webinar - ohio hospitals safety and... · webinar presenters stacey conrad director ... •patient...

Monday, May 19, 2014

10:00 – 11:30 a.m.

WEBINAR Safe Sleep Champions

Robert Falcone, MD Vice President of Population Health and Clinical Policy OHA

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Webinar Presenters

Stacey Conrad Director Foundation for Healthy Communities

John Palmer Director of Public Affairs OHA

Webinar 5/19/14

OHA Safe Sleep Champions

I. Welcome

II. Infant Mortality in Ohio

III. OHA’s Quality Focus Area – Infant Mortality

IV. Safe Sleep Overview (Ohio data)

V. OHA’s Safe Sleep is Good4Baby Initiative

VI. Safe Sleep Kits

VII. Community/Media Tools (incl. Father’s Day Promotion)

VIII. Data and Measurement

IX. Discussion, Q&A

X. Conclude

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Agenda: (conclude by 11:30)

Webinar 5/19/14


# State: # Births: 2010: 2010 Overall IMR:

1 California 510,198 4.7

2 Texas 386,118 6.1

3 New York 244,375 5.1

4 Florida 214,590 6.5

5 Illinois 165,200 6.8

6 Pennsylvania 143,321 7.2

7 Ohio 139,128 7.7

8 Georgia 133,947 6.4

9 North Carolina 122,350 7.0

10 Michigan 114,531 7.1

NCHS

Top Ten States with Most Births: 2010

Birth 28 Days

1 Year

Neonatal

Death

Post-Neonatal

Death

Infant Death

• Anomalies

• Preterm births

• About 2/3 of infant deaths

• Sudden Unexpected Infant Deaths

• About 1/3 of infant deaths

Definitions and Timeline of Infant Mortality

Government

OPQC Ohio

Perinatal Quality

Collaborative

Ohio

Department

of Health

OHA Commercial

Payers

Medicaid/Care

OAHP

Social

Services

Adult

Hospitals

March of

Dimes

Clinics Children’s

Hospitals

Patient

Centered

Medical

Home

OCPIM: our partners for improvement

COMMUNITY LEADERSHIP CARE

ORGANIZATIONAL

INFRASTRUCTURE

• Safe sleep • Eliminate elective deliveries < 39 wks. • Breast milk • Progesterone for high risk mothers • Safe spacing • Access to pre post & inter conception

care • Eliminate health disparity

OHA Focus 2014-16

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Sleep-Related Deaths: definitions

Webinar 5/19/14


• Sleep-related death: Death of infant while sleeping – characteristics of or elements in the sleep environment appear to play

a role in the sudden, unexpected death.

– SIDS, Asphyxia, Undetermined Causes

• SUID: Sudden, unexplained or unexpected infant death – generally preliminary

• SIDS: A medical cause of death. – sudden death of infant less than 1 year that remains unexplained after

investigation, including autopsy, death scene examination and review of health history

Source: Merrily Wholf, RN, MPH, CFR Program Coordinator, BCFHS, ODH

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Ohio Data

Webinar 5/19/14


• 2007-2011: 819 sleep related deaths

• 15% of all infant deaths

All data from the Ohio Child Fatality Review, 13th Annual Report, available at http://www.odh.ohio.gov/odhPrograms/cfhs/cfr/cfrrept.aspx Summarized by Merrily Wholf, RN, MPH, CFR Program Coordinator, BCFHS, ODH

• 56% male

• 38% African American

• 88% younger than 6 months

more than any other single cause of death except prematurity: more than 3 each week

http://www.odh.ohio.gov/odhPrograms/cfhs/cfr/cfrrept.aspx


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Sleep Environments

Webinar 5/19/14


All data from the Ohio Child Fatality Review, 13th Annual Report, available at http://www.odh.ohio.gov/odhPrograms/cfhs/cfr/cfrrept.aspx Summarized by Merrily Wholf, RN, MPH, CFR Program Coordinator, BCFHS, ODH

• Only 23% (192) occurred in a crib or bassinette. • 60% (494) occurred in particularly unsafe places: adult beds,

sofas, chairs. • 58% (473) were sharing a sleep surface with another person. Of 819 sleep-related deaths, only 51 (6%) of reviews indicated the baby was placed

Alone On the Back In a Crib or Bassinet



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Safe Sleep is Good4Baby

Webinar 5/19/14


“After an educational intervention to change practice in a well-newborn nursery, many more parents reported placing their infants in the supine position for sleep, which suggests that such an intervention may have an impact on the position in which parents place their children to sleep.”

Arch Pediatr Adolesc Med. 2002; 156:717-720

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81% of maternity and pediatric hospitals

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Hospital Initiative

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• Model, Educate, Advocate

• Online support, resources, education

• Partnerships

• Through 2014

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MODEL: (in the health care setting)

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• Policy adoption, implementation and auditing

• Staff and physician buy-in and training

• Visual reinforcements – posters

– floor decals

• Sleepsacks – HALO in-hospital program

– THIS SIDE UP sleepers

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EDUCATE: (at home behavior)

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• Patient counseling, education and acknowledgement

• Take-home kit for reinforcement

• Access to cribs

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Safe Sleep Kits

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• How Many Available?

• What’s Included?

• How Much $$?

• Distribution Plan & Timeline

• Order Form

• Reorders & Custom Orders

• Floor Decals

• ODH brochures, posters, tear off pads, Spanish books

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ADVOCATE: (in the community)

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• Paid and earned media

• Community outreach

• Social media

#Good4Baby

#SafeSleep

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Public Relations/Promotions

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• Media Outreach

• Promotions – Father’s Day

– Safe Sleep Bag

– Community Forums

• Updates – CDC Report

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Happy Father’s Day! June 15, 2014

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• postcards

• news release

• talking points

• social media samples

• Community Tools section

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www.ohiohospitals.org/safesleep

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http://www.ohiohospitals.org/safesleep

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Measuring Success

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Initiative Metrics Baseline (2012) Target (all races)

Target (AA)

Safe Sleep Sleep deaths/1000 births

2.36 2.12 (10%) 3.75 (20%)

Hospitals w/Sleep Champion

n/a (81% now)

100% (pediatric and maternity)

Hospitals w/Sleep Policy

n/a (45% now)

100% (pediatric and maternity)

Hospitals w/discharge instructions

n/a (94% educating)

100%

Package of safe sleep products

n/a 100% basic safe sleep products

+ access to crib

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Upcoming Opportunities

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• *6 to mute/unmute line

• What would you find helpful?

–educational events/webinars

–networking opportunities

–online resources/samples

• Other Discussion or Questions?

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Thank You!

Webinar 5/19/14


About OHA’s Infant Mortality Initiatives:

John Palmer Director of Public Affairs [email protected] 614-221-7614

Robert Falcone, MD Vice President of Population Health and Clinical Policy [email protected] 614-221-7614

About Good4Baby: Stacey Conrad Director, Foundation for Healthy Communities [email protected] 614-221-7614

Media Assistance:

webinar - ohio hospitals safety and... · webinar presenters stacey conrad director ... •patient...

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