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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 through our voluntary affiliation with the Vermont Oxford Network.

What are VON’s Key Performance Indicators?

The Vermont Oxford Network (VON) is one of the largest neonatal performance databases in existence, with over 950 participating Neonatal Intensive Care Units around the world. They collect detailed information on newborn intensive care unit (NICU) performance and provide a benchmark for quality patient care. These are their Key Performance Indicators that allow participating NICU’s to see how their performance compares to the Network performance 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.

Significant measurable improvements have been made since 2006, when 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, and in many areas we are now consistently better than the majority of neonatal intensive care units in Louisiana, 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. Cortez 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 (please note that Network data as well as the Louisiana Group data lag behind LGMC’s data by one year).

Please note that the red Vermont Oxford Network line varies little because there are 50,000 – 60,000 babies a year in their denominator so it would take quite an event to make a significant change in their aggregate data; the green All Louisiana NICUs line varies more since they have several thousands of babies a year in their denominator; the blue LGMC NICU line varies greatly because we only have 40-50 babies a year in our denominator, so one patient can make a significant change in that year’s statistic — this is why we have the black LGMC Trend Line in place, which smooths out that line and makes it easier to compare our performance with that of the other groups.

Mortality

Mortality

 

Death or Morbidity

Death or Morbidity

 

Chronic Lung Disease

Chronic Lung Disease

 

Pneumothorax

Pneumothorax

 

Late Bacterial Infection (pathogens lke E.coli)

Late Bacterial Infection (pathogens lke E.coli)

 

Coagulase Negative Staph Infection (common skin flora)

Coagulase Negative Staph Infection (common skin flora)

 

Nosocomial Infection (combination of above 2)

Nosocomial Infection (combination of above 2)

 

Fungal Infection

Fungal Infection

 

Any Late Infection (combination of above 2)

Any Late Infection (combination of above 2)

 

Intraventricular Hemorrhage (IVH – any degree of severity)

Intraventricular Hemorrhage (IVH – any degree of severity)

 

Severe IVH (grades 3 or 4)

Severe IVH (grades 3 or 4)

 

Retinopathy of Prematurity (ROP)

Retinopathy of Prematurity (ROP)

 

Severe ROP (stage 3 or greater)

Severe ROP (stage 3 or greater)

 

Cystic Periventricular Leukomalacia

Cystic Periventricular Leukomalacia

 

Necrotizing Enterocolitis

Necrotizing Enterocolitis

 

Extreme Length of Stay

Extreme Length of Stay