsylvania as of May 2018.
The primary difference between the three types of treatment facilities is their funding. Centers of Excellence (COEs) were grant funded by the Department of Human Services, PacMATs were grant funded by the Department of Health, and all other facilities are funded by either billing insurance or billing the county in the case of uninsured clients.
Programmatically, COEs differ from the other types because they are designed to serve as “health homes” for individuals with Opioid Use Disorder (OUD). This means that the care coordination staff at the COE is charged with coordinating all kinds of health care (physical and behavioral health) as well as recovery support services. They do this by developing hub-and-spoke networks with other healthcare providers and other sources for recovery supports, such as housing, transportation, education and training, etc. All COEs are required to accept Medicaid.
PacMATs also operate in a hub-and-spoke model, but it is different from COEs. PacMATs endeavor to coordinate the provision of Medication Assisted Treatment (MAT) by identifying a core hub of physicians in a health system that work with other providers in the health system (spokes) to train them about the safe and effective provision of MAT so that there are more providers in a health system that are able to confidently prescribe various forms of MAT. I do not know whether all PacMATs are required to accept Medicaid as a term of their receipt of the grant, but I do know that all currently designated PacMATs are health systems that do accept Medicaid. PacMAT services have been advertised as being available to all people regardless of insurance type, so I assume this means they are required to serve Medicaid clients, commercially insured clients, and uninsured clients. In the PacMAT program the Hub is supported right now by grant funding (in the future funding such as a per patient/per month capitated rate) and the spokes bill insurance (both Medicaid and Commercial)
DDAP facilities may also be designated as COEs and/or PacMATs. If they are, it means they applied for a specific grant fund and have committed to carrying out the activities of the grant described above. To be clear, DDAP does not run any treatment facilities; they license them. These can be MAT providers such as methadone clinics, providers of outpatient levels of care (i.e., more traditional drug and alcohol counseling services) or inpatient levels of care, such as residential rehabilitation programs. Every facility is different in terms of the menu of services it provides. Every facility also gets to decide what forms of payment they will accept. Many accept Medicaid, but not all do. Some only accept private commercial insurance. Some accept payment from the county on behalf of uninsured clients. And some charge their clients cash for services.