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Perinatal Network 1 Quarter 1 2022 Quarterly Performance Report

Screening Rate

State Average: 98.76% - Meets Standards

Perinatal Network 1 Average: 98.47% - Meets Standards

Hospital Breakdown

Hospital Screening Rate Compliance

Bolingbrook

99.38%

Meets Standards

Edward

100.00%

Meets Standards

Elmhurst

99.70%

Meets Standards

Glen Oaks

100.00%

Meets Standards

Hinsdale

99.83%

Meets Standards

Ingalls

98.92%

Meets Standards

Little Co

99.53%

Meets Standards

MacNeal

100.00%

Meets Standards

Riverside

99.39%

Meets Standards

St. Anthony

99.22%

Meets Standards

St. Mary

100.00%

Meets Standards

UCH

92.33%

Out of Compliance

Screening Rate = Total documented as screened/(Total occurrent births-Not screened infant died-Not screened non-resident-Not screened unable due to medical reasons-Not screened parent declined services)

Screened No Later than 1 Month of Age

State Average: 98.09% - Meets Standards

Perinatal Network 1 Average: 97.79% - Meets Standards

Hospital Breakdown

Hospital Screened No Later than 1 Month of Age Compliance

Bolingbrook

100.00%

Meets Standards

Edward

97.06%

Meets Standards

Elmhurst

98.35%

Meets Standards

Glen Oaks

100.00%

Meets Standards

Hinsdale

97.77%

Meets Standards

Ingalls

97.83%

Meets Standards

Little Co

98.10%

Meets Standards

MacNeal

100.00%

Meets Standards

Riverside

98.77%

Meets Standards

St. Anthony

97.64%

Meets Standards

St. Mary

100.00%

Meets Standards

UCH

96.01%

Below Standards

Screened No Later than 1 Month of Age = (Total pass before 1 month of age + No pass before 1 month of age)/Total documented as screened

Inpatient Refer Rate

State Average: 3.70% - Meets Standards

Perinatal Network 1 Average: 3.54% - Meets Standards

Hospital Breakdown

Hospital Inpatient Refer Rate Compliance

Bolingbrook

3.75%

Meets Standards

Edward

5.76%

Below Standards

Elmhurst

7.06%

Out of Compliance

Glen Oaks

4.84%

Below Standards

Hinsdale

3.26%

Meets Standards

Ingalls

3.26%

Meets Standards

Little Co

3.32%

Meets Standards

MacNeal

1.05%

Meets Standards

Riverside

0.62%

Out of Compliance

St. Anthony

2.37%

Meets Standards

St. Mary

1.75%

Meets Standards

UCH

5.42%

Below Standards

Refer Rate = Total Referred/Total Screened

2020 Diagnosed No Later than 3 Months of Age

State Average: 74.04% - Meets Standards

Perinatal Network 1 Average: 65.00% - Meets Standards

Hospital Breakdown

Hospital 2020 Diagnosed No Later than 3 Months of Age Compliance

Bolingbrook

66.67%

Meets Standards

Edward

53.85%

Out of Compliance

Elmhurst

46.15%

Out of Compliance

Glen Oaks

66.67%

Meets Standards

Hinsdale

81.82%

Meets Standards

Ingalls

28.57%

Out of Compliance

Little Co

52.94%

Out of Compliance

MacNeal

75.00%

Meets Standards

Mercy

25.00%

Out of Compliance

Riverside

71.43%

Meets Standards

St. Anthony

0.00%

Out of Compliance

St. Mary

No Dx

UCH

72.67%

Meets Standards

2020 Diagnosed No Later than 3 Months = (No hearing loss before 3 Months + permanent hearing loss ID before 3 months)/(Total with no hearing loss (initial diagnosis) + Total with permanent hearing loss (initial diagnosis)

2020 Lost to Diagnostic Follow-Up

State Average: 26.94% - Below Standards

Perinatal Network 1 Average: 36.50% - Out of Compliance

Hospital Breakdown

Hospital 2020 Lost to Diagnostic Follow-Up Compliance

Bolingbrook

20.00%

Meets Standards

Edward

27.78%

Meets Standards

Elmhurst

16.67%

Meets Standards

Glen Oaks

25.00%

Meets Standards

Hinsdale

15.38%

Meets Standards

Ingalls

52.00%

Out of Compliance

Little Co

30.77%

Below Standards

MacNeal

20.00%

Meets Standards

Mercy

81.63%

Out of Compliance

Riverside

42.86%

Out of Compliance

St. Anthony

85.19%

Out of Compliance

St. Mary

100.00%

Out of Compliance

UCH

21.57%

Meets Standards

2020 Lost to Diagnostic Follow-Up = No diagnosis-unknown/(Straight to diagnostic + Total not pass)

2020 data was used for the diagnosed no later than 3 months and lost to diagnostic follow-up measures. EHDI data can take one year to normalize due to scheduling and receipt time of reports. This data has been submitted to the Centers for Disease Control and Prevention (CDC) and is considered complete. If you would like updated individual hospital rates for these measures, please contact the EHDI staff.

Perinatal networks as a whole and individual hospitals that are out of compliance for certain measures should contact the EHDI staff for remediation plans. There are remediation plans for each measure. A multitude of procedures and protocols impact each measure. Therefore, procedures and protocols will be analyzed to determine if best practices are being followed. The Newborn Hearing Screening Program looks forward to working together to improve our state performance.

These performance measures are to add transparency to our Newborn Hearing Screening Program across the state.

Outpatient Refer Rate

Hospital Outpatient Refer Rate

Bolingbrook

14.29%

Edward

2.27%

Elmhurst

12.50%

Glen Oaks

0.00%

Hinsdale

13.33%

Ingalls

33.33%

Little Co

100.00%

MacNeal

0.00%

Riverside

100.00%

St. Anthony

83.33%

St. Mary

0

UCH

76.39%

Outpatient Refer Rate = Percentage of infants who received an outpatient screening and referred

If out of compliance, seek assistance from the IDPH EHDI staff at 217-782-4733 or dph.newbornhearing@illinois.gov.