Transcript Document

March of Dimes
39+ Weeks Quality
Improvement Service
Package
Keith Nash, March of Dimes
Florida Chapter
Lori Reeves, MPH
March of Dimes East Region
Elimination of Non-medically Indicated
Deliveries Before 39 Weeks Toolkit
Available at:
marchofdimes.com
or
cmqcc.org
QI Service Package
•Grand Rounds
•Secure Web Based Data Portal
•Webinars
•Discount on educational
materials
•Access to “Experts in the Field”
Hospital Recognition*
*For those hospitals that achieve clear QI implementation
process points
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QI Service Package
Grand Rounds
• A National Speakers Bureau in partnership
with ACOG and AWHONN members to
support hospital Grand Rounds
• Trained experts in perinatal care and
quality improvement
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Secure Web Based Data Portal
Data Portal Goals
1. To help each hospital
monitor its own program
effectiveness
2. To measure initiative’s
overall effectiveness across
hospitals
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Secure Web Based Data Portal
Data Portal Reports
– Monthly and quarterly reports
detailing key indicators and
outlining change from previous
months both in tabular and graphic
form
– Reports will include hospital data
and comparisons to aggregate data
from other hospitals (without
hospital identifiers).
– Key indicators include the number
and percent of early term (37 0/7 –
38 6/7) scheduled inductions and
cesarean section deliveries that are
non-medically indicated (elective).
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Sample Report
Sample Hospital (SH)
Singleton Early Term Deliveries (37 0/7 through 38 6/7 weeks gestation)
January, 2012
Hospital
Scheduled Deliveries
Scheduled Inductions
Elective Scheduled Inductions
Measure 3: Percent of scheduled inductions that are elective
Scheduled Cesarean Deliveries
Elective Scheduled Cesareans
Measure 4: Percent of scheduled cesareans that are elective
Total Scheduled Deliveries (Inductions and Cesareans)
Elective Scheduled Deliveries
Measure 5: Percent of all scheduled deliveries that are elective
Total Deliveries (scheduled and unscheduled)
Measure 6: Percent of all deliveries that are elective
NICU Admissions after a Scheduled Elective Delivery
Measure 7: Percent of infants admitted to the NICU / special care
nursery after a scheduled elective delivery
Cohorts will be defined to determine meaningful benchmarks.
An elective delivery is non-medically indicated.
Prepared by the March of Dimes Perinatal Data Center, 2011
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Cohort 11
Cohort 2
QI Service Package (Cont’d)
Webinars
• Presented by content leaders from across the country.
• Step-by-step toolkit implementation guidance will be provided
via six 30-60 minute archived Webinars entitled:
– Overview of the <39 Weeks Problem and Toolkit Change
Components
– Outline Medical and Non-Medical Indications <39 Weeks
– Data Collection – Baseline and Post Implementation
– Establishing Physician & Nursing Leadership and a Medical
Hard Stop
– Building Consensus – Difficult Provider Q&A
– Patient Education
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QI Service Package (Cont’d)
March of Dimes educational materials for
consumers/patients to support
implementation, including: “Why the Last
Weeks of Pregnancy Count” brochures,
brain card flyer, and posters
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Sample Materials
• Late preterm brain development flyer –
consumer.
• Late preterm brain development card- provider.
• “Why the last weeks of pregnancy
count” brochure –consumer.
• Late preterm brain development
poster.
• Poster of pregnant woman wearing
“Healthy Babies are Worth the Wait”
t- shirt image and message identical to
print ad.
Patient FAQs
Toolkit includes patient education resources,
including FAQs:
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Why do babies need time (at least 39 weeks)?
Why can scheduling an early birth be a problem?
What happens if my labor starts before 39 weeks?
When is it okay to have a scheduled delivery?
What is “early term delivery”? Can early delivery really hurt
my baby?
• What does “the cervix is not ready” mean?
Etc…
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QI Service Package (Cont’d)
Access to “Experts in the Field”
• Access to a listserv that includes experts as well
as providers and other hospitals participating in
March of Dimes-supported QI initiatives (e.g., to
ask questions, seek advice, share lessons
learned, etc.)
• Monthly “office hours”, which are live chats
with national QI experts and providers (e.g., to
ask questions, etc.)
• Experts available on a rotational basis include:
– Bryan Oshiro, MD
– Donald Dudley, MD
– Kathleen Rice Simpson, PhD, RNC, FAAN
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Hospital Recognition
Hospital QI Recognition as “participating in a
March of Dimes 39+ Weeks Quality
Improvement Initiative…” that includes:
– March of Dimes plaque and banner for hospital
– Listing on March of Dimes website
(www.prematurityprevention.org)
– Opportunity for co-branding on media
campaign!
– Banners also available for non-QISP hospitals
that meet criteria
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2013 QISP Opportunities
• March of Dimes is releasing an RFA in late
September for an additional 100 hospitals
in 2013
• Applications accepted until mid-November
• Another round of 100 hospitals will follow
in 2014
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Questions?
Contact Lori Reeves @ March of Dimes
321-274-8674
[email protected]
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