Is your hospital prepared to meet the new CMS requirement to submit the?Elective Delivery Measure (NQF #0469 / PC-01)?
ALL hospitals must submit NQF #0469 (The Joint Commission Perinatal Care PC-01) Elective Delivery Measure to CMS QualityNet for the Hospital Inpatient Quality Reporting (IQR) Program.
What does this new requirement mean for your hospital?
• Submission of data for discharges starting 01/01/2013 for FY 2015 CMS payment update; submit Q1 2013 data between 07/01/2013 - 08/15/2013?
• Aggregate data submitted: total population sample size, numerator, denominator, and exclusion counts?
• Submission to CMS by vendor or hospital using their online data entry tool
NPIC/QAS has the ability to assist both member and non-member hospitals!
Register for the informational webinar on November 14th to learn how NPIC/QAS can assist - click here
NPIC/QAS Webinar - Second Offering! Updates on the Perinatal Care (PC) Core Measure Set Thursday, November 1, 2012 12:00 – 1:00 PM ET
Due to unforeseen technical difficulties during the 10/3 webinar, NPIC/QAS will be hosting a second webinar on “Updates on the Perinatal Care (PC) Core Measure Set”, free of charge, for staff at both member and non-member facilities, to provide a second opportunity for participants to attend, as well as for those who may have been unable to join us during the original presentation.
This webinar should provide healthcare professionals with current updates on the national perinatal care project.
NPIC/QAS Continuing Education Webinar - Push or Not to Push: An Evidenced Based Guideline Shown to Improve Maternal and Neonatal Outcomes
Wednesday, November 7, 2012?12:00 – 1:00 PM ET
1.0 Contact Hour 1.0 AMA PRA Category 1 Credit™
Presented by: Samantha Sommerness, DNP, RN, CNM, Advanced Practice Nurse Leader, Perinatal, Fairview Southdale Hospital & Charles Hirt, MD, Medical Director of Quality Assurance for OB, Fairview Southdale Hospital
This webinar should provide healthcare professionals with current updates on management of 2nd stage labor.
•Describe the 'normal' length and physiology of the 2nd stage of labor
•State the maternal and fetal potential evidenced based benefits of delaying pushing until the woman has the urge to push
•Identify management strategies for mitigating the potential adverse outcomes that can result with pushing too soon
•Identify why standardizing the 2nd stage of labor in both the immediate pushing and delayed pushing group helps improve overall perinatal outcomes
The National Perinatal Information Center/Quality Analytic Services is pleased to announce that the archived continuing education webinar, Updates on the Perinatal Care (PC) Core Measure Set, is now available on the NPIC/QAS website (www.npic.org).
Objectives: • Discuss the core measures program and the Perinatal Care (PC) project • Discuss each of the Perinatal Care (PC) core performance measures • Discuss some of the resources available to reduce elective deliveries and to promote breastfeeding Presented by: Celeste G. Milton, MPH, BSN, RN Associate Project Director, Center for Performance Measurement, The Joint Commission
Wednesday, May 2, 2012 12:00 – 1:00 PM ET 1.0 Contact Hour 1.0 AMA PRA Category 1 Credit™
The National Perinatal Information Center/Quality Analytic Services is pleased to announce its continuing education webinar on At Home with our Premature Infant: Findings from a Qualitative Study of Mothers and Fathers. This webinar should provide healthcare professionals with an overview of the experience of mothers and fathers with their premature infant in the family home.
Increase insight into possible meaning of communication from, and behaviors of, mothers and fathers of premature infants Become more sensitive to fathers’ experiences of their premature infants and interactions with health care providers Gain understanding of some of the manifestations of moderate to late preterm birth when the infant is at home Implement two new strategies in practice aimed at nurturing and supporting mothers and fathers of premature infants
Held January 19-20, 2012 at the Omni Shoreham Hotel in Washington, D.C. The Symposium will provide a forum to share and review lessons learned from various collaboratives, prematurity prevention efforts and intervention programs. This Symposium will also launch the Prematurity Prevention Network where those interested in the health of women and infants can continue the discussions started at the Symposium, to share ideas and help each other address the important problem of prematurity.
