Pennsylvania ehealth Partnership Authority. Health Information Organization Survey. December 2013

Size: px
Start display at page:

Download "Pennsylvania ehealth Partnership Authority. Health Information Organization Survey. December 2013"

Transcription

1 Pennsylvania ehealth Partnership Authority Health Information Organization Survey December 2013 Pennsylvania ehealth Partnership Authority 613 North Street l Harrisburg, PA l l Fax l Improving your care through the exchange of health information

2 PA ehealth Partnership Authority February 2014 Table of Contents Introduction... 3 Key Findings... 5 HIO Functions... 6 Delivery Methods per Use Case... 8 Structure and Vocabulary Standards Participating Providers Service Coverage Area Legal Finance Communication Page 2 of 20

3 PA ehealth Partnership Authority February 2014 Introduction The PA ehealth Partnership Authority, hereafter referred to as the Authority, conducted a survey in October and November of 2013 in order to determine the current environment for Health Information Organization (HIO)* efforts within the Commonwealth of Pennsylvania. This survey refreshes information gathered in similar surveys completed in 2011 and The previous survey results gave all stakeholders a clear picture of what HIO activities were already underway and planned in the Commonwealth and helped facilitate the development of the Authority s strategic and operational plans. This year 14 organizations were invited to participate. The list of participants was based on last year s list and input from the Authority staff and stakeholders. Eleven organizations responded. Two of last year s responding organizations did not participate this year, but two new HIOs did participate. The results of the survey are included in this document, with one of the new HIOs choosing not to be identified. This HIO is hereafter referred to as HIO A. The survey consisted of 276 questions covering the following five categories: Operations and Technology Communications, Outreach and Research Finance Legal Hospital Engagement Each section of this report begins with a table summarizing the results. An increase in 2013 to 2014 results is shown in green in the rates columns. A decrease in 2013 to 2014 results is shown in red in the rates columns. If the 2013 to 2014 results are the same, then the results are shown in black. Certain portions of the information gathered are of a proprietary nature and therefore have been omitted from this report. * There has been considerable confusion resulting from the fact that the acronym HIE (Health Information Exchange) can be used both as a verb and as a noun. In an effort to alleviate this confusion in the future, the Authority has adopted a standard of using ehie to describe the activity while using the term health information organization (HIO) to describe organizations. The Authority will apply this convention in this and all future reports, but will not adjust previously published reports. Page 3 of 20

4 PA ehealth Partnership Authority February 2014 For presentation purposes, several HIOs legal names have been truncated in the charts in this report. The following table is a crosswalk between legal names and the names used in this report. Health Information Exchange Name Crosswalk Legal Name Listed in Survey As ClinicalConnect HIE ClinicalConnect HealthShare Exchange of Southeastern Pennsylvania, Inc. HealthShare Exchange Highmark Inc. Highmark Keystone Health Information Exchange (Geisinger Health System) KeyHIE Lancaster General Health Lancaster General Lehigh Valley Health Network Lehigh Valley St. Luke's University Health Network St. Luke's Page 4 of 20

5 PA ehealth Partnership Authority February 2014 Key Findings 1. For a third year in a row, all responding HIOs are supporting exchange of discharge summaries and provider-to-provider clinical messaging. Other strongly adopted functions include longitudinal medical records and order/lab results delivery. 2. The least adopted functions appear to be those already supported by EMR systems such as computerized physician order entry and e-prescribing. 3. While push (including DIRECT) methods are becoming more popular for many use cases, query-based exchange is also increasing. 4. There is a clear increase in the adoption of standards for structure and vocabulary across Pennsylvania s HIOs. 5. All provider types included in the survey will be served by at least two HIOs by the end of 2014 and at least six HIOs by the end of All responding HIOs plan to offer services to hospitals, primary care practices and specialty practices. 7. There was a very large increase in the number of primary care practices participating in HIE (2,205 now, up from 476 in 2012), but a large drop in the number of specialists reported.* 8. Most other provider types show steady or slightly increased participation. 9. As of this survey, there is at least one HIO providing service in every county in the Commonwealth, with planned coverage by at least three in every county. 10. At least six HIOs now plan coverage in each of the areas surrounding Philadelphia, Pittsburgh, and Harrisburg. 11. Planned interstate connection is increasing and all HIOs plan to connect with other PA HIOs. 12. Adoption of business associate agreements and data use and reciprocal support agreements is increasing. 13. The leading legal issues of concern to HIOs remain monitoring for internal compliance and release of super protected information. Readiness of EHRs to handle date segmentation is a rapidly rising concern. 14. The most common sources of planned HIO sustainability funding remain hospital participant fees, payer participant fees, and state grants. 15. A little over half of responding HIOs have a sustainability plan in place. 16. There is an upward trend for communication material that is aimed at patients. * Some year-to-year changes are of sufficient magnitude that they beg the question of the reason for the change. The Authority will conduct further inquiry in these cases and publish our findings in a supplement to this report. Page 5 of 20

6 ClinicalConnect HealthShare Exchange Highmark HIO A KeyHIE Lancaster General Lehigh Valley St. Luke's 2011 Rate 2012 Rate 2013 Rate PA ehealth Partnership Authority February 2014 HIO Functions Responders were asked which functions they have implemented or plan to implement. Rates include both HIOs who are planning to or are currently offering one of the use cases. The results of the survey are compiled in the Table 1. Table HIO Survey Results Functional Summary - Schedule Use Case Active care coordination N N % 91% 64% Clinical/quality event reporting (registries) N 15 70% 64% 55% Computerized physician order entry/lab 14 N N 90% 55% 27% Discharge summaries N N 13 N N 14 N N % 100% 100% Enrollment/eligibility verification N 14 N 20% 18% 27% eprescribing N N 10% 27% 18% Historical lists (medications, allergies, etc ) N 13 N N N N 100% 91% 73% Longitudinal medical records N 15 N 13 N N 14 N 14 N 80% 82% 91% Master patient index N 14 N 13 N N 14 N N N 90% 91% 91% Meaningful use analysis and reporting N % 45% 64% Order/lab results delivery 1 N N N 14 N N 14 N N N 100% 82% 91% Order/lab results request N 13 N N 15 N 100% 82% 73% Patient portal N N N N 15 70% 64% 82% Provider directory/index 14 N N N 14 N N 90% 91% 82% Provider to patient clinical messaging N N % 82% 73% Provider to provider clinical messaging 14 N N N N 100% 100% 100% Quality/safety analysis and reporting 2 15 N % 82% 45% Record locator service N 13 N 14 N 70% 73% 64% Referral/consultation delivery N N N 100% 91% 73% Referral/consultation request N N N 100% 91% 73% Registries (HIE operated/maintained) 14 N N % 55% 45% Role based access control (RBAC) N N N 13 N N 14 N N N N/A 91% 91% 1 For the first two years of the survey, results delivery was presented as a single question. This year, this has been broken into two questions: one for delivery and one for request. The same situation applies to Referral/consultation. 2 - The Authority will follow up with the HIOs to understand the reason for the decline and will publish results in supplemental report. Legend Operational now N Planned Planned Planned 2015 and beyond 15 No answer or not applicable Page 6 of 20

7 PA ehealth Partnership Authority February 2014 HIO Function Findings The functions most frequently adopted include: o Discharge summaries o Longitudinal medical records o Master patient index o Order/Lab result delivery o Provider to provider clinical messaging o Role based access control For a third year in a row, 100% of the responding HIOs reported that they currently have the ability or are working on the ability to exchange discharge summaries and provider-to-provider clinical messages. The functions least frequently adopted include: o Computerized physician order entry/lab o Enrollment/eligibility verification o eprescribing These low areas of adoption suggest that HIOs are focusing less on areas that can already be handled by electronic health record (EHR) systems. The five HIOs that reported the highest number of functional use cases were Lancaster General (21), (19), Highmark (17), KeyHIE (17) and (17). Most changes in year-to-year rates are accounted for in the change in the population of HIOs participating in the survey. Those functions with the most significant declines include: Active care coordination Quality/safety analysis and reporting Page 7 of 20

