Special Reports & Database Analysis

Special Reports are drill down analyses on perinatal “hot topics” or areas of clinical interest to member hospitals and the perinatal community.

HOSPITAL SPECIFIC SPECIAL REPORTS

Substance Use Disorder (SUD) Analysis
Jul. 2018
Substance Use Disorder (SUD) is a critical concern for the perinatal community. It is estimated that 5% of women use illicit drugs during pregnancy and 49%-94% of infants exposed to opioids in utero experience neonatal abstinence syndrome (NAS).
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Maternal Obesity Analysis
Mar. 2018
A review of the V17.3 NPIC Database revealed that 32,265 delivery discharges (10.1% of all deliveries) were coded with Obesity Complicating Pregnancy, Childbirth and Puerperium (ICD-10 code O99.21x), the majority coded as complicating childbirth. This special report presents an analysis of maternal and neonatal outcomes for cases coded with obesity complicating childbirth at your hospital compared to the NPIC Database.
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Perinatal Chorioamnionitis Analysis
Aug. 2017
This Special Report was in response to the observed increase in cases coded with P02.7: Newborn affected by Chorioamnionitis, and our curiosity as to how maternal chorioamnionitis and the newborn impact presents in your hospital’s data.
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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.
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Primary Cesarean Delivery Rate, Uncomplicated (IQI 33) and
Unexpected Newborn Complications (NQF #0716)-Linked Analysis
Apr. 2016
This Special Report is designed to look at the potential interaction between a hospital's Primary Cesarean Delivery Rate, Uncomplicated (IQI33) and the hospital's Unexpected Newborn Complications (NQF #0716), using a linked mother-baby analysis.
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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 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.
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Postpartum Hemorrhage
Jan. 2015
This special report is an update of the V10.4 special report by NPIC on the topic, provided in July 2011. Obstetric complications, including hemorrhage, contribute to a significant number of maternal deaths.
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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.
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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.
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Low Risk Primary C-section Analysis AHRQ Inpatient Quality
Indicator (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.
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DATABASE SPECIAL ANALYSIS

Induction Coding Analysis
Oct. 2018
In July 2016, The Alliance for Innovation on Maternal Health (AIM) identified labor induction as an important area for quality improvement in obstetrics and created the ICD-10-PCS Coding Guidelines for Labor Inductions in an effort for promote more accurate ICD-10 coding. This special report  reviews induction coding in the NPIC database and adherence to the AIM guidelines two years after their creation.
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Existing vs. Revised ICD-10-CM Specifications
for Unexpected Newborn Complications
Jan. 2018
NPIC has reported on UNC rates for member and contract hospitals since shortly after the measure was approved by the National Quality Forum in 2011. We have found the measure to be a widely accepted method for tracking newborn complications in the lowest risk newborn population.
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Comparative Birth Trends
Oct. 2017
This Special Report is designed to look at the birth trends for NPIC's Trend Data Base in comparison to the CDC rates.
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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.
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ICD-10 Data Transition
Jul. 2016
This Special Report provides a brief summary of the initial effect of the transition on data quality and measure reporting. NPIC will continue to monitor the status of ICD-10 information and plan to update member hospitals on a quarterly basis.
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Severe Maternal Morbidity
Apr. 2015
This special report profiles the rate of severe maternal morbidity (SMM) as introduced by Callaghan, et. al, in November 2012. 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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Standardizing OB Data Definitions:
Report of the National reVITALize Conference
Apr. 2014
This report provided information on the reVITALize work and brought 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.
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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 (#0716). This report is designed to provide an understanding of the data and analysis of unexpected severe and moderate newborn complications.
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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.
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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.
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Very Low Birthweight Neonates
Oct. 2012
An analysis of special care utilization and complications for neonates less than 1500 grams. This report 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 subgroups and the NPIC Database.
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Changes in Labor Induction and Cesarean Delivery
Between 2006 and 2010 in NPIC Member Hospitals
Jul. 2012
This report utilizes the NPIC 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.
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Late Preterm Births
Apr. 2012
This analysis provides data on the hospital's Late Preterm Birth infants in comparison to the NPIC Database average rates. This is similar to a report developed for the Maintenance of Certification (MOC) Part 4 program participants.
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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.
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