Blueprint

From the Field: Promoting The Birth Survey

Women of childbearing age need accurate, objective data in order to make informed choices about birth settings and providers. The Birth Survey, a mechanism to share, systematically track, and retrieve up-to-date information about the quality of care received will equip consumers with the information necessary to make informed decisions and enable individuals to play a larger role in determining their care and to make real informed health care choices.

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Filed in Blueprint, Clinical controversies, Community education/outreach, Consumer advocacy or political action, Decision making and choice, Performance measurement, Performance measurement/reporting, Strategies on Tue., Jul 17, 2012

From the Field: Resource Wall

The “Resource Wall” will give families the information they need when they need it and not after. It will be located in area obstetrician offices and include information about pregnancy, birth, newborn care, VBAC, finding a doula, local La Leche League meetings, circumcision, community pregnancy services, “Happiest Baby on the Block,” The International Cesarean Awareness Network, vaccinations, and much more. This will be accomplished through the use of community resources and local partnership.

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Filed in Community education/outreach, Decision making and choice, Stories from the Field on Mon., Jul 2, 2012

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From the Field: National Rally for Change

Our goal is to reduce the unnecessary induction and c-section rate in the US. This first project is meant to raise awareness and consciousness to the mainstream public. Our desire was for an event on such a mass scale that all major media outlets would pick up the story and continue to do stories both before and after the event.

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Filed in Clinical controversies, Community education/outreach, Decision making and choice, Progress, Stories from the Field on Wed., Mar 28, 2012

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In the Literature: Physiologic, evidence-based oxytocin protocol reduces tachysystole

As part of a larger program to achieve zero preventable birth injuries, this project’s goal was to avoid tachysystole or appropriately intervene when tachysystole occurred. Tachysystole is defined as more than 5 contractions in 10 minutes, averaged over a 30-minute window, and is often associated with induced or augmented labor.

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Filed in Blueprint, Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Educational materials for health professionals, Health professions education, Improved liability system, Performance measurement, Progress, Team building on Tue., Oct 18, 2011

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From the Field: Group Prenatal and Well Baby Care

Group Prenatal Care was started around 2001-2002 and we offer 12 groups yearly. Baby groups were piloted in the 2005 timeframe and packaged/started in 2007. We have done multiple national presentations on group care at organizational meetings.

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Filed in Care coordination, Consumer advocacy or political action, Decision making and choice, New care delivery model, Shared decision making, Stories from the Field on Fri., Sep 30, 2011

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From the Field: Practice Guidelines for Trial of Labor after Cesarean

As a Patient-Centered Maternity Home, two components of our Maternal-Child Health Care are evidence-based practice and shared decision-making. While ACOG guidelines are not always evidence-based, they have recently released guidelines allowing us all to offer trial of labor to women with two prior cesareans or twins. Our cesarean rate is 19% and our VBAC rate is 50%. North Carolina Medicaid is currently reimbursing cesarean birth at the same rate as vaginal birth.They were proactive in setting the rates pretty close to each other in years past.

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Filed in Clinical controversies, Clinical practice guideline/policy change, New care delivery model, Performance measurement/reporting, Scope of covered services, Shared decision making, Stories from the Field on Tue., Sep 20, 2011

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From the Field: Home Birth Consensus Summit

Safety of birth in any setting is of utmost priority. Maternity care providers and researchers in the U.S. disagree about appropriate settings for birth. Ultimately, women and families are ill-served by inter-professional conflict. The current debate on home birth indicates the need for constructive discussion and consensus-building. Successful collaboration between health professionals has been found to result in improved experience and outcomes for consumers.

The Home Birth Consensus Summit will be organized in a way that is most likely to foster the dialogue needed to find common ground and spark constructive action that will ultimately benefit all stakeholder groups. This summit will encourage dialogue among health care professionals, consumers, policy makers, and other leaders from disciplines that support maternity care, with the shared goal of identifying a common agenda for the provision of birth services in the U.S.

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Filed in Care coordination, Clinical controversies, Decision making and choice, Disparities, Stories from the Field on Fri., Sep 16, 2011

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From the Field: The Safe Motherhood Quilt Project

The Safe Motherhood Quilt Project, originated by midwife Ina May Gaskin, is a national effort developed to draw public attention to the current maternal death rates, as well as to the gross underreporting of maternal deaths in the United States. The Quilt honors American mothers who have died of pregnancy or childbirth related causes since 1982, the last year there was a reduction in maternal mortality.

The goal of the Safe Motherhood Quilt Project is to demand an equivalent system of counting, analyzing, and learning from mistakes made in our maternity care system here, regardless of where babies are born or what caregiver is the birth attendant. Until we do that, doctors, midwives, and nurses in the US will continue to work without a good system of feedback about what is and is not dangerous in maternity care, and preventable maternal deaths will continue to take place.

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Filed in Clinical audit, case review, or analysis of adverse events, Clinical controversies, Community education/outreach, Consumer advocacy or political action, Disparities, Educational materials for health professionals, Health information technology, Improved liability system, Performance measurement, Performance measurement/reporting, Stories from the Field, Team building on Mon., Sep 12, 2011

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From the TMC blog: Summer reading

With power outages and last-chance summer vacations, it feels a bit like life has slowed down in anticipation of the busyness that comes with fall. But while conference calls and meetings are a little sparser, the medical literature seems to be serving up a larger than average helping of important evidence and commentary. Maybe your Labor Day Weekend reading list has lighter fare, but here’s what we’re reading…

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Filed in Blog, Blueprint, Clinicians, Hospitals and Health Systems on Tue., Aug 30, 2011

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In the Literature: San Francisco General Hospital implements skin-to-skin care in the operating room for mothers and infants after cesarean surgery

The improvement team altered the process of care in the operating room to enable routine, early skin-to-skin contact after cesarean birth, with the aim of increasing the success of breastfeeding initiation.

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Filed in Blueprint, Care coordination, Clinical practice guideline/policy change, Educational materials for health professionals, Performance measurement/reporting, Team building on Thu., Aug 11, 2011

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