Abstract
NERICP is a voluntary association of all New England hospitals offering cardiac care for infants and dedicated to improving care for these babies. NERICP began in 1968 and has emphasized professional education, improved casefinding, transportation, nursing, and social service and monitoring of patient experience. There has been increased new case discovery, decreased unrecognized deaths in state vital statistics and earlier admission. Because the data are consecutive, epidemiologic studies are possible, hospital experience can be monitored and studies of determinants of survival are possible. Self evaluation by individual hospitals has resulted in gradual restructuring of case delivery in the region. From an original 11 hospitals offering definitive care for infants, 5 now offer full diagnostic and surgical service, 3 offer full diagnostic and limited surgical service, 2 offer only non invasive diagnostic evaluation and 1 has discontinued all pediatric cardiology, Multivariate analysis indicates that, before and during these transitions, variation in survival among infants arriving at NERICP hospitals (except for one full service hospital with poor results) are not statistically significant. Successful management by limited service hospitals is accomplished through informed surgical referral. These changes in care delivery are believed to be an individual hospital response to reliable regional information about the available patient pool and the problems of management identified by NERICP.
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fyler, D., Buckley, L., Hellenbrand, W. et al. 104 NEW ENGLAND REGIONAL INFANT CARDIAC PROGRAM (NERICP) Effects on Care Delivery. Pediatr Res 12 (Suppl 4), 381 (1978). https://doi.org/10.1203/00006450-197804001-00109
Issue Date:
DOI: https://doi.org/10.1203/00006450-197804001-00109
This article is cited by
-
Copenhagen Baby Heart Study: a population study of newborns with prenatal inclusion
European Journal of Epidemiology (2019)