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To the Editor. —
Chou et al1 recently reported on their experience with neonatal hyperbilirubinemia in the Henry Ford Hospital System (HFHS). They suggested that rates of hyperbilirubinemia obtained with a “rigorous protocol for hyperbilirubinemia management” at HFHS could be used as a benchmark for other healthcare systems. They compared their results with those we reported from the Northern California Kaiser Permanente Medical Care Program (NC-KPMCP)2 and speculated that the significantly lower rates of hyperbilirubinemia at HFHS were due to their more rigorous management protocols.
Although we agree that it can be helpful to compare rates of hyperbilirubinemia across health systems and appreciate their attention to our work, we have some reservations about their methods and conclusions. First, the definition of hyperbilirubinemia they used was the total serum bilirubin (TSB) level at …
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