Participating hospitals are now collecting the second month of their baseline data. We have received October data for many of our facilities and we are reviewing and entering it in the database as it arrives. The process of reviewing and entering the baseline data at the PQCNC office allows us to determine if there are consistent omissions and/or data points that are difficult to identify from chart review. We are providing feedback to teams for each data packet we receive. We are also finalizing our baseline data reporting system in anticipation of providing relevant reports to all teams at the January Learning Session.
Learning Session 1 registration is still open and teams continue to register. This process has also allowed teams to give us the most up-to-date roster of their members. Teams are required to at least register a nurse champion, a physician champion, and an administrator champion. We look forward to receiving all teams' registrations in the coming weeks.
Updates
Participating hospitals are currently collecting data on their "NTSV" patients - these are nulliparous women at term (37 weeks) with a singleton in the vertex position. This data will be used to establish the baseline rate of vaginal delivery in this population. The data not only reports whether each patient delivered vaginally or by c-section, but also provides information about the process of her labor, including whether this was an induction of labor and at what cervical dilation, what types of labor support were provided, and what the indications were for the c-section if she did not deliver vaginally. When teams come together for the January learning session, they will use their own data to help them identify processes to target for change.
Participating teams may now register for the January learning session which will officially launch the Support for Birth initiative. The learning session will be held twice, once in Winston Salem and once in Raleigh, to accommodate teams that are participating from all regions of the state. Each team must bring, at a minimum, their physician champion, nurse champion and hospital champion. Hospitals are encouraged to include staff nurses, quality/performance improvement personnel, educators, patient advocates and others on their teams. At the learning session, we will review evidence-based practices to increase the rate of vaginal delivery in the nulliparous population, and each team will develop goals and an action plan for their site to guide their work on this initiative. Registration information can be found on the SIVB LS1 (learning session 1) link.
Where: Forsyth Medical Center Conference Center, 3333 Silas Creek Parkway, Winston-Salem, NC 27103
When: Tuesday, January 11, 2010 9:00 - 3:30
What: All three primary team members (physician champion, nurse champion, senior hospital adminsitrator) are required to attend. Your team may include as many members as you determine you will need. Teams are encouraged to bring up to six team members to the learning session, such as quality/performance improvement personnel, staff nurses, patient advocates, educators and others. CME Category I credit, lunch and materials will be provided at no cost.
How: Pre-register here
Directions - The Conference Center is located beside the parking deck at Forsyth Medical Center. For easiest access:- Turn into the Forsyth Medical Center campus at the intersection of Maplewood Avenue and Hawthorne Road.
- Park in the deck that is immediately on your left.
- Follow the walkway from the first floor of the parking deck to the Conference Center just before you enter the north tower lobby.
Where: McKimmon Center, 1101 Gorman St, Raleigh, NC 27606
When: Tuesday, January 25, 2010 9:00 - 3:30
What: All three primary team members (physician champion, nurse champion, senior hospital adminsitrator) are required to attend. Your team may include as many members as you determine you will need. Teams are encouraged to bring up to six team members to the learning session, such as quality/performance improvement personnel, staff nurses, patient advocates, educators and others. CME Category I credit, lunch and materials will be provided at no cost.
How: Pre-register here
With 30 teams registered, PQCNC is looking forward to launching its second maternal health initiative. A webinar will be held for all participating teams on Tuesday September 21 at 1pm to orient teams to the data collection form. Teams will collect data on nulliparous women with term, singleton, vertex fetuses (the "NTSV" population) in October and November 2010 to establish what their hospital's baseline c-section rate is in this population, as well as to identify practices that are associated with higher rates of vaginal birth. PQCNC has set a statewide goal of increasing the rate of vaginal birth in this population by 25%. All teams will attend a learning session in January 2011 where they will be asked to set a site-specific goal, as well as to develop an action plan of changes to test in an effort to increase the rate of vaginal birth. Dates and locations of the learning sessions will be announced at the end of September.
The expert team for the Support for Birth initiative has been working by conference call and email to develop a data collection instrument and to create standardized definitions of the data items to be collected during this project. The expert team includes maternal-fetal medicine specialists, OB generalists, midwives, nurse managers of Labor & Delivery, a nurse educator, and a patient representative. Letters will be sent out to the CEOs of all North Carolina hospitals with maternity centers and copied to CNOs and chiefs of OB, inviting them to participate in this initiative. Each hospital will need to form a team consisting of, at a minimum, a nurse champion, a physician champion, and a senior hospital administrator. Hospitals are encouraged to include other relevant team members such as staff nurses, nurse educators, patient representatives and performance improvement personnel.