I recently participated in the PQCNC (Perinatal Quality Collaborative of
North Carolina) "39 Weeks Project" in Chapel Hill. Coordinator Kate
Berrien contacted me after reading my column regarding the anomalously
candid and thorough discussion with a Duke doctor that spared my newborn
son from circumcision. Though the forum focused on mothers carrying
their babies to full term (39-40 weeks), Kate thought my story would
encourage doctors to communicate with their patients regarding their
medical decisions.Before this forum, I thought that women and doctors
insisting on early births for nonmedical reasons - because of their
families' vacation schedules, the husband's work schedule, or the fact
that the mother is just too uncomfortable to remain pregnant any longer -
lived only in cynical imaginations and television soap operas. Turns
out that, in the last decade, the mainstream has effectively reduced
"full-term" to 37 weeks................
...................It's clear our physicians should resume their responsibility for educating their patients. Thankfully, this was the consensus of the forum attendees, all of whom were committed to returning a full-term pregnancy to 39-40 weeks, as Nature intended. Thank you, PQCNC, for bringing the problem of elective late-preterm births to our attention and for giving our doctors the support they need to truly talk to their patients and each other. Here's hoping the insurance companies realize how much money you are saving them and use some of these savings to financially support your efforts.
Friday, November 19, 2010 Target Audience: Neonatal nurses. Evidence Based Updates! Clinical Practice Information! Current Issues! Latest Research! Information that you need to improve your clinical practice is here! Join us! Registration is at 8 AM and the day long course begins at 8:30 AM.
Cost: $149 or $112 if requesting JMJ Scholarship (nurses only)
Featuring Elliott Main, MD, Chair of the California Maternal Quality Care Collaborative, Director of Obstetric Quality at Sutter Health, and Chief of Obstetrics and Gynecology at the California Pacific Medical Center, in November for a discussion of “Performance Measurement and Leveraging of Results.” Dr. Main will describe how new maternity care performance measures are identified, tested, and stewarded through the process of national voluntary consensus endorsement by the National Quality Forum. He will provide an in-depth look at selected maternity care measures adopted by The Joint Commission, the Leapfrog Group, and the state of California. His presentation will include a discussion of what is entailed in implementing these measures in the context of a health system Quality Improvement program, and Dr. Main will share tools and resources that have been developed by CMQCC for those who are interested in launching such a program in their own practice settings.
The second webinar in the series will present an overview of the Transforming Maternity Care project and the resulting landmark “Blueprint for Action”, focusing on current implementation efforts and opportunities. Hosted by TMC Program Director Rima Jolivet, CNM, MSN, MPH and Childbirth Connection Executive Director Maureen Corry, MPH, and featuring TMC Steering Committee member Alina Salganicoff, PhD, Vice President and Director of Women’s Health Policy and KaiserEDU.org at the Kaiser Family Foundation. With so much health system change afoot, this webinar will describe recent and ongoing efforts that reflect the “Blueprint for Action” recommendations, and lay out a roadmap for achieving high-quality, high-value maternity care.
“Baby Hero” is a song that was created to give a voice to everyone involved in the care of premature babies. We want all caregivers and babies around the world to know that they have a family. This song is dedicated to the doctors and nurses that work daily to ensure the best care for their fragile patients; to the parents who work relentlessly with great determination and hope to give their babies the love they so need; and to the babies themselves that continue to fight for a better day.
Babies born just 1 or 2 weeks before their 40-week gestation due date are more likely to develop learning difficulties such as autism or dyslexia, according to a British study published on Tuesday.
The findings show that even babies born at 39 weeks -- the point at which many women who choose to have a Caesarean section delivery -- have an increased risk of a developing a learning disability compared with babies born a week later at 40 weeks.
6/8/2010 8:30 AM - 5:00 PM, Andrews Center, Raleigh NC
This intensive one-day conference is designed to provide physicians, nurse practitioners, and nurses with an opportunity to learn about new strategies/techniques and important concepts in the field of neonatology. It will provide both the advanced and novice healthcare provider with evidence-based clinical practice information that can be utilized in their everyday practice to improve the health care and outcomes of the late preterm infant.
Objectives: 1. Identify the causes and consequences of late preterm deliveries. 2. Identify the value of using simulation technology in educating caregivers to perform neonatal resuscitation. 3. Identify potential benefits of practicing delayed cord clamping in premature patients. 4. Review the latest evidence-based practice information for the reduction and elimination of necrotizing enterocolitis (NEC). 5. Compare neonatal healthcare in a third world country as is relates to disaster stricken areas in the US and abroad. 6. Discuss the management of the 23-24 week infant in the delivery room and review their outcome data. 7. List evidence-based medication therapies for infants with drug-resistant infections.
