The SHMI is the ratio between the actual number of patients who die following hospitalisation at the trust and the number that would be expected to die on the basis of average England figures, given the characteristics of the patients treated there. It includes deaths which occurred in hospital and deaths which occurred outside of hospital within 30 days (inclusive) of discharge. Deaths related to COVID-19 are excluded from the SHMI. The SHMI gives an indication for each non-specialist acute NHS trust in England whether the observed number of deaths within 30 days of discharge from hospital was 'higher than expected' (SHMI banding=1), 'as expected' (SHMI banding=2) or 'lower than expected' (SHMI banding=3) when compared to the national baseline. Trusts may be located at multiple sites and may be responsible for 1 or more hospitals. A breakdown of the data by site of treatment is also provided. The SHMI is composed of 142 different diagnosis groups and these are aggregated to calculate the overall SHMI value for each trust. The number of finished provider spells, observed deaths and expected deaths at diagnosis group level for each trust is available in the SHMI diagnosis group breakdown files. For a subset of diagnosis groups, an indication of whether the observed number of deaths within 30 days of discharge from hospital was 'higher than expected', 'as expected' or 'lower than expected' when compared to the national baseline is also provided. Details of the 142 diagnosis groups can be found in Appendix A of the SHMI specification. Notes: 1. As of the July 2020 publication, COVID-19 activity has been excluded from the SHMI. The SHMI is not designed for this type of pandemic activity and the statistical modelling used to calculate the SHMI may not be as robust if such activity were included. Activity that is being coded as COVID-19, and therefore excluded, is monitored in the contextual indicator 'Percentage of provider spells with COVID-19 coding' which is part of this publication. 2. Please note that there was a fall in the overall number of spells for England from March 2020 due to COVID-19 impacting on activity and the number has not returned to pre-pandemic levels. Further information at Trust level is available in the contextual indicator ‘Provider spells compared to the pre-pandemic period’ which is part of this publication. 3. There is a shortfall in the number of records for The Princess Alexandra Hospital NHS Trust (trust code RQW). Values for this trust are based on incomplete data and should therefore be interpreted with caution. 4. Frimley Health NHS Foundation Trust (trust code RDU) has not submitted data to the Secondary Uses Service (SUS) since June 2022 due to an issue with their patient records system. This is causing a large shortfall in records with data only submitted for 3 months out of the 12 months in the current time period. Values for this trust should be viewed in the context of this issue. 5. There is a high percentage of invalid diagnosis codes for Milton Keynes University Hospital NHS Foundation Trust (trust code RD8). Values for this trust should therefore be interpreted with caution. 6. Barts Health NHS Trust (trust code R1H), Cambridge University Hospitals NHS Foundation Trust (trust code RGT), Croydon Health Services NHS Trust (trust code RJ6), Epsom and St Helier University Hospitals NHS Trust (trust code RVR), Frimley Health NHS Foundation Trust (trust code RDU), Imperial College Healthcare NHS Trust (trust code RYJ), Manchester University NHS Foundation Trust (trust code R0A), Norfolk and Norwich University Hospitals NHS Foundation Trust (trust code RM1), and University Hospitals of Derby and Burton NHS Foundation Trust (trust code RTG) are now submitting Same Day Emergency Care (SDEC) data to the Emergency Care Data Set (ECDS) rather than the Admitted Patient Care (APC) dataset. The SHMI is calculated using APC data. Removal of SDEC activity from the APC data may impact a trust’s SHMI value and may increase it. More information is available in the Background Quality Report. 7. On 1 July 2023 Southport and Ormskirk Hospital NHS Trust (trust code RVY) was acquired by St Helens and Knowsley Teaching Hospitals NHS Trust (trust code RBN). The new organisation is known as Mersey and West Lancashire Teaching Hospitals NHS Trust (trust code RBN). However, as we received notification of this change after data processing for this publication began, data are still reported for the two separate organisations. NHS England are planning to report data for the new merged organisation from the October 2023 publication. 8. Further information on data quality can be found in the SHMI background quality report, which can be downloaded from the 'Resources' section of the publication page.

