The file's text, extracted by GovTribe without its formatting.
Abington Hospital Hospital Name: Abington Hospital
| Were Warm Handoff encounters conducted anywhere in hospital during the reporting period? |
| A warm hand-off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. |
How many clients were referred to WHO from the hospital ED during the reporting period?
| How many WHO Encounters were conducted in this hospital ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services, Enter zero if none occurred in reporting period. |
How many WHO Encounters conducted in this hospital ED during the reporting period were conducted via telephone?
| How many of the WHO encounters resulted in a direct referral from this hospital ED to treatment services? |
| A referral is an encounter resulting in a door-to-door hand-off from the hospital setting to SUD treatment Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from this hospital ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters were incomplete from this hospital ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e... waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total ED Direct Referrals to Treatment, Treatment Refusals, and Incompletes (Calculated from your responses above) |
| Total must equal number of encounters.This will automatically calculate. |
| Reasons for WHO refusals with this hospital ER: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital ED: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
How many of your WHO encounters with this hospital ED did you respond to that were non-overdoses?
| How many of your WHO encounters from the hospital ED were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Supports: |
How many of your WHO encounters with this hospital ED did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Were Warm Handoff encounters conducted in hospital areas other than the ED? |
| A warm hand off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face to face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment service. |
| How many WHO Encounters were conducted in these hospital areas other than the ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters resulted in a direct referral from hospital areas other than the ED to treatment services? |
| A referral is an encounter resulting in a door to door hand off from the hospital setting to SUD treatment. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from hospital areas other than the ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting, Enter zero if none occurred in reporting period |
| How many of the WHO encounters were incomplete from hospital areas other than the ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e.g.. waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total other than-the-ED Referrals, Refusals, and incompletes: |
| Total must equal number of encounters. |
How many of your WHO encounters within this hospital(other than ED) did you respond to that were non-overdoses?
How many WHO Encounters conducted in this hospital (other than ED) during the reporting period were conducted via telephone?
| Reasons for WHO refusals with this hospital: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| How many of your WHO Engagements, other than ED, were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Support: |
How many of your WHO encounters with this hospital did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
Abington-Lansdale Hospital Hospital Name: Abington-Lansdale Hospital
| Were Warm Handoff encounters conducted anywhere in hospital during the reporting period? |
| A warm hand-off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. |
How many clients were referred to WHO from the hospital ED during the reporting period?
| How many WHO Encounters were conducted in this hospital ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services, Enter zero if none occurred in reporting period. |
How many WHO Encounters conducted in this hospital ED during the reporting period were conducted via telephone?
| How many of the WHO encounters resulted in a direct referral from this hospital ED to treatment services? |
| A referral is an encounter resulting in a door-to-door hand-off from the hospital setting to SUD treatment Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from this hospital ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters were incomplete from this hospital ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e... waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total ED Direct Referrals to Treatment, Treatment Refusals, and Incompletes (Calculated from your responses above) |
| Total must equal number of encounters.This will automatically calculate. |
| Reasons for WHO refusals with this hospital ER: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital ED: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
How many of your WHO encounters with this hospital ED did you respond to that were non-overdoses?
| How many of your WHO encounters from the hospital ED were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Supports: |
How many of your WHO encounters with this hospital ED did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Were Warm Handoff encounters conducted in hospital areas other than the ED? |
| A warm hand off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face to face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment service. |
| How many WHO Encounters were conducted in these hospital areas other than the ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters resulted in a direct referral from hospital areas other than the ED to treatment services? |
| A referral is an encounter resulting in a door to door hand off from the hospital setting to SUD treatment. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from hospital areas other than the ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting, Enter zero if none occurred in reporting period |
| How many of the WHO encounters were incomplete from hospital areas other than the ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e.g.. waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total other than-the-ED Referrals, Refusals, and incompletes: |
| Total must equal number of encounters. |
How many of your WHO encounters within this hospital(other than ED) did you respond to that were non-overdoses?
How many WHO Encounters conducted in this hospital during the reporting period were conducted via telephone?
| Reasons for WHO refusals with this hospital: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| How many of your WHO Engagements, other than ED, were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Support: |
How many of your WHO encounters with this hospital did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
Einstein Montgomery Hospital Name: Einstein Montgomery
| Were Warm Handoff encounters conducted anywhere in hospital during the reporting period? |
| A warm hand-off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. |
How many clients were referred to WHO from the hospital ED during the reporting period?
| How many WHO Encounters were conducted in this hospital ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services, Enter zero if none occurred in reporting period. |
How many WHO Encounters conducted in this hospital ED during the reporting period were conducted via telephone?
