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Perinatal Network 8 Quarter 1 2022 Quarterly Performance Report

Screening Rate

State Average: 98.76% - Meets Standards

Perinatal Network 8 Average: 99.45% - Meets Standards

Hospital Breakdown

Hospital Screening Rate Compliance

Birth Center

100.00%

Meets Standards

Bromenn

100.00%

Meets Standards

Graham

100.00%

Meets Standards

Heart of Mary

100.00%

Meets Standards

Illini

98.96%

Meets Standards

IVCH

100.00%

Meets Standards

McDonough

100.00%

Meets Standards

Memorial

100.00%

Meets Standards

Methodist

98.12%

Meets Standards

St. Eliza

99.21%

Meets Standards

St. Francis

99.80%

Meets Standards

St. Joseph

99.40%

Meets Standards

St. Mary

100.00%

Meets Standards

Trinity

99.51%

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 8 Average: 98.01% - Meets Standards

Hospital Breakdown

Hospital Screened No Later than 1 Month of Age Compliance

Birth Center

95.65%

Below Standards

Bromenn

99.66%

Meets Standards

Graham

96.08%

Below Standards

Heart of Mary

100.00%

Meets Standards

Illini

94.74%

Out of Compliance

IVCH

98.94%

Meets Standards

McDonough

100.00%

Meets Standards

Memorial

95.24%

Below Standards

Methodist

98.91%

Meets Standards

St. Eliza

98.41%

Meets Standards

St. Francis

96.65%

Below Standards

St. Joseph

99.40%

Meets Standards

St. Mary

96.45%

Below Standards

Trinity

98.53%

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 1 Average: 8.93% - Out of Compliance

Hospital Breakdown

Hospital Inpatient Refer Rate Compliance

Birth Center

65.22%

Out of Compliance

Bromenn

2.74%

Meets Standards

Graham

9.80%

Out of Compliance

Heart of Mary

0.00%

Out of Compliance

Illini

2.15%

Meets Standards

IVCH

0.00%

Out of Compliance

McDonough

12.07%

Out of Compliance

Memorial

14.29%

Out of Compliance

Methodist

1.66%

Meets Standards

St. Eliza

2.38%

Meets Standards

St. Francis

1.57%

Meets Standards

St. Joseph

5.49%

Below Standards

St. Mary

5.67%

Below Standards

Trinity

1.96%

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 8 Average: 74.79% - Meets Standards

Hospital Breakdown

Hospital 2020 Diagnosed No Later than 3 Months of Age Compliance

Birth Center

75.00%

Meets Standards

Bromenn

69.23%

Meets Standards

Graham

No Dx

No Dx

Heart of Mary

90.91%

Meets Standards

Illini

100.00%

Meets Standards

IVCH

100.00%

Meets Standards

McDonough

50.00%

Out of Compliance

Memorial

No Dx

No Dx

Methodist

30.77%

Out of Compliance

St. Eliza

0.00%

Out of Compliance

St. Francis

74.19%

Meets Standards

St. Joseph

91.18%

Meets Standards

St. Mary

83.33%

Meets Standards

Trinity

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 8 Average: 24.86% - Meets Standards

Hospital Breakdown

Hospital 2020 Lost to Diagnostic Follow-Up Compliance

Birth Center

50.00%

Out of Compliance

Bromenn

20.00%

Meets Standards

Graham

100.00%

Out of Compliance

Heart of Mary

20.00%

Meets Standards

Illini

50.00%

Out of Compliance

IVCH

20.00%

Meets Standards

McDonough

33.33%

Below Standards

Memorial

100.00%

Out of Compliance

Methodist

30.43%

Below Standards

St. Eliza

50.00%

Out of Compliance

St. Francis

7.89%

Meets Standards

St. Joseph

8.11%

Meets Standards

St. Mary

57.14%

Out of Compliance

Trinity

37.50%

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

Birth Center

14.29%

Bromenn

12.50%

Graham

20.00%

Heart of Mary

None

Illini

0.00%

IVCH

None

McDonough

28.57%

Memorial

50.00%

Methodist

45.45%

St. Eliza

25.00%

St. Francis

50.00%

St. Joseph

80.00%

St. Mary

0.00%

Trinity

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.