Publications

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Transforming Care for Medically Complex Infants: Accomplishments & Future Directions of the CHNC and CHND

Transforming Care for Medically Complex Infants: Accomplishments & Future Directions of the CHNC and CHND

The Children’s Hospitals Neonatal Consortium is a quality outcome organization for neonatology leaders based in Level IV neonatal intensive care units (NICUs) The CHNC formed in 2006 and partnered with the Child Health Corporation of America (now Children’s Hospital Association (CHA)) to ...

Improving Care for Medically Complex Infants: Accomplishments and Future Direction of the CHNC Collaborative Initiatives for Quality Improvement

Improving Care for Medically Complex Infants: Accomplishments and Future Direction of the CHNC Collaborative Initiatives for Quality Improvement

The Children’s Hospitals Neonatal Consortium (CHNC) established the CHNC Collaborative Initiatives for Quality Improvement (CIQI) in 2009 The CHNC CIQI was developed for participating hospitals in the Children’s Hospitals Neonatal Database (CHND) to provide structure for quality improvement ...

Inter-center variation in death or tracheostomy placement in infants with severe bronchopulmonary dysplasia

Inter-center variation in death or tracheostomy placement in infants with severe bronchopulmonary dysplasia

Objective: To estimate the presence and sources of inter-center variation (ICV) in the risk of death or tracheostomy placement (D/T) among infants with severe bronchopulmonary dysplasia (sBPD) Study design: We analyzed the Children’s Hospitals Neonatal Database between 2010 and 2013 to ...

Short-term weight gain velocity in infants with congenital diaphragmatic hernia (CDH)

Short-term weight gain velocity in infants with congenital diaphragmatic hernia (CDH)

Background: Appropriate post-natal growth remains a mainstay of therapeutic goals for infants with CDH, with the hypothesis that optimizing linear growth will improve survival through functional improvements in pulmonary hypoplasia However, descriptions of growth and the effect on survival are ...

Nutritional Practices and Growth in Premature Infants After Surgical Necrotizing Enterocolitis

Nutritional Practices and Growth in Premature Infants After Surgical Necrotizing Enterocolitis

OBJECTIVE: The aim of the study was to describe the nutritional provisions received by infants with surgical necrotizing enterocolitis (NEC) and the associated effects on short-term growth METHODS: Through the Children’s Hospitals Neonatal Database, we identified infants born ≤32 ...

Intercenter Cost Variation for Perinatal Hypoxic-Ischemic Encephalopathy in the Era of Therapeutic Hypothermia

Intercenter Cost Variation for Perinatal Hypoxic-Ischemic Encephalopathy in the Era of Therapeutic Hypothermia

Objective: To quantify intercenter cost variation for perinatal hypoxic ischemic encephalopathy (HIE) treated with therapeutic hypothermia across children’s hospitals Study design: Prospectively collected data from the Children’s Hospitals Neonatal Database and Pediatric Health ...

Predicting death or extended length of stay in infants with congenital diaphragmatic hernia

Predicting death or extended length of stay in infants with congenital diaphragmatic hernia

Objective: To predict mortality or length of stay (LOS) >109 days (90th percentile) among infants with congenital diaphragmatic hernia (CDH) Study Design: We conducted a retrospective analysis using the Children’s Hospital Neonatal Database during 2010 to 2014 Infants born >34 weeks ...

SLUG Bug: Quality Improvement With Orchestrated Testing Leads to NICU CLABSI Reduction

SLUG Bug: Quality Improvement With Orchestrated Testing Leads to NICU CLABSI Reduction

Objective:  Reduce central line–associated bloodstream infection (CLABSI) rates 15% over 12 months in children’s hospital NICUs Use orchestrated testing as an approach to identify important CLABSI prevention practices Methods:  Literature review, expert opinion, and benchmarking were used to ...

Orchestrated Testing: An Innovative Approach to a Multicenter Improvement Collaborative

Orchestrated Testing: An Innovative Approach to a Multicenter Improvement Collaborative

Health care quality improvement collaboratives implement care bundles to target critical parts of a complex system to improve a specific health outcome The quantitative impact of each component of the care bundle is often unknown Orchestrated testing (OT) is an application of planned ...

Interdisciplinary Teamwork and the Power of a Quality Improvement Collaborative in Tertiary Neonatal Intensive Care Units

Interdisciplinary Teamwork and the Power of a Quality Improvement Collaborative in Tertiary Neonatal Intensive Care Units

Significant gaps in healthcare quality and outcomes can be reduced via quality improvement collaboratives (QICs), which improve care by leveraging data and experience from multiple organizations The Children’s Hospital Neonatal Consortium Collaborative Initiatives for Quality Improvement team ...

Short-term outcomes after perinatal hypoxic ischemic encephalopathy: a report from the Children’s Hospitals Neonatal Consortium HIE focus group

Short-term outcomes after perinatal hypoxic ischemic encephalopathy: a report from the Children’s Hospitals Neonatal Consortium HIE focus group

Objective: To characterize infants affected with perinatal hypoxic ischemic encephalopathy (HIE) who were referred to regional neonatal intensive care units (NICUs) and their related short-term outcomes Study Design: This is a descriptive study evaluating the data collected prospectively in the ...

Short-Term Outcomes and Medical and Surgical Interventions in Infants with Congenital Diaphragmatic Hernia

Short-Term Outcomes and Medical and Surgical Interventions in Infants with Congenital Diaphragmatic Hernia

Objective: The aim of this study is to characterize medical and surgical therapies and short-term outcomes in infants with congenital diaphragmatic hernia (CDH) Study Design:  Retrospective analysis of CDH infants admitted to 27 children’s hospitals submitting data to Children’s ...

Short-term outcomes for preterm infants with surgical necrotizing enterocolitis

Short-term outcomes for preterm infants with surgical necrotizing enterocolitis

Objective: To characterize the population and short-term outcomes in preterm infants with surgical necrotizing enterocolitis (NEC) Study Design: Preterm infants with surgical NEC were identified from 27 hospitals over 3 years using the Children’s Hospitals Neonatal Database; infants with ...

High surgical burden for infants with severe chronic lung disease (sCLD)

High surgical burden for infants with severe chronic lung disease (sCLD)

Background/purpose: Infants with severe chronic lung disease (sCLD) may require surgical procedures to manage their medical problems; however, the scope of these interventions is undefined The purpose of this study was to characterize the frequency, type, and timing of operative interventions ...

The Children’s Hospitals Neonatal Database: an overview of patient complexity, outcomes and variation in care

The Children’s Hospitals Neonatal Database: an overview of patient complexity, outcomes and variation in care

The Children’s Hospitals Neonatal Consortium is a multicenter collaboration of leaders from 27 regional neonatal intensive care units (NICUs) who partnered with the Children’s Hospital Association to develop the Children’s Hospitals Neonatal Database (CHND), launched in 2010 The ...

Predicting death or tracheostomy placement in infants with severe bronchopulmonary dysplasia

Predicting death or tracheostomy placement in infants with severe bronchopulmonary dysplasia

Objective: To estimate the risk of death or tracheostomy placement (D/T) in infants with severe bronchopulmonary dysplasia (sBPD) born <32 weeks’ gestation referred to regional neonatal intensive care units Study Design: We conducted a retrospective cohort study in infants born <32 ...

The association of type of surgical closure on length of stay among infants with gastroschisis born ≥ 34 weeks’ gestation

The association of type of surgical closure on length of stay among infants with gastroschisis born ≥ 34 weeks’ gestation

Background/Purpose: The optimal surgical approach in infants with gastroschisis (GS) is unknown The purpose of this study was to estimate the association between staged closure and length of stay (LOS) in infants with GS Design/Methods: We used the Children’s Hospital Neonatal Database to ...

Postnatal Weight Gain in Preterm Infants with Severe Bronchopulmonary Dysplasia

Postnatal Weight Gain in Preterm Infants with Severe Bronchopulmonary Dysplasia

Objectives: To characterize postnatal growth failure (PGF), defined as weight < 10th percentile for postmenstrual age (PMA) in preterm (≤ 27 weeks’ gestation) infants with severe bronchopulmonary dysplasia (sBPD) at specified time points during hospitalization, and to compare these ...

Therapeutic interventions and short-term outcomes for infants with severe bronchopulmonary dysplasia born at <32 weeks’ gestation

Therapeutic interventions and short-term outcomes for infants with severe bronchopulmonary dysplasia born at <32 weeks’ gestation

Objective: To characterize the treatments and short-term outcomes in infants with severe bronchopulmonary dysplasia (sBPD) referred to regional neonatal intensive care units Study Design: Infants born <32 weeks’ gestation with sBPD were identified using the Children’s Hospital Neonatal ...

Topics in Neonatal Informatics: Infants and Data in the Electronic Health Record Era

Topics in Neonatal Informatics: Infants and Data in the Electronic Health Record Era

Adoption of electronic health records continues to proceed rapidly Neonatology offers unique barriers that must be addressed within the continued development of the electronic health record Reducing these barriers can lead to improvements in the quality and safety of health-care delivery for the ...

Topics in Neonatal Informatics: Standardizing Diagnoses in Neonatology: Bronchopulmonary Dysplasia and Beyond

Topics in Neonatal Informatics: Standardizing Diagnoses in Neonatology: Bronchopulmonary Dysplasia and Beyond

There are many data efforts in neonatology established to advance improvements in quality of care for neonatal patients Challenges in the standardization and alignment of diagnoses still exist Data harmonization initiatives are underway to standardize nomenclature starting from fetal life View The ...

Neonatal Care Report

Neonatal Care Report

In conjunction with CHA & Alschuler Associates, CHNC serves as subject matter expert to improve the efficiency of capturing clinical data from existing electronic medical records systems to drive future neonatology QI and research initiatives View The Report