Perinatal Quality Improvement Teams (PQITs) from across NC attended the CMOP Phase I Learning Session. Guest Speakers included Marty Hatlie, JD, President of Partnership for Patient Safety speaking on patient and family engagement and “Lessons Learned from Patient Safety Advocates," and Kate Menard, MD, MPH, Professor and Director of Maternal-Fetal Medicine and Vice Chair of Obstetrics at UNC-Chapel Hill speaking on “National Initiatives to Improve Maternal Safety.” PQIT’s spent much of the day preparing their work plans and devising PDSAs for this phase of the initiative with the intention of improving the care of preeclampsia.
C-MOP Teams have wrapped up the Pilot and are working on other action items that include a retrospective chart review with data collection focused on proper diagnosis of hypertension in pregnancy and approved ACOG diagnoses. The Expert Team members are finishing up the Phase I Action Plan, Data Collection Tool, and other supporting documents. We are looking forward to launching C-MOP Phase I at our upcoming Learning Session in Raleigh, NC on 2/11/2015. We have a full day planned complete with renowned special guest speakers and working sessions.
We are preparing to segue from the C-MOP Pilot to the next phase, coined Phase I. Teams have been working to collect and enter their pilot data. The Expert Team has been shaping the final blueprint of the C-MOP Phase I Action Plan to be instituted at the Kick-Off Meeting on February 11, 2015. Throughout we are continuing our focus on proper diagnosis through chart audits and data collection.
Thanks to the diligence of all participating teams and institutions, we have learned a great deal about pregnant women in North Carolina with hypertension in pregnancy. The CMOP Expert Team has been hard at work in shaping the Action Plan and Data Collection Tool for the next phase of the work. Both should be completed in the next few weeks and we're inviting hospitals not currently participating to come onboard with this next phase.
Expert team meetings have begun and work is underway on updating both the action plan and the data collection tool. There’s still time to share your input - you do not need to be an expert physician or nurse to serve on the CMOP Expert Team. What we require is a commitment to attend Expert Team meetings, an interest in the issue of CMOP and a willingness to review recommended background material for the project. Meetings will be conducted via webinar and perhaps once in person over the next three months. We need your input. Join us!
Thanks to the work of each participating institution we have learned a great deal about pregnant women in North Carolina with hypertension in pregnancy. For the first time we know how many women have which diagnosis and which diagnoses most often lead to preterm deliveries. We know that the vast majority of women with hypertension in pregnancy receive steroids if they deliver before 34 weeks. We have also validated the diagnostic criteria for hypertension in pregnancy by showing that a newborn has a greater chance of NICU admission with superimposed preeclampsia compared to gestational hypertension.
We are beginning the development of the next phase of the Conservative Management of Preeclampsia (CMOP) initiative. We learned a great deal in the first six months of the initiative and look forward to receiving your input as we design the action plans and metrics for the next phase. You do not need to be an expert physician or nurse to serve on the CMOP Expert Team. What we require is a commitment to attend Expert Team meetings, interest in the initiative and willingness to review and comment on the material for the project. Meetings will be conducted via webinar and perhaps in one face-to-face meeting over the next three months. We look forward to patients, families, providers of all types, public health officials, hospital administrators, health system executives and others participating in this important work.
We’re at the end of this improvement cycle and teams are engaged in entering the last of their phase I data and preparing for the upcoming learning session where they will share (and celebrate) what they’ve accomplished and begin planning to hold the gains while making further improvements in phase II.
We’re down to the last month and a half of this phase of effort with teams still hard at work at PDSA cycles. The August webinar will focus on the last of the team presentations and on September 2nd we will hold the final Learning Session for this phase of the initiative at the McKimmon Center in Raleigh, looking at outcomes, reviewing the data, and sharing lessons learned with one another.
Teams came together this month on a webinar to share their progress, discuss innovative approaches, and a few of the teams provided in-depth updates on their PDSA cycles, sharing both challenges and successes. Collaborative work and discussion has helped teams accelerate toward the goals of this initiative…
PQCNC teams from across the state came together last week for the CMOP/NAS/PFE2 Learning Session. Teams from all three initiatives spent time learning together in the morning, with presentations on initiative progress so far, a discussion of perinatal quality in a world of value-based care , and a patient panel. Teams then split off in the afternoon to focus on content specific to their work. The CMOP teams shared their current progress in the initiative, listened to a presentation on population health, informatics, and quality improvement, then discussed next steps and planned PDSAs to try when they returned home.