PENNSYLVANIA STATE HOSPITAL SYSTEM LENGTH OF …...DIAGNOSES REPORT FOR DECEMBER 31, 2014 Prepared...

PENNSYLVANIA STATE HOSPITAL SYSTEM LENGTH‐OF‐STAY, DEMOGRAPHICS & DIAGNOSES REPORT FOR DECEMBER 31, 2014

Prepared by John A. Deegan, M.S. Chief Social Rehabilitation Executive Wernersville State Hospital February 2015

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 PA 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 Human Services 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 text files, 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 Danville State Hospital 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.

Future

The Patient Census Information System (PCIS) is planning to be retired with the advent of ICD-10 in the later part of 2015. The PA SMH system and the Department of Human Services Information Services and the Bureau of Applications Development are collaborating on the development of an Enterprise application to replace PCIS called the State Facility Tracking System. The State Facility Tracking System is based on the Patient Tracking System application which is an Access database created at Wernersville State Hospital and currently in use at Wernersville, Danville, and Torrance state hospitals.

Table Table of Contents /Table Description Page 1 Facility Census by Level-of-Care and Month as of December 31, 2014 4

Chart 1 Hospital System Census & Staff 2002-2014 - All Levels of Care 4

2 Length-Of-Stay by Facility and Level-of-Care on December 31, 2014 5

3 Length-Of-Stay for People with an Axis I Diagnosis of Schizophrenia & Related Psychotic Disorders on December 31, 2014

5

4 Number of Admissions by Facility, All Levels of Care for CY 2014 6

5 Number of Discharges by Facility, All Levels of Care for CY 2014 6

6 Length of Stay for People Discharged During CY 2014 6

7 Race and Gender of People Discharged During CY 2014 6

8 County of Origin for People Discharged During CY 2014 7

9 County of Origin for People Admitted During CY 2014 8

10 Age of People Served by the Hospital System on December 31, 2014 9

11 Gender of People Served by the Hospital System on December 31, 2014 9

12 Race/Ethnic Origin of People Served by the Hospital System on December 31, 2014 9

13 County of Origin for People Served by the Hospital System on December 31, 2014 10

14 Axis I Dx of People Served by the State Hospital System on December 31, 2014 11

15 People with a Dx of Intellectual Disability Served by the Hospital System on December 31, 2014 11

16 Substance Use Dx of People Served by the State Hospital System on December 31, 2014 12

17 Medical Diagnoses of People Served by the State Hospital System on December 31, 2014 13

18 Categories Related to Criminal History Served in the Civil Hospitals on December 31, 2014 13

19 Commitment Code/Status of People Served in the Hospital System on December 31, 2014 14

20 Consumers in Civil Section with 2 or More Years LOS (Hospital*County) of People Served in the Hospital System on December 31, 2014

15

Chart 2 Average LOS (Mean) in Days of People Served in the Hospital System on December 31, 2014 16

Table 1 CY 2014 Facility End-of-Month Census

Civil Forensic LTC Act-21 System

Month CLA DAN NOR TOR WAR WER Total NOR TOR Total SMRC TOR Total

Jan-14

Feb-14

Mar-14

Apr-14

May-14

Jun-14

Jul-14

Aug-14

Sep-14

Oct-14

Nov-14

Dec-14

218 218 218 214 207 199 199 200 198 200 195 198

167 170 171 171 172 168 170 166 165 165 167 165

132 132 129 128 126 122 136 136 133 132 130 130

200 197 197 196 201 199 203 199 194 193 198 193

185 181 180 180 180 166 151 148 147 144 143 138

259 262 262 262 262 255 255 255

254 258 256 258

1161

1160

1157

1151

1148

1109

1114

1104

1091

1092

1089

1082

129 129 129

132 128 130 123 125 122 130 131 130

91 93 96

90 94 93 86 94 93 92 93 98

220

222

225

222

222

223

209

219

215

222

224

228

143 144 146

149 149 150 151 152 152 150 152 147

38 38 38

39 39 40 41 41 43 44 45 46

1562

1564

1566

1561

1558

1522

1515

1516

1501

1508

1510

1503

Chart 1 Hospital System Census & Complement 2002-2014 - All Levels of Care

Note: The 3,198 complement number in the above chart includes fulltime workers at the six civil hospitals, two forensic centers, the Act-21 program at Torrance and South Mountain on December 31, 2014.

