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.