National Perinatal Information Center
National Perinatal Information Center


SPECIAL ANALYSES AND SURVEYS

NPIC/QAS member hospitals receive a special analysis each quarter displaying data relating to a topic of current interest to providers of perinatal care.


Comparative C-section Analysis  (Apr. 2017)  

The Society for Maternal-Fetal Medicine (SMFM) has sought to refine the definition of low-risk cesarean delivery rate. The issue addressed by SMFM is that the AHRQ measure, IQI 33 (Primary Cesarean Delivery Rate, Uncomplicated) does not exclude some well-established contradictions to vaginal birth including conditions that most likely result in cesarean delivery such as HIV infection. The NPIC V16.3 Special Report focuses on the comparison of two rates: AHRQ IQI 33 and the SMFM rate. The two measures were selected because The Joint Commission PC 02 rate is calculated on nulliparous women only unlike the IQI 33 and SMFM rates.
    »   View Analysis

Perinatal Risk Assessment  (Jan. 2017)  

This Special Report is designed to be an additional risk management tool to look at more timely data on adverse events and those outcomes that may generate a claim. By giving risk managers and C-suite leaders the opportunity to proactively identify areas or trends of concern, they can review cases and design responses that will continually reduce their exposure.
    »   View Analysis

Updates for the New Reporting Year  (Oct. 2016)  

This Special Report provides an overview of the changes to the NPIC/QAS Quarterly Report and further addresses implications of the transition to ICD-10 coding - specifically, coding for inductions.
    »   View Analysis

ICD-10 Data Transition  (July 2016)  

This Special Report provides a brief summary of the initial effect of the transition on data quality and measure reporting. NPIC/QAS will continue to monitor the status of ICD 10 information and plan to update member hospitals on a quarterly basis.
    »   View Analysis

Primary Cesarean Delivery Rate, Uncomplicated (IQI 33) and Unexpected Newborn Complications (NQF 716)-Linked Analysis  (April 2016)  

This Special Report is designed to look at the potential interaction between a hospital's Primary Cesarean Delivery Rate, Uncomplicated (IQI 33) and the hospital's Unexpected Newborn Complications (NQF 716), using a linked mother-baby analysis.
    »   View Analysis

Alliance for Innovation on Maternal Health (AIM) Outcome Metrics  (Jan. 2016)  

This Special Report focuses on selected outcome metrics that are designed to support the national QI project: the Alliance for Innovation on Maternal Health (AIM) initiative. It also describes the opportunities for NPIC/QAS members to participate in this project.
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Linked Analysis-Neonatal Abstinence Syndrome  (Oct. 2015)  

This Special Report provides data related to neonatal abstinence syndrome for inborns, including a 5 year trend graph, linked inborn/mother analysis and relevant maternal variables. This report is an update to the special report provided in December 2011 (volume 11.2); provided in light of the increased incidence of Neonatal Abstinence Syndrome (NAS).
    »   View Analysis

Severe Maternal Morbidity  (April. 2015)  

This special report profiles the rate of severe maternal morbidity (SMM) as introduced by Callaghan, et. al, in November 20121. Callaghan and his colleagues identified twenty-five severe morbidity indicators based on ICD-9-CM diagnostic codes associated with higher in-hospital mortality.
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 Postpartum Hemorrhage  (Jan. 2015)  

This special report is an update of the V10.4 special report by NPIC/QAS on the topic, provided in July 2011. Obstetric complications, including hemorrhage, contribute to a significant number of maternal deaths.
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NPIC/QAS Perinatal Quality Improvement Dashboard  (Oct. 2014)  

This dashboard was developed from feedback and other sample dashboards we received from NPIC/QAS member hospitals, particularly related to how they were using data from the NPIC/QAS Quarterly Report.
    »   View Dashboard


Clinical and Utilization Profile for Term Inborns by Gestational Age
(Jul. 2014)

This report profiles the hospital's term infants subdivided into the reVITALize definitions of Early Term, Full Term, Late Term and Post Term.  It looks at the volume, utilization and clinical profile for each category of term inborn using numeric gestational age.
    »   View Analysis


Standardizing OB Data Definitions: Report of the National reVITALize Conference (Apr. 2014)

This report provides information on the reVITALize work and to bring awareness to the goal of the conference, which was to standardize clinical obstetric data definitions for use in registries, electronic medical record systems, and vital statistics.
    »   View Analysis


Maternal Hypertension Complicating Pregnancy and Neonatal Outcomes
(Jan. 2014)

This report provides data related to maternal hypertension complicating pregnancy and neonatal outcomes, including a linked mother-baby analysis. Hypertensive disorders of pregnancy (HDP) are major causes of maternal and perinatal morbidity and mortality.
    »   View Analysis


Low Risk Primary C-section Analysis AHRQ Inpatient Quality Indictor (IQI) # 33: Primary Cesarean Delivery Rate, Uncomplicated (Oct. 2013)

The objective for providing this analysis is to further assist hospitals in looking critically at their AHRQ IQI # 33 rate. This report is designed to focus attention on the cesarean section rate of hospitals' low risk population.
    »   View Analysis


