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Unexpected Complications in Full-Term Newborns
The pursuit of a comprehensive metric that encapsulates the most cherished outcome for parents - taking home a healthy infant - has been a longstanding goal. Although numerous measures exist to evaluate specific clinical practices and outcomes in premature infants, no such comprehensive measure exists for full-term babies accounting for 90 of all births. The criteria for Neonatal Intensive Care Unit NICU admission varies significantly across different units and regions, making it unhelpful for quality comparisons. Moreover, NICU admissions are not coded on hospital discharge diagnosis files, limiting their accessibility.
The measure under discussion seeks to identify the number of full-term infants without pre-existing conditionsno premature births, multiple pregnancies, birth defects or other fetal anomalieswho were normally developed and were not exposed to maternal drug use, who experienced severe or moderate neonatal complications. It employs a combination of diagnosis codes, procedure codes, and Neonatal Length of Stay LOS to categorize these complications. This approach ensures protection agnst both overcoding and undercoding.
This measure is pivotal in providing an essential balance alongside other National Quality Forum-orsed measures that focus on obstetric care such as cesarean section rates and episiotomy frequencymetrics most families would prioritize a low risk of unexpected newborn complications and moderate obstetric procedures.
The Unexpected Complications in Full-Term Newborns measure was first developed and orsed by the National Quality Forum NQF in 2011 under the title Healthy Term Newborn. It has been re-orsed as one of NQF’s Perinatal and Reproductive Health measures in 2016.
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MATERNAL MORTALITY REVIEW
Quality Measures
Unexpected Complications in Full-Term Newborns
NTSV Cesarean Birth
Exclusive Milk Feeding
1500g Infant Not Delivered at Appropriate Level
RESEARCH
SEVERE MATERNAL MORBIDITY
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For any inquiries concerning the Unexpected Complications in Full-Term Newborns measure, please contact us at [email protected].
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Frequently Asked Questions
CMQCC Conceptual Algorithm
The Joint Commission?PC-06 Algorithm
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Our goal is to eradicate preventable morbidity, mortality, and racial disparities in California's maternity care.
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Comprehensive Measure for Full Term Infants Health NICU Admission Criteria Variability Unexpected Complications in Newborns Metric Full Term Baby Outcomes Evaluation Healthy Term Newborn Quality Indicator Maternity Care Disparities Elimination Strategy