8 ClinicalConnect HealthShare Exchange Highmark PA ehealth Partnership Authority February 2014 Delivery Methods per Use Case Survey participants were asked which methodology they planned to use for sharing data. Table 2 summarizes the data collected from the survey. Table 2 HIO A KeyHIE Lancaster General Lehigh Valley St. Luke's 2013 HIO Survey Results Functional Summary - Methodology Use Case Active care coordination D B B D Clinical/quality event reporting (registries) P D B Computerized physician order entry/lab B P Discharge summaries P D D B B B Q P P Q P Enrollment/eligibility verification B eprescribing P Historical lists (medications, allergies, etc ) B B B Q B Q Q P Longitudinal medical records B D B B Q Q P Q P Master patient index B Q P P Meaningful use analysis and reporting D B P D Order/lab results delivery 1 P D B B B P P P P Order/lab results request 1 B D B B Q Q P Q Patient portal Q B B P Q Provider directory/index D B Q D D D Provider to patient clinical messaging D D D D P D D Provider to provider clinical messaging D D D D D D D D D Quality/safety analysis and reporting B Record locator service B B Q Referral/consultation delivery 1 D B D Q P B D Referral/consultation request 1 D B D P B D Registries (HIE operated/maintained) D Q Role based access control (RBAC) B 1 For the first two years of the survey, results delivery was presented as a single question. This year, this has been broken into two questions: one for delivery and one for request. The same situation applies to Referral/consultation. Legend DIRECT Push (other than DIRECT) Query Both push and query No answer or not applicable D P Q B Page 8 of 20

9 PA ehealth Partnership Authority February 2014 Participants were given the following choices: DIRECT Push via the DIRECT protocol, frequently via a HISP. Push - other than DIRECT Data is pushed from one provider to another either manually or via some automated process (i.e. scheduled or event-based). Query Allows the user to pull data on demand from the HIO. Both push and query A combination of push and query methods. Note that HIOs did not provide this data for every use case they identified as planned or currently provided in Table 1. Note that non-answers and answers of not applicable are both left blank in the summary table. Delivery Methods Findings The following table shows the summary of the delivery method findings for those HIOs who responded both last year and this year (HIO A and excluded): Delivery Method 2012 Total 2013 Total Total % Change DIRECT % Push (other than DIRECT) % Query % Both push and query % Push and DIRECT have supplanted query as the preferred delivery method for many use cases. This is partially due to more robust reporting in this section of the survey this year, but also likely due to the relative maturity of the technology and the fact that it is a relatively lowcost option accessible to smaller practices. The decrease in query is offset by an increase in both push and query. Eight of 11 participants plan to offer some level of query functionality, up from only seven of eleven last year. Page 9 of 20

10 PA ehealth Partnership Authority February 2014 Structure and Vocabulary Standards For the 2013 survey, the Authority s technical staff was asked for their input regarding the current standards being used in the industry compared to the baseline of what was asked in the 2012 survey. After careful consideration, it was decided that the Authority would keep the same questions as the previous year. The following table summarizes the collected data. Blanks in Table 3 indicate either no response was provided or a reply of not applicable. Table 3 HIO A ClinicalConnect HealthShare Exchange Highmark KeyHIE Lancaster General Lehigh Valley St. Luke's 2011 Totals 2012 Totals 2013 Totals 2013 HIO Survey Results Standards Summary Standards Do you use C-32 Yes Yes Yes Yes Yes Yes Yes Yes Yes 20% 55% 82% Do you use C-62? Yes Yes Yes Yes Yes No Yes Yes 10% 27% 64% Do you use CCD? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 20% 91% 100% Do you use CDA? Yes Yes Yes Yes Yes Yes Yes Yes No Yes 20% 64% 82% Do you use HL7? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 90% 91% 100% Do you use ICD 9/10? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 20% 82% 91% Do you use LOINC? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 20% 55% 91% Do you use OID? Yes Yes Yes Yes Yes No Yes No Yes Yes 0% 64% 73% Do you use SNOWMED CT? Yes Yes Yes Yes Yes Yes Yes No Yes Yes 10% 64% 82% Structure and Vocabulary Standards Findings This year shows continued advancement towards the adoption of standards across the HIOs. A few notable points are: CCD, HL7, ICD-9/10 and LOINC are being used by all the HIOs responding to the question. The overall level of adoption has increased for each category. The change in the overall landscape suggests that there is greater cohesion in the state and more uniformity in the marketplace. Page 10 of 20

11 PA ehealth Partnership Authority February 2014 Participating Providers The HIOs were asked with which types of providers they are currently connecting and which types they planned for future connections. If the HIOs planned connection in the future, then they were asked to specify which year that was projected to start. Table 4 shows the results. Rates include both those currently connected and those planned to connect. Table 4 HIO A ClinicalConnect HealthShare Exchange Highmark KeyHIE Lancaster General Lehigh Valley St. Luke's 2011 Rate 2012 Rate 2013 Rate 2013 HIO Survey Results Summary By Participant Type Participant Type Ambulance/EMS services N/R 55% 64% Ambulatory surgery centers N 14 30% 82% 55% Community clinical/fqhc N N/R 55% 82% Home health N % 73% 73% Hospitals N N 13 N N 14 N N 14 60% 100% 100% Independent imaging centers N 14 30% 64% 55% Independent reference laboratories N 15 20% 64% 64% Long-term care facilities N N % 73% 73% Mental health/substance abuse facilities N % 55% 64% Other diagnostic service centers N N 15 20% 64% 64% Outpatient cancer treatment centers N N 14 N 14 30% 73% 73% Payer N % 73% 82% Physical therapy/occupational therapy practices N N/R 73% 82% Primary care physician practices N N N 14 N N 14 60% 100% 100% Rehab centers N N % 82% 82% Specialist physician practices N N 14 N N 14 50% 100% 100% Urgent care centers N % 73% 64% Legend Operational now N Planned Planned Planned 2015 and beyond 15 No answer or not applicable Participating Providers Findings KeyHIE is the HIO that is currently operational with the most provider types. ClinicalConnect, Highmark and have plans to interact with all provider types by the end of All HIOs plan to provide service to hospitals, primary care and specialist physicians. All the HIOs are planning expansion of participant categories. Based on this information, the least-served provider types by the end of 2014 will be ambulatory surgery centers and independent imaging centers. Page 11 of 20

12 PA ehealth Partnership Authority February 2014 Summary of Providers Actively Signed Up For each provider type that was listed in the survey, the HIOs were asked to list how many active providers they had signed up. When reviewing the data in Table 5, it is important to note that the number of participants is based on only some of the respondents filling in this portion of the survey. Table HIO Survey Results Totals by Participant Type Participant Type 2012 Totals 2013 Totals Ambulance/EMS services 3 2 Ambulatory surgery centers 2 2 Community clinical/fqhc 1 2 Home health 2 28 Hospitals 1,329 1,344 Independent imaging centers 1 1 Independent reference laboratories 1 0 Long-term care facilities* Mental health/substance abuse facilities 0 8 Other diagnostic service centers 0 3 Outpatient cancer treatment centers 2 7 Payer 2 1 Physical therapy/occupational therapy practices 0 1 Primary care physician practices* 476 2,205 Rehab centers 3 4 Specialist physician practices* 1, Urgent care centers 2 1 Findings for Providers Actively Signed Up The number of hospitals is based on 44 hospitals being reported from the HIOs and Lancaster General having access to 1,300 hospitals via EPIC s Care program. There was a significant increase in the total number of primary care practices, but a significant drop in the total number of specialists. The Authority will follow up to better understand this change and provide an update in a supplement to this report. The other major year-to-year change is the increase in participation by longterm care facilities and home health providers. Page 12 of 20

