barry t bloom, md presented to the blue ribbon commission on infant mortality september 24, 2010 a...
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Barry T Bloom, MD
Presented to
The Blue Ribbon Commission on Infant Mortality
September 24, 2010
A ProposalKansas Perinatal
Quality Improvement Collaborative
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HistoryPerinatal Council
KDHE sponsoredMonthly Executive Team MeetingsQuarterly Regional Meetings - Nursing and
Physician EducationPerinatal Guidelines for Level Designation
Perinatal Association of KansasVolunteersPicked up Educational Component
Children’s Health Advisory CouncilVolunteers
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DataVital Statistics
Limited insight into causation and outcomesTime delayed
Vermont OxfordLevel III sitesNeonatal OnlyVLBWExtended Data Set
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VON3 Year Risk Adjusted Report
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VON3 Year Risk Adjusted Report
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VON3 Year Risk Adjusted Report
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VON3 Year Risk Adjusted Report
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OpportunityQuality Improvement science
Cultural adaptationHuman Factors insightAnalysis in near real time
Network development experienceNational precedence
CaliforniaMultiple other state and regional
collaborativesVON data is a foundational element of each
collaborative
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ParticipantsKDHESRS – Medicaid – KHPAFacilities
Level III Neonatal and Perinatal CentersLevel II CentersLevel I CentersSafety Net ClinicsFQHC and Community Health Clinics
Multi-DisciplinaryNursingSocial ServiceRespiratory CareFamily Medicine, Maternal Fetal, Obstetric, Neonatal
and Pediatric Providers
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FundingLinked to Medicaid Quality InitiativesKDHEGrant SourcesCosts
OrganizationCoordinatorMeetings
Monthly leadershipQuarterly Network wide
Web SiteImprovement Science EducationData collection at sitesWeb based data reporting and storageData Analysis
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Intent - ImpactFocus on Population HealthInclude Policy Makers adding Policy as a leverage
pointDocument
Access, Effectiveness, Site Quality, Impact of initiatives
Compare participating communities to non-participating
High Level TargetsReducing Preterm Births- Pre- and PerinatalImproving Preterm Outcomes – Neonatal
More Timely Reporting – SPC methods for analysis
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Next StepsKansas Perinatal Quality Improvement CollaborativeInitial Funding for planningInvite facilities and providersDiscuss two state collaborative experiences
California – Long standing – Data Driven – Multiple Projects
Ohio, North Carolina, South Carolina, Illinois?Understand the benefit and costs of VON as the
core datasetAddition of key quality measures
Agree on a Core Pregnancy DatasetSource – Birth Certificate?Additions of key quality measures
Improvement Science Introduction