Data Request to All Intermediate Care Facilities

Data Request to All Intermediate Care Facilities

The Office of Developmental Programs (ODP) is assisting the Pennsylvania Department of Health (DOH) in gathering data, which will be used for a collaborative high-priority initiative to evaluate the effectiveness of a Quality Investment Pilot program. To do so, ODP is requesting your assistance to provide the following data for each of your ICF locations:

  1. Provider Name:
  2. Location (ICF Site Name):
  3. Number of people residing at the location as of November 30, 2024:
  4. The number of people at the location not covered by Medicaid (i.e., # of Private Pay clients) as of November 30, 2024:
  5. The number of DOH citations related to infection control at each location from 2020 to date and the tag number(s):
  6. Has this site participated with the RISE program?

You may supply the data by typing the responses after each question in an email reply, or by attaching a spreadsheet with the following columns completed:

Facility Name Location/ Site Name Number of Residents as of 11/30/24 Number of Private Pay Residents as of 11/30/24 No. of DOH Citations related to Infection Control from 2020 to date Tag Numbers for DOH Citations related to Infection Control from 2020 to date Has this facility participated in the RISE program?

Please send your responses electronically to Lisa Wagner by close of business Friday, December 6, 2024.

Thank you for your cooperation.