PENNSYLVANIA STATE HOSPITAL SYSTEM LENGTH-OF-STAY, DEMOGRAPHICS & DIAGNOSES REPORT FOR JUNE 30, 2013

Transcription

1 PENNSYLVANIA STATE HOSPITAL SYSTEM LENGTH-OF-STAY, DEMOGRAPHICS & DIAGNOSES REPORT FOR JUNE 3, 3 Prepared by John A. Deeg an, M.S. Chief Performance Improvement Executive Wernersville State Hospital July 3

2 Background The information contained in this report is taken from the statewide Patient Census Information System (PCIS). PCIS is a Mapper-based database application that is a repository of information about past and present consumers of service in the State Hospital system. The medical records staff at each of the hospitals and the restoration center is continually updating this system as new information becomes available. The PCIS database collects highly sensitive information on any person served in the hospital system including home addresses, marital status, service area and all diagnostic data. The creation of a monthly Episode database is an automated process produced by the Department of Public Welfare Office of Information Services and the Bureau of Applications Development staff that generates a monthly report within PCIS. The generated report can then be exported out of PCIS to a text file, downloaded and imported into Microsoft Access. Data quality checks on the information are done during each step of the process. This monthly Episode file, that contains the original, monthly data for all OMHSAS facilities, is the basis for the information contained in this report. This data is refreshed monthly, usually by the tenth, for the prior month s diagnostic and demographic history. Purpose The purpose of this report is to provide the reader with an overview of lengths-of-stays, demographic and diagnosis information, as it exists on the last day of the month for all State Hospitals. There is no personal or protected patient information in this report as it contains only counts by hospital and type of care. It is issued every six months and prior year reports are stored in the State Hospital Document Library that is located on the Harrisburg server. Acknowledgements Much work went into creating a user-friendly way of retrieving data and running reports using PCIS data. I want to acknowledge the medical records staff at each facility for their continuing efforts to assure that reliable data are entered into the PCIS system. I also want to recognize the work of DPW Bureau of Applications Development staff for their work on creating the conversion file for the Episode file system.

3 Table Table of Contents /Table Description Page Facility Census by Level-of-Care and Month for FY Year -3 Chart Hospital System Census & Staff All Levels of Care Length-Of-Stay by Facility and Level-of-Care on June 3, Length-Of-Stay for People with an Axis I Diagnosis of Schizophrenia 5 & Related Psychotic Disorders on June 3, 3 Number of Admissions by Facility, All Levels of Care for FY Number of Discharges by Facility, All Levels of Care for FY Length of Stay for People Discharged During FY Race and Gender of People Discharged During FY County of Origin for People Discharged During FY County of Origin for People Admitted During FY -3 8 Age of People Served by the Hospital System on June 3, 3 9 Gender of People Served by the Hospital System on June 3, 3 9 Race/Ethnic Origin of People Served by the Hospital System on June 3, County of Origin for People Served by the Hospital System on June 3, 3 Axis I Dx of People Served by the State Hospital System on June 3, 3 5 People with a Dx of Intellectual Disability Served by the Hospital System on June 3, 3 6 Substance Use Dx of People Served by the State Hospital System on June 3, 3 7 Medical Diagnoses of People Served by the State Hospital System on June 3, Categories Related to Criminal History Served in the Civil Hospitals on June 3, Commitment Code/Status of People Served in the Hospital System on June 3, 3 Consumers in Civil Section with or More Years LOS (Hospital*County) on June 3, 3 6 Chart Average LOS (Mean) in Days of People Served in the Hospital System on June 3, 3 6

4 Table FY -3 Facility End-of-Month Census Month CLA DAN NOR TOR WAR WER Total NOR TOR Total SMRC TOR Total Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Chart Hospital System Census & Staff -3 - All Levels of Care Note: The 3,38 complement number in the above chart in cludes fulltime workers at the six civil hospitals, two forensic centers, the Act- program at Torrance and South Mountain on June 3, 3. Data Point: Since the number of people served in the hospital system, all levels of care, has declined by 7%. During this sam e span the number of fulltime staff working in the state hospitals has de creased %. Page

