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> Level III Neonatal Intensive Care Unit
> Key Performance Indicators
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Key Performance Indicators
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Lafayette General's Level III NICU is committed to improving the quality and safety of medical care for newborn infants and their families. Our voluntary affiliation with the Vermont Oxford Network* provides ongoing, real-time reviews of our outcomes, allowing us to identify areas of need and to objectively determine improvement strategies. Comparison to network benchmarks reveals excellent outcomes in all key NICU performance indicators. The following represents our NICU's real-time up-to-date outcome statistics:
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Key Performance Indicator |
LGMC
2006 |
LGMC
2007
|
LGMC
2008
|
LGMC
2009
|
LGMC
2010
|
LGMC
2011 |
VON
Average
(Q1-Q3)** |
| Mortality |
28.6%
|
8.2%
|
14% |
5.4% |
2.3% |
6.3% |
10.5%
(6.3-13.5%)
|
Death or Morbidity
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58.7%
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40.8%
|
30.2%
|
28.9%
|
25% |
21.2% |
47.7%
(35.8-53.3%)
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Chronic Lung Disease
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11.4%
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18.2%
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0%
|
8.8%
|
14.3% |
6.7% |
25.1%
(11.4-30.1%)
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| Pneumothorax |
3.4%
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4.2%
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4.8%
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7.9%
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4.4% |
3% |
4.1%
(0-5.6%)
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Late Bacterial Infection
(pathogens like E.coli)
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17.3%
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4.3%
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2.4%
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2.6%
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0% |
9.1% |
8.8%
(3.1-11.6%)
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Coagulase Negative Staph Infection
(common skin flora)
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19.2%
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12.8%
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12.2%
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0%
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0% |
0% |
8.1%
(1.2-9.8%)
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Nosocomial Infection
(combination of above 2)
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32.7%
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17%
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14.6%
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2.6%
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0% |
9.1% |
14.7%
(6.3-18.3%)
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Fungal Infection
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7.7%
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0%
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0%
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0%
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0% |
0% |
1.2%
(0-1.5%)
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Any Late Infection
(combination of above 2)
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36.5%
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17%
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14.6%
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2.6%
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0% |
9.1% |
15.2%
(6.7-19%)
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Intraventricular Hemorrhage (IVH)
(any degree of severity)
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24.1%
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17.8%
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12.8%
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8.1%
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12.2% |
0% |
24.6%
(13.6-29.3%) |
Severe IVH
(grades 3 or 4)
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16.7% |
6.7% |
0%
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2.7%
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4.9% |
0% |
8.6%
(3.8-11.1%)
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Retinopathy of Prematurity (ROP)
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73.3% |
58.8% |
42.9%
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40.6%
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38.9% |
30.8% |
33.2%
(17.5-41.7%)
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Severe ROP
(stage 3 or greater)
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0%
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11.8%
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0%
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3.1%
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2.8% |
0% |
6.8%
(0-8.9%)
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Cystic Periventricular Leukomalacia
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5.4%
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0%
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0%
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0%
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0% |
0% |
3.1%
(0-4.7%)
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Necrotizing Enterocolitis
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3.4%
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2.1%
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7.1%
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2.6%
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0% |
0% |
5.8%
(1.8-7.8%)
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Extreme Length of Stay
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2.2%
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8.9%
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0%
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5.7%
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2.3% |
0% |
4.4%
(0-6.5%)
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As you can see from the chart, we have consistently improved since 2006, when significant and orchestrated efforts were made to improve the approach to neonatal care in LGMC’s NICU. All of the Key Performance Indicators have consistently improved to the point where we now compare extremely favorably to all NICU’s in the Vermont Oxford Network’s database. Our outcomes are now consistently and significantly better than the majority of neonatal intensive care units in the United States and around the world.
The people who choose to deliver their babies at LGMC, as well as the physicians who refer patients to us deserve to have access to objective data regarding the quality of work we do, and it is in this forum that we plan to provide this information. Dr. DeIulio would be happy to discuss our outcomes, the Vermont Oxford Network, and the measures we took to achieve our success with any interested party, and will update our outcome statistics real-time here on LGMC’s website. Call 289-7200 for more information.
*VON (Vermont Oxford Network): is one of the largest neonatal outcomes databases in existence, with over 650 participating Neonatal Intensive Care Units around the world. They collect detailed information on newborn intensive care unit (NICU) outcomes and provide a benchmark for quality patient care. There are Key Performance Indicators that allow participating NICU’s to see how their outcomes compare to the Network outcomes as a whole. In general, the Key Performance Indicators represent complications of prematurity, and as such, the lower the rates of these complications, the better the care is likely to be.
**Q1-Q3: this represents the first through the third quartiles (25%-75%) such that if, for example, your statistic is at Q1, you are performing better than 75% of neonatal intensive care units for that key performance indicator. If your statistic is at Q3, you are performing better than 25% of neonatal intensive care units for that key performance indicator, etc.
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