Teams from across the state continue data submission on patients diagnosed with hypertensive disorders of pregnancy. Submitted data is translated into facility reports and the state reports allowing teams to identify and then focus their actions around areas that need improvements. This month’s webinar centered on Diagnosis/attribution of gestational hypertension and preeclampsia and was presented by Dr. Stuart Shelton from Cape Fear Valley Medical Center.
Updates
March 6, 2014
Teams from across the state are beginning data submission on patients diagnosed with hypertensive disorders of pregnancy and Dr. Arthur Ollendorf began the more in-depth study and implementation of the action plan with a webinar focused on Challenges in Diagnosis. As they collect and review data teams were encouraged to develop, document, and submit their first PDSA cycle around a chosen area from the action plan. Up to the minute facility and state reports are available and will be utilized by each team to analyze what areas of improvements are needed to better standardize the care of these patients.
February 7, 2014
Teams from across the state met in January in Durham for the annual/kickoff meeting. We were honored to have Rob DuBois, Ben Saypol, Elliot Main, Jim Conway, Stephen Patrick and Marty Scott join us as well as team members from across the state to highlight past initiatives and current initiatives. It was an exciting day full of wonderful presentations. Teams will now focus on working on the action plan, submitting data and making improvements.
December 14, 2013
Having reviewed the feedback we received from the expert team and the results of the baseline data from four member hospitals, it seems reasonable to consider a change in focus for C-MOP. The goal is to make this the most high value quality improvement project possible.
Based on recent reports from ACOG, a key issue in the management of preeclampsia will be the acceptance of standardized criteria to assign patients to the proper hypertensive disease of pregnancy category (gestational hypertension, preeclampsia, etc).
With this in mind C-MOP will proceed in two phases. The first phase will kick off in January 2014 and focus on using the new ACOG hypertensive disease of pregnancy criteria to appropriately assign the correct diagnosis to patients as well as to conservatively manage appropriate patients with preeclampsia without severe features (formerly called mild preeclampsia) until 37 weeks.
The elements of the second phase will be discussed in greater detail with the expert team in the coming months.
November 26, 2013
The diagnosis of preeclampsia, a leading cause of maternal mortality in the US and worldwide, no longer requires the detection of high levels of protein in the urine (proteinuria), according to the new Task Force Report on Hypertension in Pregnancy by The American College of Obstetricians and Gynecologists (The College). The Task Force recommends that physicians also consider other factors, in addition to elevated blood pressure, to make the diagnosis of preeclampsia. (more)
November 4, 2013
In October, experts from across NC joined for the first time to begin the process of developing the Conservative Management of Preeclampsia (CMOP) initiative. The team redefined the definition of preeclampsia that would be used during the initiative and restricted formal activities of the project to mother’s with mild preeclampsia. The expert team will meet over the next few months to develop the action plan and data collection plan for the initiative. Seventeen teams across NC registered for the initiative and now will begin the process of completing the prerequisites required.
October 2, 2013
The month of September was an exciting month. PQCNC ask for experts from across North Carolina to commit to share their expertise to begin the process of developing our new C-MOP initiative. Official enrollment for teams to declare their participation in the initiative began. Over the next few months the expert team will come together to develop the charter, aims, outcomes and action plans that will be shared with hospitals committed to this work.
August 23, 2013
August has been an exciting month. PQCNC notified maternal teams of the Conservative Management of Preeclampsia initiative and ask for teams with an interest to sign up and get on board. An expert team has formed will meet over the next few months to develop the charter, outcomes measures and action plan for the C-MOP initiative.
August 15, 2013
PQCNC is proud to announce our next Maternal Initiative-Conservative Management of Preeclampsia or CMOP. Preeclampsia is a leading cause of iatrogenic preterm birth. In the past, severe preeclampsia was treated by timely delivery. Current data suggest improved perinatal outcomes with expectant management of severe preeclampsia and Patients with mild preeclampsia should be managed expectantly until ≥ 37 weeks.
PQCNC Needs YOU!!
PQCNC is seeking individuals and hospital teams that are interested in working on the expert team to develop the action plan that will be implemented during the initiative. Please use the 'Contact' link if you are interested in becoming a member of the expert team.
If your team is interested in joining this initiative please complete the intent form (located under resources to the right) by September 13th.
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