Role of the University of Illinois in the State of Illinois Regionalized Perinatal Program
 
Illinois Department of Public Health Perinatal Program
The Illinois Department of Public Health’s (IDPH) Perinatal Program is a comprehensive statewide system of services created to provide the best opportunity for optimal care throughout pregnancy, early infancy, and to improve the health outcomes of women and infants in Illinois. These services are especially targeted to pregnant women with high risk conditions and newborns requiring neonatal intensive care. This regionalized program is a multi-tiered structure, lead by IDPH. IDPH has an advisory committee (Perinatal Advisory Committee, PAC) that makes recommendations in matters pertaining to perinatal health care. In addition there are ten regions throughout the State each administered by an administrative perinatal center.
 
UIC Administrative Perinatal Center
The University of Illinois at Chicago Medical Center has been an active participant in the development, implementation and ongoing administration of the Regionalized Perinatal Program in Illinois.  From the inception of Perinatal regionalization, the University of Illinois has a continuous record of active involvement in improving the outcomes  for women and children by providing and improving care within its network of hospitals through the provision of exemplary professional educational programs and the implementation of quality monitoring. 
 
Clinical and Administrative Responsibilities of Regional Perinatal Centers
Clinical Responsibilities: The Regionalized Perinatal Healthcare Code 640 requires the Administrative Perinatal Center be part of a university or university affiliated hospital. These clinical sites must be capable of providing the highest level of care within the region for high-risk maternal and neonatal patients and must participate in a thorough re-designation process every three years to verify that they have the required specialized personal and services available 24 hours a day.
 
Administrative Responsibilities:  Besides providing expert clinical services, the Perinatal Center must have dedicated staff responsible for providing leadership, oversite and education for its Region of Network Hospitals. Specifically, IDPH requires Administrative Regional Perinatal Centers to be responsible for:
 
·        Designing and implementing IDPH’s Quality Improvement (CQI) Program
·        Collecting and analyzing data.
·        Conducting quarterly perinatal morbidity and mortality reviews with Network Hospitals.
·        Conducting Site Reviews at Network Hospitals to evaluate perinatal services and outcomes.
·        Providing educational programs for physicians and nurses to ensure optimal perinatal care
·        Monitoring the maternal and neonatal transport system
 
The Administrative Perinatal Centers are also required to participate in the re-designation process every 3 years to validate fulfillment of their responsibilities.  The University of Illinois at Chicago is one of the ten Regional Perinatal Centers in Illinois, the other Centers include: University of Chicago, Stroger Hospital of Cook County, Northwestern Memorial Hospital, Loyola University Medical Center, Rush University Medical Center, Rockford Memorial Hospital, St. Francis Medical Center of Peoria, St. John's Hospital of Springfield and the Southern Illinois Perinatal Program.
 
Quality Improvement Activities:
Monitoring Standards and Outcomes of Perinatal Care: Monitoring standards of perinatal care throughout the Network is a major work component for the Center. The Perinatal Center monitors service and outcome standards through: Hospital site visits, Morbidity and Mortality Reviews, quality improvement projects and the analysis of data reports. The PerinatalCenter has a data committee which works closely with the University of Illinois School of Public Health to analyze quality improvement data for the purpose of assessing network specific outcomes and implementing solutions directed at quality improvement.
 
Monitoring the Perinatal Transport System 
Monitoring of Patient Transports and Follow-up: The University of Illinois Hospital and other Level III tertiary care facilities in the network accept referrals for transfer (via ambulance) or transport. Perinatal Center Staff monitor the transfer/transport process to ensure compliance with established protocols and quality assurance standards. Additionally, Perinatal Center Staff assist in the provision of patient outcome and discharge information to referring physicians and hospitals.
Important links to governmental and professional organizations: 
http://www.idph.state.il.us/ Illinois Department of Public Health
http://www.nann.org/ National Association for Neonatal Nurses
http://www.awhonn.org/awhonn/ Association for Women’s Health Obstetrics and Neonatal Nursing
http://www.cdc.gov/ Center for Disease Control
http://www.nih.gov/ National Institutes of Health
UICCenter for Women’s Health
 
University of Illinois at Chicago Perinatal Center and its Network
The University of Illinois was designated as an Administrative Perinatal Center in the late 1970’s and is composed of two Level III institutions: the University of Illinois Medical Center (UIC) and Advocate Christ Medical Center.
 
UIC holds the ultimate responsibility for administration of the Region ( Network) and is assisted by designated staff from AdvocateChristMedicalCenter. There are 11 hospitals within the University of Illinois Region (Network). 
Hospitals in the University of Illinois Perinatal Network:    
Level III Hospitals
 
 Deliveries 2009
Level II+ Hospitals
 
 Births 
  2009 
Level II Hospitals
 
 Births
   2009
 
University of Illinois
2639
Delnor
1773
Advocate Trinity
1654
 
Advocate Christ
4064
Provena Mercy
1126
Advocate South Suburban
1520
 
Advocate Lutheran General
4155
 
 
Holy Cross
Holy Cross to suspend OB Services July 2008 - Reopened 2-2010
 
Advocate Good Samaritan
1815
 
 
 
 
 
     
 
 
 
 
University of Illinois Region / Network of Hospitals
Clinical Services Available for High Risk Mothers and Neonates
As Level III perinatal facilities, University of Illinois Hospital & Health Sciences System and Advocate Christ Medical Center provide comprehensive care for women experiencing complicated, high-risk pregnancies and newborns with special care needs. Both institutions accept referrals and have experienced maternal and neonatal transport teams to transport high risk mothers or babies requiring Level III care.
 
 Clinical Services for Women with High Risk Pregnancies:
University of Illinois at Chicago Department of Obstetrics and Gynecology
 The University of Illinois Department of Obstetrics and Gynecology, headed by Mary Stephenson MD, MSc, has a full complement of providers (from Midwives to Sub-specialists) caring for women throughout the life cycle. The Division of Maternal – Fetal Medicine is within the Department of OB and the members of this Division are known for their expertise in prenatal diagnosis and management of conditions, which can have adverse effects on the mother and / or the fetus. Both the Women’s Care Center and the Inpatient units have experienced multidisciplinary teams ready to provide comprehensive care for mothers with high risk pregnancies.  A MFM Sub-specialist is available for phone consultations or transport requests from referring physicians at all times.
 
Hot Line Number Links for High Risk Obstetric patients 

Phone Consultation / Transport call:   312-666-0555, Fax 312-996-9350

To make an appointment call:   312–996-6931

 

 The members of the MFM Division work closely with the faculty in the other OB sub-specialties and clinical sub-specialties to provide individualized care to complex patients.
 
 Clinical Services for High Risk Neonates:
The Department of Pediatrics at the University of Illinois, headed by Usha Raj, MD, is able to provide comprehensive care for neonates and children with complex conditions. 
The Division of Neonatology is part of the Department of Pediatrics and has a long history of conducting clinical research in neonatal medicine, which has resulted in the advancement of the care of high risk neonates. The University of Illinois Neonatal Intensive Care is staffed 24 hours a day by an experienced multidisciplinary team that includes Dr. Rama Bhat, the Medical Director of the NICU, neonatologists, neonatal nurse practitioners, registered professional nurses, respiratory therapists, social workers and spiritual care providers. This team of health professionals is ready to care for preterm and high risk neonates with life-threatening conditions requiring medical or surgical interventions. An Attending Neonatologist is on site at all times and is immediately available for consultation or transport of a high risk neonate from a referring provider.
 
 Hot Line Number Links for High Risk Neonates:
Phone consultation or Neonatal transport call: 312-996-4150 Fax 312-996-2328