Table 2 Length of Residence for People Served in the State Hospital System on December 31, 2014

Civil Foresnic Criteria CLA DAN NOR TOR WAR WER Total NOR TOR Total SMRC Act 21 Sys Total

< 6 months 36 30 5 36 26 30 163 35 68 103 14 6 286 < 12 months 51 49 14 63 46 49 272 63 83 146 28 8 454 <2 Years 76 85 25 93 76 80 435 87 90 177 49 12 673 <3 Years 93 94 30 112 95 109 533 112 90 202 80 18 833 <4 Years 105 101 44 125 101 131 607 120 90 210 98 23 938 <5 Years 118 108 65 136 104 170 701 124 96 220 106 25 1052 <10 Years 156 145 96 165 122 222 906 127 98 225 136 46 1313 <15 Years 170 151 108 177 125 233 964 127 98 225 139 46 1374 <20 Years 182 153 117 187 129 240 1008 129 98 227 144 46 1425 >2 Years 122 80 105 100 62 178 647 43 8 51 98 34 830 >5 Years 80 57 65 57 34 88 381 6 2 8 41 21 451 >10 Years 42 20 34 28 16 36 176 3 0 3 11 0 190 >15 Years 28 14 22 16 13 25 118 3 0 3 8 0 129 >20 Years 16 12 13 6 9 18 74 1 0 1 3 0 78 >25 Years 10 8 7 5 8 10 48 0 1 1 3 0 52 >30 Years 5 5 3 3 5 6 27 0 0 0 2 0 29 >40 Years 2 1 2 2 1 3 11 0 0 0 0 0 11 >50 Years 0 1 1 0 0 3 5 0 0 0 0 0 5

<2 Years 76 85 25 93 76 80 435 87 90 177 49 12 673 >2 Years 122 80 105 100 62 178 647 43 8 51 98 34 830

Total Population 198 165 130 193 138 258 1082 130 98 228 147 46 1503 % > 2 years 62% 48% 81% 52% 45% 69% 60% 33% 8% 22% 67% 74% 55%

Table 3 Length Of Residence for People with an Axis I Diagnosis of Schizophrenia & Related Psychotic Disorders for All Levels of Care on December 31, 2014

Dec-14 Civil Forensic LOS Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Sys Total

< 6 months 31 15 4 25 19 21 115 26 51 77 4 196 < 12 months 41 31 9 45 33 37 196 48 65 113 11 320 <2 Years 59 57 18 65 56 55 310 64 70 134 19 463

574 <3 Years 74 63 23 81 70 78 389 81 70 151 34 <4 Years 84 68 34 88 75 95 444 88 70 158 43 645 <5 Years 94 75 53 98 78 126 524 91 74 165 48 737 <10 Years 124 111 76 121 95 170 697 93 76 169 66 932 <15 Years 135 115 86 131 98 181 746 93 76 169 66 981 <20 Years 145 117 95 139 102 186 784 95 76 171 68 1023 >2 Years 100 72 88 79 54 149 542 32 6 38 50 630

356 >5 Years 65 54 53 46 32 78 328 5 2 7 21

>10 Years 35 18 30 23 15 34 155 3 0 3 3 161 >15 Years 24 14 20 13 12 23 106 3 0 3 3 112 >20 Years 14 12 11 5 8 18 68 1 0 1 1 70 >25 Years 9 8 6 5 7 10 45 0 0 0 1 46 >30 Years 5 5 2 3 5 6 26 0 0 0 1 27 >40 Years 2 1 2 2 1 3 11 0

0

0 0

0 0 0

11

5 >50 Years 0 1 1 0 0 3 5 0

Data Point - On December 31, 2014, people with an Axis 1diagnosis of Schizophrenia and related psychotic disorders accounted for 73% of those served in the hospital system. Act 21 Unit at TSH does not have anyone with this primary diagnoses.

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 4 Number of Admissions by Facility CY 2014

Civil Forensic LTC Act-21 System Admissions Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

CY 2014 67 62 14 86 66 54 349 80 186 266 37 8 660

Table 5 Number of Discharges by Facility CY 2014

Civil Forensic LTC Act-21 System Discharages Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Total Discharges CY 2014 88 66 30 96 108 55 443 67 174 241 31 0 715

Deceased 2 1 3 2 4 4 16 0 0 0 20 0 36

Discharged 86 65 27 94 104 51 427 67 174 241 11 0 679 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 CY 2014


Discharged LOS Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

< 6 months 18 13 26 23 5 85 29 120 149 6 0 240 < 12 months 35 34 55 50 11 185 49 166 215 10 0 410 <2 Years 56 52 75 74 28 285 63 173 236 15 0 536

0 582 0 614 0 6380 688 0 698 0 702 0 178

0 77

<3 Years 71 55 6 83 80 31 326 66 173 239 17 <4 Years 74 59 13 86 86 37 355 67 174 241 18<5 Years 78 60 14 89 92 44 377 67 174 241 20<10 Years 83 64 20 94 105 53 419 67 174 241 28 <15 Years 87 64 23 95 105 54 428 67 174 241 29 <20 Years 87 65 25 95 105 54 431 67 174 241 30 >2 Years 31 14 30 21 34 27 157 4 1 5 16>5 Years 10 6 16 7 16 11 66 0 0 0 11>10 Years 5 2 10 2 3 2 24 0 0 0 3 0 27 >15 Years 1 2 7 1 3 1 15 0 0 0 2 0 17 >20 Years 1 1 5 1 3 1 12 0 0 0 1 0 13 >25 Years 1 1 4 0 2 1 9 0 0 0 0 0 9 >30 Years 0 1 4 0 0 0 5 0 0 0 0 0 5 >40 Years 0

