The Florida Perinatal Quality Collaborative has graciously agreed to partner with PQCNC and make a very limited number of institution spots available for North Carolina teams to participate in their upcoming Maternal hemorrhage initiative.
Initiatives
To achieve tangible results, you have to have ambitious initiatives. (We do.)
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The North Carolina State Legislature passed Session Law 2013-15 to expand the Newborn Screening program established by the Department of Health and Human Services to include newborn screening for critical congenital heart defects (CCHD) utilizing pulse oximetry. As a result, of this legislation, public health rules requiring CCHD screening of every neonate and required reporting of data related to CCHD screening went into effect on July 25, 2014.
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Sepsis in a newborn is a serious and potentially life threatening condition. Currently, there are varied approaches to identification and management of at-risk infants. These approaches differ in defining at-risk infants, predictive value and timing of laboratory tests, antibiotics prescribed for treatment and duration of antibiotic administration. This variation introduces the potential for less than optimal quality of care, excessive or unnecessary exposure of newborns to antibiotics and higher costs of care.
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The Alliance for Innovation on Maternal Health (AIM) is a national partnership of organizations poised to reduce severe maternal morbidity by 100,000 events and maternal mortality by 1,000 deaths by 2018. The AIM program is funded through a cooperative agreement with the Maternal and Child Health Bureau/Health Resource Services Administration.
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Hypoglycemia. The scourge of nurseries and NICUs. Estimates are hypoglycemia occurs in 5-15% of newborns. There are potential short and long term developmental risk factors. There is uncertainty about what normal glucose levels are in newborns. There are variable treatment algorithms used for its evaluation and treatment. The evaluation of hypoglycemic babies requires separation of mom and baby. This often interrupts skin to skin time, an antagonist to hypoglycemia, and interferes with the establishment of breastfeeding.
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The Alliance for Innovation on Maternal Health (AIM) is a national partnership of organizations poised to reduce severe maternal morbidity by 100,000 events and maternal mortality by 1,000 deaths by 2018. The AIM program is funded through a cooperative agreement with the Maternal and Child Health Bureau/Health Resource Services Administration.
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In partnership with Vital Statistics and the Department of Health and Human Services PQCNC will identify and implement leading practices around birth certificate reporting at the inpatient setting, establish a standard reporting plan for sites to adopt with sustainable auditing, and improve birth registry accuracy with focused variables transmitted accurately in 95% of records.
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The opioid epidemic is a profound public health crisis. In 2014, 92 million, or 37.8% of adults in the United States reported the use of prescription opioids. This and the availability of illicit narcotics fuels the crisis. Escalations in opioid use have been particularly profound among women of reproductive age. A greater prevalence of comorbid psychiatric disorders, gender-based violence, physical and sexual abuse, and chronic pain disorders likely contribute to disproportionate rates of opioid use and misuse among women compared with men.
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The opioid epidemic is a profound public health crisis. In 2014, 92 million, or 37.8% of adults in the United States reported the use of prescription opioids. This and the availability of illicit narcotics fuels the crisis. Escalations in opioid use have been particularly profound among women of reproductive age. A greater prevalence of comorbid psychiatric disorders, gender-based violence, physical and sexual abuse, and chronic pain disorders likely contribute to disproportionate rates of opioid use and misuse among women compared with men.
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Obstetric sepsis can be defined as, “as organ dysfunction resulting from infection during pregnancy, childbirth, post-abortion, or postpartum period (up to 42 days).” Obstetric sepsis is a leading cause of maternal morbidity and mortality in the United States and in North Carolina. A 2021 report from the NC Maternal Mortality Review Committee identified infection as the third leading cause of pregnancy-related deaths in North Carolina from 2014 to 2016, with 11.7% of pregnancy-related deaths being attributed to infection.