Neonatal Intensive Care Unit(s) Volume – Specifications: See in the Maternity Care Reference Information on page 72. 12-month reporting time period used: 10/01/2014 - 09/30/2015 For the Reporting Time Period, how many very-low birth-weight babies _______ were admitted to your hospital’s neonatal intensive care unit(s)? Neonatal Intensive Care Unit(s) National Performance Measurement – Specifications: See in the Maternity Care Reference Information on page 73. 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 Yes performance reports have been released? No If please return to question #3 and select then complete “no,” “Volume,” questions #4 and #5. What is the most recent 12-month or 36-month reporting period for which __________ VON performance results are available? Time period ending: YYYY Format: 2015 From the report for that time period, what is your hospital’s volume? _______ From the same report, what was your hospital’s SMR 95% bound? _______ Format: 0.8 From the report for that time period, 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 74-75.
Neonatal Intensive Care Unit(s) – Volume Specifications: See in the Maternity Care Reference Information on page 72. 12-month reporting time period used: 10/01/2014 - 09/30/2015 For the Reporting Time Period, how many very-low birth-weight babies were admitted to your hospital’s neonatal intensive care unit(s)? _______ Neonatal Intensive Care Unit(s) – National Performance Measurement Specifications: See in the Maternity Care Reference Information on page 73. 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? If “no,” please return to question #3 and select “Volume,” then complete questions #4 and #5. Yes No What is the most recent 12-month or 36-month reporting period for which VON performance results are available? Time period ending: __________ YYYY Format: 2015 From the report for that time period, what is your hospital’s volume? _______ From the same report, what was your hospital’s SMR 95% bound? _______ Format: 0.8 From the report for that time period, 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 74-75.
2016Survey_Final_1.docx