The webinar will provide maternal/child nurses with the basics of using simulation by providing an immersive patient care experience and creating and capturing the objective performance measures in a dynamic simulation setting.
Perinatal loss is a difficult time for both the family involved and caregivers. This conference will address Perinatal Hospice and Palliative Care, Legal and Ethical Issues Related to Perinatal Loss, Pregnancy Following a Perinatal Loss, Creating Memories, Caring for the Caregiver and include a Parent Panel to cover issues surrounding perinatal loss from multidisciplinary perspectives.
Presented by the UNC School of Nursing / Center for Lifelong Learning
Held April 23, 2010 at the Siena Hotel in Chapel Hill, NC
6.0 ANCC Contact Hours Cost: $85 or $75 Early Bird registration by 3/15/2010. You can register here
For further information, please call the CLL at 919-966-3638.
OBJECTIVE Quality improvement collaboratives (QICs) can improve short-term outcomes, but few have examined their long-term results. This study evaluated the changes in treatment practices and outcomesassociated with participation in multiple sequential QICs.
DESIGN AND METHODS This retrospective, 9-year, pre-post study of very low birth weight infants, we assessed treatment and outcomes from the 8 NICUs of the Reduce Lung Injury (ReLI) group of a QIC sponsored by the Vermont Oxford Network (VON). We analyzed data from 1998 (pre-ReLI), 2001 (last ReLI year), and 2006 (5 years after ReLI) by using univariate and multiple regression.
RESULTS A total of 4065 very low birth weight infants were treated in ReLI NICUs in 1998, 2001, and 2006. From 1998 to 2006, the ReLI group decreased delivery room intubation (70% vs 52%; adjustedodds ratio [aOR]: 0.2 [95% confidence interval (CI): 0.2–0.3]; P < .001), conventional ventilation (75% vs 62%; aOR: 0.3 [95% CI: 0.2–0.4]; P < .001), and postnatal steroids for BPD (35% vs 10%; aOR: 0.09 [95% CI: 0.07–0.1]; P < .001). They increased the use of nasal continuous positive airway pressure (57% vs 78%; aOR: 3.3 [95% CI: 2.7–3.9]; P < .001). BPD-free survival remained unchanged (68% vs 66%; aOR: 0.9 [95% CI: 0.7–1.1]; P = .16), the BPD rate increased (25% vs 29%; aOR: 1.3 [95% CI: 1.1–1.6]; P = .017), survival to discharge increased (90% vs 93%; aOR: 1.5 [95% CI: 1.1–2.2]; P < .001), and nosocomial infections decreased (18% vs 15%; aOR: 0.8 [95% CI: 0.6–0.99]; P = .045).
CONCLUSIONS Participation in VON–sponsored QICs was associated with sustained implementation of potentially better respiratory practices, increased survival, and reduced nosocomial infections. The BPD-free survival rate did not change, and the BPD rate increased. Implementedchanges endured for at least 5 years after the QIC.
You can now listen to the Symposium on Quality Improvement to Prevent Prematurity, held October 8 and 9, 2009, in Arlington, Va., and view all presentations for free through Clinical Directors Network (CDN). Learn about quality initiatives to prevent preterm birth and decrease the rate of those preterm births that are not inevitable or medically necessary.