0 0 0

1 0 0

0 0

0 0

1 0 0 0 0 0 0

0 0

0 1 0 1 >50 Years 1 1

Table 7 Race & Gender of People Discharged During CY 2014


Race & Gender Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Amer Indian/Alaskan 0 1 0 0 1 0 2 0 0 0 0 0 2 Asian/Pacific Islander 0 0 0 1 0 1 2 0 0 0 0 0 2 Black/Africian Amer 12 4 18 12 7 5 58 39 67 106 4 0 168

Hispanic 4 3 1 0 1 8 17 11 1 12 5 0 34 White 72 57 11 83 97 40 360 17 106 123 22 0 505

Other/Not Identified 0 1 0 0 1 0 2 0 0 0 0 0 2

Men 48 35 20 46 49 36 234 52 135 187 24 0 445

Women 40 31 10 50 59 19 209 15 39 54 7 0 270

Table 8 County of Origin For People Discharged During CY 2014

Civil Forensic SMRC County CLA DAN NOR TOR WAR WER Total County NOR TOR Total County SMO Total

Allegheny 1 5 6 Allegheny 84 84 Allegheny 1 1 Armstrong 1 1 Beaver 2 2 Berks 1 1 Bedford 4 4 Bedford 1 1 Cumberland 1 1 Berks 1 12 13 Berks 1 1 Dauphin 3 3 Blair 11 11

Blair 3 3 Delaware 1 1 Bradford 3 3 Bradford 3 3

Butler 11 1 12 Franklin 5 5 Bucks 2 2

Cambria 14 14 Huntington 1 1 Cambria 7 7

Carbon 2 2 4 Lancaster 1 1 Centre 1 1 Centre 2 2 Lehigh 2 2 Chester 3 3 Chester 1 1

Montgomery 4 4 Clarion 3 3 Clearfield 2 2

Northampton 1 1 Clearfield 18 18 Clinton 2 2

Philadelphia 3 3 Colombia 3 3 Crawford 1 1 Crawford 6 6 Somerset 4 4 Cumberland 3 3 Cumberland 4 4 Dauphin 5 5 York 3 3 Dauphin 12 12 Delaware 11 11 Totals 31 31 Delaware 6 6 Elk 2 2 Elk 2 2 Erie 3 3 Erie 1 22 23 Fayette 8 8 Fayette 5 5

Franklin 2 4 6 Franklin 1 3 4 8

Huntington 2 2 Huntington 1 1

Indiana 2 2 Indiana 6 6

Jefferson 1 1 Jefferson 1 1 Lackawanna 1 1 Lackawanna 32 1 33

Lancaster 15 15 Lawrence 3 3

Lebanon 6 6 Lehigh 1 1

Lehigh 7 7 Luzerne 3 3 Luzerne 29 1 30 Lycoming 5 5 Lycoming 12 12 Mercer 2 2 McKean 10 10 Monroe 3 3 Mercer 23 23 Montgomery 3 3 Monroe 9 9 Northampton 1 1 Montgomery 5 5 Out Of State 1 1 Montour 1 1 2

Perry 1 1 Northampton 4 4

Philadelphia 32 32 Northumberland 9 9

Potter 3 3 Out Of State 5 1 1 7

Susquehanna 2 2 Philadelphia 16 16

Tioga 2 2 Potter 2 2 Venango 1 1 Schuylkill 12 1 13 Warren 1 1 Snyder 4 4

Somerset 2 2 Washington 1 2 3

Tioga 3 1 4 Wayne 1 1 Union 2 2 Westmoreland 8 8 Venango 10 10 York 9 9 Warren 10 10 Totals 67 174 241 Washington 1 1 Wayne 1 1 Westmoreland 33 33 Wyoming 1 1 York 3 3 Totals 88 66 30 96 108 55 443

Table 9 County of Origin for People Admitted During CY 2014

Civil Forensic SMRC County CLA

Allegheny Armstrong Bedford Berks Blair Bradford 3 Bucks Butler Cambria Carbon 2 Centre Chester Clarion Clearfield Colombia Crawford Cumberland Dauphin Erie Fayette Franklin Indiana Juniata Lackawanna 19 Lancaster Lawrence Lebanon Lehigh Luzerne 27 Lycoming McKean Mercer Monroe 6 Montgomery Montour 1 Northampton Northumberland

Out Of State 1 Philadelphia Pike 2 Potter Schuylkill Somerset Susquehanna 1 Tioga 4 Venango Warren Wayne 1 Westmoreland York Totals 67

