37 hospitals sent a team consisting of at least a physician champion, a nurse champion, and a senior hospital administrator to a full-day learning session where they worked to develop an action plan specific to their site. Some teams traveled hundred of miles to participate, a handful of physicians came post-call, and many nurse managers worked creatively to find ways to take a day away from their busy schedules. PQCNC is very grateful for all of their efforts, as well as those of the people who stayed behind to keep things running smoothly at Labor and Delivery units around the state.
At the learning lab, the group reviewed a summary of the “lookback” data collection they completed in August of charts from 2008, which suggests that approximately half of the scheduled c-sections between 36w0d and 38w6d were repeat low transverse c-sections with no other indication for delivery. Most inductions had some indication for delivery, although many did not meeting the criteria by the PQCNC expert panel for that indication. There was great variation among the hospitals, with some having virtually no elective deliveries <39 weeks while at others the majority of scheduled deliveries at this gestational age did not have a medical indication.
Each team received a report of the retrospective data from their individual hospital, which guided their work on the draft action plan. Teams will now go back “home” to share the draft action plan with the stakeholders they identified as important contributors to their 39 weeks work. They will discuss potential changes to test and will prepare to start collecting data on all scheduled deliveries between 36w0d and 38w6d starting on October 1.
At the learning lab, the group reviewed a summary of the “lookback” data collection they completed in August of charts from 2008, which suggests that approximately half of the scheduled c-sections between 36w0d and 38w6d were repeat low transverse c-sections with no other indication for delivery. Most inductions had some indication for delivery, although many did not meeting the criteria by the PQCNC expert panel for that indication. There was great variation among the hospitals, with some having virtually no elective deliveries <39 weeks while at others the majority of scheduled deliveries at this gestational age did not have a medical indication.
Each team received a report of the retrospective data from their individual hospital, which guided their work on the draft action plan. Teams will now go back “home” to share the draft action plan with the stakeholders they identified as important contributors to their 39 weeks work. They will discuss potential changes to test and will prepare to start collecting data on all scheduled deliveries between 36w0d and 38w6d starting on October 1.