John S. Curran, MD FPQC Executive Director Associate Vice - - PowerPoint PPT Presentation

John S. Curran, MD

FPQC Executive Director Associate Vice President, USF Health Senior Executive Associate Dean, Faculty and Academic Affairs USF Health Morsani College of Medicine

William M. Sappenfield, MD, MPH

FPQC Research and Data Director Chairman, Department of Community and Family Health Director, Lawton and Rhea Chiles Center for Healthy Mothers and Babies USF College of Public Health

Florida Big 5 Pilot Hospitals Reduction of NMI Deliveries <39 Weeks by Delivery Type 2011

National collaborative of the 5 biggest states: FL, CA, TX, NY & IL

Published in Obstetrics & Gynecology: "A Multistate Quality Improvement Program to Decrease Elective Deliveries Before 39 Weeks Gestation"

Neonatal Catheter Associated Blood Stream Infections NCABSI/FPQC—Dec. 2011 to Aug. 2012 Catheter Associated Infections Per 100,000 Line Days

Goals Expanded from 9 states in Phase I to 13 states in Phase II (FL 58.8% Reduction)

FL Deaths avoided 18 babies FL Length of stay reduced 1,199 days FL Cost savings $7,940,788

Golden Hour Part I: Delivery Room Management

 Dr. Maya Balakrishnan of USF Morsani College of Medicine is

Clinical Lead Investigator

 Improved outcomes in very low birth weight babies ≤30 6/7 weeks

gestational age OR ≤1500g birth weight

 Goals are to implement evidence-based practices on:

• Teamwork
• Thermoregulation
• Oxygen administration
• Delayed cord clamping

 Fulfills the requirement for neonatal maintenance of board certification  Participating Hospitals:

• St. Joseph’s Hospital Baycare
• Florida Hospital Tampa
• Tampa General Hospital/USF Health
• All Children’s Hospital/JHH
• Sarasota Memorial Hospital
• Baptist Hospital Miami
• South Miami Hospital

Obstetric Hemorrhage Initiative

 Dr. Judette Louis from USF Health and Dr. Anthony

Gregg from UF Health are Co-Clinical Lead Investigators

 Improved outcomes in morbidity and mortality related

to obstetric hemorrhage, including hysterectomies and massive transfusions

 Goals are to implement evidence-based practices on:

• Antepartum Risk Assessment
• Active Management of the Third Stage of Labor
• Quantification of Blood Loss/Trauma Type Response
• Hemorrhage Simulation Drills and Debriefing

 Meets new national guidelines for OB patient safety  Obstetric hemorrhage is a leading cause of maternal

mortality

 31 Florida hospitals and 4 North Carolina hospitals

• 18-24 month initiative starting Jan 2014