| How many of the WHO encounters resulted in a direct referral from this hospital ED to treatment services? |
| A referral is an encounter resulting in a door-to-door hand-off from the hospital setting to SUD treatment Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from this hospital ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters were incomplete from this hospital ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e... waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total ED Direct Referrals to Treatment, Treatment Refusals, and Incompletes (Calculated from your responses above) |
| Total must equal number of encounters.This will automatically calculate. |
| Reasons for WHO refusals with this hospital ER: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital ED: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
How many of your WHO encounters with this hospital ED did you respond to that were non-overdoses?
| How many of your WHO encounters from the hospital ED were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Supports: |
How many of your WHO encounters with this hospital ED did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Were Warm Handoff encounters conducted in hospital areas other than the ED? |
| A warm hand off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face to face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment service. |
| How many WHO Encounters were conducted in these hospital areas other than the ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters resulted in a direct referral from hospital areas other than the ED to treatment services? |
| A referral is an encounter resulting in a door to door hand off from the hospital setting to SUD treatment. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from hospital areas other than the ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting, Enter zero if none occurred in reporting period |
| How many of the WHO encounters were incomplete from hospital areas other than the ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e.g.. waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total other than-the-ED Referrals, Refusals, and incompletes: |
| Total must equal number of encounters. |
How many of your WHO encounters within this hospital(other than ED) did you respond to that were non-overdoses?
How many WHO Encounters conducted in this hospital during the reporting period were conducted via telephone?
| Reasons for WHO refusals with this hospital: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| How many of your WHO Engagements, other than ED, were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Support: |
How many of your WHO encounters with this hospital did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
Holy Redeemer Hospital Hospital Name: Holy Redeemer Hospital
| Were Warm Handoff encounters conducted anywhere in hospital during the reporting period? |
| A warm hand-off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. |
How many clients were referred to WHO from the hospital ED during the reporting period?
| How many WHO Encounters were conducted in this hospital ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services, Enter zero if none occurred in reporting period. |
How many WHO Encounters conducted in this hospital ED during the reporting period were conducted via telephone?
| How many of the WHO encounters resulted in a direct referral from this hospital ED to treatment services? |
| A referral is an encounter resulting in a door-to-door hand-off from the hospital setting to SUD treatment Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from this hospital ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters were incomplete from this hospital ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e... waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total ED Direct Referrals to Treatment, Treatment Refusals, and Incompletes (Calculated from your responses above) |
| Total must equal number of encounters.This will automatically calculate. |
| Reasons for WHO refusals with this hospital ER: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital ED: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
How many of your WHO encounters with this hospital ED did you respond to that were non-overdoses?
| How many of your WHO encounters from the hospital ED were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Supports: |
How many of your WHO encounters with this hospital ED did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Were Warm Handoff encounters conducted in hospital areas other than the ED? |
| A warm hand off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face to face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment service. |
| How many WHO Encounters were conducted in these hospital areas other than the ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters resulted in a direct referral from hospital areas other than the ED to treatment services? |
| A referral is an encounter resulting in a door to door hand off from the hospital setting to SUD treatment. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from hospital areas other than the ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting, Enter zero if none occurred in reporting period |
| How many of the WHO encounters were incomplete from hospital areas other than the ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e.g.. waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total other than-the-ED Referrals, Refusals, and incompletes: |
| Total must equal number of encounters. |
How many of your WHO encounters within this hospital(other than ED) did you respond to that were non-overdoses?
How many WHO Encounters conducted in this hospital during the reporting period were conducted via telephone?
| Reasons for WHO refusals with this hospital: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| How many of your WHO Engagements, other than ED, were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Support: |
How many of your WHO encounters with this hospital did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
Lankenau Hospital Hospital Name: Lankenau Hospital
| Were Warm Handoff encounters conducted anywhere in hospital during the reporting period? |
| A warm hand-off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. |
How many clients were referred to WHO from the hospital ED during the reporting period?
| How many WHO Encounters were conducted in this hospital ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services, Enter zero if none occurred in reporting period. |
How many WHO Encounters conducted in this hospital ED during the reporting period were conducted via telephone?
| How many of the WHO encounters resulted in a direct referral from this hospital ED to treatment services? |
| A referral is an encounter resulting in a door-to-door hand-off from the hospital setting to SUD treatment Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from this hospital ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters were incomplete from this hospital ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e... waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total ED Direct Referrals to Treatment, Treatment Refusals, and Incompletes (Calculated from your responses above) |
| Total must equal number of encounters.This will automatically calculate. |
| Reasons for WHO refusals with this hospital ER: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital ED: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
How many of your WHO encounters with this hospital ED did you respond to that were non-overdoses?
| How many of your WHO encounters from the hospital ED were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Supports: |
How many of your WHO encounters with this hospital ED did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Were Warm Handoff encounters conducted in hospital areas other than the ED? |
| A warm hand off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face to face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment service. |
| How many WHO Encounters were conducted in these hospital areas other than the ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters resulted in a direct referral from hospital areas other than the ED to treatment services? |
| A referral is an encounter resulting in a door to door hand off from the hospital setting to SUD treatment. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from hospital areas other than the ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting, Enter zero if none occurred in reporting period |
| How many of the WHO encounters were incomplete from hospital areas other than the ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e.g.. waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total other than-the-ED Referrals, Refusals, and incompletes: |
| Total must equal number of encounters. |
How many of your WHO encounters within this hospital(other than ED) did you respond to that were non-overdoses?
