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West Virginia Perinatal Partnership
2011 Work PlanBrenda Dawley, MD, Chair, Central Advisory Council
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Major Legislative Accomplishments
Over 180 lactation professionals trained – 2008-2010
Newborn testing expanded to 29 metabolic conditions - 2007
Maternal Mortality Review Legislation – 2008 Uniform Maternal Risk Assessment -2009 HCR Teen Pregnancy study – 2009 HCR 104 & 105-insurance coverage 2009 Infant Mortality Review Legislation– 2011 Sustaining funding for Partnership - 2011
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Improving the Statewide Perinatal System
Guidelines for OB & newborn practices
One Call system Connect to Care Hospital Self Assessment Joint – MU & SU CNM Program Perinatal Outreach Education Supporting Breastfeeding Alliance
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Identified Costly Medical Procedures Associated with Poor Birth Outcomes
High risk newborns transported out of state- lack of NICU beds- 2008
OB QI – 15 hospitals, reduced elective deliveries <39 weeks by 50%. 2009
Cord Tissue Study – 8 hospitals participated – 19 % + cords. 2009
Policy recommendation for Medicaid to extend FP to 24 months post partum. (saving 31.3 M in 5 yrs.) 2007-2011
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Guidelines Issued
Issued medical guidelines and legal research reports re: drugs in pregnancy,
Promoted neonatal tool kit VBAC Guidelines
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Unplanned Pregnancy Committee
Co-ChairsDenise Smith, MS, CHES; Brenda Dawley, MD; StaffCinny Kittle, MS; Joyce W. Daniels, MA
Legislative initiatives Waiting 24 months Community College project Medicaid extension to 24 mo
after birth
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Drug Use During Pregnancy
Chair: Stefan Maxwell, MDStaff: Janine BreyelSandy Young, DNP, Amy Tolliver, MS
1. Collaboration between Behavioral Health and Maternity Care providers - WV|SBIRT2. Outreach Education3. Newborn Tool Kit 4. Research/Data Collection 5. Collaborative Pilot Projects Proposal
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Maternity Provider Shortage Areas
Chair: Coy Flowers, MD.Co-Charir: Angelita Nixon, CNMStaff: Ann Dacey, RN
- Identify shortage areas- Support MU-SU CNM Program- Help SU develop the Emergency
Childbirth Education program - Identify maternity providers
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Transport System
Chair : Luis Bracero, MDStaff: Ann Dacey, RN
Work with STEMS at WV Bureau for PH to set up one call system.
Work with hospitals to assure system operates as needed.
Evaluate one call system.
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Connect To Care
PI: Luis Bracero, MD, MFMStaff: Ann Dacey, RN
Robin Rector Doug Young
- Visit hospital and clinic sites - Work with CAMC Partners on roll out
installation, education and training needs.
- With CAMC, seek additional funds for further expansion
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Hospital Self Assessment
Staff: Ann Dacey Schedule and conduct self assessment
hospital visits Secure assessment teams Provide hospital’s with evidence of
completion Post hospitals on web site Work to encourage hospital participation Establish 3-5 year process for reviews
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Infant Mortality Review
Champions: Joe Werthammer, MD,FAAC and Jay Bringman,
MD, MFM Staff: Nancy Tolliver
Infant Mortality Review legislation – 2011 Marie Frazier, MD of Marshall
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OB QI First Time Mothers Initiative
Champions: Luis Bracero, MD, MFM David Jude, MD Jay Bringman, MD,
MFMStaff: Nancy Tolliver
Joyce Daniels Amy
Wenmoth Reduce high section rates
for first time mothers.
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Perinatal Outreach Education
Staff: Shauna Popson, RN, EdD Limiting elective labor inductions to 39 weeks Focus on Late Preterm infant - Early inductions Smoke Cessation in pregnancy and beyond Postpartum hemorrhage Metabolic syndrome and diabetes in pregnancy
Breastfeeding education for health providers Preeclampsia Substance abuse in pregnant women Neonatal abstinence syndrome
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Support WV Breastfeeding Alliance
Staff: Cinny Kittle Yvonne Snyder Stephanie Whitney Christine Compton Jan Wilkes Jane Barber
Offer professional lactation education
Work with businesses to establish friendly workplace
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VBAC
Chair: Brenda Dawley, MD, OB-GYN Staff: Nancy Tolliver, RN, MSIR
To develop guidelines reflecting ACOG & AMA
To respond to request of WV women To improve options for women
requesting TOLAC
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Thank You! Work with us 2011