DAN

1 3

1 2

8 12

2

1

8

2

13

9

62

NOR

3

1

9

1

14

TOR 1 4 1

7

8 16

1 7

6

3

32

86

WAR

1

3 12

3

16

1

6 13

1

4 5

1

66

WER

15

16

6 5

6

6 54

Total County NOR TOR Total County SMO Total 1 Adams 2 2 Armstrong 1 1 4 Allegheny 91 91 Berks 4 4 1 Beaver 1 1 Dauphin 1 1 15

Bedford 1 1 Franklin 4 4 7

Berks 1 1 Huntington 2 2 3 Blair 3 3 3 Lancaster 3 3 Bradford 4 4 9 Montgomery 9 9

16 Bucks 7 7 Northumberland 1 1

3 Butler 1 1 Philadelphia 2 2

3 Cambria 6 6 Schuylkill 1 1 1 Carbon 2 2

3 Somerset 2 2 Chester 4 4 13 Wayne 3 3 Clearfield 3 3 2 York 4 4 Cumberland 4 4 3 Totals 37 37 Dauphin 5 5 8

Delaware 19 19 12

Elk 1 1 17 Act 21 Erie 6 6 7 County TOR Total

2 Fayette 7 7 Bedford 1 1 6 Franklin 3 3 Erie 1 1 1 Huntington 2 2

Juniata 1 1 19 Indiana 1 1

Lackawanna 1 1 16 Jefferson 1 1 Montgomery 1 1 1 Lackawanna 1 1

6 Venango 1 1 Lancaster 1 1

5 Westmoreland 1 1 Lawrence 1 1

27 York 1 1 Lehigh 1 1 8 Totals 8 1 Luzerne 2 2 6

Lycoming 4 4 13 6 Mercer 2 2 9 Monroe 5 5 3 Montgomery 8 8 6 Northumberland 1 1 13

Perry 1 1 1

Philadelphia 23 23 1

Pike 1 1 2

Potter 4 4 1 Snyder 1 1 9

3 Somerset 1 1

1 Susquehanna 4 4 4 Tioga 1 1 4 Union 1 1 5 Venango 1 1 1 Warren 2 2 33 Washington 1 1 6

Wayne 1 1 349

Westmoreland 12 12 York 11 11 Totals 80 186 266

Table 10 Age of People Served by the Hospital System on December 31, 2014


12/31/2014 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Census 198 165 130 193 138 258 1082 130 98 228 147 46 1503

<21 0 1 0 6 2 3 12 0 1 1 0 4 17

>21 198 164 130 187 136 255 1070 130 97 227 147 42 1486

20-29 16 17 15 25 17 24 114 22 17 39 0 42 195

30-39 19 26 23 32 14 35 149 26 16 42 1 0 192

40-49 24 22 15 29 22 30 142 24 19 43 9 0 194

50-59 63 44 38 59 37 87 328 34 26 60 25 0 413

60-69 54 39 25 35 32 58 243 14 14 28 52 0 323

70-79 18 14 13 10 11 18 84 4 4 8 40 0 132

80-89 4 2 1 1 4 3 15 1 0 1 20 0 36

90-99 0 0 0 0 0 0 0 0 1 1 0 0 1

65 & Over 43 36 19 26 27 41 192 12 11 23 89 0 304 % Age 65 &

Over 22% 22% 15% 13% 20% 16% 18% 9% 11% 10% 61% 0% 20%

Table 11 Gender of People Served by the Hospital System on December 31, 2014


On 12/31/14 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Census 198 165 130 193 138 258 1082 130 98 228 147 46 1503

Men 128 85 93 118 91 151 666 109 80 189 88 46 989

Women 70 80 37 75 47 107 416 21 18 39 59 0 514

% Men 65% 52% 72% 61% 66% 59% 62% 84% 82% 83% 60% 100% 66%

% Women 35% 48% 28% 39% 34% 41% 38% 16% 18% 17% 40% 0% 34%

Table 12 Race/Ethnic Origin of People Served by the Hospital System on December 31, 2014

Civil Forensic LTC Act-21 System Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

12/31/2014 Census 198 165 130 193 138 258 1082 130 98 228 147 46 1503 American Indian/Alaskan 0 0 0 0 0 0 0 0 0 0 0 0 0

Asian/Pacific Islander 2 0 3 1 3 4 13 2 1 3 1 1 18 Black/Africian Amer 6 16 51 22 18 19 132 73 37 110 32 2 276

Hispanic 1 2 7 2 2 21 35 12 0 12 3 1 51 White 189 146 69 167 115 213 899 43 59 102 111 40 1152

Other/Not Identified 0 1 0 1 0 1 3 0 1 1 0 2 6 Total NonWhite 9 19 61 26 23 45 183 87 39 126 36 6 351

