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 Yes reporting system for high-risk deliveries and did your hospital submit data for No all such deliveries during the most recent 12-month period for which performance reports have been released? 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? VON If skip question #14. “VON,” The Joint Commission If Joint Commission,” skip question #13. “The If VON, what is the most recent reporting time period for which ______ VON performance results are available? YYYY Format: 2015
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
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