The Symposium discussed quality improvement as an essential component in the strategy to prevent prematurity, promote health and reduce costs. Diverse professionals and experts involved in this event included:
• Mark Chassin, MD, FACP, MPP, MPH, President, The Joint Commission • Hal Lawrence, III, MD, FACOG, Vice President, Practice Activities, The American College of Obstetricians and Gynecologists • Carolyn Clancy, MD, Director, Agency for Healthcare Research and Quality • Charles Homer, MD, MPH, CEO, National Initiative for Children's Healthcare Quality (NICHQ) • Melissa Avery, CNM, PhD, FACNM, FAAN, President, American College of Nurse-Midwives (A.C.N.M.) • Nancy Jo Reedy, CNM, MPH, FACNM, Secretary, A.C.N.M. Foundation • Lora Sparkman, RN, MHA, Director, Clinical Excellence, Ascension Health • Barbara Fildes, MS, CNM, FACNM, New England Obstetric Safety Initiative • Helen Darling, President, National Business Group on Health • Judith Palfrey, MD, FAAP, President, American Academy of Pediatrics (AAP) • Kim Armour, NP-BC, APN, MSN, RDMS, 2009 President, Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) • Panelists from Hospital Corporation of American, Intermountain Healthcare, Premier Health, Geisinger Health System, UnitedHealthcare
Program Description The 3rd Evidence-Based Maternity Care conference will focus on high risk maternity care. What is the evidence for our high risk interventions? How can we care for women with high risk pregnancies while maintaining a high touch approach to her birth experience?
Program Schedule Registration begins at 8:00AM. This day long program begins at 8:30AM.
Topics Hypertension Obesity Endocrine Disorders VBAC Facilitating Breastfeeding with Complicated Pregnancies and Labors Perinatal Quality Collaborative of NC Update Speakers Ellen Chetwynd, RN, BSN, IBCLC, Lactation Consultant, UNC-CH Dept. of Family Medicine, Women's Birth and Wellness Center; Ami Goldstein, MSN, FNP, CNM, Clinical Instructor, Dept. of Family Medicine, UNC-CH; Kathy S. Higgins, CNM, MSN, Asst. Professor & Midwifery Division Director, UNC-CH Dept. of Obstetrics and Gynecology; William Goodnight, III, MD, Asst. Professor, Dept. of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, UNC-CH; Kate Berrien, RN, BSN, MS, Nurse Consultant, UNC Center for Maternal & Infant Health
ANCC Contact Hours will be provided. Cost: $149 or $112 if requesting JMJ Scholarship Funds (Nurses Only)
Held at the The William and Ida Friday Center for Continuing Education, Chapel Hill, North Carolina
This webinar will be to provide maternal/child nurses with basics for a productivity model in Labor and Delivery. The objectives will include how to determine the basic principles of productivity measurement, identify common challenges to Perinatal Productivity Measurement and management and describe the population based productivity model.
Thursday, February 25, 2010 12:00 - 1:00 PM EST Contact Hour: 1.0
"Many of you may have already read this article. Here at the Institute, we think it is an excellent article merging organizational change, patient safety, and patient- and family-centered care. What struck us was how well the definition of patient- and family-centered care was articulated. For all of you who have been working toward integrating patient- and family-centered care in your units, this article will not be “new” news to you but hopefully it will make you smile as it did me. And hopefully it will be a reference for you to hand out to anyone who may be skeptical."
A brief highlighting the link between prematurity and infant mortality and suggesting the high rate of prematurity in the U.S. largely explains the high rate of infant mortality in this country relative to other industrialized nations. Click here to read.
Beginning with April 1, 2010 discharges, a new set of “Perinatal Care” core measures will be added to the existing complement of measure sets from which hospitals may select to meet their ORYX core measure data reporting requirements. This new set will replace the “Pregnancy and Related Conditions” core measure set which is being retired effective March 31, 2010. As with the other core measure sets, the new Perinatal Care measures are available for hospitals in meeting their core measure reporting requirements, but The Joint Commission will not require data collection for that particular set of measures. The selection of measure sets remains at the discretion of the hospital based on patient populations served and services provided. The measure set includes: elective deliveries, Cesarean sections, antenatal steroids, health care–associated bloodstream infections in newborns, and exclusive breast milk feeding
The Institute for Healthcare Improvement (IHI) is pleased to announce that after many months of research and development, the IHI Improvement Map is ready for use. This is a free resource available to anyone, anywhere who wants to improve hospital care.
What Is the IHI Improvement Map? Building on the success of IHI’s 100,000 Lives and 5 Million Lives Campaigns, the IHI Improvement Map distills the best clinical and managerial knowledge available on the key processes that lead to exceptional hospital care for patients. It is an interactive, web-based tool that helps hospital leaders make sense of competing demands and requirements and develop a portfolio of projects to improve quality while lowering costs.
