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Bree Collaborative OB Update & Report

This presentation provides an update on Obstetric (OB) activities since the last Bree Collaborative meeting held on March 29, 2012. Key discussions include a review of the latest OB draft report, feedback on the report's format and content, and a recap of selected focus areas such as elective deliveries, inductions, and primary C-section rates. It highlights the importance of data availability for community quality improvement and sets forth recommended actions and strategies to implement quality improvements in OB practices.

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Bree Collaborative OB Update & Report

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  1. Bree Collaborative OB Update & Report Presentation to the Bree Collaborative May 31, 2012

  2. Purpose of Presentation • Update on OB activities since March 29thBree Collaborative Meeting • Present latest OB draft report • Discussion/answer questions

  3. OB Update – since March 29 • Few public comments received (WSHA sent elective deliveries info (May 22), see handout) • Staff met with WA Dept of Health staff in April, to learn more about DOH perinatal efforts • Staff attended OB COAP annual meeting, May 14th

  4. OB Subgroup Update • Met twice, April 13 & May 21 • Reviewed new drafts of the report, tweaked goals, reviewed recommendations

  5. OB Draft Report –Comments? Questions? • General feedback on format • Cover letter might be added • Sections • Bree Collaborative and its Charge • Problem Statement • Focus Areas and Goals (next slides)

  6. OB Selected Focus Areas Recap (pg 2) • Current statewide QI efforts do not target the three areas (except elective delivery) because of lack of data • Birth certificate data = administrative data • WSHA and OB COAP data are chart abstracted but not publically available (WSHA recently published elective deliveries) • Elective delivery accomplished because chart abstracted data were sought from hospitals • Problem: data availability driving current community quality improvement efforts, not data

  7. Important Points about OB Goals (pg 2) • Process oriented, process improvement more important than a specific target goal • First goal: Eliminate elective deliveries under 39 weeks • Supports WSHA & Perinatal Collaborative initiative (less than 5%) • Data exists to measure because of WSHA and Perinatal initiative • Last two goals: Induction and Primary C-section • Requires chart abstracted data, no community-wide, baseline data exist • Data on individual hospitals induction rate exist • National measures do not exist • Primary C-section goal vs. NTSV (National C-section measure)

  8. Primary C-section vs NTSV: See handout

  9. Questions/Comments/Edits • Labor and Delivery Section? • Effective Practices? • Current Efforts?

  10. Recommended Actions • 5 Areas of Quality Improvement • Recommended strategies, by stakeholder group • Comments/questions?

  11. Implementation of Actions • Form an implementation committee • Comments/questions?

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