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A Proposal Kansas Perinatal Quality Improvement Collaborative

A Proposal Kansas Perinatal Quality Improvement Collaborative. Barry T Bloom, MD Presented to The Blue Ribbon Commission on Infant Mortality September 24, 2010. History. Perinatal Council KDHE sponsored Monthly Executive Team Meetings

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A Proposal Kansas Perinatal Quality Improvement Collaborative

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  1. A ProposalKansas PerinatalQuality Improvement Collaborative Barry T Bloom, MD Presented to The Blue Ribbon Commission on Infant Mortality September 24, 2010

  2. History • Perinatal Council • KDHE sponsored • Monthly Executive Team Meetings • Quarterly Regional Meetings - Nursing and Physician Education • Perinatal Guidelines for Level Designation • Perinatal Association of Kansas • Volunteers • Picked up Educational Component • Children’s Health Advisory Council • Volunteers

  3. Data • Vital Statistics • Limited insight into causation and outcomes • Time delayed • Vermont Oxford • Level III sites • Neonatal Only • VLBW • Extended Data Set

  4. VON3 Year Risk Adjusted Report

  5. VON3 Year Risk Adjusted Report

  6. VON3 Year Risk Adjusted Report

  7. VON3 Year Risk Adjusted Report

  8. Opportunity • Quality Improvement science • Cultural adaptation • Human Factors insight • Analysis in near real time • Network development experience • National precedence • California • Multiple other state and regional collaboratives • VON data is a foundational element of each collaborative

  9. Participants • KDHE • SRS – Medicaid – KHPA • Facilities • Level III Neonatal and Perinatal Centers • Level II Centers • Level I Centers • Safety Net Clinics • FQHC and Community Health Clinics • Multi-Disciplinary • Nursing • Social Service • Respiratory Care • Family Medicine, Maternal Fetal, Obstetric, Neonatal and Pediatric Providers

  10. Funding • Linked to Medicaid Quality Initiatives • KDHE • Grant Sources • Costs • Organization • Coordinator • Meetings • Monthly leadership • Quarterly Network wide • Web Site • Improvement Science Education • Data collection at sites • Web based data reporting and storage • Data Analysis

  11. Intent - Impact • Focus on Population Health • Include Policy Makers adding Policy as a leverage point • Document • Access, Effectiveness, Site Quality, Impact of initiatives • Compare participating communities to non-participating • High Level Targets • Reducing Preterm Births- Pre- and Perinatal • Improving Preterm Outcomes – Neonatal • More Timely Reporting – SPC methods for analysis

  12. Next StepsKansas Perinatal Quality Improvement Collaborative • Initial Funding for planning • Invite facilities and providers • Discuss two state collaborative experiences • California – Long standing – Data Driven – Multiple Projects • Ohio, North Carolina, South Carolina, Illinois? • Understand the benefit and costs of VON as the core dataset • Addition of key quality measures • Agree on a Core Pregnancy Dataset • Source – Birth Certificate? • Additions of key quality measures • Improvement Science Introduction

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