North Carolina will be implementing the revised “national” birth certificate beginning in early 2010. Here is a link to the new form. You will note at a glance that it is much more comprehensive and will encourage the collection of a more robust data set regarding NC births. As you might imagine, for the data to be useful, we must address, at each center where there is a delivery service, who collects the data and in what format to assure that the system authentically captures birth data critical in improving the care of mothers and babies.
“Some hospitals have really great programs, and in some, it’s really very sad,” said Liza Cooper, director of the March of Dimes NICU Family Support program, which offers psychological support to parents in 74 hospitals nationwide. Even though most units have social workers, she went on, “there’s really no one there to support the parents, provide group activities or education.”
“What the parent is going through is more or less dismissed because what you’re contending with are the health issues of your child,” she said. “Occasionally a social worker will say, ‘Are you taking care of yourself?’ but never, ‘This is a traumatic experience you endured and you need to pay attention to these symptoms.’ ”
Some hospitals pair parents of premature babies in intensive care with those who have been through the experience. One study found that 16 weeks after childbirth, mothers who were matched with NICU veterans had less anxiety and depression, and felt they had more social support, than mothers in a control group.
Location: Hyatt Regency Crystal City, Arlington, Virginia
Background: This Symposium will explore the present state of quality initiatives to prevent preterm birth and develop an agenda for action to decrease the rate of those preterm births that are not inevitable or medically necessary.
The Symposium will bring together a multidisciplinary group of health care practitioners, health insurers, policy makers, health purchasers, regulators and concerned citizens to discuss quality improvement as an essential component in the strategy to prevent prematurity, promote health and save costs. It will be a forum where experts and stakeholders can:
* Share ideas and challenges
* Describe model programs that have successfully improved the nature and quality of patient care and services targeted to prematurity prevention
* Recommend quality improvement action plans
In 2004, Magee-Womens Hospital of the University of Pittsburgh Medical Center initiated a Quality Improvement Project to reduce elective inductions. Dr. English will share details on the development of their baseline information on inductions, the process of educating the provider community and the leadership required to change the practice culture around this often too frequent intervention.
Date & Time
Thu, Aug 27, 2009
12:30 PM EDT
1 hour 15 minutes
NPIC/QAS Membership Services
Dennis H. English MD, MMM, FACOG
Dr. English is a Clinical Associate Professor at the University of Pittsburgh School of Medicine and the Vice President of Medical Affairs at Magee-Womens Hospital. In this role Dr. English serves as the Medical Director for Quality Improvement and Patient Safety and Physician Advisor of the Health Management Department. Dr. English is also the Medical Director of Woman Care Associates a single specialty OB/GYN practice of thirty-eight providers. Dr. English’s clinical practice is limited to gynecology.
Dr. English received his MD degree from the University of Pittsburgh School of Medicine. He completed his Masters of Medical Management degree at Carnegie Mellon University. He is a Fellow of the American College of Obstetrician-Gynecologists and a diplomat of the American College of Physician Executives.
Aprill 22, 2009, 8:00 - 4:30, Durham Hilton, Durham NC
This 5.5 CE program will be led by Dr. Paula Meier, who is a pioneer in the area of research and practice for the use of human milk in the NICU. She will provide evidence about the impact of human milk feedings on the health outcomes and costs of care for premature and late preterm infants. Dr. Meier will focus on arming attendees with clinically proven, evidence based methods for successfully establishing human milk & breastfeeding programs that target these at-risk populations. Specific examples of complex human milk management strategies for these infants will be highlighted.
Childbirth Connection is seeking applicants to be considered for its inaugural Maternity Quality Matters Award recognizing innovation in maternity care service delivery, systems design and demonstrated quality improvement. This award is an important part of our national efforts to improve the quality of maternity care through research, education, advocacy and policy.
If your organization or agency can demonstrate significant improvement in maternity care quality through strategies such as performance measurement, incorporation of evidence-based practice, and responsiveness to the needs of childbearing women and families, we urge you to submit an award application by January 9, 2009. Or, if you know of such an organization, please forward this email for their consideration. Eligible entities include professional organizations and associations, national and community health systems, hospitals and birth centers, public agencies, quality improvement organizations, and research or consulting organizations.
Submission Deadline: January 9, 2009.
Award Recipient Notification: February 8, 2009.
Award Presentation: April 3, 2009.
Click here for more information about the award, as well as the application. Contact Kat Song (email@example.com) with any questions about eligibility, application criteria or the review process.