EMSIndicators:The number of individual patients administered naloxone by EMSThe number of naloxone administrations by EMSThe rate of EMS calls involving naloxone administrations per 10,000 residentsData Source:The Vermont Statewide Incident Reporting Network (SIREN) is a comprehensive electronic prehospital patient care data collection, analysis, and reporting system. EMS reporting serves several important functions, including legal documentation, quality improvement initiatives, billing, and evaluation of individual and agency performance measures.Law Enforcement Indicators:The Number of law enforcement responses to accidental opioid-related non-fatal overdosesData Source:The Drug Monitoring Initiative (DMI) was established by the Vermont Intelligence Center (VIC) in an effort to combat the opioid epidemic in Vermont. It serves as a repository of drug data for Vermont and manages overdose and seizure databases. Notes:Overdose data provided in this dashboard are derived from multiple sources and should be considered preliminary and therefore subject to change. Overdoses included are those that Vermont law enforcement responded to. Law enforcement personnel do not respond to every overdose, and therefore, the numbers in this report are not representative of all overdoses in the state. The overdoses included are limited to those that are suspected to have been caused, at least in part, by opioids. Inclusion is based on law enforcement's perception and representation in Records Management Systems (RMS). All Vermont law enforcement agencies are represented, with the exception of Norwich Police Department, Hartford Police Department, and Windsor Police Department, due to RMS access. Questions regarding this dataset can be directed to the Vermont Intelligence Center at dps.vicdrugs@vermont.gov.Overdoses Indicators:The number of accidental and undetermined opioid-related deathsThe number of accidental and undetermined opioid-related deaths with cocaine involvementThe percent of accidental and undetermined opioid-related deaths with cocaine involvementThe rate of accidental and undetermined opioid-related deathsThe rate of heroin nonfatal overdose per 10,000 ED visitsThe rate of opioid nonfatal overdose per 10,000 ED visitsThe rate of stimulant nonfatal overdose per 10,000 ED visitsData Source:Vermont requires towns to report all births, marriages, and deaths. These records, particularly birth and death records are used to study and monitor the health of a population. Deaths are reported via the Electronic Death Registration System. Vermont publishes annual Vital Statistics reports.The Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE) captures and analyzes recent Emergency Department visit data for trends and signals of abnormal activity that may indicate the occurrence of significant public health events.Population Health Indicators:The percent of adolescents in grades 6-8 who used marijuana in the past 30 daysThe percent of adolescents in grades 9-12 who used marijuana in the past 30 daysThe percent of adolescents in grades 9-12 who drank any alcohol in the past 30 daysThe percent of adolescents in grades 9-12 who binge drank in the past 30 daysThe percent of adolescents in grades 9-12 who misused any prescription medications in the past 30 daysThe percent of adults who consumed alcohol in the past 30 daysThe percent of adults who binge drank in the past 30 daysThe percent of adults who used marijuana in the past 30 daysData Sources:The Vermont Youth Risk Behavior Survey (YRBS) is part of a national school-based surveillance system conducted by the Centers for Disease Control and Prevention (CDC). The YRBS monitors health risk behaviors that contribute to the leading causes of death and disability among youth and young adults.The Behavioral Risk Factor Surveillance System (BRFSS) is a telephone survey conducted annually among adults 18 and older. The Vermont BRFSS is completed by the Vermont Department of Health in collaboration with the Centers for Disease Control and Prevention (CDC).Notes:Prevalence estimates and trends for the 2021 Vermont YRBS were likely impacted by significant factors unique to 2021, including the COVID-19 pandemic and the delay of the survey administration period resulting in a younger population completing the survey. Students who participated in the 2021 YRBS may have had a different educational and social experience compared to previous participants. Disruptions, including remote learning, lack of social interactions, and extracurricular activities, are likely reflected in the survey results. As a result, no trend data is included in the 2021 report and caution should be used when interpreting and comparing the 2021 results to other years.The Vermont Department of Health (VDH) seeks to promote destigmatizing and equitable language. While the VDH uses the term "cannabis" to reflect updated terminology, the data sources referenced in this data brief use the term "marijuana" to refer to cannabis. Prescription Drugs Indicators:The average daily MMEThe average day's supplyThe average day's supply for opioid analgesic prescriptionsThe number of prescriptionsThe percent of the population receiving at least one prescriptionThe percent of prescriptionsThe proportion of opioid analgesic prescriptionsThe rate of prescriptions per 100 residentsData Source:The Vermont Prescription Monitoring System (VPMS) is an electronic data system that collects information on Schedule II-IV controlled substance prescriptions dispensed by pharmacies. VPMS proactively safeguards public health and safety while supporting the appropriate use of controlled substances. The program helps healthcare providers improve patient care. VPMS data is also a health statistics tool that is used to monitor statewide trends in the dispensing of prescriptions.Treatment Indicators:The number of times a new substance use disorder is diagnosed (Medicaid recipients index events)The number of times substance use disorder treatment is started within 14 days of diagnosis (Medicaid recipients initiation events)The number of times two or more treatment services are provided within 34 days of starting treatment (Medicaid recipients engagement events)The percent of times substance use disorder treatment is started within 14 days of diagnosis (Medicaid recipients initiation rate)The percent of times two or more treatment services are provided within 34 days of starting treatment (Medicaid recipients engagement rate)The MOUD treatment rate per 10,000 peopleThe number of people who received MOUD treatmentData Source:Vermont Medicaid ClaimsThe Vermont Prescription Monitoring System (VPMS)Substance Abuse Treatment Information System (SATIS)

