Care coordination

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: 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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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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In the Literature: Surgical checklist improves teamwork and compliance with best practice

For all scheduled cesarean deliveries, the hospital introduced a preoperative checklist to verify patient identity, indication for caesarean section, allergies, and presence of neonatology staff and a postoperative check to verify analgesia, oxytocic prescription, antibiotics, thromboprophylaxis and skin contact between mother and baby. Researchers examined staff attitudes before and after introduction of the checklists, checklist compliance, and whether patients experienced anxiety or were reassured by the process.

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Filed in Blueprint, Care coordination, Clinical practice guideline/policy change, Improved liability system, Team building on Wed., Aug 10, 2011

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From the Field: Eliminating Preventable Perinatal Injuries and Reducing Malpractice Claims and Costs: Creating High Reliability Obstetrics Units

We intend to reduce perinatal harm and decrease malpractice events by eliciting improved compliance in 4 clinical care bundles and implementation of an evidence-based simulation training methodology focused on improving clinical staff’s ability to work in teams. We are measuring our impact through a culture of safety survey and a high reliability survey, various outcomes measures.

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Filed in Blueprint, Care coordination, Clinical audit, case review, or analysis of adverse events, Clinical controversies, Clinical practice guideline/policy change, Decision making and choice, Health professions education, Improved liability system, Performance measurement, Performance measurement/reporting, Risk management/liability reform, Shared decision making, Skills training or drills for health professionals, Strategies, Team building on Mon., Aug 1, 2011

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From the Field: Postpartum Depression Task Force

The Postpartum Depression Task Force of Monroe County seeks to improve identification and treatment for women with perinatal mood disorders. The Task Force is a coalition of providers from all aspects of maternal-child health, including doctors, nurses, psychiatrists, psychologists, social workers, doulas, childbirth educators, hospital and medical office administrators, and consumers. Measures include attendance at continuing education events; numbers of in-services and outreach events; as well as improved identification and referral systems within the hospital as well as in the community.

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Filed in Care coordination, Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Community education/outreach, Educational materials for health professionals, Health professions education, Shared decision making, Staffing/care coordination change, Stories from the Field, Team building on Thu., Jul 14, 2011

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From the Field: Becoming a Baby Friendly Facility

We wanted to design a center where the needs of the mother and the baby come first. A place where every aspect of care is based on supporting natural birth and breastfeeding.

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Filed in Care coordination, Clinical controversies, Clinical practice guideline/policy change, Decision making and choice, Disparities, Educational materials for health professionals, Performance measurement/reporting, Shared decision making, Skills training or drills for health professionals, Staffing/care coordination change, Stories from the Field, Team building on Thu., Jul 14, 2011

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From the Field: Community Doula Initiative

HPC Community Doulas is a non profit 501(c) 3 maternal-infant agency dedicated to serve low income pregnant women receiving prenatal care at federally qualified health centers in Hudson County, NJ. Our grant is committed to reducing perinatal disparities in birth outcomes, so we offer free community doulas to pregnant women on Medicaid and/or enrolled in the WIC program.

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Filed in Care coordination, Community education/outreach, Decision making and choice, Disparities, Educational materials for health professionals, Health professions education, New care delivery model, Performance measurement, Shared decision making, Skills training or drills for health professionals, Stories from the Field, Team building, Workforce on Thu., Jul 14, 2011

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From the Field: Rattle Wraps – Patient Advocacy for Infant Caregivers

James’s Project sets out to reduce the US infant mortality rate and improve maternal health by raising awareness of patient safety issues in these areas. This is done by using the tools of education, communication and collaboration.

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Filed in Blueprint, Care coordination, Clinical practice guideline/policy change, Community education/outreach, Consumer advocacy or political action, Decision making and choice, Educational materials for health professionals, Health professions education, Risk management/liability reform, Shared decision making, Staffing/care coordination change, Stories from the Field, Strategies, Team building on Mon., Jul 11, 2011

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From the Field: The Birth Trust

The Birth Trust provides funding for projects that advance midwifery and woman-centered childbirth or reduce birth disparities through educational, policy, and research projects. The Birth Trust is a grant-making fund where donors and birth activists commit a certain amount monthly and then vote and select which projects get funded. Since the Birth Trust launched in 2010, nine very diverse projects have been selected.

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Filed in Care coordination, Clinical controversies, Consumer advocacy or political action, Decision making and choice, Disparities, Educational materials for health professionals, Health professions education, New care delivery model, Nursing/medical/midwifery curriculum change, Payment/reimbursement change, Scope of covered services, Skills training or drills for health professionals, Stories from the Field on Tue., Jul 5, 2011

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