March of Dimes 39+ Weeks Quality Improvement Service Package
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Transcript of March of Dimes 39+ Weeks Quality Improvement Service Package
March of Dimes39+ Weeks Quality
Improvement Service Package
2012
Elimination of Non-medically Indicated Deliveries Before 39 Weeks Toolkit
Available at: marchofdimes.c
omor
cmqcc.org
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QI Service Package
Hospital Recognition*
*For those hospitals that achieve clear QI implementation process points
•Grand Rounds•Secure Web Based Data Portal•Webinars•Materials Credit•Access to “Experts in the Field”
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QI Service PackageGrand 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).
Sample ReportSample Hospital (SH)
Hospital Cohort 11 Cohort 2
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
1 Cohorts will be defined to determine meaningful benchmarks.
Prepared by the March of Dimes Perinatal Data Center, 2011An elective delivery is non-medically indicated.
Singleton Early Term Deliveries (37 0/7 through 38 6/7 weeks gestation)
January, 2012
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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
• 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.
Sample Materials
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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!