How many WHO Encounters conducted in this hospital during the reporting period were conducted via telephone?
| Reasons for WHO refusals with this hospital: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| How many of your WHO Engagements, other than ED, were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Support: |
How many of your WHO encounters with this hospital did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
Tower-Pottstown Hospital Hospital Name: Pottstown Hospital
| Were Warm Handoff encounters conducted anywhere in hospital during the reporting period? |
| A warm hand-off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. |
How many clients were referred to WHO from the hospital ED during the reporting period?
| How many WHO Encounters were conducted in this hospital ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services, Enter zero if none occurred in reporting period. |
How many WHO Encounters conducted in this hospital ED during the reporting period were conducted via telephone?
| How many of the WHO encounters resulted in a direct referral from this hospital ED to treatment services? |
| A referral is an encounter resulting in a door-to-door hand-off from the hospital setting to SUD treatment Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from this hospital ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters were incomplete from this hospital ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e... waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total ED Direct Referrals to Treatment, Treatment Refusals, and Incompletes (Calculated from your responses above) |
| Total must equal number of encounters.This will automatically calculate. |
| Reasons for WHO refusals with this hospital ER: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital ED: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
How many of your WHO encounters with this hospital ED did you respond to that were non-overdoses?
| How many of your WHO encounters from the hospital ED were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Supports: |
How many of your WHO encounters with this hospital ED did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Were Warm Handoff encounters conducted in hospital areas other than the ED? |
| A warm hand off is a door to door referral from one location (the hospital directly to SUD treatment. A WHO encounter is a face to face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment service. |
| How many WHO Encounters were conducted in these hospital areas other than the ED during the reporting period? |
| A WHO encounter is a face-to-face engagement with an individual in a hospital setting for the purpose of assessing the need for SUD treatment services. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters resulted in a direct referral from hospital areas other than the ED to treatment services? |
| A referral is an encounter resulting in a door to door hand off from the hospital setting to SUD treatment. Enter zero if none occurred in reporting period. |
| How many of the WHO encounters refused a referral to treatment services from hospital areas other than the ED? |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting, Enter zero if none occurred in reporting period |
| How many of the WHO encounters were incomplete from hospital areas other than the ED? |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand off could not be completed due to extraneous circumstances (e.g.. waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) Enter zero if none occurred in reporting period. |
| Total other than-the-ED Referrals, Refusals, and incompletes: |
| Total must equal number of encounters. |
How many of your WHO encounters within this hospital(other than ED) did you respond to that were non-overdoses?
How many WHO Encounters conducted in this hospital during the reporting period were conducted via telephone?
| Reasons for WHO refusals with this hospital: |
| A refusal is an encounter resulting in an individual's unwillingness to complete the encounter or be referred to SUD treatment directly from the hospital setting. |
| Not interested in treatment at this time |
| Lack of child care |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| Reasons for incomplete WHO referrals with this hospital: |
| An incomplete is an encounter in which the individual is willing to be referred to SUD treatment, but the hand-off could not be completed due to extraneous circumstances (e.g., waiting list at appropriate level of care, no transportation, admitted to the hospital, etc.) |
| Lack of transportation |
| Lack of available treatment capacity |
| Concerned with impact to employment |
| Family discouraged involvement |
| Individual has pending legal charges |
| Other (Specify other reason below) |
| How many of your WHO Engagements, other than ED, were referred to each service? |
| Inpatient: |
| Outpatient: |
| MAT: |
| Recovery Support: |
How many of your WHO encounters with this hospital did you respond to for the following substances?
| Alcohol |
| Enter zero if there were no encounters for this substance category. |
| Opioids: Heroin, Non-Prescription Methadone, Other Opiates and Synthetics |
| Enter zero if there were no encounters for this substance category. |
| Stimulants: Cocaine/Crack, Methamphetamine, Other Amphetamines, Other Stimulants |
| Enter zero if there were no encounters for this substance category. |
| Cannabinoids: Marijuana, Hashish |
| Enter zero if there were no encounters for this substance category. |
| Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |
| Other Drugs: PCP, Other Hallucinogens, Other non-Benzodiazepine |
| Enter zero if there were no encounters for this substance category. |