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Perinatal Network 6 Quarter 1 2022 Quarterly Performance Report

Screening Rate

State Average: 98.76% - Meets Standards

Perinatal Network 6 Average: 99.85% - Meets Standards

Hospital Breakdown

Hospital Screening Rate Compliance

Franciscan

100.00%

Meets Standards

IL Masonic

99.71%

Meets Standards

Mt Sinai

100.00%

Meets Standards

Humboldt

100.00%

Meets Standards

Palos Comm

100.00%

Meets Standards

Rush Copley

100.00%

Meets Standards

Rush Univ

99.20%

Meets Standards

Sherman

100.00%

Meets Standards

Silver Cross

100.00%

Meets Standards

St. James Pon

100.00%

Meets Standards

St. Joseph Chi

100.00%

Meets Standards

St. Joseph Jol

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 6 Average: 98.24% - Meets Standards

Hospital Breakdown

Hospital Screened No Later than 1 Month of Age Compliance

Franciscan

99.56%

Meets Standards

IL Masonic

98.56%

Meets Standards

Mt Sinai

97.48%

Meets Standards

Humboldt

100.00%

Meets Standards

Palos Comm

99.19%

Meets Standards

Rush Copley

98.64%

Meets Standards

Rush Univ

95.35%

Below Standards

Sherman

98.78%

Meets Standards

Silver Cross

99.73%

Meets Standards

St. James Pon

100.00%

Meets Standards

St. Joseph Chi

97.30%

Meets Standards

St. Joseph Jol

98.51%

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 6 Average: 2.81% - Meets Standards

Hospital Breakdown

Hospital Inpatient Refer Rate Compliance

Franciscan

4.82%

Below Standards

IL Masonic

2.31%

Meets Standards

Mt Sinai

6.82%

Out of Compliance

Humboldt

0.00%

Out of Compliance

Palos Comm

3.25%

Meets Standards

Rush Copley

1.70%

Meets Standards

Rush Univ

4.82%

Below Standards

Sherman

2.03%

Meets Standards

Silver Cross

1.22%

Meets Standards

St. James Pon

0.00%

Out of Compliance

St. Joseph Chi

3.78%

Meets Standards

St. Joseph Jol

2.99%

Meets Standards

Refer Rate = Total Referred/Total Screened

2020 Diagnosed No Later than 3 Months of Age

State Average: 74.04% - Meets Standards

Perinatal Network 6 Average: 73.85% - Meets Standards

Hospital Breakdown

Hospital 2020 Diagnosed No Later than 3 Months of Age Compliance

Franciscan

46.67%

Out of Compliance

IL Masonic

71.43%

Meets Standards

Mt Sinai

30.77%

Out of Compliance

Humboldt

100.00%

Meets Standards

Palos Comm

100.00%

Meets Standards

Rush Copley

50.00%

Out of Compliance

Rush Univ

82.24%

Meets Standards

Sherman

86.67%

Meets Standards

Silver Cross

45.45%

Out of Compliance

St. James Pon

0.00%

Out of Compliance

St. Joseph Chi

50.00%

Out of Compliance

St. Joseph Jol

50.00%

Out of Compliance

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 6 Average: 37.58% - Out of Compliance

Hospital Breakdown

Hospital 2020 Lost to Diagnostic Follow-Up Compliance

Franciscan

57.50%

Out of Compliance

IL Masonic

18.18%

Meets Standards

Mt Sinai

73.58%

Out of Compliance

Humboldt

0.00%

Meets Standards

Palos Comm

11.11%

Meets Standards

Rush Copley

33.33%

Below Standards

Rush Univ

25.34%

Below Standards

Sherman

15.00%

Meets Standards

Silver Cross

45.45%

Out of Compliance

St. James Pon

50.00%

Out of Compliance

St. Joseph Chi

0.00%

Meets Standards

St. Joseph Jol

66.67%

Out of Compliance

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

Franciscan

100.00%

IL Masonic

30.00%

Mt Sinai

22.22%

Humboldt

None

Palos Comm

100.00%

Rush Copley

0.00%

Rush Univ

50.00%

Sherman

50.00%

Silver Cross

22.22%

St. James Pon

None

St. Joseph Chi

33.33%

St. Joseph Jol

0.00%

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.