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Perinatal Network 7 Quarter 1 2022 Quarterly Performance Report

Screening Rate

State Average: 98.76% - Meets Standards

Perinatal Network 7 Average: 99.79% - Meets Standards

Hospital Breakdown

Hospital Screening Rate Compliance

NW Hunt

100.00%

Meets Standards

CGH

100.00%

Meets Standards

Freeport

98.44%

Meets Standards

Javon Bea

100.00%

Meets Standards

KSD

100.00%

Meets Standards

Kishwaukee

100.00%

Meets Standards

St. Anthony

98.80%

Meets Standards

Swedish

99.71%

Meets Standards

Valley West

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 7 Average: 98.06% - Meets Standards

Hospital Breakdown

Hospital Screened No Later than 1 Month of Age Compliance

NW Hunt

99.52%

Meets Standards

CGH

100.00%

Meets Standards

Freeport

100.00%

Meets Standards

Javon Bea

91.63%

Out of Compliance

KSD

98.84%

Meets Standards

Kishwaukee

98.84%

Meets Standards

St. Anthony

100.00%

Meets Standards

Swedish

97.97%

Meets Standards

Valley West

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 7 Average: 3.59% - Meets Standards

Hospital Breakdown

Hospital Inpatient Refer Rate Compliance

NW Hunt

0.96%

Out of Compliance

CGH

6.31%

Out of Compliance

Freeport

1.59%

Meets Standards

Javon Bea

5.91%

Below Standards

KSD

6.98%

Out of Compliance

Kishwaukee

4.09%

Below Standards

St. Anthony

4.88%

Below Standards

Swedish

1.59%

Meets Standards

Valley West

0.00%

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 7 Average: 69.31% - Meets Standards

Hospital Breakdown

Hospital 2020 Diagnosed No Later than 3 Months of Age Compliance

NW Hunt

50.00%

Out of Compliance

CGH

97.56%

Meets Standards

Freeport

0.00%

Out of Compliance

Javon Bea

16.67%

Out of Compliance

KSD

100.00%

Meets Standards

Kishwaukee

50.00%

Out of Compliance

St. Anthony

67.74%

Meets Standards

Swedish

60.00%

Below Standards

Valley West

No Dx

No Dx

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 7 Average: 18.18% - Meets Standards

Hospital Breakdown

Hospital 2020 Lost to Diagnostic Follow-Up Compliance

NW Hunt

33.33%

Below Standards

CGH

2.38%

Meets Standards

Freeport

0.00%

Meets Standards

Javon Bea

37.50%

Out of Compliance

KSD

0.00%

Meets Standards

Kishwaukee

25.00%

Meets Standards

St. Anthony

15.79%

Meets Standards

Swedish

27.27%

Below Standards

Valley West

None

None

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

NW Hunt

0.00%

CGH

100.00%

Freeport

0.00%

Javon Bea

27.27%

KSD

20.00%

Kishwaukee

12.50%

St. Anthony

100.00%

Swedish

8.33%

Valley West

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.