Post Partum Profile Proposal

1. Post Partum Profile Proposal Brief Profile Proposal for 2009/10 presented to the PCC Planning Committee Michael J. McCoy, MD, FACOG 9/1/2009

2. The Problem • The normal workflow for pregnancy care includes antepartum care performed in the office (covered by the APS Profile), delivery and subsequent care in the birthing facility (covered by the LDR Profile), and then care to the point of return in the office for conclusion of the post-partum care (not yet covered). • Current IHE profiles omit the maternal care delivered subsequent to discharge from birthing facilities and concluded with the final visit to the physician office. • To complete the workflow and close the loop, this gap needs to be addressed

3. Use Case • Sally Brown delivered via C-section, and had a healthy baby delivered without any complications during the hospital stay. Soon after discharge from the facility, though, and while visiting relatives in another town, a significant urinary tract infection developed, requiring IV antibiotics. The care she received after discharge and remote from her usual physician is captured and incorporated in the post-partum details for her 6 week postpartum visit.

4. Proposed Standards & Systems • The Post Partum Profile should build upon and incorporate the precedent work from the APS and LDR Profiles, and incorporate ACOG constructs.

5. Discussion • The level of effort for this work should be low, as the majority of data elements have already been established in the precedent Profiles • ACOG will support, and other Profile Editors that assisted with the creation of the LDR and APS Profiles should be available as additional resources. • Also would ideally incorporate the Newborn Discharge Summary Profile (another to be created with support from Pediatrics)