The Neonatal Program at Medical Center of Lewisville, a 200-bed community hospital in Lewisville, Texas, was experiencing difficulty achieving a Level III NICU rating. This was due to the low number of hospital deliveries and Average Daily Census (ADC), as well as required staff training needed for accreditation.
Our strategy for helping the facility achieve Level III NICU designation included the appointment of experienced local leadership, the establishment of quality and risk management protocols and the assembly of a dedicated NICU team. To ensure top care for NICU patients, the team incorporated evidence-based best practices by using established Vermont-Oxford Network indicators to compare quality care with other NICU facilities nationwide. Additionally, we participated in neonatal outreach to pediatricians, obstetricians, expectant parents and families of newborns to improve physician referrals to the facility and collect feedback on NICU services.
- LEVEL I Basic Newborn Care
- LEVEL II Advanced Newborn Care
- LEVEL III Subspecialty Newborn Care
- LEVEL IV Highest Level of Newborn Care
Medical Center of Lewisville embraced our neonatal group's initiatives as part of its overall growth strategy and became designated as a Level III NICU.
With this new level of care, the facility is able to provide services including:
We now work in collaboration with Medical Center of Lewisville to provide care and transport of sick infants from outlying communities, such as Denton and Irving, Texas. Along with marketing the hospital’s Level III NICU services to pediatricians, obstetricians and expectant parents, this collaboration has increased deliveries by 77 percent — from 1,300 to 2,300 in one year.
The facility also provides comprehensive perinatal and neonatal services on-site to high risk mothers and babies through collaboration with perinatologists.
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"Medical Center of Lewisville’s partnership with [Envision Physician Services] has enabled our organization to provide sole Level III NICU care for Denton County. Our shared vision for quality patient care has created a collaborative environment and led to our organization’s success in benchmarking patient outcomes with Vermont-Oxford. Two specific areas of improvement relate to our CLABSI reduction and central line utilization reductions, which are well below the national benchmarks. We are proud of the exceptional care our patients receive from our [Envision] physicians and highly qualified staff."