13 ClinicalConnect HealthShare Exchange Highmark HIO A KeyHIE Lancaster General Lehigh Valley St. Luke's 2012 Total 2013 Total ClinicalConnect HealthShare Exchange Highmark HIO A KeyHIE Lancaster General Lehigh Valley St. Luke's 2012 Total 2013 Total PA ehealth Partnership Authority February 2014 Service Coverage Area The following table shows current and planned coverage areas for each HIO by county. The following pages show this information in graphic format. Table HIO Survey Results Summary of HIOs by County County County Adams PP PF PP CP CF 3 5 Lackawanna PF PP CP CF 3 4 Allegheny CP PF CP CP CF PP 4 6 Lancaster PF PP PP CP CF 5 5 Armstrong CP PF PP CF 3 4 Lawrence CP PF PP CF 3 4 Beaver CP PF PP CF 3 4 Lebanon PF PP CF 5 3 Bedford CP PF PP CP CF 3 5 Lehigh PF PP PP CP CF PF CF 5 7 Berks PF PP PP CP CF PP 5 6 Luzerne PF PP CP CF 5 4 Blair PP PF PP CP CF 4 5 Lycoming PP PF PP CP CF 3 5 Bradford PF PP CF 3 3 McKean CP PF PP CP CF 2 5 Bucks PF PF PP PP CP CF CP CP CP 7 9 Mercer CP PF PP CF 3 4 Butler CP PF PP CF PP 3 5 Mifflin PP PF PP CP CF 3 5 Cambria CP PF PP CP CF 3 5 Monroe PF PP CP CF 4 4 Cameron CP PF PP CF 2 4 Montgomery PF PF PP CP CF PP CF 6 7 Carbon PF PP CP CF PP 5 5 Montour PF PP CP CF 4 4 Centre PP PF PP CP CF 4 5 Northampton PF PP PP CP CF PF CF 5 7 Chester PP PF PF PP PP CP CF CF 6 8 Northumberland PF PP CP CF 4 4 Clarion CP PF PP CP CF 3 5 Perry PP PF PP PP CP CF 3 6 Clearfield CP PF PP CF 4 4 Philadelphia PF PF PP PF CP CF CP 5 7 Clinton PP PF PP CP CF 3 5 Pike PF PP CP CF 3 4 Columbia PF PP PP CP CF 3 5 Potter PP PF PP CF 3 4 Crawford CP PF PP CP CF 3 5 Schuylkill PF PP PP CP CF 4 5 Cumberland PP PF PP PP CP CF 4 6 Snyder PF PP CP CF 4 4 Dauphin PF PP PP CP CF 4 5 Somerset CP PF PP CP CF 3 5 Delaware PF PF PP PP CP CF CP 5 7 Sullivan PF PP CP CF 3 4 Elk CP PF PP CF 2 4 Susquehanna PF PP CP CF 3 4 Erie CP PF PP CP CF 3 5 Tioga PF PP CP CF 3 4 Fayette CP PF PP CP CF 4 5 Union PF PP CP CF 4 4 Forest CP PF PP CF 2 4 Venango CP PF PP CP CF 3 5 Franklin PP PF PP CP CF 3 5 Warren CP PF PP CP CF 4 5 Fulton PP PF PP CF 4 4 Washington CP PF PP CP CF PP 4 6 Greene CP PF PP CP CF 4 5 Wayne PF PP PP CP CF 3 5 Huntington PP PF PP CP CF 4 5 Westmoreland CP PF PP CP CF PP 4 6 Indiana CP PF PP CP CF 4 5 Wyoming PF PP CP CF 3 4 Jefferson CP PF PP CF 4 4 York PF PP CP CF 4 4 Juniata PP PF PP CP CF 4 5 Total Legend Status Reported As Current - Full CF Current - Partial CP Planned - Full PF Planned - Partial PP Page 13 of 20

14 PA ehealth Partnership Authority February 2014 Page 14 of 20

15 PA ehealth Partnership Authority February 2013 Health Information Organization Survey Page 15 of 20

16 PA ehealth Partnership Authority February 2013 Health Information Organization Survey Service Coverage Area Findings In 2012, two HIEs planned to operate statewide. One of these no longer exists, but two others, and Lancaster General, have joined Highmark in intentions for statewide coverage. One other, KeyHIE, continues to plan to operate in most, but not all counties. All responding HIOs are intending to expand their geographic area of coverage, except Lancaster General, which is already active statewide. Last year all counties in the state were covered by at least two HIOs. This year all the counties in the state will have at least three HIOs from which to choose. The densest HIO planned coverage continues to be in the area around Philadelphia, with six to nine HIOs covering each county in the region. Additional pockets of overlap by at least six planned HIOs have emerged in the areas near Harrisburg and Pittsburgh. Page 16 of 20

17 ClinicalConnect HealthShare Exchange Highmark HIO A KeyHIE Lancaster General Lehigh Valley St. Luke's 2011 Rate 2012 Rate 2013 Rate PA ehealth Partnership Authority February 2013 Health Information Organization Survey Service Coverage Area - Additional States Each of the survey participants was asked which states they were planning to connect to for interstate exchange. In addition, each participant was asked if they are willing to connect to or were currently connected with other HIOs in the commonwealth. Table HIE Survey Summary of Participation by State County Delaware P P P P C C 30% 36% 55% Maryland P P P C C 20% 10% 45% New Jersey P P P P C P 20% 45% 55% New York P P P C 30% 36% 36% Ohio P P P C 50% 27% 36% West Virginia P P P P C 3% 36% 45% Connect with other PA HIOs? P P P P P P C P P P P 100% 100% 100% Status Planning Current No Answer/N/A Legend Reported As P C Findings for Service Coverage in Additional States Planned interstate connection is increasing. All HIOs are either currently exchanging with other HIOs or plan to connect with other PA HIOs. Lancaster General s current connections are based on access to EPIC s Care program. The program allows Lancaster General to exchange data with any other EPIC Care Program participant nationwide. Other Operational Questions Each survey respondent was asked a series of operational questions to help understand their intention and direction. A few interesting items of note were: Four of the HIOs currently operate a HISP and three additional HIOs plan to operate a HISP. Of the four HIOs that operate a HISP, only one is currently certified with the Authority and one is currently in the process of certifying. With the exception of Saint Luke s, all the other HIOs are planning to create functionality to support non-electronic practices. Page 17 of 20

18 PA ehealth Partnership Authority February 2013 Health Information Organization Survey Legal - Consent Management, Individually Identifiable Information and Legal Agreements Responders were asked specific questions regarding the legal framework surrounding their HIO operations. Due to the sensitivity of this information, the answers are shown only in aggregate this year. The following summarizes answers for the key questions that were asked. The majority of the responding HIOs use both business associate agreements (BAA) and data use and reciprocal support agreements (DURSA). These are used as templates to establish the legal framework that governs medical information within their organization. The adoption of these instruments has increased since % percent of HIOs replied that they have the ability to audit what person was looking at specific information within a medical record, and produce logs that are periodically audited. While 55% of HIOs stated that patients have the ability to decide how their data is being used, almost none provide patients with the ability to invoke specific restrictions on how much of their information is made available for medical records sharing. A total of 64% of the respondents have patient-facing information to tell them how their data is used and disclosed. Page 18 of 20