% Non White 5% 12% 47% 13% 17% 17% 17% 67% 40% 55% 24% 13% 23%

Table 13 County of Origion for People Served on December 31, 2014

Civil County CLA

Allegheny

DAN NOR TOR

13

WAR WER Total

13

Armstrong 10 10

Beaver 1 1

Bedford 3 3

Berks 61 61

Blair 21 21

Bradford 4 4

Bucks 19 19

Butler 12 1 13

Cambria 23 23

Carbon 2 1 3

Centre 6 6

Chester 11 1 12

Clarion 2 2

Clearfield 1 18 19

Colombia 9 9

Crawford 8 8

Cumberland 17 17

Dauphin 33 1 34

Delaware 20 20

Elk 1 1

Erie 2 48 50

Fayette 13 13

Franklin 7 1 8

Huntington 4 4

Indiana 16 16

Juniata 2 2

Lackawanna 73 73

Lancaster 61 61

Lawrence 1 1

Lebanon 29 29

Lehigh 1 48 49

Luzerne 87 2 1 90

Lycoming 20 20

McKean 10 10

Mercer 28 28

Mifflin 5 5

Monroe 5 5

Montgomery 22 22

Montour 3 1 4

Northampton 9 9

Northumberland 20 1 21

Out Of State 1 1

Perry 1 1

Philadelphia 57 57

Pike 4 4

Schuylkill 35 35

Somerset 7 7

Susquehanna 2 2

Tioga 7 7

Venango 9 9

Warren 9 9

Washington 1 1

Wayne 11 11

Westmoreland 66 2 68

Wyoming 2 2

York

Totals 198

1

165

1

130 193 138

47

258

49

1082

Act-21

Foresnic SMRC County NOR TOR Total

Adams 2 2 Allegheny 44 44 Beaver 1 1 Bedford 1 1 Berks 4 4 Blair 2 2 Bradford 3 3 Bucks 9 9 Butler 1 1 Carbon 2 2 Chester 4 4 Clearfield 3 3 Colombia 1 1 Cumberland 1 1 Dauphin 4 4 Delaware 21 21 Erie 4 4 Fayette 3 3 Franklin 2 2 Huntington 1 1 Jefferson 1 1 Lancaster 2 2 Luzerne 2 2 Lycoming 4 4 Mercer 1 1 Monroe 5 5 Montgomery 11 1 12 Northampton 1 1

Northumberland 1 1

Philadelphia 67 67 Pike 1 1 Potter 1 1 Snyder 1 1 Susquehanna 2 2 Union 1 1 Warren 1 1 Washington 1 1 Westmoreland 4 4 York 7 7 Totals 130 98 228

County SMO Allegheny 1 Armstrong 1 Berks 12 Bucks 2 Cambria 1 Chester 3 Crawford 1 Cumberland 8 Dauphin 11 Delaware 6 Forest 1 Franklin 12 Greene 1 Huntington 4 Lackawanna 1 Lancaster 6 Lebanon 4 Lehigh 7 Luzerne 1 Lycoming 4 Montgomery 14 Montour 1 Northampton 4

Northumberland 3

Out Of State 1 Philadelphia 7 Schuylkill 2 Somerset 6 Warren 1 Wayne 7 York 14 Totals 147

County TOR Adams 1 Allegheny 1 Bedford 1 Berks 3 Butler 1 Colombia 1 Delaware 2 Erie 3 Huntington 1 Jefferson 1 Juniata 1 Lackawanna 3 Lancaster 3 Lebanon 5 Lehigh 3 Mifflin 1 Montgomery 1 Perry 1 Pike 1 Schuylkill 1 Sullivan 1 Venango 2 Warren 1 Wayne 2 Westmoreland 2 York 3 Totals 46

Table 14 Axis I Diagnosis of People Served by the State Hospital System on December 31, 2014


On 12/31/2014 Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Additional Codes Focus of Treatment 0 2 2 10 12 Adjustment Disorders 1 1 1 4 5 1 7 Anxiety Disorders 1 2 1 1 2 7 0 2 1 10Delirium, Dementia and Amnestic 0 2 2 4 3 7 18 4 4 40 62 Diseases of the Nervous System and Sense Organs 1 1 0 1 Early Onset Disorders 1 1 2 0 1 3 Impulse Control Disorders Not Elsewhere Classified 7 4 2 3 7 23 1 1 24 Mental Disorders/General Medical Condition 1 1 2 1 1 2 5 Mood Disorders 27 27 18 29 19 33 153 30 9 39 8 4 204 Other Conditions/Focus of Clinical Attention 0 0 Personality Disorders 1 2 3 1 1 4 Schizophrenia/Psychotic Disorders 159 129 106 144 110 204 852 96 76 172 69 1093 Sexual and Other Gender Identify Disorders 1 7 8 0 40 48Substance‐Related Disorders 1 1 1 3 1 1 4 Symptoms, Signs and Ill‐Defined Symptoms 1 1 0 1 2

Total 198 163 130 192 137 254 1074 129 97 226 133 46 1479 % with Schizophrenia/Psychotic Disorders 80% 79% 82% 75% 80% 80% 79% 74% 78% 76% 52% 74%

Table 15 People with a Diagnosis of ID/DD Served by the Hospital System on December 31, 2014


Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

12/31/2014 1 3 11 19 2 18 54 5 7 12 14 1 81

6/30/2014 1 2 9 9 2 18 41 4 4 8 14 1 64

12/31/2013 2 2 9 7 4 18 42 3 4 7 15 2 66

6/30/2013 2 2 11 6 1 18 40 3 5 8 14 4 66

6/30/2012 5 3 19 4 1 15 47 6 6 12 14 4 77

12/31/2011 8 3 24 8 2 20 65 8 6 14 14 3 96

12/31/2010 10 2 23 13 4 25 77 6 9 15 17 2 111

12/31/2009 13 0 23 15 8 24 83 11 3 14 15 2 114

6/30/2009 18 8 20 18 12 24 100 12 4 16 14 2 132

12/31/2008 23 10 21 16 18 23 111 13 4 17 14 1 143

6/30/2008 27 9 19 14 16 22 107 13 13 10 2 132

12/31/2007 28 11 18 15 15 19 106 11 11 9 1 127

6/30/2007 28 12 20 17 19 18 114 10 10 11 1 136

12/31/2006 27 11 16 15 15 22 106 9 9 11 126

6/30/2006 27 11 17 16 15 24 110 6 6 11 127

12/31/2005 26 15 17 16 17 29 120 4 4 9 133

6/30/2005 29 15 18 14 18 22 116 7 7 11 134

12/31/2004 27 15 18 12 20 18 110 6 6 11 127

Percentage of People with ID/DD Dx on 12/31/2014


Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

Dx ID/DD 1% 1% 7% 4% 3% 7% 4% 2% 4% 3% 10% 4% 4%

Table 16 Substance Use Diagnoses of People Served on December 31, 2014

Civil Forenic Diag Description CLA DAN NOR TOR WAR WER Totals Diag Description NOR TOR Totals

291.2 Alcohol Persist Dementia 1 1 303.90 Alcoh Dep Nec/nos‐Unspec 1 7 8

303.91 Alcoh Dep Nec/nos‐Contin 4 4 292.89 Drug Mental Disorder Nec 1 1 303.93 Alcoh Dep Nec/nos‐Remiss 1 8 9 303.90 Alcoh Dep Nec/nos‐Unspec 6 4 2 8 9 29 304.00 Opioid Dependence‐Unspec 1 1

303.92 Alcoh Dep Nec/nos‐Episod 1 1 304.03 Opioid Dependence‐Remiss 1 1

303.93 Alcoh Dep Nec/nos‐Remiss 3 2 7 1 3 16 304.20 Cocaine Depend‐Unspec 1 1

304.00 Opioid Dependence‐Unspec 1 1 2 304.23 Cocaine Depend‐Remiss 1 1

304.03 Opioid Dependence‐Remiss 1 1 304.30 Cannabis Depend‐Unspec 3 3 304.20 Cocaine Depend‐Unspec 1 2 3 304.33 Cannabis Depend‐Remiss 1 1 304.23 Cocaine Depend‐Remiss 1 2 3 304.40 Amphetamin Depend‐Unspec 1 1 304.30 Cannabis Depend‐Unspec 1 1 2 4 304.80 Comb Drug Dep Nec‐Unspec 10 4 14

304.33 Cannabis Depend‐Remiss 3 3 6 304.83 Comb Drug Dep Nec‐Remiss 2 2

304.50 Hallucinogen Dep‐Unspec 1 1 304.90 Drug Depend Nos‐Unspec 3 3

305.00 Alcohol Abuse‐Unspec 7 9 16 304.53 Hallucinogen Dep‐Remiss 1 1 2 305.01 Alcohol Abuse‐Continuous 2 2 304.63 Drug Depend Nec‐In Rem 1 1 305.03 Alcohol Abuse‐In Remiss 3 3

304.70 Opioid/other Dep‐Unspec 1 1 305.1 Tobacco Use Disorder 5 4 9

304.73 Opioid/other Dep‐Remiss 1 1 2 305.20 Cannabis Abuse‐Unspec 2 8 10

304.80 Comb Drug Dep Nec‐Unspec 9 2 4 2 13 30 305.21 Cannabis Abuse‐Contin 5 5

304.83 Comb Drug Dep Nec‐Remiss 4 2 6 305.23 Cannabis Abuse‐In Remiss 1 1 304.90 Drug Depend Nos‐Unspec 2 2 4 305.60 Cocaine Abuse‐Unspec 3 1 4 304.93 Drug Depend Nos‐Remiss 2 1 3 305.63 Cocaine Abuse‐In Remiss 1 1 305.00 Alcohol Abuse‐Unspec 16 11 7 16 12 35 97 305.83 Antidepress Abuse‐Remiss 1 1

