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THA HEN/TIPQCOB EED Webinar
October 27, 2014
A THA/TCPS TIPQC Collaborative Inter-institutional Quality Improvement Project
FacultyCourse Director: Peter Grubb, MD, Assistant Professor of Pediatrics, Vanderbilt University School of Medicine; Medical Director, TIPQC
Faculty: Brenda Barker, MEd, Project Director, TIPQC
Faculty: Chris Clarke, RN, Senior Vice-President, Tennessee Center for Patient Safety, Tennessee Hospital Association
Planner/Speaker: Jackie Moreland, RN, Clinical Quality Improvement Specialist, Tennessee Center for Patient Safety, Tennessee Hospital Association
Speaker: Phil Toothman, State Director of Communications and Marketing, March of Dimes
Speaker: Tamara Currin, MS, MCHES, Associate Director of Program Services, Lead Public Affairs Staff, March of Dimes
Speaker: Valencia Mormon-Nelson, State Director of Program Services, March of Dimes
Welcome!
Agenda for today:• November is Prematurity Awareness
Month• Data Performance Trends• Team Successes• Questions/Answers from Hospital
Teams
November is Prematurity Awareness Month
Phil Toothman, State Director of Communications and Marketing
~Tamara Currin, MS, MCHES, Associate Director of Program
Services, Lead Public Affairs Staff~
Valencia Mormon-NelsonState Director of Program Services
Upcoming Events
6th Annual “Learning for Babies” Conference
Thursday November 6, 2014; 7:30a-4:30p CT
“The Factory at Franklin” in Franklin, TN
For more information, contact:
Tamara Currin at
615-399-3200 or [email protected]
6th Annual “Learning for Babies” Conference
• Diabetes and Pregnancy - Connie Graves, MD • Chorioamnionitis: Maternal and Neonatal Perspective - Chris
Sizemore, DO and Travis Crook, MD• Interesting Cases from the NICU - Sarah Hassell, MD• Update on the Care of Babies with NAS - Stephen Patrick, MD• Tips for Dealing with Difficult People - Evelyn Frye, PhD• Care of the Parent Experiencing a Prolonged Antepartum and
Neonatal Stay - Jennifer Schiro, RN • What Can You Really See on Fetal Ultrasound - Michael DeRoche,
MD• Safe Sleep Practices - Carolyn Riviere, MS, RN
Upcoming Events
“Promoting Healthy Babies Conference”
Thursday November 13, 2014; 7:30am-3:45pm
Baptist Memorial Hospital Memphis – “Garrett Auditorium”
For more information, contact:
Valencia Mormon-Nelson at
901-590-1722 or [email protected]
Promoting Healthy Babies Conference
• The Role of Prematurity Prevention in Improving Tennessee Birth Outcomes – Dr. Michael Warren
• Using the Preterm Labor Assessment Toolkit: Strategies for Success – Barbara Hughes
• One Family’s Story: Preterm Birth• Current Tennessee Laws Regarding Maternal Opioid Abuse/Neonatal
Abstinence Syndrome (NAS): Effects on Children and Families• Break-out sessions on:
- Group Prenatal Care - Long Acting Reversible Contraceptive Options
for Women - Successfully Breastfeeding Babies Born Prematurely &/or Affected by Neonatal Abstinence Syndrome (NAS)
- Ethical Issues Related to Long Term Consequences of Neonatal Abstinence Syndrome (NAS)
Prematurity Awareness Month Logo
Healthy Babies are Worth the Wait Billboards
Night of Purple Memphis
Prematurity Awareness Day Facebook Header
Nashville Parthenon Lit Up Purple
Parthenon on NBC News
Ruby Falls Lit Up Purple
Ruby Falls Pathway Signage and Lit Purple
Tennessee Courthouse Lit Up Purple
World Prematurity DayMark your calendars to recognize World
Prematurity Day on Monday November 17th
Prematurity Toolkit
To access and download March of Dimes resources such as:• Preterm labor assessment toolkit• Less than 39 weeks toolkit• Prematurity Prevention Resource Center• Healthy Babies are Worth the Wait• Much more….go to http://www.marchofdimes.org/search-results.aspx?search-text=prematurity toolkit
Questions
OB EED Data TrendsWorking toward our goal of 5% or less
HEN OB Data Charts
HEN OB Data Charts
HEN OB Data Charts
HEN OB Data Charts
OB Statewide Data Charts
OB Statewide Data Charts
OB Statewide Data Charts
OB Statewide Data Charts
Questions
Sharing Our Successes
Congratulations!
Safe Sleep• Safe Sleep education and book project launch
on Friday January 10th• 100% of birthing hospitals in Tennessee signed
commitment pledge
Safe Sleep
ABC’s of Safe SleepBabies should sleep ALONE, on their BACK and in a
CRIB.http://charlieskids.org/
Hospital Incentive Bundle
• Free “Sleep Baby, Safe and Snug” board book for each birth in your facility
• Free TDH “ABC’s of Safe Sleep” materials
• Free Recognition on TDH website (http://safesleep.tn.gov)
• Signed certificate from TDH Commissioner
• Press release template
National Partnership for Maternal Safety
Recommends that every birthing facility in the United States should have a Maternal Safety Bundle for each of the following:
• Obstetric Hemorrhage • Preeclampsia/ Hypertension• Prevention of VTE in Pregnancy
OB Hemorrhage
Available OB Hemorrhage Toolkits
Preeclampsia
• CMQCC Preeclampsia Toolkit is now available @ https://www.cmqcc.org/preeclampsia_toolkit
OB VTE Safety Recommendations• For pregnant women, risk of VTE 4-5 times high
than for non-pregnant women• This risk is at least twice as much following
cesarean delivery• Key emphasis in addressing risk and prevention
by PfP in 2011 as well as dually by ACOG & Society of Maternal Fetal Medicine in 2014 as part of The Maternal Harm Prevention Initiative*
*Managing Risk and Reducing Readmissions: New Safety Recommendations Prevent Venous Thromboembolism in Maternal Patients by Michael Wong, JD and Lynn Razzano, RN, MSN, ONCC @ http://ppahs.files.wordpress.com/2014/01/rmq-fall-2013.pdf
OB VTE Safety Recommendations• Assess each pregnant woman for VTE risk• Initiate VTE prophylaxis• Reassess each pregnant patient• Initiate patient discharge protocols (education
to include S/S, prophylaxis post discharge as indicated, long-term effects & prevention strategies)*
*Managing Risk and Reducing Readmissions: New Safety Recommendations Prevent Venous Thromboembolism in Maternal Patients by Michael Wong, JD and Lynn Razzano, RN, MSN, ONCC @ http://ppahs.files.wordpress.com/2014/01/rmq-fall-2013.pdf
Ten Steps to Successful Breastfeeding:the Baby Friendly Hospital Initiative
1. Have a written breastfeeding policy2. Provide staff training in policy implementation3. Provide breastfeeding education for pregnant women4. Help initiate breastfeeding within 1 hour of birth5. Show mothers how to initiate and maintain breastfeeding
(even if separated from infant)6. Give no substitutes unless medically indicated*7. Practice rooming in 24/78. Encourage breastfeeding on-demand9. Give no artificial nipples/pacifiers to breastfed infants10. Support and utilize support groups
*Hospitals should accept no free or heavily discounted formulas and/or feeding supplies
Tennessee Breastfeeding Hotline
• 24/7 breastfeeding hotline!
Dr. Michael Warren, Director, Divisionof Family Health and Wellness, TN DOH
CommissionerJohn Dreyzehner, MD, MPH
Upcoming Events
• Next THA TCPS/TIPQC OB Monthly Team Webinar— Monday November 24, 2014; 10:00am CT/11:00 ET.
• 2014 THA Leadership Summit
Wednesday November 5th at the Gaylord Opryland Hotel and Convention Center in Nashville in conjunction with THA’s Annual Meeting. Go to http://www.tha.com/ for more information and to register
Upcoming EventsNovember Maternal Affinity Group Call:
Tuesday November 11, 2014; 12:00-1:00pm CT/1:00-2:00pm ET
“New” Maternal Bundles This session will provide an in-depth overview of the new National Maternal Safety Bundles including suggested resources and recommendations on how to effectively implement these
bundles into your organization.
FACILITATORS:
Elliott Main, MD, FACOGMedical Director of California Maternal Quality Care Collaborative
Chairman of the Department of Obstetrics and Gynecology of California Pacific Medical Center and the California Maternal Mortality Review Committee
Deb Kilday, MSN, Senior Performance Partner, Premier Inc.
REGISTER NOW
Register for this call at http://events.premierinc.com/ei/getdemo.ei?id=510&s=_46W0GFBM6
Upcoming Events
6th Annual “Learning for Babies” Conference
Thursday November 6, 2014; 7:30a-4:30p CT
“The Factory at Franklin” in Franklin, TN
For more information, contact:
Tamara Currin at
615-399-3200 or [email protected]
Upcoming Events
“Promoting Healthy Babies Conference”
Thursday November 13, 2014; 7:30am-3:45pm
Baptist Memorial Hospital Memphis – “Garrett Auditorium”
For more information, contact:
Valencia Mormon-Nelson at
901-590-1722 or [email protected]
7th Annual MeetingFebruary 2-3, 2015
Upcoming Events
Pre-eclampsia ConferenceFriday, February 20, 2015 – Save the Date!
2nd Annual OB Conference for nurses & physicians.
Guest speakers include Dr. Baha Sibai of the University of Texas Houston and Dr. George Saade of the University of Texas
Medical Branch, Galveston
RSVP no later than November 30th to [email protected] or [email protected] or call 423-778-3222 as venue
change may need to occur
This conference is being sponsored by the University of Tennessee, Erlanger Health System, storc (Solutions to Obstetrics in Rural Communities) and Regional Obstetrical Consultants.
IHI Open School 2014• THA is providing free access to the IHI Open School curriculum to employees and
trustees of our safety partner hospitals.• 21 online, self-paced courses including 72 lessons and corresponding resources—
videos, case studies, podcasts, featured articles, exercises, networking • Free app for the iPhone and iPad by logging onto iTunes• Over 25 contact hours available for CME, CNE, CPHQ and ACPE credit• Certificate of completion
1. Register using instructions. Type “Tennessee Hospital Association” as your facility to receive free membership.
2. Once registered, go to the course page: www.ihi.org/lms 3. Click the online learning tab and choose a lesson4. Click Begin Lesson
Contact Taelor Barnette at [email protected] 615-401-7414 for more information.
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Resources
• All material will be posted on the THA HEN Community of Practice (COP) http://www.HealthcareCommunities.org – Contact [email protected] for COP questions or if you
need registration and joining instructions. • THA/TCPS Contacts:
– Chris Clarke, Sr. VP [email protected]– Jackie Moreland, QI specialist [email protected]– Jessy Richter, Data Manager [email protected]
• TIPQC Contact:– Brenda Barker, M.Ed. [email protected]
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ResourcesACOG Statement
ACOG practice bulletin, "Induction of Labor" updated in 2010
Tool KitCMQCC / MOD Tool kit:http://www.cmqcc.org/resources/1974
Websiteswww.tnpatientsafety.com www.healthytennesseebabies.com user name: hospital password:tnbabies
IHI ResourcesElective Induction and Augmentation Bundleshttp://www.ihi.org/knowledge/Pages/Changes/ElectiveInductionandAugmentationBundles.aspxHow-to Guide: Prevent Obstetrical Adverse Events @ http://www.ihi.org/knowledge/Page s/Tools/HowtoGuidePreventObstetricalAdverseEvents.aspx
ArticlesA statewide initiative to reduce inappropriate scheduled births at 36(0/7)-38(6/7) weeks' gestationhttp://www.ncbi.nlm.nih.gov/pubmed/20207241
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ResourcesArticles Continued…
Improving Perinatal Care: A Focus on Patient-Centered Care and Evidenced-Based Measureshttp://www.ihi.org/knowledge/Pages/ImprovementStories/ImprovingPerinatalCareAFocusonPatientCenteredCareandEvidencedBasedMeasures.aspx
Reducing Birth-Related Trauma and Liability Exposure http://www.ihi.org/knowledge/Pages/ImprovementStories/ReducingBirthRelatedTrauma.aspx Neonatal and maternal outcomes associated with elective term delivery, http://ajog.org Rationale for a 39-Week Elective Delivery Policy http://sitesearch.aafp.org/?q=rationale+for+39+Weeks+policy&x=0&y=0&t1-search=true&sp_cs=UTF-8 Reduction in elective delivery at <39 weeks of gestation: comparative effectiveness of 3 approaches to change and the impact on neonatal intensive care admission and stillbirth http://www.ajog.org/article/S0002-9378(10)00679-4/fulltext
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ResourcesPatient Resources
March of Dimes Resources: Healthy Babies Are Worth The Wait http://www.marchofdimes.com/professionals/medicalresources_hbww.html Get ready for labor “Brain Card”Why at least 39 weeks is best for your baby http://www.marchofdimes.com/pregnancy/getready_atleast39weeks.html AWHONN Resources:Go the Full 40http://www.awhonn.org
CMS Innovation ResourcesStrong Start Toolkit Linkhttp://innovations.cms.gov/initiatives/strong-start/what-you-can-do-to-help.html
Data Due Date!Monthly data due by last date of following month!