19 ClinicalConnect HealthShare Exchange Highmark HIO A KeyHIE Lancaster General Lehigh Valley St. Luke's 2011 Rates 2012 Rates 2013 Rates PA ehealth Partnership Authority February 2013 Health Information Organization Survey Finance HIOs were asked a series of questions concerning their funding, from the start-up phase to the sustainability phase. Table 10 is a summary of the findings followed by a comparison to previous years findings. Answers other than Yes or No have been omitted. Table HIO Survey Results Summary of Finance Questions Finance Will/do you use federal grants to fund your HIE? No Yes No Yes Yes No No No No 30% 18% 27% Will/do you use state grants to fund your HIE? Yes No Yes Yes Yes Yes Yes No Yes No 30% 55% 64% Will/do you use private grants to fund your HIE? No Yes Yes No Yes Yes No No No 0% 18% 36% Will/do you use hospital provider participant fees to fund your HIE? Yes Yes Yes No Yes Yes No No No Yes 70% 73% 55% Will/do you use professional practice participant fees to fund your HIE? Yes Yes No No Yes Yes No No No Yes 50% 45% 45% Will/do you use Payor participant fees to fund your HIE? No Yes Yes Yes Yes Yes No Yes 50% 64% 55% Is there a sustainability plan in place for your organization? Yes Yes Yes Yes No Yes No Yes No 67% 64% 55% Do you expect any changes to your fee structure over time? Yes No Yes No Yes Yes No No Yes No 67% 45% 45% Finance Findings Only a small number of the HIOs are planning to use federal or private grants for funding. Despite fewer HIOs planning to leverage hospitals and payors for sustainability funding compared with last year, the most common sources of planned sustainability funding remain hospital participant fees, payer participant fees, and state grants. Only a little over half of the HIOs have a sustainability plan in place. The decrease in the number of HIOs who have a sustainability plan is due to the new HIOs in the market place. Page 19 of 20

20 PA ehealth Partnership Authority February 2013 Health Information Organization Survey Communication In the final section of the survey, participants were asked about communications materials they had developed or were developing, target audiences, and communications vehicles. Table 11 is a review of the findings followed by a comparison to previous year s findings. Table 11 HIO A ClinicalConnect HealthShare Exchange Highmark KeyHIE Lancaster General Lehigh Valley St. Luke's 2012 Rates 2013 Rates 2013 HIO Survey Results Summary of Communications Questions Communications and Planning Has your organization developed any HIE communication materials regarding the HIE? Yes Yes No Yes Yes Yes No Yes Yes No 73% 64% Was the communication developed for providers? Yes Yes Yes Yes Yes Yes No Yes 73% 64% Was the communication developed for patients? Yes No Yes Yes Yes Yes Yes Yes 55% 64% Was the communication developed for vendors? No Yes Yes No No No No 22% 18% Are any communication materials translated into a foreign language? No No No No No Yes No No No 0% 9% Is your organization willing to share your communication materials? Yes Yes Yes Yes Yes Yes No Yes Yes 67% 73% Has your organization conducted any consumer opinion research regarding HIE? No No No No Yes No No Yes No 27% 18% Has your organization conducted any consumer opinion research on security of patient data? No No No No No No No Yes No 0% 9% Communications Findings There is an upward trend for the communication material that is aimed at patients and a decrease in materials aimed at providers and vendors. Most year-over-year changes result from the change in the responding HIOs. Page 20 of 20

Pennsylvania ehealth Partnership Authority Health Information Organization Survey. January 2016

Pennsylvania ehealth Partnership Authority Health Information Organization Survey. January 2016 Pennsylvania ehealth Partnership Authority Health Information Organization Survey January 2016 Page 1 of 16 Table of Contents Introduction... 3 Key Points and Findings... 4 ehie Technology Models... 5

More information

PENNSYLVANIA DEPARTMENT OF REVENUE REALTY TRANSFER TAX COMMON LEVEL RATIO (CLR) REAL ESTATE VALUATION FACTORS FOR ADAMS COUNTY CLR FACTOR

PENNSYLVANIA DEPARTMENT OF REVENUE REALTY TRANSFER TAX COMMON LEVEL RATIO (CLR) REAL ESTATE VALUATION FACTORS FOR ADAMS COUNTY CLR FACTOR COMMON LEVEL RATIO () REAL ESTATE VALUATION S ADAMS COUNTY 7-2-1986 6-30-1987 7.94 7-1-2006 6-30-2007 3.98 7-1-1987 6-30-1988 9.01 7-1-2007 6-30-2008 4.53 7-1-1988 6-30-1989 9.35 7-1-2008 6-30-2009 4.55

More information

FALLS AND FALL-RELATED INJURIES

FALLS AND FALL-RELATED INJURIES The number of resident deaths due to falls and fall-related injuries was 71 in 1995 which was 13 more deaths than reported for 1985 (38). However, the age-adjusted death rate has not changed much over

More information

Pennsylvania s Health Care Marketplace

Pennsylvania s Health Care Marketplace Pennsylvania s Health Care Marketplace Rating Areas: Insurance plans and their cost vary across the state. Pennsylvania is divided into nine rating areas. Rating areas are the geographic component used

More information

HD0344P 2013 ABORTION STATISTICS

HD0344P 2013 ABORTION STATISTICS HD0344P 2013 ABORTION STATISTICS 2013 ABORTION STATISTICS In 2013, there were 32,108 abortions performed in Pennsylvania. The 2013 figure is a 51.2 percent decrease from the 1980 total of 65,777 (the highest

More information

HD0344P 2001 ABORTION STATISTICS

HD0344P 2001 ABORTION STATISTICS HD0344P 2001 ABORTION STATISTICS 2001 ABORTION STATISTICS In 2001, there were 36,820 abortions performed in Pennsylvania, which is the fourth lowest annual number ever recorded. The 2001 figure is a 44

More information

HD0344P 2010 ABORTION STATISTICS

HD0344P 2010 ABORTION STATISTICS HD0344P 2010 ABORTION STATISTICS 2010 ABORTION STATISTICS In 2010, there were 36,778 abortions performed in Pennsylvania. The 2010 figure is a 44.1 percent decrease from the 1980 total of 65,777 (the highest

More information

Top Reasons for Admission among Super-Utilizers in FY 2014, by PA County

Top Reasons for Admission among Super-Utilizers in FY 2014, by PA County s are categorized according to patients principal diagnoses and are based on a modification of the Agency for Healthcare Research and Quality s Clinical Classifications Software (CCS). The top three categories

More information

HD0344P 2012 ABORTION STATISTICS

HD0344P 2012 ABORTION STATISTICS HD0344P 2012 ABORTION STATISTICS 2012 ABORTION STATISTICS In 2012, there were 34,536 abortions performed in Pennsylvania. The 2012 figure is a 47.5 percent decrease from the 1980 total of 65,777 (the highest

More information

HD0344P 2008 ABORTION STATISTICS

HD0344P 2008 ABORTION STATISTICS HD0344P 2008 ABORTION STATISTICS 2008 ABORTION STATISTICS In 2008, there were 38,807 abortions performed in Pennsylvania. The 2008 figure is a 41.0 percent decrease from the 1980 total of 65,777 (the highest

More information

Office of Mental Health and Substance Abuse Services. Telepsych Presentation

Office of Mental Health and Substance Abuse Services. Telepsych Presentation Office of Mental Health and Substance Abuse Services Telepsych Presentation PA Association of Community Health Centers October 8, 2014 OMHSAS Telepsych Initiative Definition: Telepsych is the use of electronic

More information

CANCER of the ESOPHAGUS

CANCER of the ESOPHAGUS CANCER of the ESOPHAGUS Data Highlights As with other tobacco and alcohol-related cancers, blacks, especially males, had the highest average annual (1992-96) ageadjusted incidence rates 15.1, compared

More information

CANCER of the CORPUS UTERI

CANCER of the CORPUS UTERI CANCER of the CORPUS UTERI Data Highlights The average annual (1994-98) age-adjusted incidence rate for cancer of the corpus uteri among whites was over 56 percent higher than the rate for blacks (25.6

