Data Collection Testing NICU Graduates Data Entry Form Feedback Through collaborative use of improvement science methods, reduce preterm births & improve perinatal and preterm newborn outcomes in Ohio as quickly as possible.
OPQC NICU Graduates Project Data collection form pilot. OPQC has asked you to complete this form on at least one current patient to test this form Today we are asking for your feedback!
NICU Graduates Project Eligibility Any infant that is discharged from your hospital with a tracheostomy (with or without ventilator dependence) and/or a gastrostomy tube should be included in this project. Infants may be born outside the state of Ohio. Exclusion Infants discharged into hospice care. Is Eligibility clear for this project?
What if I don’t have any eligible babies for a calendar month? calendar month based on the baby’s discharge date Don’t worry! It’s easy to tell us! 1. Fill in the Checkbox and indicate the Month/Year you did not have any babies 2. Once the data entry system is ready – you will check this box and hit Submit 3. Do not fill out the rest of the paper form Questions? This is how you tell OPQC that your hospital did not discharge any babies during a calendar month.
Data Collection form Demographics The first ten questions of the data form ask for demographic information • Number of people living in the • Patient ID number household and age category • Date of Birth • Household income • Sex • Insurance • Ethnicity • Zip code • Race • Education Questions?
Data Collection form The next three questions: • Gestational age at birth • Birth weight • Diagnosis categories We need your input! During the pilot phase if you see any missing • responses – please let us know!
Data Collection form The next questions ask about the technology needs of this baby • Tracheostomy at discharge? • ENT consult and procedure dates • Ventilator dependent at discharge? • Gastrostomy tube at discharge? • Surgery consult and procedure dates
Discharge Readiness • The next section of this form asks questions that determine the discharge readiness of the baby. • OPQC is asking you to pilot this form to obtain your feedback. – Have we asked all the questions necessary to determine discharge readiness for this baby? • We heard you! After the pilot phase we will add questions about nursing hours approved and nursing hours actually scheduled. Thank you! – Are there questions on this form that do not assist us with measuring discharge readiness? – Are the questions clear and easy to understand? – Do you have any concerns about the questions asked that are not addressed in the data entry guidelines?
Discharge Readiness How did this section flow for you? Are the questions clear? Are the questions in the correct order? Suggestions? Comments?
Discharge Readiness OPQC Needs your help with developing some key definitions Physiologically ready for discharge is determined at a minimum: Tolerating feeding regimen suitable for home • Successfully transitioned to home ventilator on stable settings (if applicable) • Supplemental oxygen flow suitable for home Is there agreement on this definition? • Off intravenous medications Discussion? • Red Flag Action Plan What does this mean? • OPQC values your input as we develop this portion of the project • Rooming in Checklist OPQC will provide an example of this checklist (after the pilot phase) • Do you have a checklist that your site uses? Would you share it? • What would you like to see on a checklist? •
Caregiver Readiness OPQC is interested in the caregiver(s) perspective. Please ask the identified caregiver(s) to respond to this question. We are interested in hearing from you how you feel this question would be best • asked and answered by the identified caregiver(s) Interview • Leave question in room for caregiver(s) to complete on their own on paper • Other suggestions? • Is this the right question to ask our families? • Please share your ideas! •
Readmission Questions • Complete these forms if the baby has any readmissions within 30 days after initial discharge from your center. • If the baby did not have an emergency or observational visit and/or an admission – these forms are not completed! • Types of admissions that OPQC is tracking include: – Emergency room visits including <23 hour observations – Unscheduled admissions – Scheduled admissions Did we ask the questions you would expect for this section? Was this form easy to complete?
Emergency Room and Observational Visits Was this visit preventable?
Unscheduled Admissions Was this admission preventable?
Scheduled Admissions We need your input! We would like to have a few common reasons for a scheduled admission. Please tell us what they are! Feedback for all ER/Readmission forms: Did we ask the questions you would expect for ER visits and/or readmissions? More questions? Less questions? Was this form easy to complete? Preventability form will be completed by a person designated by your team
120 Day Check In 120 days after discharge please indicate if the baby is still alive • Also at this time – please indicate if all data entry is complete for this baby • A note on the responses “Can’t Determine or Unknown” options. We recognize that these responses are at times the only response you can provide because you have no way of giving a definitive answer. Please use these options as sparingly as possible. A definitive answer strengthens our data and allows us to give you better feedback!
Questions Questions Contact Jenney Nobbe (Jennifer.Nobbe@cchmc.org) or Andrea Hoberman (Andrea.Hoberman@cchmc.org)
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