Blog

Fixing persistent liability concerns in maternity care: We can do it!

One of most commonly cited barriers to improving maternity care is the risk of providers and hospitals being held liable for bad outcomes. Whether it is reining in overuse of tests and procedures, honoring women’s preferences, or increasing interdisciplinary collaboration, good ideas often cannot move forward once the issue of liability is raised.

If we cannot make progress toward more evidence-based, woman-centered care because of liability concerns, then the liability system is functioning poorly. But what are the aims of a high-functioning liability system? Is it just to avoid lawsuits and hold liability insurance premiums down?

In our new report, Maternity Care and Liability, we hold 25 possible liability reforms up to a framework that addresses the needs and interests of all of the system stakeholders: those who deliver care, those who pay for care, and most importantly, the women and newborns who receive care. We developed this framework based on maternity care and liability studies and with the input of clinicians, legal scholars, consumer advocates, policy makers, and others.

[read the rest of this post » ]

Filed in Blog, Clinicians, Consumers, Costs - Charges - Value, Hospitals and Health Systems, New Reports and Resources on Wed., Jan 9, 2013

Tagged with:

Overuse of c-sections: bad for women, babies, and the bottom line

Last month, Childbirth Connection issued Cesarean or Vaginal Birth: What Is At Stake for Mothers and Babies, a best evidence review cataloging dozens of adverse outcomes made more common by cesarean surgery. Maternal infections, prolonged pain, life-threatening complications, and childhood chronic illnesses – evidence demonstrates cesarean increases the likelihood of each of these. These risks are appropriate tradeoffs in some circumstances when cesarean offers a clear benefit. But a growing chorus of obstetric leaders and maternity care reformers are warning that the c-section rate is too high. For the benefit of public health – for the 4 million women who give birth every year and their 4 million babies – we must work to safely rein in the overuse of c-sections.

Today, we learn the extent to which c-section overuse is driving up health care costs, too. Together with Catalyst for Payment Reform and the Center for Healthcare Quality and Payment Reform, we have issued The Cost of Having a Baby in the United States, prepared by Truven Health Analytics.

What is at stake for payers? Not only do unwarranted c-sections create greater health risks for women and babies, this study shows that they also dramatically increase costs for employers and, through Medicaid programs, state and federal budgets.

[read the rest of this post » ]

Filed in Blog, Costs - Charges - Value, New Reports and Resources on Mon., Jan 7, 2013

New Years Resolution: No More Copays for Preventive Services

For many people, the new year brings open enrollment periods for health benefits. Provisions in the Affordable Care Act (health care reform) that went into effect last August will catch up with many more Americans as the new health plan year begins. Most notably, more and more of us will benefit from access to preventive health services with no copays. All new plans will now provide coverage for breastfeeding support and supplies, gestational diabetes screening, and domestic violence screening and counseling, along with other services like well woman visits and contraception.

[read the rest of this post » ]

Filed in Blog on Fri., Jan 4, 2013

Tagged with:

Seeking participants for a video about childbirth decision making

Childbirth Connection and the Informed Medical Decisions Foundation are seeking women who have given birth within the past 2 years to appear in video segments of an online shared decision making guide. We are specifically seeking women who were told before the birth that their baby weighed at least 8 pounds, 13 ounces and who discussed induction of labor with their care providers due to the baby’s size. We want to talk to women who did choose induction of labor as well as those who decided to wait for labor to start on its own. At this time, we are seeking women who did not have any pregnancy complications such as diabetes, high blood pressure, or a breech baby.

[read the rest of this post » ]

Filed in Blog on Thu., Jan 3, 2013

Tagged with:

In the pipeline: Get ready for a flurry of landmark reports and resources to transform maternity care

Childbirth Connection’s 95-year history includes many landmark reports and resources that have shaped maternity care and galvanized needed progress. It may seem like things have been quiet on that front for a while, but that’s about to change, just in time for our 95th birthday.

Get ready for a flurry of resources to help transform maternity care. We’ve been hard at work to produce these new reports and will soon make them freely available for all stakeholders to use to help push for high-quality, high-value maternity care.

Here’s what’s in the pipeline and the estimated date of delivery (EDD) for each:

[read the rest of this post » ]

Filed in Blog, New Reports and Resources on Wed., Dec 5, 2012

Tagged with:

Sign-up Now for October 10 Webinar on New National Goals and Strategies to Reduce Early Elective Delivery and Cesarean Section in Low-Risk Women

Over the last nine months, the Maternity Action Team, comprised of nearly 30 public and private organizations, has set aspirational goals and worked on the development and implementation of a plan to reduce elective deliveries prior to 39 weeks to 5% or less and reduce cesarean section in low-risk women to 15% or less. This effort is focused on three key strategies: 1) Increasing uptake of The Joint Commission perinatal core measure set; 
2) Implementing hard-stop policies and checklists; and 
3) Aligning consumer and provider messaging.

[read the rest of this post » ]

Filed in Blog, Webinars on Tue., Oct 2, 2012

Tagged with:

CDC Releases Final Birth Data for 2010

Each year, the Centers for Disease Control and Prevention (CDC) publishes a final report from vital statistics (birth certificate) data. Unlike the preliminary reports, the final data provides data in great detail and is accompanied by reports breaking down birth data by state, racial and ethnic group, gestational age, mode of birth, and other factors.

[read the rest of this post » ]

Filed in Blog, New Reports and Resources on Tue., Aug 28, 2012

Tagged with:

Multi-state collaborative works to improve pre- and inter-conception health

A recent Issue Brief from the Commonwealth Fund highlights a multi-state collaboration to improve pre- and inter-conception health for women insured by Medicaid.

A recent Issue Brief from the Commonwealth Fund highlights a multi-state collaboration to improve pre- and inter-conception health for women insured by Medicaid. The Louisiana Birth Outcomes Initiative, a cross-departmental, public–private effort to improve the outcomes of Louisiana’s births, was one of the participating state programs. This state-wide initiative used the same multi-stakeholder process employed by Childbirth Connection to develop the Blueprint for Action.

[read the rest of this post » ]

Filed in Blog, New Reports and Resources, Quality Collaboratives on Tue., Aug 28, 2012

Tagged with:

Guidelines for States on Maternity Care In the Essential Health Benefits Package

The Patient Protection and Affordable Care Act (ACA) requires that all new health insurance plans in the individual and small group markets, including qualified health plans sold through health insurance exchanges, provide at least the Essential Health Benefits (EHB) package. The ACA identifies a core set of ten categories to be included in the EHB, one of which is maternity and newborn care. For most categories, the Department of Health and Human Services (HHS) has not specified what must be covered; the Department issued a pre-rule bulletin allowing states to select their EHB package from a list of options.

The National Partnership for Women & Families and Childbirth Connection urge states to use the guidelines below in selecting an EHB package to ensure the coverage will provide sufficient quality maternity care.

[read the rest of this post » ]

Filed in Blog, New Reports and Resources on Thu., Aug 9, 2012

Tagged with:

Help is on the Way: Breastfeeding Support for Healthier Moms and Babies

This year, World Breastfeeding Week coincides with a major milestone for mothers: on August 1, the women’s preventive health provisions of the Affordable Care Act (ACA) go into full effect. Every new insurance policy will now begin covering breastfeeding equipment and lactation support services without co-pays.

[read the rest of this post » ]

Filed in Blog, Consumers, Costs - Charges - Value on Sat., Jul 28, 2012

Tagged with:

php endif; ?>