More information

Benefit Chart of Medicare Supplement Plans Sold on or After June 1, 2010

Benefit Chart of Medicare Supplement Plans Sold on or After June 1, 2010 Benefit Chart of Medicare Supplement Plans Sold on or After June 1, 2010 This chart shows the benefits included in each of the standard Medicare supplement plans. Every company must make available Plans

More information

A Snapshot of Pennsylvania s Uninsured Selected Findings from the 2008 Pennsylvania Insurance Department Health Insurance Survey

A Snapshot of Pennsylvania s Uninsured Selected Findings from the 2008 Pennsylvania Insurance Department Health Insurance Survey Size A Snapshot of Pennsylvania s Selected Findings from the 2008 Pennsylvania Insurance Department Health Insurance Survey The Pennsylvania Health Access Network Harrisburg, PA 17101 www.pahealthaccess.org

More information

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DEVELOPMENTAL PROGRAMS BULLIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DA OF ISSUE December 29, 2011 EFFECTIVE DA July 1, 2011 NUMBER 00-11-09 SUBJECT: Medical Assistance Program Fee Schedule

More information

Please read this letter

Please read this letter Please read this letter December 21, 2009 Dear Family, We are writing this update about Pennsylvania s new Autism Insurance Law. (also known as Act 62). This law requires certain private health insurance

More information

IWG Pilot Certification & Testing Program. Tuesday, March 3, 2015

IWG Pilot Certification & Testing Program. Tuesday, March 3, 2015 IWG Pilot Certification & Testing Program Tuesday, March 3, 2015 Hear today: - The Case for Interoperability - Three trusted brands : One powerful program - IWG Certification Specifics - Learn how to move

More information

CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA

CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA Data Highlights There were 9,888 cases of cancer of the trachea, bronchus, lung and pleura diagnosed among Pennsylvania residents in 1995, the highest annual number

More information

Murder and Non-Negligent Manslaughter

Murder and Non-Negligent Manslaughter Murder and non-negligent manslaughter are defined as the unlawful killing of another human being. Murder statistics tend to be the most reliable of all index crime statistics as most murders do not go

More information

The Commonwealth s Official Source for Population and Economic Statistics. March 9, 2011

The Commonwealth s Official Source for Population and Economic Statistics. March 9, 2011 Research Brief The Commonwealth s Official Source for Population and Economic Statistics March 9, 2011 Local Data Released for Pennsylvania: State Shows Continued Population Growth PENN STATE HARRISBURG

More information

The Commonwealth s Official Source for Population and Economic Statistics. January 16, 2007

The Commonwealth s Official Source for Population and Economic Statistics. January 16, 2007 Research Brief The Commonwealth s Official Source for Population and Economic Statistics January 16, 2007 Estimates Indicate Number of Pennsylvania School-Age Children in Poverty Again on the Rise MIDDLETOWN,

More information

CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA

CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA Data Highlights There were 10,025 cases of cancer of the trachea, bronchus, lung and pleura diagnosed among Pennsylvania residents in 1996, the highest annual

More information

Female Invasive Breast Cancer Rate

Female Invasive Breast Cancer Rate Female Invasive Breast Cancer Rate Age-Adjusted Rate per 100,000 Females Pennsylvania Counties 2003 Erie Pennsylvania: 121.7 Crawford Mercer Lawrence Beaver Washington Greene Butler Allegheny Venango Fayette

More information

Understanding MATP: The Medical Assistance Transportation Program

Understanding MATP: The Medical Assistance Transportation Program Understanding MATP: The Medical Assistance Transportation Program Prepared by the Pennsylvania Health Law Project Helpline: (800)274-3258 1-866-236-6310 TTY Website: www.phlp.org Copyright 2009 Pennsylvania

More information

Nursing Opportunities by County. View the county of your choice below to see a list of nursing job classifications used by facilities in that county.

Nursing Opportunities by County. View the county of your choice below to see a list of nursing job classifications used by facilities in that county. Nursing Opportunities by County View the county of your choice below to see a list of nursing job classifications used by facilities in that county. Please note that not all counties have nursing facilities.

More information

Directory of Local Link Resources - - Pennsylvania

Directory of Local Link Resources - - Pennsylvania www.nationallinkcoalition.org arkowpets@snip.net Directory of Local Link Resources - - Pennsylvania Animal Cruelty/Shelters Domestic Violence Child Protection Adams Adams SPCA 717-334- 8876 Allegheny Animal

More information

[41 Pa.B. 6163] [Saturday, November 12, 2011]

[41 Pa.B. 6163] [Saturday, November 12, 2011] 1 of 10 11/15/2011 11:17 AM Medical Assistance Program Fee Schedule for Consolidated and Person/Family Directed Support Waiver-Funded Select Services, Targeted Service Management and Community Mental Retardation

More information

Pennsylvania Census Snapshot: 2010

Pennsylvania Census Snapshot: 2010 Pennsylvania Census Snapshot: 2010 22,336 Husband/wife 3,228 Unmarried partner 19,108 per 1,000 households Same-sex husband/wife per 1,000 husband/wife Same-sex unmarried partner per 1,000 unmarried partner

More information

Health Options Program

Health Options Program Pennsylvania Public School Employees Retirement System (PSERS) Health Options Program 2016 Managed Care Plans for Medicare-Eligible and Non-Medicare-Eligible Members North & Central PENNSYLVANIA Adams

More information

PA DEP Oil & Gas Spill Policy Authority

PA DEP Oil & Gas Spill Policy Authority PA DEP Oil & Gas Spill Policy Authority The Act of February 15, 2012, P.L. 87, No. 13 (58 Pa. C.S. 2301 3504) (Act 13) The Clean Streams Law (35 P.S. 691 691.1001) The Solid Waste Management Act (35 P.S.

More information

Interim Final FORM 1: Total Coliform Sample Siting Plan Form Instructions

Interim Final FORM 1: Total Coliform Sample Siting Plan Form Instructions COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF SAFE DRINKING WATER Interim Final FORM 1: Total Coliform Sample Siting Plan Form For Noncommunity Water Systems Collecting

More information

Overview of Presentation

Overview of Presentation Overview of Presentation PA Overview & CWIA Products/Services Workforce Investment Act Cost/Benefit Study Workforce Data Quality Initiative Update Sue Mukherjee Director, Center for Workforce Information

More information

Thomas P. Williams Pennsylvania State Director

Thomas P. Williams Pennsylvania State Director Thomas P. Williams Pennsylvania State Director in fra struc ture [in-fruh-struhk-cher] noun The fundamental facilities and systems serving a country, city, or area, as transportation and broadband systems,

More information

Understanding Wraparound Services for Children in HealthChoices

Understanding Wraparound Services for Children in HealthChoices Understanding Wraparound Services for Children in HealthChoices Everyone on Medical Assistance (MA) has an ACCESS card. Most people on MA now receive mental health and drug & alcohol services from a Behavioral

More information

CONSTITUTION AND BY-LAWS. PENNSYLVANIA STATE CORONERS ASSOCIATION (Revised as of September 2009)

CONSTITUTION AND BY-LAWS. PENNSYLVANIA STATE CORONERS ASSOCIATION (Revised as of September 2009) CONSTITUTION AND BY-LAWS OF PENNSYLVANIA STATE CORONERS ASSOCIATION (Revised as of September 2009) CONSTITUTION SECTION ONE: NAME This organization shall be known as the Pennsylvania State Coroners Association.