5 Table Length of Residence for People Served in the State Hospital System on June 3, 3 Civil Foresnic LOS Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Act Sys Total < 6 months < months < Years <3 Years < Years <5 Years < Years <5 Years < Years > Years >5 Years > Years >5 Years > Years >5 Years >3 Years > Years >5 Years Table 3 Length Of Residence for People with an Axis I Diagnosis of Schizophrenia & Related Psychotic Disorders for All Levels of Care on June 3, 3 Civil Forensic LOS Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Sys Total < 6 months < months < Years <3 Years < Years <5 Years < Years <5 Years < Years > Years >5 Years > Years >5 Years > Years >5 Years >3 Years > Years >5 Years Data Point - On June 3, 3, people with an Axis diagnosis of Schizophrenia and related psychotic disorders accounted for 73% of those served in the hospital system. Page 5

6 Defining Length-of-Stay (LOS) - For the purpose of this report, hospital length-of-stay is expressed in the amount of time a person is continually served, without separation, within a specific OMHSAS facility. The database expresses length-of-stay in days, which is then auto calculated to years for this report. It should also be noted that when a facility is closed or a person was transferred, his/her admission date was reset to the date of the transfer to the new facility. Table Number of Admissions by Facility FY -3 Admissions Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total FY Table 5 Number of Discharges by Facility FY -3 Discharages Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Total Discharges FY Deceased Discharged Note: Discharges includes people who may have been transferred from one facility or level of care to another. Table 6 Length-of-Stay for People Discharged During FY -3 Discharged LOS Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total < 6 months < months < Years <3 Years < Years <5 Years < Years <5 Years < Years > Years >5 Years > Years >5 Years > Years 3 6 >5 Years 8 >3 Years 5 > Years 3 >5 Years Page 6

7 Table 7 Race & Gender of People Discharged During FY -3 Race & Gender Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Amer Indian/Alaskan 3 Asian/Pacific Islander 3 Black/African Amer Hispanic White Other/Not Identified Men Women Page 7

8 Table 8 County of Origin For People Discharged During FY -3 Civil Forensic LTC TOR System County CLA DAN NOR TOR WAR WER Total NOR TOR Total SMO Act Total Adams Allegheny Armstrong 6 Beaver Bedford Berks Blair 9 9 Bradford Bucks 5 Butler Cambria Carbon 3 Centre 5 Chester Clarion Clearfield Clinton Colombia 6 Crawford 5 9 Cumberland Dauphin 6 Delaware Elk Erie 5 Fayette Forest Franklin 3 Fulton Greene Huntington Indiana 5 Lackawanna 8 Lancaster Lebanon Lehigh Luzerne 3 Lycoming McKean 8 Mercer Mifflin Monroe 8 Montgomery 9 Montour Northampton Northumberland 5 Out Of State Perry Philadelphia 3 Pike Potter Schuylkill Snyder 5 Somerset Susquehanna 3 Union Tioga Venango Warren Washington 5 Westmoreland Wyoming 3 3 York Totals Page 8

9 Table 9 County of Origin for People Admitted During FY -3 Civil LTC Act- System FY -3 Admissions Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Adams Allegheny Armstrong Beaver Bedford Berks Blair Bradford 3 Bucks 8 8 Butler Cambria Carbon Centre 5 7 Chester Clarion Clearfield 8 Clinton Colombia Crawford Cumberland Dauphin Delaware 6 7 Elk Erie Fayette Forest Franklin 7 Greene Huntington 3 Indiana Juniata Indiana Lackawanna Lancaster Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin 3 Monroe Montgomery Montour 3 Northampton 6 7 Northumberland 5 7 Out Of State Perry Philadelphia Pike Potter Schuylkill Snyder 6 Somerset 6 Susquehanna Tioga 3 5 Union Venango Warren Washington 5 6 Wayne Westmoreland 3 3 Wyoming 3 York Totals Page 9