305.02 Alcohol Abuse‐Episodic 1 3 4 305.90 Drug Abuse Nec‐Unspec 24 12 36

305.03 Alcohol Abuse‐In Remiss 6 6 7 4 10 33 305.93 Drug Abuse Nec‐In Remiss 3 3

305.1 Tobacco Use Disorder 106 24 20 33 43 112 338 Totals 68 72 140

305.20 Cannabis Abuse‐Unspec 6 6 4 10 7 14 47

305.23 Cannabis Abuse‐In Remiss 2 3 1 4 10 SMRC 305.30 Hallucinog Abuse‐Unspec 2 1 3

Diag Description SMO 305.33 Hallucinog Abuse‐Remiss 1 1 291.2 Alcohol Persist Dementia 2 305.40 Sed,hyp,anxiolytc Ab‐Nos 1 1 303.90 Alcoh Dep Nec/nos‐Unspec 1 305.50 Opioid Abuse‐Unspec 1 2 2 2 7 303.92 Alcoh Dep Nec/nos‐Episod 1 305.60 Cocaine Abuse‐Unspec 1 2 1 1 3 8 303.93 Alcoh Dep Nec/nos‐Remiss 4 305.63 Cocaine Abuse‐In Remiss 1 2 3 6 304.23 Cocaine Depend‐Remiss 1 305.70 Amphetamine Abuse‐Unspec 1 1 2 304.31 Cannabis Depend‐Contin 1 305.90 Drug Abuse Nec‐Unspec 6 8 16 13 10 45 98 304.70 Opioid/other Dep‐Unspec 1 305.93 Drug Abuse Nec‐In Remiss 4 1 14 3 5 27 304.71 Opioid/other Dep‐Contin 1

Totals 163 87 54 133 89 273 799 304.73 Opioid/other Dep‐Remiss 1

304.83 Comb Drug Dep Nec‐Remiss 1

304.90 Drug Depend Nos‐Unspec 1

304.93 Drug Depend Nos‐Remiss 2

305.00 Alcohol Abuse‐Unspec 2

305.03 Alcohol Abuse‐In Remiss 4

305.1 Tobacco Use Disorder 11

305.53 Opioid Abuse‐In Remiss 1

305.73 Amphetamine Abuse‐Remiss 1

305.90 Drug Abuse Nec‐Unspec 4

305.93 Drug Abuse Nec‐In Remiss 6

Totals 46

Act-21 Diag Description TOR

305.03 Alcohol Abuse‐In Remiss 7

305.23 Cannabis Abuse‐In Remiss 6

305.33 Hallucinog Abuse‐Remiss 1

305.63 Cocaine Abuse‐In Remiss 1

305.93 Drug Abuse Nec‐In Remiss 4

Totals 19

Table 17 Medical Diagnoses of People Served on December 31, 2014

Civil Forensic LTC Act‐21 System Category CLA DAN NOR TOR WAR WER Total NOR TOR Total SMRC TOR Total

Any Medical Diagnosis 8 117 15 167 307 139 3 142 20 1 470 Complications of Pregnancy, Childbirth & Puerperiu 1 1 0 1 Congenital Anomalies 2 2 3 3 4 3 17 1 1 2 3 2 24 Delirium, Dementia and Amnestic 3 1 4 2 2 6 Diabetes 34 29 20 38 30 64 215 14 16 30 40 285 Diseases of the Blood and Blood Forming Organs 14 16 13 16 13 26 98 3 3 6 26 130 Diseases of the Circulatory System 86 88 62 78 71 143 528 36 31 67 140 10 745 Diseases of the Disgestive System 61 109 97 138 128 203 736 36 20 56 105 37 934 Diseases of the Genitourinary System 5 14 4 16 3 23 65 3 3 6 30 1 102

Diseases of the Musculoskeletal System and Connect 35 70 30 44 44 80 303

370 282

1152 492 1522 5

79 34

35

18

6 329

18

26 18

6

24 58

3

13 10 2 1

17

5

16 6

5

8 35 4 1

10

23

42 24

110 32 93 3

17 11

2

1

0 27

92

87 40

111 32 134 224 22

8 62 69

4

7 25

14

12 54

1

1

8

422506 371

151

3 568 1803 10

121 67

46

25

8 433

Diseases of the Nervous System and Sense Organs 37 102 40 62 33 96 Diseases of the Respiratory System 50 47 43 43 44 55 Diseases of the Skin and Subcutaneous Tissue 5 22 10 20 18 40Early Onset Disorders 2 Eating Disorders 101 101 42 116 17 115 Endocrine Nutritional, Metabolic, Immunity 255 265 119 325 186 372 Fractures 2 3 Infectious and Parasitic Diseases 17 16 12 4 13 17 Injuries and Poisonings 4 5 2 7 8 8NeoPlasams (growths) 2 5 4 10 3 11Other Conditions/Focus of Clinical Attention 5 1 5 4 1 2Substance‐Related Disorders

Symptoms, Signs and Ill‐Defined Symptoms 2 39 73

1 34

3 52 37 94

Census on 12/31/2014 198 165 130 193 138 258 1082 130 98 228 147 46 1503 Percentage of People Served with Diabetes 17% 18% 15% 20% 22% 25% 20% 11% 16% 13% 27% 0% 19%