More information

Recent Graduate. Q1 Which program did you graduate from? CWEB (1) CWEL (2) Answer Q2-Q10 If Q1 =CWEL

Recent Graduate. Q1 Which program did you graduate from? CWEB (1) CWEL (2) Answer Q2-Q10 If Q1 =CWEL Recent Graduate Q1 Which program did you graduate from? CWEB (1) CWEL (2) Answer Q2-Q10 If Q1 =CWEL Q2 Have you taken the LSW/LCSW examination? Yes (1) No (2) Answer Q3 If Q2 =Yes Q3 Did you pass the LSW/LCSW

More information

ASSISTIVE TECHNOLOGY AND TITLE II AND TITLE III OF THE AMERICANS WITH DISABILITIES ACT (ADA)

ASSISTIVE TECHNOLOGY AND TITLE II AND TITLE III OF THE AMERICANS WITH DISABILITIES ACT (ADA) ASSISTIVE TECHNOLOGY AND TITLE II AND TITLE III OF THE AMERICANS WITH DISABILITIES ACT (ADA) Figure 1: Door knob and key. Prepared by: Disability Rights Network of Pennsylvania www.drnpa.org 1414 N. Cameron

More information

Informational Packet

Informational Packet Informational Packet Vendor Fiscal/Employer Agent (VF/EA) Financial Management s (FMS) Wage and Benefit Ranges for Specific Participant Directed s (PDS) Effective July 1, 2015 ODP Communication Number:

More information

Aggressive Transitioning from. ACGME/AOA Teaching Hospital

Aggressive Transitioning from. ACGME/AOA Teaching Hospital Aggressive Transitioning from Community Hospital to ACGME/AOA Teaching Hospital Joseph Stella, DO FACOS Mary Elizabeth Roth, M.D. FACPE, Linda Famiglio, M.D., John Bulger, DO Geisinger Health System Academic

More information

Cancer Registry Quality Control Geisinger s Plan. Geisinger Service Area

Cancer Registry Quality Control Geisinger s Plan. Geisinger Service Area Cancer Registry Quality Control Geisinger s Plan Presenter: Cindy Eisenhower, RHIT, CSTR Geisinger Health System, Manager Cancer Registry Geisinger Service Area Geisinger Health System Erie Western Hub

More information

2016 UPMC Advantage Network Guide

2016 UPMC Advantage Network Guide 2016 UPMC Advantage Network Guide Selecting the right health insurance plan is important. And selecting a plan also means that you are choosing a network. The network refers to the specific hospitals,

More information

Pennsylvania County Government Contact Information

Pennsylvania County Government Contact Information Pennsylvania County Government Contact Information A B C D E F G H I J L M N P S T U V W Y A Adams County 111-117 Baltimore Street Gettysburg, PA 17325-2313 717-337-9826 717-337-9834 Allegheny County 101

More information

Lawyer Referral Services by County

Lawyer Referral Services by County s by County Adams ADAMS COUNTY ADAMS COUNTY COURTHOUSE GETTYSBURG 17325 717-337-9846 Allegheny ALLEGHENY COUNTY ALLEGHENY COUNTY BAR ASSOCIATION Koppers Bldg., Suite 400 436 Seventh Avenue Pittsburgh,

More information

HEALTHCHOICES BEHAVIORAL HEALTH PERFORMANCE-BASED CONTRACTING REPORT 2011 COMMONWEALTH OF PENNSYLVANIA MARCH 20, 2012

HEALTHCHOICES BEHAVIORAL HEALTH PERFORMANCE-BASED CONTRACTING REPORT 2011 COMMONWEALTH OF PENNSYLVANIA MARCH 20, 2012 PERFORMANCE-BASED CONTRACTING REPORT 2011 MARCH 20, 2012 CONTENTS 1. Stakeholder introduction... 1 2. Executive summary... 5 3. Access performance indicators... 7 4. Quality of process performance indicators...

More information

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Management

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Management DOCUMENT NUMBER: ***-****-*** EFFECTIVE DATE: Month DD, YYYY DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Management TITLE: Addressing Spills and Releases from Oil & Gas Wells and Related

More information

Student Home County Mapping

Student Home County Mapping Student Home County Mapping Prepared for Clarion University of Pennsylvania September 2013 In the following report, Hanover Research presents maps that compare the wealth of the counties in Pennsylvania

More information

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Water Supply Management Division of Drinking Water Management

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Water Supply Management Division of Drinking Water Management DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Water Supply Management Division of Drinking Water Management Document ID: 383-2100-208 Title: Authority: DEP Approval Guide for Noncommunity Water Systems

More information

OVR and other state agencies can be accessed through a new 1 stop shop for the PA government on the internet. http://www.cwds.state.pa.

OVR and other state agencies can be accessed through a new 1 stop shop for the PA government on the internet. http://www.cwds.state.pa. Pennsylvania Office of Vocational Rehabilitation Commonwealth of Pennsylvania Department of Labor & Industry OVR and other state agencies can be accessed through a new 1 stop shop for the PA government

More information

IssuesPA Workforce Poll: 10 Major Findings (9/30/05)

IssuesPA Workforce Poll: 10 Major Findings (9/30/05) IssuesPA Workforce Poll: 10 Major Findings (9/30/05) 1. Most Pennsylvanians see the job situation in their region of state as only fair, at best. Job Situation in Own Area of State Excellent/Good Only

More information

The Pennsylvania State University Student Parent Child Care Subsidy Application and Information Form

The Pennsylvania State University Student Parent Child Care Subsidy Application and Information Form Office of Human Resources The Pennsylvania State University 321 James M. Elliott Building University Park, PA 16802-5032 Please note that this form has been updated to reflect changes for our new CCAMPIS

More information

Instructions for Completing Compliance Monitoring Forms for Ultraviolet (UV) Disinfection Treatment Units

Instructions for Completing Compliance Monitoring Forms for Ultraviolet (UV) Disinfection Treatment Units COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF SAFE DRINKING WATER Remove and recycle these instructions prior to sending the competed form to DEP BACKGROUND Instructions

More information

Great, thank you. F1. To confirm, are you a registered voter at least 18 years or older in Pennsylvania? 1. Yes % 2.

Great, thank you. F1. To confirm, are you a registered voter at least 18 years or older in Pennsylvania? 1. Yes % 2. Final Top Line Survey Results PA Statewide Presidential Survey WHTM-TV/ABC27 News Sample Size: 772 Likely General Election Voters Conducted: July 31 st August 4th, 2016 10 North Progress Avenue Harrisburg,

More information

Information 117 Baltimore Street Gettysburg, PA 17325 (717) 337-9834. Court Administrator Adams County Courthouse Gettysburg, PA 17325 717-337-9846

Information 117 Baltimore Street Gettysburg, PA 17325 (717) 337-9834. Court Administrator Adams County Courthouse Gettysburg, PA 17325 717-337-9846 County ADAMS ALLEGHENY ARMSTRONG BEAVER BEDFORD BERKS BLAIR BRADFORD BUCKS BUTLER Office to List on Notice to Defend Office of the, Room 104, Adams County, Gettysburg, Pennsylvania 17325. Department of

More information

BID ITEM WORKBOOK COSTARS-6 Software BIDDER/CONTRACTOR DATA

BID ITEM WORKBOOK COSTARS-6 Software BIDDER/CONTRACTOR DATA BIDDER/CONTRACTOR DATA BIDDER/CONTRACTOR'S LEGAL NAME: D/B/A NAME, IF APPLICABLE: BIDDER ADDRESS: COUNTY LOCATED IN: VENDOR NUMBER: PA Legislative House District Number DGS Self-Certified Small Business

More information

Pennsylvania. In Pennsylvania, 532 interviews were conducted among landline respondents and 500 interviews among cell phone respondents.

