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THA HEN/TIPQC OB EED Webinar October 27, 2014 A THA/TCPS TIPQC Collaborative Inter-institutional Quality Improvement Project Faculty Course 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-Nelson State Director of Program Services Upcoming Events th 6 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 Day Mark 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/searchresults.aspx?search-text=prematurity toolkit Questions OB EED Data Trends Working 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 Sleep Babies 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 Antenatal Steroids Brenda Barker, M.Ed. [email protected] 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 Breastfeeding Ten Steps to Successful Breastfeeding: the Baby Friendly Hospital Initiative 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Have a written breastfeeding policy Provide staff training in policy implementation Provide breastfeeding education for pregnant women Help initiate breastfeeding within 1 hour of birth Show mothers how to initiate and maintain breastfeeding (even if separated from infant) Give no substitutes unless medically indicated* Practice rooming in 24/7 Encourage breastfeeding on-demand Give no artificial nipples/pacifiers to breastfed infants 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, Division of Family Health and Wellness, TN DOH Commissioner John 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 th Wednesday November 5 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 Events November 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, FACOG Medical 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 th 6 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 Meeting February 2-3, 2015 Upcoming Events Pre-eclampsia Conference Friday, February 20, 2015 – Save the Date! nd 2 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 • • • • • 1. 2. 3. 4. 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 Register using instructions. Type “Tennessee Hospital Association” as your facility to receive free membership. Once registered, go to the course page: www.ihi.org/lms Click the online learning tab and choose a lesson Click Begin Lesson Contact Taelor Barnette at [email protected] 615-401-7414 for more information. 53 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] Resources ACOG Statement ACOG practice bulletin, "Induction of Labor" updated in 2010 Tool Kit CMQCC / MOD Tool kit: http://www.cmqcc.org/resources/1974 Websites www.tnpatientsafety.com user name: hospital password:tnbabies www.healthytennesseebabies.com IHI Resources Elective Induction and Augmentation Bundles http://www.ihi.org/knowledge/Pages/Changes/ElectiveInductionandAugmentationBundles.aspx How-to Guide: Prevent Obstetrical Adverse Events @ http://www.ihi.org/knowledge/Page s/Tools/HowtoGuidePreventObstetricalAdverseEvents.aspx Articles A statewide initiative to reduce inappropriate scheduled births at 36(0/7)-38(6/7) weeks' gestation http://www.ncbi.nlm.nih.gov/pubmed/20207241 55 Resources Articles Continued… Improving Perinatal Care: A Focus on Patient-Centered Care and Evidenced-Based Measures http://www.ihi.org/knowledge/Pages/ImprovementStories/ImprovingPerinatalCareAFocusonPati entCenteredCareandEvidencedBasedMeasures.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&t1search=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 56 Resources Patient 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 40 http://www.awhonn.org CMS Innovation Resources Strong Start Toolkit Link http://innovations.cms.gov/initiatives/strong-start/what-you-can-do-to-help.html 57 Data Due Date! Monthly data due by last date of following month!