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Perinatal Network 4 Quarter 1 2022 Quarterly Performance Report

Screening Rate

State Average: 98.76% - Meets Standards

Perinatal Network 4 Average: 98.79% - Meets Standards

Hospital Breakdown

Hospital Screening Rate Compliance

Christ Oak Lawn

99.90%

Meets Standards

Good Samaritan

99.75%

Meets Standards

Lutheran

95.30%

Below Standards

Mercy Aurora

100.00%

Meets Standards

South Sub

100.00%

Meets Standards

Trinity

99.28%

Meets Standards

Univ of IL

99.79%

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 4 Average: 97.88% - Meets Standards

Hospital Breakdown

Hospital Screened No Later than 1 Month of Age Compliance

Christ Oak Lawn

96.30%

Below Standards

Good Samaritan

99.25%

Meets Standards

Lutheran

98.77%

Meets Standards

Mercy Aurora

100.00%

Meets Standards

South Sub

99.54%

Meets Standards

Trinity

99.27%

Meets Standards

Univ of IL

97.44%

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 4 Average: 3.46% - Meets Standards

Hospital Breakdown

Hospital Inpatient Refer Rate Compliance

Christ Oak Lawn

3.20%

Meets Standards

Good Samaritan

4.51%

Below Standards

Lutheran

1.39%

Meets Standards

Mercy Aurora

0.00%

Out of Compliance

South Sub

4.15%

Below Standards

Trinity

0.73%

Out of Compliance

Univ of IL

10.26%

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 4 Average: 84.42% - Meets Standards

Hospital Breakdown

Hospital 2020 Diagnosed No Later than 3 Months of Age Compliance

Christ Oak Lawn

79.79%

Meets Standards

Good Samaritan

55.56%

Out of Compliance

Lutheran

91.75%

Meets Standards

Mercy Aurora

50.00%

Out of Compliance

South Sub

90.91%

Meets Standards

Trinity

50.00%

Out of Compliance

Univ of IL

87.50%

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 4 Average: 11.48% - Meets Standards

Hospital Breakdown

Hospital 2020 Lost to Diagnostic Follow-Up Compliance

Christ Oak Lawn

12.17%

Meets Standards

Good Samaritan

35.71%

Out of Compliance

Lutheran

1.02%

Meets Standards

Mercy Aurora

33.33%

Below Standards

South Sub

29.41%

Below Standards

Trinity

0.00%

Meets Standards

Univ of IL

23.81%

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

Christ Oak Lawn

23.33%

Good Samaritan

17.65%

Lutheran

86.84%

Mercy Aurora

None

South Sub

14.29%

Trinity

50.00%

Univ of IL

92.59%

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.