Continuum of Care Maine CDC Perinatal Quality Collaborative & - PowerPoint PPT Presentation

MMC PowerPoint Template 4/12/2018 Continuum of Care – Maine CDC Perinatal Quality Collaborative & ESC Tool for Substance Exposed Infants • Workgroup convened by Dr. Sheila Pinette • Purpose: Focus on home birth: choice, safety, and access to Kelley Bowden, MS, RN hospital-based care Perinatal Outreach Nurse Educator • Results - Updates to electronic Birth Certificate April 14, 2018 - Blood spot, hearing & CCHD screening - Transport Communication Guidance and Tool Kit - Expansion of Perinatal Leadership Coalition - Formation of effective interdisciplinary collaborative workgroup How We Arrived Here Maine Home Birth Collaborative Maine CDC: Continuum of Care Collaborative • Convened by Maine Medical Association and Maine Association of Certified Professional Midwives (CPMs) Maine Medical Association & Maine • Facilitated interdisciplinary workgroup Association of Certified Professional Midwives: Maine Home Birth Collaborative • Supported by AMA Scope of Practice Grant • Purpose: Development of mutually acceptable consensus-developed language for a bill to license Maine Home Birth Collaborative: Maine Perinatal Quality Collaborative CPMs

MMC PowerPoint Template 4/12/2018 Perinatal Quality: What’s Next The PQC4ME Vision • Desire to continue and expand the To improve the state of perinatal health care in interprofessional collaboration that began Maine, under the direction of expert perinatal with the Continuum of Care clinicians who represent the full range of • Expand to include an array of stakeholders choices and care options, with inclusion of all who have an interest in all aspects of interested stakeholders, and without undue maternal infant care and outcomes influence from any one sector. What is a Perinatal Quality Collaborative? Why Maine Quality Counts ? • PQCs are networks of perinatal care professionals, public • QC is a regional health improvement collaborative health teams, members of the public and industry who are that brings together people who give care, get care, committed to improving pregnancy outcomes for women and pay for care to improve health care quality and newborns through throughout Maine. - Advancing evidence-informed clinical practices and • QC is transforming health and healthcare in Maine processes by leading, collaborating, and aligning improvement - Interprofessional dialogue and collaboration efforts. - Recognition that birth occurs within a cultural and social context

MMC PowerPoint Template 4/12/2018 Putting Evidence into Practice What Makes an Effective PQC? • Review of evidence by experienced clinicians • Population-based focus (Public Health) • Interprofessional education opportunities on emerging • Solid clinical leadership in maternity and pediatrics science • Involvement of professional associations and state • Translation of the evidence into clinical activities agencies • Monitoring outcomes and collecting data using uniform data • Integration of community and academic providers sets that are meaningful to practice • Rigorous improvement science expertise • Evaluating project and initiative impacts • Case review in light of evidence • Centralized PQC administration and infrastructure Sample Projects Who Benefits from a PQC? Evidence- • Reduce preterm births (NY): Informed • Families – improved outcomes Change - Indications for scheduled births before • Maternity and Pediatric care providers – education and 39 weeks Pilot of change - Increase maternal education about support for evidence-informed practice preterm birth • Health care organizations – improved data for decision- Evaluate • Increase vaginal birth rates (CA) results making - Improve culture of care for physiologic birth • Liability insurance companies – improved outcomes, Update Practice - Support intended vaginal birth state standards for evaluation - Manage complications to reduce • Payors – reduced costs with improved outcomes Repeat cesarean - Use data to drive reductions in cesarean The PDSA Cycle

MMC PowerPoint Template 4/12/2018 Stakeholder Involvement NNEPQIN • Stakeholder input is a hallmark of PQCs • Variety of stakeholders varies per PQC • Stakeholder involvement assures that - All interested parties have a voice in the PQC - PQC projects address issues relevant across stakeholders - The PQC has access to experts to assure a well- rounded approach to projects 15 Eat Sleep Console-What is it? Patient-centered, Function-based ESC Non-Pharm Care Tool that will: Improve health for newborns with NAS:  Decrease need for pharmacologic treatment  Decrease LOS What’s YOUR Role? Improve care experience for baby, family, provider:  Simplified assessment → improve family & provider satisfaction; decrease time spent in assessment Improve value / costs:  Decrease hospital costs

MMC PowerPoint Template 4/12/2018 Eat, Sleep, Console Training Resources ESC Training Resources ESC Training Resources ESC Training Resources https://www.bmc.org/sites/default/files/For_Med ical_Professionals/Nursing/esc‐nas/index.html

MMC PowerPoint Template 4/12/2018 Workgroup Org Chart Draft – NAS FY18 21 To learn more……….. • AAP Maine Chapter fall conference - October 27 and 28 th 2018 at Point Lookout • Quality Counts - October 30 th at Maine Medical Center » Kelley Bowden » bowdek@mmc.org » www.mmc.org/perinatal-outreach 22