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Quality of Children's Care in Texas Hospitals, 2016

Quality of Children's Care in Texas Hospitals, 2016

Center for Health Statistics
Texas Health Care Information Collection

This report is focused on the quality of care of children. The report includes information on hospitals that treat only children, as well as hospitals that treat both children and adults. A Guide to Understanding the Hospital-Specific Pediatric Quality Reports is available and provides more information about this report. Consumers should rely on several sources of information to make healthcare choices, and not rely solely on this report. Factors that may affect your selection of a hospital for your child include which services (benefits) your child’s health plan covers, convenience, where your child’s doctor practices and recommendations from family and friends. You can use this information to talk with your child’s doctor and hospital, and take a more active role in making health care decisions for your child.

Hospital-specific indicators of quality show how Texas hospitals performed in calendar year 2016. Hospitals may provide comments explaining their performance on the quality indicators, and these may be helpful to gain a full understanding of a hospital's score. If the hospital provided comments, its name will be followed by (C) which links to the information submitted.

Hospitals that treat only children are more likely to treat complex cases and may treat patients transferred from other hospitals. The report separates children's hospitals from other hospitals. For this report children's hospitals are defined as members of the National Association of Children’s Hospitals and Related Institutions (NACHRI) or the Children's Hospital Association of Texas (CHAT). These hospitals include freestanding children’s hospitals, children’s specialty hospitals and children’s hospitals within a larger hospital. For some larger facilities, discharges from the children’s specialty unit cannot be separated from other data for the facility. For those facilities, the information included in the reports below may include patients under age 18 discharged from other units within the hospital. Because the two types of hospitals are likely to treat children with different severities of illness or levels of complexity, comparisons of hospitals should be done with this in mind.

Important Note: Starting 2015, a significant change in coding systems occurred. Federal requirements necessitated the change in coding systems, from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS). The change occurred on October 1, 2015. The change will make the data difficult to utilize and compare between 2016 data and between QI reports from previous years. 2016 measures are not risk-adjusted due to this being the first year of data using the ICD-10-CM/PCS codes.

Information on the care of the adult population is available in Indicators of Inpatient Care in Texas Hospitals. This report on the quality of care of children is limited to children under age 18.

Guide to Understanding the Hospital-Specific Quality of Children's Care Reports

This section has information about four indicators of the quality of care for children in the hospital. The information covers care provided to children under the age of 18. A quality indicator is a piece of information, a complication rate, that shows how often something that may have been preventable occurred during the child’s stay in the hospital. Because some hospitals may limit their surgeries to simpler kinds of cases, and send more complex cases with a higher risk of complications to other hospitals, it may not be appropriate to compare children's hospitals with community hospitals.

Accidental Puncture or Laceration

This indicator shows the number of injuries that occurred during a procedure, specifically accidental cuts, punctures, perforations or lacerations. These injuries can possibly be prevented through proper technique during procedures. Complex procedures can be more difficult in children than in older patients because of their size. This makes accidental injuries harder to prevent.

Perioperative Hemorrhage or Hematoma

This indicator tells how often children bled too much (called hemorrhage), or developed a large blood clot (called a hematoma) after an operation. Bleeding after a procedure or getting a blood clot can be an issue of concern for children.

Postoperative Wound Dehiscence

Wound dehiscence is the parting of the layers of a surgical wound. Either the surface layers come apart or the whole wound splits open. The complication is rare in children, but children with certain bowel or spleen disorders may be at higher risk for this to happen.

Iatrogenic Pnemothorax in Non-neonates

This indicator tells how often air leaked out of a child’s lung because it was accidentally punctured (iatrogenic refers to an accidental occurrence) because of a medical procedure. Complex procedures performed near the lungs can be more difficult in children than in older patients because of their smaller lung size.

Developed by THCIC using Inpatient Quality Indicators software, Version 7.0 Beta, released September 2017 by the Agency for Healthcare Research and Quality.

Related Reports

Hospital admissions for these conditions can potentially be reduced with the timely and effective use of primary care. Hospitalizations may be prevented when clinicians diagnose, educate and treat patients in a timely and effective manner in outpatient settings. Higher rates of possibly preventable hospitalizations may identify areas where improvements can potentially be made in access to care or in the quality of the health care system. (maps and tables)

Information for 2008 is included in the latest version of Preventable Hospitalizations. This report also provides information for 14 conditions on potentially preventable hospitalizations of the adult population, age 18 and older, for 2008.

Texas Health Data 

Quality of Children's Care in Texas Hospitals, 2015
Quality of Children's Care in Texas Hospitals, 2014
Quality of Children's Care in Texas Hospitals, 2013
Quality of Children's Care in Texas Hospitals, 2012
Quality of Children's Care in Texas Hospitals, 2011
Quality of Children's Care in Texas Hospitals, 2010
Quality of Children's Care in Texas Hospitals, 2009
Quality of Children's Care in Texas Hospitals, 2008

Last updated August 21, 2018