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recommendations for enhancing pediatric data on the floridacomparecare website

Composition of Workgroup. All Children's HospitalArnold Palmer Hospital for ChildrenChris Evert Women and Children's Center (North Broward Hospital District)Jackson Memorial Children's HospitalJoe DiMaggio Children's Hospital (Memorial Health System, Hollywood)Miami Children's HospitalShands Children's Hospital at the Univ. of FLSt. Joseph's Children's HospitalWolfson Children's Hospital.

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recommendations for enhancing pediatric data on the floridacomparecare website

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    1. Recommendations for Enhancing Pediatric Data on the FloridaCompareCare Website October 2006

    3. Recommendations Pediatric information should be clearly delineated from information on adults Definition of normal newborn should be revised Risk adjustment for pediatric conditions should be based only on the pediatric population and be specific to that indicator Exclude charge and day outliers from the data Use selected AHRQ Pediatric Quality Indicators (PDI) for outcomes reporting

    4. Recommendations Provide information on ambulatory surgery conditions for children Adopt the 3M methodology for readmission rate reporting with special considerations for pediatric conditions Conduct focus groups to evaluate needs of parents for pediatric data

    5. Recommendations on the Preventable Readmission Methodology • Readmissions should be based on those occurring within 15 days of the initial admission • Readmission rates should be segregated for infants (up to one year of age) and non-infants (1 through 17 years) • Readmission rates should be limited to readmissions for the same condition and only for those conditions in which a readmission is not expected

    6. AHRQ PDI Measures Which Could Be Used Foreign body left in after procedure Pediatric heart surgery volume Postoperative wound dehiscence Transfusion reaction Iatrogenic pneumothorax in neonates at risk* Iatrogenic pneumothorax in non-neonates*

    7. AHRQ PDIs Which Should Be Delayed Until POA Coding Decubitus ulcer Postoperative sepsis Selected infections due to medical care

    8. PDIs Not Recommended for Public Reporting Accidental puncture and laceration Pediatric heart surgery mortality Postoperative hemorrhage and hematoma Postoperative respiratory failure

    9. Pediatric Ambulatory Surgery Conditions for FloridaCompareCare Tonsil and adenoid removal Ear tubes placement Diagnostic upper GI endoscopy Circumcision Hernia and/or hydrocele repair Cleft palate repair Arthroscopy Strabismus Treatment of fractures Lower gastrointestinal endoscopy Diagnostic cardiac catheterization Bronchoscopy

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