MEDNAX’s 100,000 Babies Campaign Published in Pediatrics
Multifaceted CQI Program Results in Improved Neonatal Outcomes
The study, “A
Multifaceted Approach to Improving Outcomes in the NICU: The 100,000
Babies Campaign,” was authored by a multi-disciplinary
team from MEDNAX’s
From 2007 to 2013, the CQI program was directly associated with simultaneous improvement in processes and patient outcomes. Specifically:
- The campaign resulted in the increased use of human breast milk and the decreased use of commonly overused medications.
- In very low birth weight infants, mortality decreased by 22 percent.
- Necrotizing enterocolitis decreased by 41 percent.
- Severe retinopathy of prematurity decreased by 31 percent.
- Late onset infection decreased by 54 percent.
- Central line infections decreased by 56 percent.
These improvements in processes and patient outcomes can have
significant cost implications as well. For example, the authors estimate
that the decrease in central line infections over the study period
reflected a cumulative cost reduction of
Organizational change and large-scale improvements
The study itself not only focuses on the improved outcomes, but how
organizational change theory, automated electronic health record (EHR)
based data collection and reporting can enable simultaneous improvements
in neonatal care processes and patient outcomes. According to the
study’s lead author,
“Quality improvement collaboratives commonly focus on a single clinical problem or morbidity, rather than groups of problems requiring extensive data collection,” explains Dr. Ellsbury. “We believe that use of organizational change theory, automated collection of specialty-specific data and targeting key drivers of adverse health outcomes can result in large-scale organizational change, improved patient health and ultimately the improved value of clinical care.”
“In this study, our physicians actually had the ability to see and
compare their own data and outcomes against other NICUs and facilitate
change. Collaborative environments like this, as well as through our
frequent quality summits and annual clinical conferences make
large-scale improvements possible,” adds Dr.
A health solutions partner in neonatal care
The benefits of the 100,000 Babies Campaign are being recognized by MEDNAX’s hospital and health system partners across the country. Participating hospitals reported improved quality of care offered to women and their babies in the local communities; improved long-term outcomes and parent satisfaction; enhanced collaboration, communication, knowledge-sharing and interdisciplinary relationships amongst all members of the NICU team; and demonstrated commitment to quality improvement, as well as patient-safety and cost-efficient care.
“The 100,000 Babies Campaign is a multi-disciplinary effort, therefore,
the entire NICU team of clinicians within a participating hospital are
fully committed and willing to participate in the quality improvement
process,” notes Dr.
Early release of the study can be seen here: http://pediatrics.aappublications.org/content/early/2016/02/29/peds.2015-0389
A Multifaceted Approach to Improving Outcomes in the NICU: The 100,000 Babies Campaign
Pediatrics; published online
Charles Lynch, 954-384-0175, x 5692
Vice President, Strategy and Investor Relations
Stacey Kovalsky, 954-384-0175, x 5505
Manager, Corporate Communications