Unexpected Newborn Complications Update (Jul. 2013)

An analysis based on the California Maternal Quality Care Collaborative updates to their endorsed National Quality Forum measure Healthy Term Newborn (#716). The report is designed to provide an understanding of the data and analysis of unexpected severe and moderate newborn complications.
    »   View Analysis


The Adverse Outcome Index (AOI) Update: Ten Years After the Original Study (Apr. 2013)

This report is designed to provide an understanding of the data and analysis of adverse outcome events potentially modifiable through improved teamwork.  This report displays samples of the tables and graphs that are provided in our quarterly monitoring AOI reports.
    »   View Analysis


Perinatal Complications associated with Gestational and Pregestational Diabetes (Jan. 2013)

An analysis of maternal and neonatal complications for diabetic mothers.  The tables display data for delivered mothers subdivided into the following categories: gestational diabetes (abnormal glucose tolerance), pre-gestational diabetes (diabetes mellitus), non-diabetic, and all cases.
    »   View Analysis


Very Low Birthweight Neonates (Oct. 2012)

An analysis of special care utilization and complications for neonates less than 1500 grams.  It is designed to provide member hospitals with a focused analysis of their highest risk neonates in comparison to the averages found in each of the NPIC/QAS subgroups and the NPIC/QAS Database.
    »   View Analysis


Changes in Labor Induction and Cesarean Delivery Between 2006 and 2010 in NPIC/QAS Member Hospitals (Jul. 2012)  

This report utilizes the NPIC/QAS database to examine trends in delivery methods and the potential impact of recent guidelines to reduce non-medically indicated late preterm and early term births. The report is based on a manuscript which will be submitted for publication.
    »   View Analysis


Late Preterm Births (LPB) (Apr. 2012)  

This analysis provides data on the hospital's Late Preterm Birth infants in comparison to the NPIC/QAS Database average rates.  This is similar to a report developed for the Maintenance of Certification (MOC) Part 4 program participants.
    »   View Analysis


Neonatal Abstinence Syndrome (NAS) (Jan. 2012)

This linked analysis provides data related to neonatal abstinence syndrome for inborns, including a linked inborn/mother analysis and relevant maternal variables.
    »   View Analysis


Maternal Mortality Review (Oct. 2011)

This report provides a descriptive overview of maternal mortality including statistics from the NPIC/QAS trend database.
    »   View Analysis


Maternal Hemorrhage (Jul. 2011)

An analysis of antepartum and postpartum hemorrhage for calendar year 2010 data.
    »   View Analysis


Expanded Set of Perinatal Indicators (Jan. 2011)

This report is designed to consolidate the OB Quality Indicators (on Table OB 10) and Neonatal Quality Indicators (on Table N 11) of the standard quarterly report, eliminate indicators that are no longer relevant, and expand to include new indicators that are tracked by other national groups (AHRQ, National Quality Forum (NQF)) and are currently or have been tracked by NPIC/QAS.
    »   View Analysis         »   View Appendices


Maternal Obesity & Complications of Mothers, Fetuses and Newborns
(Oct. 2010)

A linked trend analysis 2007-2010 (Q1) of the coded complications of mothers whose delivery discharge record included diagnosis code 649.1x, (obesity complicating pregnancy, childbirth, or the puerperium) compared to mothers without diagnosis code 649.1x, as well as the percent change from 2007-2009.
    »   View Analysis


Maternal Shoulder Dystocia and Inborn Birth Trauma (Jul. 2010)

A five year linked trend analysis (2004-2009) of mothers who had a vaginal delivery, a shoulder dystocia code on their record and a birth trauma code on their ≥ 2500 gram baby's record.
    »   View Analysis


Incidence of Episiotomy (Apr. 2010)

An analysis of National Quality Forum (NQF) measure #0470, Incidence of Episiotomy, the rate of vaginal deliveries without shoulder dystocia that had an episiotomy.
    »   View Analysis


Joint Commission New Perinatal Care Measure Set (Jan. 2010)

This report provides background information on the new Joint Commission perinatal care measures, links to resource/reference materials and an analysis of the initial patient populations for the maternal and newborn measures.
    »   View Analysis


Maternal Obesity & Complications of Mothers, Fetuses and Newborns (Oct. 2009)

A linked trend analysis 2007-2009 (Q1) of the coded complications of mothers whose delivery discharge record included diagnosis code 649.1x, (obesity complicating pregnancy, childbirth, or the puerperium ) compared to mothers without diagnosis code 649.1x.
    »   View Analysis


Late Preterm Births (Jul. 2009)

An aggregate profile of preterm births. This analysis provides a comparison of calendar year 2006 to 2008 data using the NPIC/QAS Trend Database.
    »   View Analysis


Inductions by Gestational Age (Apr. 2009)

A linked Mother/Baby analysis of inductions ≥ 37 weeks and < 39 weeks completed gestation with and without coded medical indications for induction.
    »   View Analysis


Member Hospitalist Survey Analysis (Apr. 2009)

An analysis of survey responses from member hospitals regarding their use of "laborists" or "OB hospitalists".
    »   View Analysis
 
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