Levels of neonatal care among birth facilities in 20 states and other jurisdictions: CDC levels of care assessment toolSM (CDC LOCATeSM)

Details

• Alternative Title:
  J Perinatol
• Personal Author:
  Wilkers, Jennifer L. ; DeSisto, Carla L. ; Ewing, Alexander C. ; Madni, Sabrina A. ; Beauregard, Jennifer L. ; Brantley, Mary D. ; Goodman, David A.
• Description:
  OBJECTIVE:
  
  Describe discrepancies between facilities’ self-reported level of neonatal care and Centers for Disease Control and Prevention Levels of Care Assessment ToolSM (CDC LOCATeSM)-assessed level.
  
  STUDY DESIGN:
  
  CDC LOCATeSM data from 765 health facilities in the United States, including 17 states, one territory, one large multi-state hospital system, and one perinatal region within a state, was collected between 2016 and 2021 for this cross-sectional analysis.
  
  RESULT:
  
  Among 721 facilities that self-reported level of neonatal care, 33.1% had discrepancies between their self-reported level and their LOCATeSM-assessed level. Among facilities with discrepancies, 75.3% self-reported a higher level of neonatal care than their LOCATeSM-assessed level. The most common elements contributing to discrepancies were limited specialty and subspecialty staffing, such as neonatology or neonatal surgery.
  
  CONCLUSION:
  
  Results highlight opportunities for jurisdictions to engage with facilities, health systems, and partners about levels of neonatal care, and to collaborate to promote standardized systems of risk-appropriate care.
  
  
• Subjects:
  Centers For Disease Control And Prevention, U.S. Cross-Sectional Studies Female Health Facilities Humans Infant, Newborn Medicine Neonatology Pregnancy United States
• Source:
  J Perinatol. 43(4):484-489
• Pubmed ID:
  36138088
• Pubmed Central ID:
  PMC10230433
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  43
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7c82351e65a87ebacbf7b233b92fb3692bf982e45141cd5e31194f2013689807
• Download URL:
  https://stacks.cdc.gov/view/cdc/129382/cdc_129382_DS1.pdf
• File Type:
  [PDF - 364.44 KB ]