Contents

• Supported by
• Acknowledgements
• Dedication
• 1. Introduction
  • Neonatal Intensive Care
  • The Opportunity to Achieve the Triple Aim with the Guidance of Population-Based Newborn Analysis
  • A Framework for Interpreting Variation in Health Care
  • A Preview…
  • References
• 2. National Studies of Newborn Medical Care
  • All U.S. Newborns
  • Anthem-Insured Newborns
  • Imaging
  • Summing Up
  • References
• 3. Texas Medicaid-Insured Newborns
  • The Texas Neonatal Intensive Care Unit Project (TNP)
  • Care of High-Risk Newborns: Very Low Birth Weight Newborns (< 1,500 grams)
  • Care of Low-Risk Newborns: Late Preterm Newborns (gestational age 34-36 weeks)
  • Are More Special Care Days Better? Or Worse?
  • Summing Up
  • References
• 4. Regional Variation in the Treatment of Sick Newborns in Norway
  Atle Moen.
  • Admissions to Neonatal Units, Length of Stay, and Use of Intensive Care
  • Use of Antibiotics
  • Use of Ventilators in Treating Respiratory Illness
  • Phototherapy: Light Treatment for Jaundice (Hyperbilirubenemia)
  • Benchmarking Norwegian Newborn Care
  • Summing Up
  • References
• 5. The Problem of Variation in Newborn Care
  • Is the variation unwarranted?
  • Is the unwarranted variation important?
  • What are the causes of unwarranted variation and what is the right rate?
  • How can this information lead to better perinatal care and outcomes?
  • References
• 6. Statistical Methods
  • How is Utilization of Health Care Measured?
  • How is Variation Across Regions and Hospitals Measured?
  • Can this Variation be Explained?
  • Where Can I Find More Information About the Methods Used in the Atlas?
  • References

Authors

David C. Goodman, MD, MS

The Dartmouth Institute for Health Policy & Clinical Practice

George A. Little, MD

Dartmouth-Hitchcock Medical Center, Department of Pediatrics

Wade N. Harrison, MD, MPH

University of Utah, Department of Pediatrics

Atle Moen, MD, PhD

Oslo University Hospital, Department of Neonatology

Meredith E. Mowitz, MD, MS

University of Florida, Department of Pediatrics

Cecilia Ganduglia-Cazaban, MD, DrPH

University of Texas, School of Public Health

Editors

Kristen K. Bronner, MA

Julie R. Doherty, MA

The Dartmouth Institute for Health Policy & Clinical Practice

Neonatal Atlas Analytic Group

Megan A. Murphy, SM, MS

Jared R. Wasserman, MS

Benjamin Cher, MS

Andrew Glick, MD, MPH

The Dartmouth Institute for Health Policy & Clinical Practice

Suggested citation:

Goodman DC, Little GA, Harrison WN, Moen A, Mowitz ME, Ganduglia Cazaban C, Bronner KK and Doherty JR (Eds.). The Dartmouth Atlas of Neonatal Intensive Care. Lebanon, NH: The Dartmouth Institute of Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, 2019.

Library of Congress Cataloging-in-Publication Data

The Dartmouth Institute for Health Policy & Clinical Practice.

The Dartmouth Atlas of Neonatal Intensive Care/A Report of the Dartmouth Atlas Project ISBN 978-0-9815862-2-9

Medical Care-United States-Marketing-Maps. 2. Health facilities-United States-Statistics.

I. Title.

Cover Photo: iStock.com/annedehaas