Achieves favorable hospital volume characteristics for high-risk deliveries by admitting 50 or more very-low newborns/year to its NICU or achieves favorable outcomes for high-risk deliveries as measured by the Vermont Oxford Network and or exceeds a 90% target for the antenatal steroids process measure Download the 2017 Leapfrog Hospital Survey Scoring Algorithm on the . 4A Maternity Care Volume Specifications: See in the Maternity Care Reference Information on page 77. 12-month reporting time period used: 01/01/2016 - 12/31/2016 07/01/2016 - 06/30/2017 Did the hospital deliver newborn babies during the reporting time period? If “no,” please skip remaining questions for Section 4 including all subsections, and go on to the Affirmation of Accuracy. The hospital will be scored as “Does not apply.” Otherwise, continue on to question #3. Yes No number of live births at this hospital location for the reporting time period. If fewer than 10 cases, skip remaining questions for Section 4 including all subsections, and go on to the Affirmation of Accuracy. The hospital will be scored as “Unable to Calculate Score.” Otherwise, continue to Section 4B. ______
Neonatal Intensive Care Unit(s) – National Performance Measurement Specifications: See in the Maternity Care Reference Information on page 86. Does your hospital participate in the Vermont Oxford Network performance reporting system for high-risk deliveries and did your hospital submit data for all such deliveries during the most recent 12-month period for which performance reports have been released? Yes No What is the most recent 12-month reporting time period for which VON performance results are available? __________ YYYY Format: 2015 From the report, what is your hospital’s volume? _______ From the same report, what was your hospital’s SMR 95% lower bound? _______ Format: 0.8 From the same report, what was your hospital’s observed to expected ratio of morbidity or mortality (SMR shrunken)? _______ Format: 1.0 From the same report, what was your hospital’s SMR 95% bound? _______ Format: 1.2 Process Measure of Quality – Antenatal Steroids Specifications: See in the Maternity Care Reference Information on pages 87-88. Do the responses for questions #15-17 below represent data collected using VON or The Joint Commission measure specifications? If “VON,” skip question #14. If “The Joint Commission,” skip question #13. VON The Joint Commission If VON, what is the most recent reporting time period for which VON performance results are available? ______ YYYY Format: 2015
In questions #8 – 25, report your hospital’s “Top Box Score” from each patient experience measure from your 12-month vendor report that matches the reporting period that you selected in question #1. Communication with Parents – Communication between you and your child’s nurses N/A (sample size too small) ______ Format: Whole numbers only Communication with Parents – Communication between you and your child’s doctors N/A (sample size too ______ Format: Whole numbers only Communication with Parents – Communication about your child’s medicines N/A (sample size too ______ Format: Whole numbers only Communication with Parents – Keeping you informed about your child’s care N/A (sample size too small) ______ Format: Whole numbers only Communication with Parents – Privacy when talking with doctors, nurses, and providers N/A (sample size too small) ______ Format: numbers only Communication with Parents – Preparing you and your child to leave the hospital N/A (sample size too ______ Format: Whole numbers only Communication with Parents – Keeping you informed about your child’s care in the Emergency Room N/A (sample size too small) ______ Format: Whole numbers only Communication with Children – How well nurses communicate with your child N/A (sample size too small) ______ Format: numbers only Communication with Children – How well doctors communicate with your child N/A (sample size too small) ______ Format: numbers only Communication with Children – Involving in their care N/A (sample size too small) ______ Format: Whole numbers only Attention to Safety and Comfort – Preventing mistakes and helping you report concerns N/A (sample size too small) ______ Format: Whole numbers only Attention to Safety and Comfort – Responsiveness to the call button N/A (sample size too small) ______ Format: numbers only