BORN Ontario: Hospital Report Training Webinar #1

Key Indicator and Profile Reports March 9 , 2016

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Reporting Webinars

• Clinical Reports (today!) • Key Indicator • Profile

• Download Reports (Spring 2016) • Encounter • Experience

• MN Dashboard (Summer 2016) All webinars and slide decks will be posted

on www.bornontario.ca

under Report Training

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Agenda • Review:

How and Where to Access Clinical Reports • Key Indicator Reports • Profile Reports

• How to analyze the data • Exporting and Printing Reports • Demonstration in Training • FAQs • Resources

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Local Administrators assign access to all Reports

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Key Indicator Reports

Provides counts and frequencies of a variety of infant and maternal care data elements: • Infant (Does not include NICU/SCN data) • Maternal These reports do not contain comparator hospital data

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Key Indicator Data Elements:

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Will provide a summary of acknowledgement by Yes or No

Select one, many or all indicators you wish to display in the report

Enter date parameters or use calendar

Click on View Report to have report rendered

Grab the black corner then pull down and over to lengthen and widen the list

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% Valid - Missing (unknown) data is excluded from the denominator

Note definitions

Key Indicator - Maternal

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Profile Reports

• Profile of Birth: – FSA – Demographics – Pregnancy – Birth/Mother

• NICU/SCN Profile Displays comparator data- by same LOC and similar birth volume and/or LHIN

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Acknowledgement

Each report in the BIS Acknowledgement tab visible. Months that are not Acknowledged have not been reconciled - not all records may be in or they are incomplete.

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Profile of Birth - FSA

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Profile of Birth - Demographics

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Some Profile of Birth tabs have both charts and tables

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Profile of Birth - Pregnancy

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Profile of Birth - Pregnancy

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Profile of Birth – Birth/Mother

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Profile of Birth – Birth/Mother

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Profile of Birth – Birth/Mother

• Revised VBAC table • Highlights VBAC

attempts/success for one or two + previous cesarean sections

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NICU/SCN Profile Report Admission Inborn/Outborn Primary NICU Admissions Admission by Location Admission Temperature by GA (new tab) Singleton Admission by GA at birth and size for GA Singleton Admission by BW categories and size for GA Cord pH by GA Interventions NICU interventions by GA Resuscitation by GA at birth – inborn only Neo Resuscitation – Initial Gas Used (new tab) Respiratory Support hospital by GA at birth Neonatal pain management by GA at birth (new tab) Bilirubin within 72 hours by GA at birth (new tab) Bilirubin Treatment ( new tab) ROP eye screening by GA at birth ROP Treatment by GA at birth

Feeding Feeding method in hospital by GA at birth (new tab) Nutritional Support in Hospital by GA Feeding on Discharge (Feeding methods by GA at birth) Feeding type by GA at birth (new tab) Reason for Breast Milk Substitute in hospital by GA at birth (new tab) Breast Milk Substitute on Discharge by GA at birth (new tab) Discharge Neonatal death by GA at birth and days of life Neonatal Discharge or Transfer to by all NICU admissions Weight Loss Gain (Distribution of weight loss/gain) Length of Stay by GA

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NICU/SCN Profile

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Coming soon!

• Enhanced NICU/SCN Profile

• Profile of Birth – Birth/Newborn • Newborn Gestational age at birth • Type of gestation (singleton, multiples) • Birth weight • Infant size for gestational age (SGA, LGA) • Resuscitation methods used in live births • Apgar 5 • Neonatal Health Conditions • Pain Relief for NBS or SBR • Newborn and hearing screening • Delayed Cord clamping • Phototherapy

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Key points!

• “Acknowledged” data is most reliable • Get to know you reports. Each type of report

provides a different perspective ie breastfeeding

• For profile reports if < 3 comparator sites have not acknowledged there will be no comparators visible

• Select time frame: daily, weekly, monthly, Quarterly, fiscal, calendar

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Demo in Training Site

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Once report has rendered on screen, export to Excel

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FAQs Key Indicator reports, what does ‘% Valid’ data refer to? The % Valid excludes records with any missing or unknown data for the denominator used to calculate these percentage values, as described in the footnotes for each Key Indicator table

If a hospital user modifies data in records for a month that has already been acknowledged for submission, do they have to re-acknowledge the data for this month? No. If a user makes changes to records from a month of data that has already been acknowledged, it will be assumed that changed made to data were complete and have been verified.

Hospital clinical reports all have a one day lag in reflecting any changes to data. You will be reminded of this one day lag in the Clinical Report Tab.

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FAQs Which reports display Cesarean Section (CS) data?

• Key Indicator - Maternal Summary: • Type of birth • Type of CS • Previous CS

• Profile of Birth - Birth/Mother: (includes comparator data) • Type of birth • Planned vs. unplanned CS • Primary vs. Repeat CS

• Maternal Newborn Dashboard : KPI 4 : Elective Repeat CS in low risk women at term performed prior to 39 weeks gestation with no medical indication

• Robson Cesarean Section Monitoring : Rate of CS by Robson Classification

• Maternal Patient Experience/Encounter Lists : these spreadsheet format reports can be used to filter and examine individual records/data

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Resources

• Website www.bornontario.ca • Reporting Roadmap – to be released shortly • Your Coordinator

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BORN Website: www.bornontario.ca

• Updating website (Apr – May 2016)

– Adding new headers (Report Training) – Moving items to align with new headers

• Nothing has been deleted at this point but the headers may look a bit different

• This webinar recording and slide deck will be posted under Report Training

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www.bornontario.ca

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The best possible beginnings for lifelong health

A Provincial Program of

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? Questions www.BORNOntario.ca info@BORNOntario.ca

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