10 Table Age of People Served by the Hospital System on June 3, 3 On 6/3/3 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Census < 3 > % Age 65+ 9% % 9% % 3% 6% 7% 5% 8% 7% 56% % 8% Table Gender of People Served by the Hospital System on June 3, 3 On 6/3/3 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Census Men Women % Men 63% 5% 69% 58% 55% 6% 59% 8% 78% 8% 57% % 63% % Women 37% 5% 3% % 5% % % 6% % 8% 3% % 37% Table Race/Ethnic Origin of People Served by the Hospital System on June 3, 3 Racial Distribution Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total 6/3/3 Census American Indian/Alaskan Asian/Pacific Islander Black/Africian Amer Hispanic White Other/Not Identified % Non White 8% % 8% 3% 5% 9% 8% 7% 38% 59% % % % Page

11 Table 3 County of Origion for People Served on June 3, 3 On 6/3/3 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Adams Allegheny Armstrong Beaver Bedford Berks Blair Bradford Bucks Butler Cambria 3 Cameron Carbon 6 6 Centre Chester Clarion Clearfield Colombia 3 Crawford 3 3 Cumberland Dauphin Delaware Elk Erie Fayette Forest Franklin Greene Huntington 6 Indiana Jefferson Juniata Lackawanna Lawrence Lancaster Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe 6 Montgomery Montour 3 Northampton Northumberland 8 9 Out Of State 3 Perry Philadelphia Pike Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga Union Venango Warren Washington Wayne Westmoreland Wyoming 3 York Totals Page

12 Table Axis I Diagnosis of People Served by the State Hospital System on June 3, 3 Civil LTC Act- System On 6/3/3 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Additional Codes Focus of Treatment 8 Adjustment Disorders Anxiety Disorders Delirium, Dementia and Amnestic Diseases of the Nervous System and Sense Early Onset Disorders 3 3 Impulse Control Disorders Not Elsewhere Mental Disorders/General Medical Condition 7 Mood Disorders Other Conditions/Focus of Clinical Attention Personality Disorders 3 5 Schizophrenia/Psychotic Disorders Sexual and Other Gender Identify Disorders Substance Related Disorders 3 Symptoms, Signs and Ill Defined Symptoms 3 Total % with Schizophrenia/Psychotic Disorders 77% 8% 83% 7% 7% 8% 77% 85% 8% 8% 5% 7% Forensic Table 5 People with a Diagnosis of ID/DD Served by the Hospital System on June 3, 3 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total 6/3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ /3/ Percentage of People with MR/DD Dx on 6/3/3 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Dx MR/DD % % % % % 6% % 5% 6% 5% % % 5% Page

13 Table 6 Substance Use Diagnosis of People Served on June 3, 3 Diag # DSM IV Description Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total 9. Alcohol Persist Dementia Drug-Induced Mood Disord 33.9 Alcoh Dep Nec/nos-Unspec Alcoh Dep Nec/nos-Episod Alcoh Dep Nec/nos-Remiss Opioid Dependence-Unspec 3.3 Opioid Dependence-Remiss 3. Sed,hyp,anxiolyt Dep-Nos 3. Cocaine Depend-Unspec Cocaine Depend-Remiss Cannabis Depend-Unspec Cannabis Depend-Remiss Hallucinogen Dep-Unspec 3.53 Hallucinogen Dep-Remiss 3.7 Opioid/other Dep-Unspec Opioid/other Dep-Remiss 3.8 Comb Drug Dep Nec-Unspec Comb Drug Dep Nec-Remiss Drug Depend Nos-Unspec Drug Depend Nos-Contin 3.93 Drug Depend Nos-Remiss Alcohol Abuse-Unspec Alcohol Abuse-Episodic Alcohol Abuse-In Remiss Tobacco Use Disorder Cannabis Abuse-Unspec Cannabis Abuse-Contin 35.3 Cannabis Abuse-Remiss Hallucinog Abuse-Unspec Cocaine Abuse- In Remiss 35. Sed,hyp,anxiolytc Ab-Nos Opioid Abuse-Unspec Opioid Abuse-In Remiss Cocaine Abuse-Unspec Cocaine Abuse-In Remiss Amphetamine Abuse-Unspec Amphetamine Abuse-Remiss 35.9 Drug Abuse Nec-Unspec Drug Abuse Nec-Contin Drug Abuse Nec-In Remiss Totals % With Tabacco Use Disorder 5% 6% 3% 3% % 39% 38% % % 6% % 33% Page 3

14 Table 7 Medical Diagnoses of People Served on June 3, 3 Medical Diagnosis by Major Group Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total Additional Codes of focus of Treatment Any Medical Diagnosis Complications of Pregnancy, Childbirth & Puerperiu Conditions Originating in the Perinatal Period Congenital Anomalies Delirium, Dementia and Amnestic 5 Diabetes Diseases of the Blood and Blood Forming Organs Diseases of the Circulatory System Diseases of the Disgestive System Diseases of the Genitourinary System Diseases of the Musculoskeletal System and Connect Diseases of the Nervous System and Sense Organs Diseases of the Respiratory System Diseases of the Skin and Subcutaneous Tissue Early Onset Disorders 3 5 Eating Disorders Endocrine Nutritional, Metabolic, Immunity Fractures 3 Infectious and Parasitic Diseases Injuries and Poisonings NeoPlasams (growths) Other Conditions/Focus of Clinical Attention Substance-Related Disorders 6 Symptoms, Signs and Ill-Defined Symptoms Census on June 3, Percentage of People Served with Diabetes 5% 9% 6% 3% 5% 8% % % % 5% 3% % % Table 8 Categories Related to Criminal History Served in the Civil Hospitals on June 3, 3 PCIS Description Section CLA DAN NOR TOR WAR WER Total 38 Involuntary not guilty by reason of insanity NGRI Invol criminal commit incompetent to stand trial Extended involuntary commitment/guilt/mental/ill 35 9 Extended involuntary commitment/incompetent Invol 6 days incompetent trial/not mentally ill 75 Invol/convicted/ examination 5 8 Exten Invol emerg charged/convicted 33 8 Invol criminal commit/charged/convicted 3 83 Extended involuntary charged/convicted Total Page

15 Table 9 Commitment Status/Code of People Served in the SMH System on June 3, 3 PCIS Commitment Type as of 6/3/3 Sec Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total 3 Voluntary admission of an Adult Conver vol from Invol (3,33, 3, 35) Involuntary emerg commit/invol in SMH 3 36 Invol commit/not voluntary SMH inpatient 3 37 Invol commit/not SMH inpatient Involuntary not guilty by reason of insanity NGRI Invol criminal commit incompetent to stand trial Extended involuntary commitment Extended involuntary commitment/guilt/mental/ill 35 9 Extended involuntary commitment/incompetent Invol 6 days incompetent trial/not mentally ill Invol/convicted/ examination Exten Invol emerg charged/convicted 33 8 Invol criminal commit/charged/convicted Extended involuntary charged/convicted For use by Restoration Centers and ICF units ICF For use by Restoration Centers and ICF units SNF 99 Sexual Responsibility Treatment Unit-Act ACT Totals Page 5

16 Table Consumers in Civil Section with or More Years LOS (Hospital*County) on June 3, 3 County CLA DAN NOR TOR WAR WER Total County CLA DAN NOR TOR WAR WER Total Allegheny 5 5 Lancaster Armstrong 5 5 Lebanon Bedford Lehigh 3 36 Berks Luzerne 58 6 Blair Lycoming 9 9 Bradford McKean 5 5 Bucks 7 7 Mercer 5 5 Butler 7 7 Mifflin 5 5 Cambria Montgomery 6 6 Cameron Montour Carbon Northampton 3 3 Centre Northumberland 6 6 Chester 9 Out Of State Clearfield 7 8 Philadelphia 5 5 Colombia 5 5 Pike Crawford 3 3 Schuylkill Cumberland 8 8 Snyder Dauphin 6 7 Somerset Delaware 8 8 Susquehanna Elk Tioga 7 7 Erie 5 5 Venango 6 6 Fayette 7 7 Warren 5 5 Franklin Washington Greene Wayne 8 8 Huntington 3 3 Westmoreland 3 3 Indiana 8 8 York 9 3 Lackawanna 6 6 Totals Chart Average LOS (Mean) in Days of People Served in the Hospital System on June 3, 3 Average LOS (Mean) in Days On June 3, Page 6