Table 18 Categories Related to Criminal History Served in the Civil Hospitals on December 31, 2014

PCIS Description Section Total CLA DAN NOR TOR WAR WER 3800 Involuntary not guilty by reason of insanity NGRI 304 9 9 3900 Invol criminal commit incompetent to stand trial 304 12 2 2 3 5 4100 Extended involuntary commitment/Guilt/Mental/Ill 305 6 3 3 4200 Extended involuntary commitment/Incompetent 305 16 11 5 7000 Invol 60 days incompetent trial/not mentally ill 402 14 14 7500 Invol/convicted/ examination 405 1 1 8100 Exten Invol emerg charged/convicted 303 1 1 8200 Invol criminal commit/charged/convicted 304 11 4 7

8300 Extended involuntary charged/convicted 305 24 2 1 16 5

Totals 94 6 3 55 3 0 27

Table 19 Commitment Status/Code of People Served in the SMH System on December 31, 2014


PCIS Commitment Type as of 6/30/2014 Sec Cla Dan Nor Tor War Wer Total Nor Tor Total SMRC Tor Total

2300 Voluntary admission of an Adult 201 5 1 2 1 1 10 0 10

2400 Conver vol from Invol (302,303, 304, 305) 201 69 1 13 4 1 8 96 0 96

3400 Involuntary emerg commit/invol in SMH 304 1 1 2 2

3500 Involuntary commit/voluntary treatment in SMH 304 0 0

3600 Invol commit/not voluntary SMH inpatient 304 0 0 0 0

3700 Invol commit/not SMH inpatient 304 16 2 11 3 3 35 0 35

3800 Involuntary not guilty by reason of insanity NGRI 304 9 9 0 9

3900 Invol criminal commit incompetent to stand trial 304 2 2 3 5 12 12 12 24

4000 Extended involuntary commitment 305 102 159 61 173 132 218 845 0 845

4100 Extended involuntary commitment/Guilt/Mental/Ill 305 3 3 6 2 2 8

4200 Extended involuntary commitment/Incompetent 305 11 5 16 2 2 18

7000 Invol 60 days incompetent trial/not mentally ill 402 14 14 102 63 165 179

7500 Invol/convicted/ examination 405 1 1 10 1 11 12

8100 Exten Invol emerg charged/convicted 303 1 1 0 1

8200 Invol criminal commit/charged/convicted 304 4 7 11 11 6 17 28

8300 Extended involuntary charged/convicted 305 2 1 16 5 24 3 16 19 43

0

0000 For use by Restoration Centers and ICF units ICF 146 146

0001 For use by Restoration Centers and ICF units SNF 1 1

0

9900 Sexual Responsibility Treatment Unit-Act 21 ACT21 0 46 46

Totals 198 165 130 193 138 258 1082 130 98 228 147 46 1503

Table 20 Consumers in Civil Section with 2 or More Years LOS (Hospital*County) of People Served in the Hospital System on December 31, 2014

County CLA DAN NOR TOR WAR WER Total County CLA DAN NOR TOR WAR WER Total Allegheny 12 12 Lehigh 1 36 37 Armstrong 6 6 Luzerne 58 2 1 61 Bedford 1 1 Lycoming 10 10 Berks 41 41 McKean 4 4 Blair 13 13 Mercer 10 10 Bradford 2 2 Mifflin 4 4 Bucks 14 14 Montgomery 12 12 Butler 5 5 Montour 1 1 Cambria 7 7 Northampton 2 2 Centre 2 2 Northumberland 7 7 Chester 8 1 9 Out Of State 1 1 Clearfield 7 7 Philadelphia 51 51 Colombia 5 5 Pike 2 2 Crawford 4 4 Schuylkill 19 19 Cumberland 7 7 Somerset 3 3 Dauphin 15 1 16 Susquehanna 1 1 Delaware 19 19 Tioga 4 4 Elk 1 1 Venango 6 6 Erie 27 27 Warren 3 3 Fayette 6 6 Washington 1 1 Franklin 5 1 6 Wayne 8 8 Huntington 3 3 Westmoreland 33 33 Indiana 9 9 Wyoming 1 1 Juniata 1 1 York 1 1 35 37 Lackawanna 45 45 Totals 122 80 105 100 62 178 329 Lancaster 40 40 Census on 12/31/2014 198 165 130 193 138 258 1082 Lebanon 21 21 Percentage 2+ Yrs 62% 48% 81% 52% 45% 69% 30%

Chart 2 Average LOS (Mean) in Days of People Served in the Hospital System on December 31, 2014

2407

1963

3061

736

16441795

275

1631 1720

2250

Average LOS (Mean/Days)

On December 31, 2014

PENNSYLVANIA STATE HOSPITAL SYSTEM LENGTH OF …...DIAGNOSES REPORT FOR DECEMBER 31, 2014 Prepared...

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