Pennsylvania. In Pennsylvania, 532 interviews were conducted among landline respondents and 500 interviews among cell phone respondents. Pennsylvania Interviews with 1,032 adult Pennsylvanians conducted by telephone by ORC International on September 20-25, 2016. The margin of sampling error for results based on the total sample is plus

More information

CREDIT ENROLLMENT TRENDS

CREDIT ENROLLMENT TRENDS CREDIT ENROLLMENT TRENDS Fall 2015 Heads 4000 3500 3000 3120 3116 3180 3150 3452 2500 2000 1500 1000 500 0 2011 2012 2013 2014 2015 Institutional Research October 2015 Credit Enrollment Trends Fall 2015

More information

PROCEDURES FOR REVISIONS TO THE NATIONAL HIGHWAY SYSTEM

PROCEDURES FOR REVISIONS TO THE NATIONAL HIGHWAY SYSTEM PROCEDURES FOR REVISIONS TO THE NATIONAL HIGHWAY SYSTEM Pennsylvania Department of Transportation Transportation Planning Division National Highway System Additions, Deletions, and Changes The National

More information

Why Care Coordination?

Why Care Coordination? Why Care Coordination? Necessary for quality care Medicare Access and CIP Reauthorization Act (MACRA) Merit-Based Incentive Payment System (MIPS) CMS timeline: 85% of all Medicare fee-for-service payments

More information

BUREAU OF BLINDNESS AND VISUAL SERVICES

BUREAU OF BLINDNESS AND VISUAL SERVICES WHO WE ARE BUREAU OF BLINDNESS AND VISUAL SERVICES Promoting Independence for Pennsylvanians with Vision Loss The Bureau of Blindness and Visual Services (BBVS) is a Bureau under the Office of Vocational

More information

2014 Rankings. Pennsylvania

2014 Rankings. Pennsylvania 2014 Rankings Pennsylvania INSIDE FRONT COVER INTENTIONALLY BLANK INTRODUCTION The County Health Rankings & Roadmaps program helps communities identify and implement solutions that make it easier for people

More information

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Planning and Program Management

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Planning and Program Management DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Planning and Program Management DOCUMENT NUMBER: 800-5000-001 TITLE: Addressing Spills and Releases at Oil & Gas Well Sites or Access Roads

More information

Pennsylvania. Housing Availability & Affordability Report

Pennsylvania. Housing Availability & Affordability Report Pennsylvania Housing Availability & Affordability Report Produced by the Pennsylvania Housing Finance Agency September 212 Table of Contents Acknowledgement... 4 Preface... 5 Executive Summary... 6 Data

More information

BY-LAWS DEPARTMENT OF PENNSYLVANIA VETERANS OF FOREIGN WARS OF THE UNITED STATES, INCORPORATED ARTICLE I NAME AND JURISDICTION SECTION I / NAME

BY-LAWS DEPARTMENT OF PENNSYLVANIA VETERANS OF FOREIGN WARS OF THE UNITED STATES, INCORPORATED ARTICLE I NAME AND JURISDICTION SECTION I / NAME Page 1 of 9 BY-LAWS DEPARTMENT OF PENNSYLVANIA VETERANS OF FOREIGN WARS OF THE UNITED STATES, INCORPORATED SECTION I / NAME ARTICLE I NAME AND JURISDICTION This subordinate unit of the Veterans of Foreign

More information

2009 Data. Diabetes Hospitalization Report. Pennsylvania Health Care Cost Containment Council

2009 Data. Diabetes Hospitalization Report. Pennsylvania Health Care Cost Containment Council 2009 Data Diabetes Hospitalization Report Pennsylvania Health Care Cost Containment Council November 2011 The Pennsylvania Health Care Cost Containment Council (PHC4) was established as an independent

More information

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Planning and Program Management

DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Planning and Program Management DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Oil and Gas Planning and Program Management DOCUMENT NUMBER: 550-5000-001 EFFECTIVE DATE: TITLE: AUTHORITY: POLICY: PURPOSE: APPLICABILITY: DISCLAIMER:

More information

Durable Medical Equipment Providers

Durable Medical Equipment Providers Durable Medical Equipment Providers Durable Medical Equipment (DME) 1st Choice Medical 1-570-271-2525 Columbia, Montour, Northumberland ABC Home Medical Supply 1-866-897-8588 Chester Abet 1-800-220-2238

More information

Great, thank you. F1. To confirm, are you a registered voter at least 18 years or older in Pennsylvania? 1. Yes % 2.

Great, thank you. F1. To confirm, are you a registered voter at least 18 years or older in Pennsylvania? 1. Yes % 2. 10 North Progress Avenue Harrisburg, PA 17109 Phone: (717) 233-8850 Email: james@susquehannapolling.com www.susquehannapolling.com James Lee, President Final Top Line Survey Results PA Statewide Presidential

More information

County Assistance Office Contact Information

County Assistance Office Contact Information Residents of Pennsylvania can seek assistance and a range of services for themselves and their families from professionally trained staff members at county assistance offices. Look below for the county

More information

Constitution and Bylaws Pennsylvania Young Farmers Association, Inc.

Constitution and Bylaws Pennsylvania Young Farmers Association, Inc. Constitution and Bylaws Pennsylvania Young Farmers Association, Inc. ARTICLE I. NAME AND PURPOSE Name The name of this organization shall be the Pennsylvania Young Farmers Association. Local chapters shall

More information

What is Consumer/Patient Advocacy?

What is Consumer/Patient Advocacy? What is Consumer/Patient Advocacy? What is Advocacy? Advocacy is a political process by an individual or group which aims to influence public-policy and resource allocation decisions within political,

More information

A Parent s Guide to Choosing Quality Child Care

A Parent s Guide to Choosing Quality Child Care A Parent s Guide to Choosing Quality Child Care Building relationships with families to encourage development of Pennsylvania s children and stability of care for Pennsylvania s families. We believe in

More information

FACT SHEET. Instructions for Completing Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration

FACT SHEET. Instructions for Completing Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration FACT SHEET Instructions for Completing Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration (FOR PENNDOT AUTHORIZED AGENTS USE ONLY) This form is used to obtain a Pennsylvania Certificate

More information

California University of Pennsylvania. Application for Admission School of Graduate Studies and Research

California University of Pennsylvania. Application for Admission School of Graduate Studies and Research California University of Pennsylvania Application for Admission School of Graduate Studies and Research 250 University Avenue California, PA 15419 Phone: 724-938-4187 Fax: 724-938-5712 E-mail: gradschool@cup.edu

More information

Pittsburgh, PA (412) FAX - (412) th Avenue Suite 402

Pittsburgh, PA (412) FAX - (412) th Avenue Suite 402 County Address & Phone Numbers 01 - Adams P.O. Box 4446 225 South Franklin Street Gettysburg, PA 17325-4446 (717) 334-6241 1-800-638-6816 FAX - (717) 334-4104 02 - Allegheny Piatt Place 301 5th Avenue

More information

PSERS Employer Bulletin

PSERS Employer Bulletin PSERS Employer Bulletin Volume 6-2014 Publication #9226 Inside... Misreporting Can Be a Criminal Offense CARE Line What to do When an Employee Dies GASB Series - Proportionate Share Pension Plan Disclosure

More information

Pennsylvania Commission on Crime and Delinquency

Pennsylvania Commission on Crime and Delinquency Juvenile Justice and Delinquency Prevention Program Profile Welcome to the Pennsylvania Juvenile Justice Program Profile. The Program Profile is a series of questions where service providers and juvenile

More information

2013 Rankings Pennsylvania

2013 Rankings Pennsylvania 2013 Rankings Pennsylvania Introduction Where we live matters to our health. The health of a community depends on many different factors, including the environment, education and jobs, access to and quality

More information

METHODS USED TO ASSURE TRANSPORTATION OF BENEFICIARIES TO AND FROM PROVIDERS

METHODS USED TO ASSURE TRANSPORTATION OF BENEFICIARIES TO AND FROM PROVIDERS Page 1 Transportation of beneficiaries to and from providers of services is available in two categories: ambulance and non-ambulance. Coverage of ambulance transportation is limited to the transportation

