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WARM HAND-OFF SUMMITS: Outcome Measures

Single County Authorities report the number of Warm Hand-off referrals and refusals to DDAP. The data for 2017 was shared at the summits, along with 2016 overdose death data as follows:

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Region Number of Hospitals/Health Systems with Emergency Departments EDs) Total 2017 ED Warm Hand-Off (WHO) Attempts Reported Number of 2017 ED WHO Refusals Number of 2017 ED WHO Referrals Percent of 2017 ED WHO Attempts Referred Number of 2016 Drug Overdose Deaths Rate of 2016 Drug Overdose Deaths Percent of Counties with 24/7 Coverage
Northwest 23 752 381 371 49% 237 27.11 38%
Northcentral 16 358 152 206 58% 150 21.35 8%
Northeast 20 486 180 306 63% 528 33.01 30%
Southwest 37 871 385 486 56% 1,384 41.61 55%
Southcentral 22 888 417 471 53% 559 25.44 43%
Southeast 43 1,407 851 556 40% 1,784 39.05 29%
Pennsylvania 158 4,609 2,277 2,332 51% 4,642 34.98 34%
 Note: The Armstrong/Indiana/Clarion SCA covers two regions. Their reporting for WHO attempts is listed under both Northwest and Southwest Regions above. However, the figures are only counted once for the Pennsylvania total.

An explanation of each column in the above table is as follows:

  1. This is the name of the Region for which the data is presented. To see those counties comprising each region, see the Overview.
  2. The Number of Hospitals/Healthsystems with Emergency Departments s (EDs) is the number licensed by the Pennsylvania Department of Health. Note that one license may cover more than one ED.
  3. The Total 2017 ED WHO (Warm Hand-Off) Attempts Reported is the number reported by the Single County Authorities. It is not the number of ED encounters for overdose, but rather the number of attempts at warm hand-off in the ED.
  4. The Number of 2017 ED WHO Refusals represents the number of attempts that resulted in a refusal.
  5. The Number of 2017 ED WHO Referrals represents the number of attempts that resulted in a referral to OUD treatment.
  6. The Percent of 2017 ED WHO Attempts Referred shows column (E) as a percentage for ease of comparison.
  7. The Number of 2016 Drug Overdose Deaths is extracted from data in the Analysis of Overdose Deaths in Pennsylvania, 2016 Joint Intelligence Report from the U.S. Drug Enforcement Agency and PittPharmacy.
  8. The Rate of 2016 Drug Overdose Deaths is the rate per 100,000 population, and is shown for ease of comparison.
  9. The Percent of Counties with 24/7 Coverage represents those counties with 24/7 warm hand-off availability for emergency departments to contact for seamless transition of opioid overdose survivors to OUD treatment

For information about the summits visit the pages in the right navigation or email ra-DHWarmHandoff@pa.gov.