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Perinatal Network 9 Quarter 1 2022 Quarterly Performance Report

Screening Rate

State Average: 98.76% - Meets Standards

Perinatal Network 9 Average: 99.82% - Meets Standards

Hospital Breakdown

Hospital Screening Rate Compliance

Abraham

100.00%

Meets Standards

Blessing

99.13%

Meets Standards

Carle

99.86%

Meets Standards

Crawford

100.00%

Meets Standards

Decatur

100.00%

Meets Standards

Gibson

100.00%

Meets Standards

Memorial

100.00%

Meets Standards

Passavant

100.00%

Meets Standards

Richland

100.00%

Meets Standards

Sacred

98.92%

Meets Standards

Sarah Bush

100.00%

Meets Standards

St. Anthony

100.00%

Meets Standards

St. Francis

100.00%

Meets Standards

St. John's

99.81%

Meets Standards

St. Mary

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 9 Average: 97.61% - Meets Standards

Hospital Breakdown

Hospital Screened No Later than 1 Month of Age Compliance

Abraham

100.00%

Meets Standards

Blessing

96.49%

Below Standards

Carle

98.58%

Meets Standards

Crawford

95.74%

Below Standards

Decatur

99.34%

Meets Standards

Gibson

100.00%

Meets Standards

Memorial

97.01%

Meets Standards

Passavant

95.12%

Below Standards

Richland

97.78%

Meets Standards

Sacred

100.00%

Meets Standards

Sarah Bush

98.21%

Meets Standards

St. Anthony

98.16%

Meets Standards

St. Francis

97.73%

Meets Standards

St. John's

95.84%

Below Standards

St. Mary

98.06%

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 9 Average: 6.45% - Out of Compliance

Hospital Breakdown

Hospital Inpatient Refer Rate Compliance

Abraham

0.00%

Out of Compliance

Blessing

7.05%

Out of Compliance

Carle

6.81%

Out of Compliance

Crawford

8.51%

Out of Compliance

Decatur

2.65%

Meets Standards

Gibson

8.62%

Out of Compliance

Memorial

8.24%

Out of Compliance

Passavant

8.54%

Out of Compliance

Richland

6.67%

Out of Compliance

Sacred

6.67%

Out of Compliance

Sarah Bush

8.33%

Out of Compliance

St. Anthony

3.75%

Meets Standards

St. Francis

13.64%

Out of Compliance

St. John's

2.65%

Meets Standards

St. Mary

4.55%

Below Standards

Refer Rate = Total Referred/Total Screened

2020 Diagnosed No Later than 3 Months of Age

State Average: 74.04% - Meets Standards

Perinatal Network 9 Average: 74.44% - Meets Standards

Hospital Breakdown

Hospital 2020 Diagnosed No Later than 3 Months of Age Compliance

Abraham

No Dx

No Dx

Blessing

57.14%

Out of Compliance

Carle

86.73%

Meets Standards

Crawford

No Dx

No Dx

Decatur

92.86%

Meets Standards

Gibson

100.00%

Meets Standards

Memorial

37.50%

Out of Compliance

Passavant

71.43%

Meets Standards

Richland

No Dx

No Dx

Sacred

81.82%

Meets Standards

Sarah Bush

50.00%

Out of Compliance

St. Anthony

33.33%

Out of Compliance

St. Francis

0.00%

Out of Compliance

St. John's

47.83%

Out of Compliance

St. Mary

70.59%

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 9 Average: 19.87% - Meets Standards

Hospital Breakdown

Hospital 2020 Lost to Diagnostic Follow-Up Compliance

Abraham

None

None

Blessing

27.59%

Below Standards

Carle

13.45%

Meets Standards

Crawford

None

None

Decatur

6.67%

Meets Standards

Gibson

0.00%

Meets Standards

Memorial

30.43%

Below Standards

Passavant

12.50%

Out of Compliance

Richland

0.00%

Meets Standards

Sacred

28.57%

Below Standards

Sarah Bush

50.00%

Out of Compliance

St. Anthony

66.67%

Out of Compliance

St. Francis

50.00%

Out of Compliance

St. John's

21.21%

Meets Standards

St. Mary

13.64%

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

Abraham

None

Blessing

13.33%

Carle

89.74%

Crawford

25.00%

Decatur

100.00%

Gibson

0.00%

Memorial

55.56%

Passavant

60.00%

Richland

0.00%

Sacred

20%

Sarah Bush

0.00%

St. Anthony

11.11%

St. Francis

50.00%

St. John's

42.86%

St. Mary

57.14%

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.