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Perinatal Network 10 Quarter 1 2022 Quarterly Performance Report

Screening Rate

State Average: 98.76% - Meets Standards

Perinatal Network 10 Average: 99.80% - Meets Standards

Hospital Breakdown

Hospital Screening Rate Compliance

Alton Mem

99.45%

Meets Standards

Anderson

99.68%

Meets Standards

Good Sam

100.00%

Meets Standards

Memorial East

99.72%

Meets Standards

Memorial Car

100.00%

Meets Standards

St. Elizabeth

99.56%

Meets Standards

St. Joseph

100.00%

Meets Standards

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 10 Average: 98.93% - Meets Standards

Hospital Breakdown

Hospital Screened No Later than 1 Month of Age Compliance

Alton Mem

98.90%

Meets Standards

Anderson

99.03%

Meets Standards

Good Sam

99.65%

Meets Standards

Memorial East

98.01%

Meets Standards

Memorial Car

98.52%

Meets Standards

St. Elizabeth

99.56%

Meets Standards

St. Joseph

100.00%

Meets 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 10 Average: 5.26% - Below Standards

Hospital Breakdown

Hospital Inpatient Refer Rate Compliance

Alton Mem

4.95%

Below Standards

Anderson

2.92%

Meets Standards

Good Sam

0.35%

Out of Compliance

Memorial East

11.05%

Out of Compliance

Memorial Car

10.15%

Out of Compliance

St. Elizabeth

6.61%

Out of Compliance

St. Joseph

0.76%

Out of Compliance

Refer Rate = Total Referred/Total Screened

2020 Diagnosed No Later than 3 Months of Age

State Average: 74.04% - Meets Standards

Perinatal Network 10 Average: 84.46% - Meets Standards

Hospital Breakdown

Hospital 2020 Diagnosed No Later than 3 Months of Age Compliance

Alton Mem

72.73%

Meets Standards

Anderson

72.22%

Meets Standards

Good Sam

66.67%

Meets Standards

Memorial East

95.59%

Meets Standards

Memorial Car

58.82%

Out of Compliance

St. Elizabeth

82.61%

Meets Standards

St. Joseph

100.00%

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 10 Average: 30.04% - Below Standards

Hospital Breakdown

Hospital 2020 Lost to Diagnostic Follow-Up Compliance

Alton Mem

23.53%

Meets Standards

Anderson

18.18%

Meets Standards

Good Sam

60.00%

Out of Compliance

Memorial East

13.25%

Meets Standards

Memorial Car

58.49%

Out of Compliance

St. Elizabeth

28.13%

Below Standards

St. Joseph

18.18%

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

Alton Mem

0.00%

Anderson

33.33%

Good Sam

100.00%

Memorial East

93.94%

Memorial Car

13.16%

St. Elizabeth

57.14%

St. Joseph

None

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.