Quality Care in Pediatrics

Rockford Memorial Hospital is committed to providing the best care to children and families. We are always measuring how we are doing on key quality and safety measures. Measuring how we are doing helps us to improve the care we provide.

·         National PICU Measures

Rockford Memorial Hospital takes part in a pediatric critical care database called Virtual PICU Systems (VPS). There are 117 PICU in the VPS database. We all collect the same type of data and report that data to VPS. We are able to compare how we are doing and make improvements on the care we provide. The “VPS reference group” in the graphs below refers to all the PICU’s in the VPS database.

 Effective Care: Unscheduled PICU Readmission with 24 hours

Effective Care: Average PICU Length of Stay

Effective Care: PICU Discharges Delayed 4 Hours or More

Effective Care: PICU Severity Adjusted Mortality Ratio

 ·         Preventing Hospital-Acquired Infections

 Ventilator-Associated Pneumonia (VAP)

Ventilator-associated pneumonia is a serious illness of the lungs that can be caused when germs (bacteria) enter the lungs through ventilator equipment. A ventilator is used to help very ill children breath. Good hand-washing, cleaning of equipment, limiting ventilator use, good mouth cleaning and separating patients who have contagious germs can all help prevent VAP. Rockford Memorial Hospital is always working to reduce the number of VAP.

2011 VAP Rates

NICU

Infections/ Device Days

Actual (per 1000 device days)

Expected (per 1000 device days)

0/1326 device days

 

0.0

 

Varies per birth weight- between 0.3 and 1.8

PICU

0/567 device days

0.0

1.1

Central-Line Associated Bloodstream Infection (CLABSI)

A central line is a tube that is placed in a large vein in the neck, chest or arm to quickly deliver fluid, blood or medication that the patient needs. An infection can occur when germs (bacteria) travel down the central line and enter the bloodstream. 

Central line bloodstream infections can be very dangerous and are believed to be the cause of nearly a third of all infection-related deaths in U.S. hospitals today. Rockford Memorial Hospital is always working to reduce the number of central line infections.

 

 

2011 CLABSI Rates

 

NICU

 

PICC Line

Birth weight

Infections/ Line Days

Actual

(per 1000 line days)

Expected

(per 1000 line days)

<750 grams

1/658

1.5

3.4

751-1000 grams

1/506

2.0

2.7

1001-1500 grams

0/589

0.0

1.9

1501-2500 grams

0/487

0.0

1.5

 

>2500 grams

0/196

0.0

1.3

Umbilical Line

<750 grams

0/100

0.0

4.2

751-1000 grams

0/78

0.0

2.7

1001-1500 grams

0/183

0.0

0.9

1501-2500 grams

0/211

0.0

0.5

 

>2500 grams

0/214

0.0

0.5

PICU

PICC Line

N/A

2/606

3.3

2.2

  ·         Chronic Disease Management  

 Asthma    

Asthma is the most common long-term disease of children; affecting 7-10% of children in the U.S. today. Children are hospitalized for asthma more often than any other childhood disease. There is no cure for asthma, but it can be controlled and managed. We track our asthma care by looking at how well we perform on three measures that have been developed by the Joint Commission, an organization that inspects and accredits health care organizations across the country.

Effective Care: Use of Reliever Medication

Effective Care: Use of Systemic Corticosteroid Medication

Effective Care: Home Management Plan of Care

 ·         National NICU Measures

Rockford Memorial Hospital takes part in a neonatal intensive care network called Vermont Oxford Network (VON). There are over 850 NICUs in the VON network. We all collect the same type of data and report that data to VON. We are able to compare how we are doing and make improvements on the care we provide.  

 

Measure

Outcome

Necrotizing Enterocolitis (NEC)

Better than Average

Intraventricular Hemorrhage (IVH)

Superior

Severe IVH

Better than Average

Retinopathy of Prematurity (ROP)

Average

 

Severe ROP

 

Average

Late Bacterial Infection

Average

Coagulase Negative Staph Infection

Better than Average

Nosocomial Infection

Better than Average

Any Late Infection

Better than Average

Overall Mortality

Better than Average

Death or Morbidity

Better than Average

 
     
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