Posts tagged with 'quality collaborative'

From the TMC blog: 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.

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

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From the TMC blog: Leading Change: An Interview with Christine Morton of CMQCC

Our Leading Change series profiles leaders in efforts to transform maternity care. This month we bring readers an interview with Christine Morton, PhD, a medical sociologist at the California Maternal Quality Care Collaborative. Christine and I discuss the rising rate of maternal mortality, how standardizing care for obstetric hemorrhage can help, the need for better data collection and reporting, and how state quality collaboratives can lead change. Thanks Christine for taking the time to answer these questions, and thanks everyone at CMQCC for your work to transform maternity care!

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Filed in Blog, Clinicians, Consumers, Hospitals and Health Systems, Interviews, Leading Change, New Reports and Resources, Quality Collaboratives on Thu., Dec 15, 2011

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 TMC blog: Four Maternity Care Trends to Watch

There’s a big gap between our current maternity care system and the high-quality, high-value system envisioned by a multi-stakeholder Transforming Maternity Care Project Team. We’re glad to see many of the recommendations put forth in the Blueprint for Action garnering broader interest and gaining momentum. Here are four we expect to play a growing role in system transformation over the coming months and years.

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Filed in Blog, Costs - Charges - Value, Hospitals and Health Systems, Quality Collaboratives on Mon., Aug 15, 2011

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From the Field: Louisiana Birth Outcomes Project

The Louisiana Birth Outcomes Project is a state-wide effort coordinated by the Department of Health and Hospitals. This multi-stakeholder initiative drew inspiration from the Transforming Maternity Care project and charged several interdisciplinary task forces with constituencies modeled after the five TMC stakeholder workgroups to determine critical steps for progress in four major areas: quality and safety, interconception care, behavioral health, and performance measurement.

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Filed in Blueprint, Care coordination, Childbirth Connection, Clinical controversies, Clinical practice guideline/policy change, Community education/outreach, Disparities, Health information technology, Health information technology, Payment reform, Payment/reimbursement change, Performance measurement, Performance measurement/reporting, Scope of covered services, Staffing/care coordination change, Stories from the Field on Fri., Apr 22, 2011

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From the Field: Obstetrics Clinical Outcomes Assessment Program (OB COAP)

The Obstetrics Clinical Outcomes Assessment Program (OB COAP) is a clinician-led data collection and analysis initiative that uses chart-abstracted data of the variables relating to the management of a pregnant woman who delivers in the state of Washington. Its goal is to ensure that all women in the state of Washington receive the same evidence-based obstetrical care. OB COAP gathers the intrapartum data needed to optimize management of labor and delivery.

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Filed in Blueprint, Clinical audit, case review, or analysis of adverse events, Clinical controversies, Decision making and choice, Disparities, Performance measurement, Performance measurement/reporting, Stories from the Field, Workforce on Wed., Apr 6, 2011

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From the Field: Washington State Perinatal Collaborative Reducing Elective Delivery Before 39 Weeks Project

The collaborative is seeking to understand the reason for rising C-Section rates and possible modifiable factors leading to this rise. The collaborative believes that the variation among hospitals in cesarean, VBAC, and induction rates are affecting maternal and infant health across the state of Washington. To address these variations the collaborative is engaging agencies, hospitals, organizations, and the community to encourage birthing hospitals to collaborate and address issues such as inductions, trial of labor, appropriate admissions, and accessibility to vaginal births after cesareans. The first initiative uses the March of Dimes Toolkit and other resources to reduce early elective deliveries in the state of Washington.

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Filed in Clinical practice guideline/policy change, Payment reform, Payment/reimbursement change, Performance measurement, Performance measurement/reporting, Stories from the Field on Fri., Mar 18, 2011

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From the Field: Michigan Health and Hospital Association Keystone: OB

Keystone: OB focuses on preventing elective inductions and elective cesareans before 39 weeks. We are also focused on assuring safe care during labor induction, augmentation, and the second stage of labor. In addition, we provide recommendations on electronic fetal monitoring, and most importantly improving the culture of safety in the unit.

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Filed in Clinical audit, case review, or analysis of adverse events, Clinical controversies, Clinical practice guideline/policy change, Educational materials for health professionals, Performance measurement, Performance measurement/reporting, Stories from the Field, Team building on Thu., Mar 17, 2011

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From the Field: Oklahoma Office of Perinatal Quality Improvement Every Week Counts Project

The goal is to eliminate elective deliveries prior to 39 weeks. All OB hospitals in Oklahoma have been invited to participate. Currently, 50 out of 60 have registered. This will include a process change for scheduling elective inductions or cesareans–they must be at least 39 weeks on the date they are scheduled to deliver. We will use the March of Dimes toolkit to aid in this process. Included will be policies, a scheduling form and data collection tools. Patient education and public awareness of the risks will be addressed by providing free patient education materials and by developing a PSA to be broadcast statewide.

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Filed in Clinical controversies, Clinical practice guideline/policy change, Community education/outreach, Decision making and choice, Educational materials for health professionals, Performance measurement, Performance measurement/reporting, Shared decision making, Stories from the Field, Uncategorized on Tue., Mar 15, 2011

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From the Field: CMQCC Toolkit: Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age

The primary aim of this toolkit is to help hospitals implement process changes to eliminate elective deliveries before 39 weeks in California and to help disseminate and determine best practices for prevention of early deliveries. It also aims to outline the most effective strategies for supporting California health care providers in implementing those practices.

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Filed in Care coordination, Clinical controversies, Clinical practice guideline/policy change, Community education/outreach, Decision making and choice, Educational materials for health professionals, Health professions education, Performance measurement, Performance measurement/reporting, Progress, Skills training or drills for health professionals, Stories from the Field on Tue., Mar 15, 2011

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