barry t bloom, md presented to the blue ribbon commission on infant mortality september 24, 2010 a...

Barry T Bloom, MD

Presented to

The Blue Ribbon Commission on Infant Mortality

September 24, 2010

A ProposalKansas Perinatal

Quality Improvement Collaborative

HistoryPerinatal Council

KDHE sponsoredMonthly Executive Team MeetingsQuarterly Regional Meetings - Nursing and

Physician EducationPerinatal Guidelines for Level Designation

Perinatal Association of KansasVolunteersPicked up Educational Component

Children’s Health Advisory CouncilVolunteers

DataVital Statistics

Limited insight into causation and outcomesTime delayed

Vermont OxfordLevel III sitesNeonatal OnlyVLBWExtended Data Set

VON3 Year Risk Adjusted Report

VON3 Year Risk Adjusted Report

VON3 Year Risk Adjusted Report

VON3 Year Risk Adjusted Report

OpportunityQuality Improvement science

Cultural adaptationHuman Factors insightAnalysis in near real time

Network development experienceNational precedence

CaliforniaMultiple other state and regional

collaborativesVON data is a foundational element of each

collaborative

ParticipantsKDHESRS – Medicaid – KHPAFacilities

Level III Neonatal and Perinatal CentersLevel II CentersLevel I CentersSafety Net ClinicsFQHC and Community Health Clinics

Multi-DisciplinaryNursingSocial ServiceRespiratory CareFamily Medicine, Maternal Fetal, Obstetric, Neonatal

and Pediatric Providers

FundingLinked to Medicaid Quality InitiativesKDHEGrant SourcesCosts

OrganizationCoordinatorMeetings

Monthly leadershipQuarterly Network wide

Web SiteImprovement Science EducationData collection at sitesWeb based data reporting and storageData Analysis

Intent - ImpactFocus on Population HealthInclude Policy Makers adding Policy as a leverage

pointDocument

Access, Effectiveness, Site Quality, Impact of initiatives

Compare participating communities to non-participating

High Level TargetsReducing Preterm Births- Pre- and PerinatalImproving Preterm Outcomes – Neonatal

More Timely Reporting – SPC methods for analysis

Next StepsKansas Perinatal Quality Improvement CollaborativeInitial Funding for planningInvite facilities and providersDiscuss 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 datasetAddition of key quality measures

Agree on a Core Pregnancy DatasetSource – Birth Certificate?Additions of key quality measures

Improvement Science Introduction