Companies are required under Section 506C of the Federal Food, Drug, and Cosmetic Act (FD&C Act) (as amended by the Food and Drug Administration Safety and Innovation Act) to notify FDA of a permanent discontinuance of certain drug products, six months in advance, or if that is not possible, as soon as practicable. These drugs include those that are life-supporting, life-sustaining or for use in the prevention or treatment of a debilitating disease or condition, including any such drug used in emergency medical care or during surgery). The discontinuations provided below reflect information received from manufacturers, and are for informational purposes only.

This Hospital Heliport point layer displays California hospital heliport locations with the links to the heliport info sheets that provide permitted approach paths and other information for all the permitted Hospital Heliports in California. The information will be helpful to emergency planners, helicopter operators, and other users.This data is provided as a service for planning purposes and not intended for design, navigation purposes or airspace consideration. Such needs should include discussions with the Federal Aviation Administration, Caltrans Division of Aeronautics, and the site management/owners.The maps and data are made available to the public solely for informational purposes. Information provided in the Caltrans GIS Data Library is accurate to the best of our knowledge and is subject to change on a regular basis, without notice. While the GIS Data Management Branch makes every effort to provide useful and accurate information, we do not warrant the information to be authoritative, complete, factual, or timely. Information is provided on an "as is" and an "as available" basis. The Department of Transportation is not liable to any party for any cost or damages, including any direct, indirect, special, incidental, or consequential damages, arising out of or in connection with the access or use of, or the inability to access or use, the Site or any of the Materials or Services described herein.CalTrans Division of Aeronautics.

Homelessness Report February 2025. Published by Department of Housing, Local Government, and Heritage. Available under the license Creative Commons Attribution Share-Alike 4.0 (CC-BY-SA-4.0).Homelessness data Official homelessness data is produced by local authorities through the Pathway Accommodation and Support System (PASS). PASS was rolled-out nationally during the course of 2013. The Department’s official homelessness statistics are published on a monthly basis and refer to the number of homeless persons accommodated in emergency accommodation funded and overseen by housing authorities during a specific count week, typically the last full week of the month. The reports are produced through the Pathway Accommodation & Support System (PASS), collated on a regional basis and compiled and published by the Department. Homelessness reporting commenced in this format in 2014. The format of the data may change or vary over time due to administrative and/or technology changes and improvements. The administration of homeless services is organised across nine administrative regions, with one local authority in each of the regions, “the lead authority”, having overall responsibility for the disbursement of Exchequer funding. In each region a Joint Homelessness Consultative Forum exists which includes representation from the relevant State and non-governmental organisations involved in the delivery of homeless services in a particular region. Delegated arrangements are governed by an annually agreed protocol between the Department and the lead authority in each region. These protocols set out the arrangements, responsibilities and financial/performance data reporting requirements for the delegation of funding from the Department. Under Sections 38 and 39 of the Housing (Miscellaneous Provisions) Act 2009 a statutory Management Group exists for each regional forum. This is comprised of representatives from the relevant housing authorities and the Health Service Executive, and it is the responsibility of the Management Group to consider issues around the need for homeless services and to plan for the implementation, funding and co-ordination of such services. In relation to the terms used in the report for the accommodation types see explanation below: PEA - Private Emergency Accommodation: this may include hotels, B&Bs and other residential facilities that are used on an emergency basis. Supports are provided to services users on a visiting supports basis. STA - Supported Temporary Accommodation: accommodation, including family hubs, hostels, with onsite professional support. TEA - Temporary Emergency Accommodation: emergency accommodation with no (or minimal) support....

description: This agreement, a reciprocal law enforcement and assistance agreement, is made between the U.S. Fish and Wildlife Service and the County Sheriff's Department. The parties of this agreement will reciprocally provide emergency assistance provided that the request is based on an incident that is true emergency where there is a clear and present danger to human life and the correspondent does not have the resources at hand to bring the incident under control. This agreement will remain in effect for five years unless either party gives the other sixty day written notice prior to withdrawal.; abstract: This agreement, a reciprocal law enforcement and assistance agreement, is made between the U.S. Fish and Wildlife Service and the County Sheriff's Department. The parties of this agreement will reciprocally provide emergency assistance provided that the request is based on an incident that is true emergency where there is a clear and present danger to human life and the correspondent does not have the resources at hand to bring the incident under control. This agreement will remain in effect for five years unless either party gives the other sixty day written notice prior to withdrawal.