More information

Preparing for a Natural Disaster or Other Emergency in Residential Settings October 26, 2012

Preparing for a Natural Disaster or Other Emergency in Residential Settings October 26, 2012 Preparing for a Natural Disaster or Other Emergency in Residential Settings October 26, 2012 It is essential that licensed settings be prepared for emergency situations. Emergency preparedness reduces

More information

P E N N S Y L V A N I A

P E N N S Y L V A N I A B A S I C R E Q U I R E M E N T S : P E N N S Y L V A N I A PAPER: NON-STANDARD FEE: MARGINS: NO MARGIN REQUIREMENTS FOR: CRAWFORD, BUTLER, WASHINGTON, INDIANA, DELAWARE WESTMORELAND OR JEFFERSON PRINT:

More information

Fact Sheet Commonwealth of Pennsylvania Department of Environmental Protection

Fact Sheet Commonwealth of Pennsylvania Department of Environmental Protection Fact Sheet Commonwealth of Pennsylvania Department of Environmental Protection ASBESTOS PROGRAM FOR CONTRACTORS WORKING IN PENNSYLVANIA The Pennsylvania asbestos program includes federal and state regulations

More information

2015 toll schedule CASH RATES. The Pennsylvania Turnpike turns 75 on October 1, 2015.

2015 toll schedule CASH RATES. The Pennsylvania Turnpike turns 75 on October 1, 2015. A Listing of Cash Tolls for All Classes of Vehicles Effective January 4, 2015 2015 toll schedule CASH RATES The Pennsylvania Turnpike turns 75 on October 1, 2015. This cover photograph shows the PA Turnpike

More information

OFFICE OF CHILDREN, YOUTH AND FAMILIES PO Box 2675, Harrisburg, PA

OFFICE OF CHILDREN, YOUTH AND FAMILIES PO Box 2675, Harrisburg, PA FAX... 717/787-0414 Deputy Secretary Gold Richard J.... 717/787-4756 Executive Assistant Taschner Teri... 717/783-7664 Chief of Staff Vacant... 717/214-2795 Executive Secretary Roscoe Lisa R... 717/705-8098

More information

INSTRUCTIONS FOR COMPLETING PWS INVENTORY & BRIEF DESCRIPTION FORM (For Use at NCWSs With ONLY Disinfection or No Treatment)

INSTRUCTIONS FOR COMPLETING PWS INVENTORY & BRIEF DESCRIPTION FORM (For Use at NCWSs With ONLY Disinfection or No Treatment) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF SAFE DRINKING WATER INSTRUCTIONS FOR COMPLETING PWS INVENTORY & BRIEF DESCRIPTION FORM (For Use at NCWSs With ONLY Disinfection

More information

Medical Assistance Managed Care in Pennsylvania

Medical Assistance Managed Care in Pennsylvania Medical Assistance Managed Care in Pennsylvania A Guide to Pennsylvania s HealthChoices Program for Families By: Danna Rodrigues, Staff Attorney Copyright May 2014 Pennsylvania Health Law Project About

More information

Pennsylvania Population Projections

Pennsylvania Population Projections Pennsylvania Population Projections 2010-2040 By: Michael Behney, MURP; Sue Copella; Jennifer Shultz; Debbie Bowalick; Aaron Koontz; Larry Meyers and Michael Kotovsky The Institute of State and Regional

More information

OMHSAS Staff Contact Information

OMHSAS Staff Contact Information OMHSAS Staff Contact Information Executive Council Joan L. Erney J. D., Deputy Secretary Office of Mental Health & Substance Abuse Services P. O. Box 2675 OMHSAS Receptionist: 717-787-6443 Responsible

More information

Appendix A Pennsylvania Wetlands Update

Appendix A Pennsylvania Wetlands Update Appendix A Pennsylvania Wetlands Update I. Introduction The term wetland describes, in a collective way, what are more commonly known as marshes, bogs, swamps, and wet meadows. According to Ralph W. Tiner

More information

SEWAGE FACILITIES PLANNING MODULE APPLICATION MAILER

SEWAGE FACILITIES PLANNING MODULE APPLICATION MAILER SEWAGE FACILITIES PLANNING MODULE APPLICATION MAILER COMMONWEALTH OF PENNSYLVANIA Department of Environmental Protection Edward G. Rendell, Governor Kathleen A. McGinty, Secretary For more information,

More information

PSERS Employer Bulletin

PSERS Employer Bulletin PSERS Employer Bulletin Volume 2-2016 Publication #9232 Inside... Employer Spring Workshops Introducing Dianna Bennett and Understanding Reporting with Terminations and Suspensions Public School Employees

More information

FREE Digitized Pennsylvania Newspapers Organized by County then by Date

FREE Digitized Pennsylvania Newspapers Organized by County then by Date Adams Centinel Adams Gettysburg 1800:00:00 1889:00:00 Google News Archive Gettysburg Gazette Adams Gettysburg 1803:01:21 1803:07:01 Google News Archive Republican Compiler Adams Gettysburg 1810:00:00 1889:00:00

More information

JNET: NGA Kick Off Meeting

JNET: NGA Kick Off Meeting JNET: NGA Kick Off Meeting Agenda Team Introductions JNET Overview Service Background JNET/NGA Grant Objective Deliverables Pre-Sentence Investigation JNET Team Introductions Dave Naisby Phil Silvagio

More information

Persian Gulf Conflict Veterans Benefit Program Fiscal Year Report

Persian Gulf Conflict Veterans Benefit Program Fiscal Year Report PENNSYLVANIA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS Major General James R. Joseph, Acting Adjutant General Persian Gulf Conflict Veterans Benefit Program 2013-2014 Fiscal Year Report D E P A R T M

More information

CONTACT: FOR IMMEDIATE RELEASE

CONTACT: FOR IMMEDIATE RELEASE NEWS RELEASE CONTACT: Steve Schell, Communications Coordinator FOR IMMEDIATE RELEASE 717-795-2000 ext. 3269 E-mail steve.schell@pacourts.us WWW.COURTS.STATE.PA.US Statewide Criminal Court Computer Systems

More information

PA Refugee Health Program Overview

PA Refugee Health Program Overview PA Refugee Health Program Overview Asresu Misikir, Dr.PH., MPH Epidemiologist & RHP COO Division of Infectious Disease Bureau of Epidemiology PA Department of Health September 21, 2011 PA Refugee Health

More information

THE ECONOMIC IMPACTS OF THE MUNICIPAL WASTE COLLECTION, TRANSPORTATION, AND DISPOSAL INDUSTRY IN PENNSYLVANIA

THE ECONOMIC IMPACTS OF THE MUNICIPAL WASTE COLLECTION, TRANSPORTATION, AND DISPOSAL INDUSTRY IN PENNSYLVANIA THE ECONOMIC IMPACTS OF THE MUNICIPAL WASTE COLLECTION, TRANSPORTATION, AND DISPOSAL INDUSTRY IN PENNSYLVANIA Report Submitted To: Pennsylvania Waste Industry Association P.O. Box 968 Harrisburg, PA 17108

More information

Office of Child Development and Early Learning Program Reach and County Risk Assessment January 2007

Office of Child Development and Early Learning Program Reach and County Risk Assessment January 2007 Office of Child Development and Early Learning Program Reach and County Risk Assessment January 2007 Introduction Research has shown that children considered at risk benefit more from quality early education

More information

Rising STARS Tuition Assistance Program Application (Effective July 1, 2014)

Rising STARS Tuition Assistance Program Application (Effective July 1, 2014) PA Keys to Professional Development c/o BCIU P.O. Box 16050 Reading, PA 19612-6050 FAX: 610-987-8400 Rising STARS Tuition Assistance Program Application (Effective July 1, 2014) INSTRUCTIONS: Complete

More information