National Perinatal Information Center
National Perinatal Information Center

 

RESEARCH SERVICES

The NPIC/QAS Perinatal Center Data Base (PCDB) and relationships with Member Hospitals present many opportunities to partner with public and private organizations to conduct a variety of research projects.

The PCDB currently contains over 12 million inpatient perinatal discharges, making it one of the largest repositories for hospital based perinatal clinical and financial discharge data in the country.

The PCDB is a valuable source of longitudinal volume, utilization and quality information, making it a robust data set for researchers interested in comparative benchmarking data for a proposal or research project.

We assist research
principals with:
  • Study design

  • Analysis

  • Interpretation of data

  • Preparation of reports and papers
NPIC/QAS has partnered with state and federal agencies, professional organizations, and private foundations to provide data collection, processing, analysis, and reporting on data.  These entities recognize the value of the data set and the expertise of our professional research and information team.

NPIC/QAS staff and technical infrastructure are capable of responding to a variety of analytic, research, policy, and strategic planning projects. 



Ariadne Labs - “Learning to Safely Decrease Cesarean Section Rates”

"Fixing the Pressure Tank: The Role of Operational Management in Safely Reducing Primary Cesarean Deliveries "

NPIC/QAS is partnering with Ariadne Labs, a joint center for health systems innovation, on a research project to study the relationship between operational management and institutional cesarean section (C-section) rates. Up to fifty NPIC/QAS member hospitals will participate in the study.

Upon completion of the study, participating hospitals will receive valuable benchmarking information on how their own institution compares to others with respect to operational management factors that may impact their risk-adjusted cesarean section rate. Information will be designed to be actionable in order to help NPIC/QAS members meet expected pay-for-performance targets.

    » View informational webinar

Journal of Perinatology - Changes in delivery methods at specialty care hospitals in the United States between 2006 and 2010

V A Danilack, J J Botti, J J Roach, D A Savitz, J H Muri and D L Caldwell Journal of Perinatology 33, 919-923 (December 2013)

Given awareness of increasing rates of labor induction and cesarean delivery, and guidelines to reduce non-medically indicated preterm and early term births, we examined recent trends in delivery methods.

Using data from 2006 and 2010 from 47 hospitals in the NPIC/QAS member hospital trend database, we examined (stratified by teaching hospital status): total deliveries, labor inductions, cesarean deliveries, operative vaginal deliveries. Maternal complications (e.g., operative vaginal delivery, hypertension, diabetes) were considered.

A secondary analysis was conducted from a subset of hospitals with a high proportion of maternal-newborn linked records and week-specific gestational age. We examined changes in gestational age at delivery and induction and cesarean delivery by gestational age over time.)     » Learn More


HRSA - R40 Maternal and Child Health Research Grant

"Evaluating maternal and neonatal outcomes: A comparison of 2 models of obstetric care delivery"

NPIC/QAS partnered with investigator Sindhu K. Srinivas, MD, MSCE at the University of Pennsylvania, to study the impact of the laborist model of care on maternal and neonatal outcomes through a Health Resources and Service Administration (HRSA) Maternal and Child Health (MCH) R-40 Grant.     » Learn More

Premier Perinatal Safety Initiative

Premier, Inc. began a Perinatal Safety Initiative in 2008 with a subset of its managed hospitals, with the goal of improving patient safety and reducing risk exposure of the perinatal services. Through partnership with NPIC/QAS, participating hospitals received outcome data (including Adverse Outcome Index data) for their own hospital as well as aggregate comparative data. This project was expanded and extended project for three years through AHRQ research funding.     » Learn More

Hospitalist Survey Analysis

NPIC/QAS surveyed a subset of member hospitals to determine if OB hospitals were covering their service with "laborists" or "OB hospitalists" and if so, their scope of service, and what type of contractual arrangements were being used.

Twenty-eight of the 56 hospitals/regional perinatal centers responded to this survey, a 50% response rate.     » View Survey Results

Related Publication: Srinivas, S.K., Shocksnider, J., Caldwell, D., Lorch, S. Laborist Model of Care: Who is Using it? The Journal of Maternal-Fetal & Neonatal Medicine. 04/2011; 25(3):257-60.
 
 
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