National Quality Measures in Perinatal Medicine

Birth Hospital Length of Stay and Rehospitalization During COVID-19

“…Although variably defined in pediatrics, readmission is a common measure of healthcare quality pediatric care. 40,41 However, such quality measures are constrained by reliance on manual abstraction, reporting lag-time, and inadequate standardizations across health systems and have not been available during the pandemic. 42 The Cosmos' HL7 Clinical Document Architecture avoids cumbersome, human-dependent reporting frameworks and overcomes issues of cross health system standardization.…”

It Is Time to ACT NOW to Improve Quality for Opioid-Exposed Infants

“…There are no systematically validated measures to assess the quality of care delivered by hospitals to this population. 8 In addition, there have been no studies used to examine key issues such as the usability of the measures for hospitals undertaking unit-specific quality improvement studies. Improving care for opioidexposed infants must begin with defining and validating potential measures to assess hospital care practices and determining what aspect of quality a given measure assesses.…”

A glass half-full: defining ventilator-associated pneumonia in the neonatal intensive care unit

“…9,10 With regards to developing a definition for VAP as a quality measure, it is important to recognize differences between measures for quality assessment and measures for quality improvement. 11 Measures for quality assessment are used to compare performance among hospitals and for benchmarking, and need reliability, reproducibility, and external validity. Measures for quality improvement are used to monitor performance and guide improvement within one center, and need internal consistency and can be targeted to meet the needs of that center.…”