View annual counts of Accidental or Undetermined overdose deaths for 2012 forward, including provisional estimates of annual counts of overdose deaths for recent years, as noted with an asterisk and the month the data was pulled. NOTE: Finalized death records for overdose deaths are often delayed by 3-6 months. Counties labeled “no value” have data suppressed because the counts are between 1 and 9.
Dataset includes overdose deaths where the Manner of Death is Accidental or Undetermined.
County complement counts file located here - https://data.pa.gov/Opioid-Related/Estimated-Accidental-and-Undetermined-Drug-Overdos/azzc-q64m

Overdose Deaths are classified using the International Classification of Diseases, Tenth Revision (ICD–10). Accidental and Undetermined drug overdose deaths are identified using underlying cause-of-death codes X40–X44, and Y10–Y14, and include
- R99 when the Injury Description indicates an overdose death.
- X49 when literal COD is Mixed or Combined or Multiple Substance Toxicity, as these are likely drug overdoses
- X47 when substance indicated is difluoroethane, alone or in combination with other drugs
Source Pennsylvania Prescription Drug Monitoring Program *
* These data were supplied by the Bureau of Health Statistics and Registries, Harrisburg, Pennsylvania. The Bureau of Health Statistics and Registries specifically disclaims responsibility for any analyses, interpretations or conclusions.
- Estimates are broken down by type of drugs involved in the overdose
- Any Drug Overdose Death - all drug overdose deaths, regardless of type of drug involved, excluding alcohol only deaths
- Opioid Overdose Death - any overdose death involving opioids, prescription or illegal

This dataset contains the total counts of PA Department of Human Services (DHS) Medical Assistance (MA) individuals diagnosed with Opioid Use Disorder (OUD) or OUD Poisoning. Also included are individuals receiving MAT (Medication assisted treatment - the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders.) NOT diagnosed in the same period. Limited to the Newly Eligible (Under the Medical Assistance Expansion Program. Find more information here: http://www.dhs.pa.gov/cs/groups/webcontent/documents/document/c_257436.pdf) segment of DHS population. Internally defined as DHS Category of Assistance = MG (Modified Adjusted Gross Income - MAGI) MG and Program Status = 91 (Newly Eligible). Counts are reported by Pennsylvania case county and covers calendar years 2015 -2018.

Naloxone is a life-saving medication that can reverse an overdose that is caused by an opioid drug (i.e. prescription pain medication or heroin). Naloxone may be obtained at a pharmacy using the statewide standing order (https://www.health.pa.gov/topics/Documents/Opioids/General Public Standing Order.pdf) signed by Secretary of Health, Dr. Rachel Levine. Naloxone may be covered by insurance and consumers are encouraged to check with their insurers to understand their insurance coverage for naloxone. Individuals covered by Medicaid can obtain naloxone without a copay. A video demonstrating how to administer nasal spray naloxone may be found here - https://www.youtube.com/watch?v=v26cDao4AcI&feature=youtu.be

More information about how naloxone works as a medication and frequently asked questions about obtaining and using naloxone may be found on the Department of Health’s Naloxone webpage (https://www.health.pa.gov/topics/disease/Opioids/Pages/Naloxone.aspx)

*This is a comprehensive listing of all pharmacies registered with the Department of State in Pennsylvania and does not guarantee that the pharmacy listed will have naloxone in stock.

This dataset reports county numbers of intakes by individuals seeking treatment from hotline staff since the inception of Pennsylvania’s Get Help Now Hotline, text line, and chat line in November 2016.
When a field is blank the information is not available; these data were not collected at the time of the phone call.

Mean Length of Stay (LOS) for all Pennsylvania general acute care hospital stays for newborns, categorized by the presence or absence of Neonatal Abstinence Syndrome (NAS).
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. Additionally, hospital stays with rehabilitation revenue codes and hospital stays that ended in a transfer or mortality were excluded.

Disclaimer:
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.
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.

Percent of Pennsylvania newborn hospital stays, categorized by the presence or absence of Neonatal Abstinence Syndrome (NAS), with Medicaid as the Anticipated Primary Payer.
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:
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.
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 data set includes the estimated number of individuals in Pennsylvania with Drug Use Disorder, which is an approximation for Opioid Use Disorder prevalence. The estimates are developed by applying mortality weights derived from the CDC’s National Center for Health Statistics to statewide illicit drug use estimates from the National Survey on Drug Use and Health (NSDUH, sponsored by the Substance Abuse and Mental Health Services Administration).

This dataset contains the total counts of PA Department of Human Services (DHS) Medical Assistance (MA) individuals diagnosed with Opioid Use Disorder (OUD) or OUD Poisoning. Also included are individuals receiving MAT (Medication assisted treatment - the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders.) NOT diagnosed in the same period. Counts are reported by case county and cover calendar years 2015 - 2018.

Statewide rates of maternal hospital stays with opioid use per 1,000 maternal stays.

Maternal stays include those involving a delivery, as well as other pregnancy-related stays. Opioid use, or opioid use disorder, is a diagnosis indicating opioid dependence, abuse, or use. Some opioid drugs may be prescribed as part of medication-assisted treatment to relieve withdrawal symptoms and psychological cravings often associated with opioid use disorders. Opioid use during pregnancy can lead to Neonatal Abstinence Syndrome (NAS) for newborns.

This analysis is restricted to maternal hospital stays for Pennsylvania-state residents who were hospitalized in Pennsylvania hospitals.

Disclaimer:
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.

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.