Prioritization framework for improving the value of care for very low birth weight and very preterm infants.

ABSTRACT:

Objective

Create a prioritization framework for value-based improvement in neonatal care.

Study design

A retrospective cohort study of very low birth weight (<1500 g) and/or very preterm (<32 weeks) infants discharged between 2012 and 2019 using the Pediatric Health Information System Database. Resource use was compared across hospitals and adjusted for patient-level differences. A prioritization score was created combining cost, patient exposure, and inter-hospital variability to rank resource categories.

Results

Resource categories with the greatest cost, patient exposure, and inter-hospital variability were parenteral nutrition, hematology (lab testing), and anticoagulation (for central venous access and therapy), respectively. Based on our prioritization score, pa

SUBMITTER: King BC 

PROVIDER: S-EPMC8514333 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature