webinar - ohio hospitals safety and... · webinar presenters stacey conrad director ... •patient...
TRANSCRIPT
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Monday, May 19, 2014
10:00 – 11:30 a.m.
WEBINAR Safe Sleep Champions
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Robert Falcone, MD Vice President of Population Health and Clinical Policy OHA
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Webinar Presenters
Stacey Conrad Director Foundation for Healthy Communities
John Palmer Director of Public Affairs OHA
Webinar 5/19/14
OHA Safe Sleep Champions
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I. Welcome
II. Infant Mortality in Ohio
III. OHA’s Quality Focus Area – Infant Mortality
IV. Safe Sleep Overview (Ohio data)
V. OHA’s Safe Sleep is Good4Baby Initiative
VI. Safe Sleep Kits
VII. Community/Media Tools (incl. Father’s Day Promotion)
VIII. Data and Measurement
IX. Discussion, Q&A
X. Conclude
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Agenda: (conclude by 11:30)
Webinar 5/19/14
OHA Safe Sleep Champions
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# State: # Births: 2010: 2010 Overall IMR:
1 California 510,198 4.7
2 Texas 386,118 6.1
3 New York 244,375 5.1
4 Florida 214,590 6.5
5 Illinois 165,200 6.8
6 Pennsylvania 143,321 7.2
7 Ohio 139,128 7.7
8 Georgia 133,947 6.4
9 North Carolina 122,350 7.0
10 Michigan 114,531 7.1
NCHS
Top Ten States with Most Births: 2010
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Birth 28 Days
1 Year
Neonatal
Death
Post-Neonatal
Death
Infant Death
• Anomalies
• Preterm births
• About 2/3 of infant deaths
• Sudden Unexpected Infant Deaths
• About 1/3 of infant deaths
Definitions and Timeline of Infant Mortality
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Government
OPQC Ohio
Perinatal Quality
Collaborative
Ohio
Department
of Health
OHA Commercial
Payers
Medicaid/Care
OAHP
Social
Services
Adult
Hospitals
March of
Dimes
Clinics Children’s
Hospitals
Patient
Centered
Medical
Home
OCPIM: our partners for improvement
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COMMUNITY LEADERSHIP CARE
ORGANIZATIONAL
INFRASTRUCTURE
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• Safe sleep • Eliminate elective deliveries < 39 wks. • Breast milk • Progesterone for high risk mothers • Safe spacing • Access to pre post & inter conception
care • Eliminate health disparity
OHA Focus 2014-16
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Sleep-Related Deaths: definitions
Webinar 5/19/14
OHA Safe Sleep Champions
• Sleep-related death: Death of infant while sleeping – characteristics of or elements in the sleep environment appear to play
a role in the sudden, unexpected death.
– SIDS, Asphyxia, Undetermined Causes
• SUID: Sudden, unexplained or unexpected infant death – generally preliminary
• SIDS: A medical cause of death. – sudden death of infant less than 1 year that remains unexplained after
investigation, including autopsy, death scene examination and review of health history
Source: Merrily Wholf, RN, MPH, CFR Program Coordinator, BCFHS, ODH
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Ohio Data
Webinar 5/19/14
OHA Safe Sleep Champions
• 2007-2011: 819 sleep related deaths
• 15% of all infant deaths
All data from the Ohio Child Fatality Review, 13th Annual Report, available at http://www.odh.ohio.gov/odhPrograms/cfhs/cfr/cfrrept.aspx Summarized by Merrily Wholf, RN, MPH, CFR Program Coordinator, BCFHS, ODH
• 56% male
• 38% African American
• 88% younger than 6 months
more than any other single cause of death except prematurity: more than 3 each week
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Sleep Environments
Webinar 5/19/14
OHA Safe Sleep Champions
All data from the Ohio Child Fatality Review, 13th Annual Report, available at http://www.odh.ohio.gov/odhPrograms/cfhs/cfr/cfrrept.aspx Summarized by Merrily Wholf, RN, MPH, CFR Program Coordinator, BCFHS, ODH
• Only 23% (192) occurred in a crib or bassinette. • 60% (494) occurred in particularly unsafe places: adult beds,
sofas, chairs. • 58% (473) were sharing a sleep surface with another person. Of 819 sleep-related deaths, only 51 (6%) of reviews indicated the baby was placed
Alone On the Back In a Crib or Bassinet
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Safe Sleep is Good4Baby
Webinar 5/19/14
OHA Safe Sleep Champions
“After an educational intervention to change practice in a well-newborn nursery, many more parents reported placing their infants in the supine position for sleep, which suggests that such an intervention may have an impact on the position in which parents place their children to sleep.”
Arch Pediatr Adolesc Med. 2002; 156:717-720
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14 Webinar 5/19/14
OHA Safe Sleep Champions
81% of maternity and pediatric hospitals
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Hospital Initiative
Webinar 5/19/14
OHA Safe Sleep Champions
• Model, Educate, Advocate
• Online support, resources, education
• Partnerships
• Through 2014
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MODEL: (in the health care setting)
Webinar 5/19/14
OHA Safe Sleep Champions
• Policy adoption, implementation and auditing
• Staff and physician buy-in and training
• Visual reinforcements – posters
– floor decals
• Sleepsacks – HALO in-hospital program
– THIS SIDE UP sleepers
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EDUCATE: (at home behavior)
Webinar 5/19/14
OHA Safe Sleep Champions
• Patient counseling, education and acknowledgement
• Take-home kit for reinforcement
• Access to cribs
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Safe Sleep Kits
Webinar 5/19/14
OHA Safe Sleep Champions
• How Many Available?
• What’s Included?
• How Much $$?
• Distribution Plan & Timeline
• Order Form
• Reorders & Custom Orders
• Floor Decals
• ODH brochures, posters, tear off pads, Spanish books
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ADVOCATE: (in the community)
Webinar 5/19/14
OHA Safe Sleep Champions
• Paid and earned media
• Community outreach
• Social media
#Good4Baby
#SafeSleep
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Public Relations/Promotions
Webinar 5/19/14
OHA Safe Sleep Champions
• Media Outreach
• Promotions – Father’s Day
– Safe Sleep Bag
– Community Forums
• Updates – CDC Report
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Happy Father’s Day! June 15, 2014
Webinar 5/19/14
OHA Safe Sleep Champions
• postcards
• news release
• talking points
• social media samples
• Community Tools section
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www.ohiohospitals.org/safesleep
Webinar 5/19/14
OHA Safe Sleep Champions
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Measuring Success
Webinar 5/19/14
OHA Safe Sleep Champions
Initiative Metrics Baseline (2012) Target (all races)
Target (AA)
Safe Sleep Sleep deaths/1000 births
2.36 2.12 (10%) 3.75 (20%)
Hospitals w/Sleep Champion
n/a (81% now)
100% (pediatric and maternity)
Hospitals w/Sleep Policy
n/a (45% now)
100% (pediatric and maternity)
Hospitals w/discharge instructions
n/a (94% educating)
100%
Package of safe sleep products
n/a 100% basic safe sleep products
+ access to crib
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Upcoming Opportunities
Webinar 5/19/14
OHA Safe Sleep Champions
• *6 to mute/unmute line
• What would you find helpful?
–educational events/webinars
–networking opportunities
–online resources/samples
• Other Discussion or Questions?
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Thank You!
Webinar 5/19/14
OHA Safe Sleep Champions
About OHA’s Infant Mortality Initiatives:
John Palmer Director of Public Affairs [email protected] 614-221-7614
Robert Falcone, MD Vice President of Population Health and Clinical Policy [email protected] 614-221-7614
About Good4Baby: Stacey Conrad Director, Foundation for Healthy Communities [email protected] 614-221-7614
Media Assistance: