Rapid ED Overdose Data

Drug Overdose Surveillance and Epidemiology (DOSE)

Att D_Rapid_ED_Overdose_Data_Form_5_22_2019.xlsx

Rapid ED Overdose data form - State HD

OMB: 0920-1268

Document [xlsx]
Download: xlsx | pdf

Overview

Variable_definition
Metadata_RapidED
Jurisdiction_Report_RapidED
County_Report_RapidED


Sheet 1: Variable_definition

Variables Definition
Jurisdiction The two-digit state abbreviation (e.g., GA)
Year The four digit calendar year (e.g., 2019)
Month The full name of the month (e.g., January)
Sex Three categories: male, female, missing
Age_Group Eleven categories: 0-10 years, 11-14 years, 15-24 years, 24-34 years, 35-44 years, 45-54 years, 55-64 years, 65-74 years, 75-84 years, 85 years and up, missing
County_name Exact name of the County within each jurisdiction (e.g., Adams). Please exclude the word "county" after the county name (e.g., do not list "Adams County").
County_FIPS Five character FIPS code for the County within each jurisdication where the first two digits are the state code and the last three digits are the county code (e.g., 12345)
Suspected_drug_OD_n The number of ED visits for each required month related to a suspected drug overdose.
Suspected_opioid_OD_n The number of ED visits for each required month related to a suspected opioid overdose.
Suspected_heroin_OD_n The number of ED visits for each required month related to a suspected heroin overdose.
Suspected_stimulant_OD_n The number of ED visits for each required month related to a suspected stimulant overdose.
Total_ED The total number of ED visits for each required month that were included in the analysis.

Sheet 2: Metadata_RapidED

Attachment D - Rapid ED overdose data form


























Form Approved
OMB NO: 0920-XXXX
Exp. Date: X/XX/XXXX
Public reporting burden of this collection of information is estimated at 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/Information Collection Review Office, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-XXXX).


















Describe and provide metadata on this rapid report of ED visits suspected to involve drug, opioid, heroin and stimulant overdoses
1. Approximately what percent of ED visits in your state or jurisdiction were included in your analysis? (Enter a percentage such as "75%")






































































2. Over 90% of hospitals report data within (Check appropriate response):




































< 24 hours

< 1 week

< 1 month

< 3 months

























> 3 months

Unknown





























3. How many total facilities are included in your analysis for this data submission? (Enter a number such as "22")






































































4. Report the percent of all ED visits in this data submission missing chief complaint data. (Enter a percentage such as "10%")






































































5. Report the median string length of text from chief complaint data. (Enter a percentage such as "5 words")






































































6. Report the percent of all ED visits in this data submission that have no discharge diagnosis codes (e.g., ICD-10-CM). (Enter a percentage such as "15%")






































































7. What was the maximum number of discharge diagnosis codes (e.g., ICD-10-CM) entered for a single ED visit in this data submission? (Enter a number such "10")






































































8. What was the mean number of diagnosis codes (e.g., ICD-10-CM) that were entered for all ED visits in this data submissions? (Enter a number such as "8")






































































9. Please identify any major issues that impact the quality of data shared during this data submission time period:


















































10. Who should CDC contact with questions about this data report?



































Name:




























Email:




























Sheet 3: Jurisdiction_Report_RapidED

Rapid ED data on ED visits suspected to involve drug, opioid, heroin, or stimulant overdoses by sex and age group at the jurisdictional level










Jurisdiction Year Month Sex Age_Group Suspected_drug_OD_n Suspected_opioid_OD_n Suspected_heroin_OD_n Suspected_stimulant_OD_n Total_ED_visits_n



Female 0-10







Female 11-14







Female 15-24







Female 25-34







Female 35-44







Female 45-54







Female 55-64







Female 65-74







Female 75-84







Female 85+







Female Missing







Male 0-10







Male 11-14







Male 15-24







Male 25-34







Male 35-44







Male 45-54







Male 55-64







Male 65-74







Male 75-84







Male 85+







Male Missing







Missing 0-10







Missing 11-14







Missing 15-24







Missing 25-34







Missing 35-44







Missing 45-54







Missing 55-64







Missing 65-74







Missing 75-84







Missing 85+







Missing Missing





Sheet 4: County_Report_RapidED

Rapid ED data on ED visits suspected to involve drug, opioid, heroin, or stimulant overdoses by county










Jurisdiction County_name County_FIPS Year Month Suspected_drug_OD_n Suspected_opioid_OD_n Suspected_heroin_OD_n Suspected_stimulant_OD_n Total_ED_visits_n
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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