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