Download presentation
Presentation is loading. Please wait.
1
Maternal Safety Bundles
Reducing the Rate of Maternal Mortality in New York State
3
SMI materials available at www.acogny.org
Bundle materials Online orders Posters & Ring Cards Professional Resources & more ACOG District II homepage: click on the SMI box above to be directed to the SMI homepage
4
Implementation Support
On-site implementation visits Quarterly meetings Monthly conference calls Grand rounds Clinical FAQ Print materials Educational videos Clinical simulation scenarios & assessment guides Merck for Mothers patient education Implementation is supported by monthly conf calls, site visits , exchange of “best practices” during our quarterly mtgs etc Several resources were distributed and are available through the ACOG DII website to provide implementation support. A clinical FAQ was just developed which consists of a compilation of questions and answers that have been submitted over the course of the project. The questions range from implementation inquires to specifics on data collection. The FAQ is meant to assist others who may have similar questions. Additional print materials for all three bundles are available for purchase. An educational video was developed and is posted on the District II website. The video walks through all three care management plans.
5
Quarterly Meetings 2015 2013 April 17th October 24th
Buffalo University 65+ Grand Hyatt Hotel 60+ January 23rd July 25th Harlem Hospital Center 120+ Hyatt Malta Place 50+ April 19th 2014 Montefiore Medical Center 50+ October 17th January 5th- First In-Person Meeting Grand Hyatt Hotel 115+ Columbia University 45+ July 18th Albany Medical Center 95+ April 4th SUNY Upstate Medical University 75+ January 18th Hofstra University 65+ This work was completed during our quarterly mtgs At the same time the groups developed the data collection items designed to measure the quality of the implementation process as well as outcome data To date, we have conducted 10 in-person meetings since 2013 at various hospital sites across New York State . Attendance at each meeting continues to grow. We also continue to host monthly conference calls with all participating facilities. Monthly SMI conference call topics range from: -strategies to reduce the 3 leading causes of maternal morbidity & mortality – hemorrhage, severe hypertension, and VTE; -emerging challenges in implementing this initiative statewide; -effective approaches to data collection; and, -other relevant topics such as de-identified case presentations and opportunities to ask targeted clinical questions.
6
Spotlight Hospitals Samaritan Medical Center Watertown, NY
7
Culture Assessment Survey Star Performers
South Nassau Communities Hospital Staten Island University Hospital
8
Culture Assessment Survey Star Performers
Columbia Memorial Hospital United Memorial Hospital F. F. Thompson Hospital
9
Grand Rounds Completed (11):
Coney Island Hospital- Perinatal Center Conference, Brooklyn Cortland Regional Medical Center, Cortland Good Samaritan Hospital, West Islip Health and Hospitals Corporation (HHC), New York City HHC Woodhull Hospital, Brooklyn Mount Sinai Hospital, New York City New York Methodist Hospital, Brooklyn Northern Westchester Hospital, Mt. Kisco New York State Association of County Health Officials (NYSACHO), Albany Oswego Hospital, Oswego St. Joseph’s Hospital, Syracuse Upcoming (4): Newark-Wayne Hospital Saratoga Hospital, Saratoga Vassar Brothers Medical Center, Poughkeepsie White Plains Hospital
10
Implementation Visits
Implementation site visits (7) ▪ *SMI Committee physicians lead discussion Sample visit agenda 10 mins: Welcome & Introductions from the Department Chair 30 mins: Introduction to Safe Motherhood Initiative 75 mins: Hospital presentation on morbidity/mortality cases 45 mins: ACOG presentation on bundles 15 mins: Data Collection 20 mins: Lunch Break 20 mins: Salus Global (MOREOB) Implementation Support Package 20 mins: SMI Review Team Discussion & Closing Remarks *ACOG tour of obstetric unit if time permits Pre-site visit: Pre-calls with SMI review team and hospital team leads SMI team requests hospital to send de-identified, maternal M&M cases to be reviewed at site visit Materials sent to hospital to be filled out and sent back to the ACOG DII: Hospital site visit checklist Obstetric Unit Demographics form SMI Abstraction form SMI Site Visit Agenda Day of site visit: Hospital presents de-identified case reviews; SMI team leads walk through case indicating where/how SMI bundles could have been implemented ACOG presents detailed implementation guidelines on bundle of hospital’s choice Data collection Salus
11
SMI Faculty & Team Leads
Implementation Visits: Nurse Leads Physician Leads Jane Ciaramella MS,RNC-OB* Richard Berkowitz, MD Kimberly Hyde, RNC-OB, BSN Anna Burgansky, MD Kathleen Marsch, MS, RNC-OB * Cindy Chazotte, MD * Stacey Richards, MA, RN Edward Denious, MD Colleen Lee, MS, RN Scott Hartman, MD Kevin Kiley, MD Grand Rounds: Nicholas Kulbida, MD James Brown, MD* Jay Lupin, MD Peter Bernstein, MD Robert Silverman, MD * Keith Eddleman, MD Wendy Wilcox, MD Adiel Fleischer, MD * Sandra McCalla, MD Dena Goffman, MD Adiel Fleischer, MD* Colleen Lee, RN Norman Angell, MD Robert Silverman, MD* Ellen Steinberg, MD Dhruv Agneshwar, MD *Conducted at least 2 visits /grand rounds
12
Implementation Visits
Completed: Champlain Valley Physicians Hospital Medical Center (CVPH), Plattsburgh Samaritan Medical Center, Watertown Saratoga Hospital, Saratoga St. Barnabas Hospital, Bronx UHS Wilson Memorial Hospital, Binghamton Vassar Brothers Medical Center, Poughkeepsie, NY White Plains Hospital Center, White Plains Upcoming: Arnot-Ogden Medical Center, Elmira Orange Regional Medical Center, Middletown
13
Implementation Visit: Champlain Valley Physicians
14
Implementation Visit: Samaritan Medical Center
15
Implementation Visit: Saratoga Hospital
16
Implementation Visit: St. Barnabas Hospital
17
Implementation Visit: UHS Wilson Memorial Hospital
18
Implementation Visit: Vassar Brothers Medical Center
19
Implementation Visit: White Plains Hospital Center
20
VENOUS THROMBOEMBOLISM SEVERE HYPERTENSION IN PREGNANCY
SMI VENOUS THROMBOEMBOLISM SEVERE HYPERTENSION IN PREGNANCY OBSTETRIC HEMORRHAGE ACOG District II developed three bundles or care management plans Potential to reach 250, women who have access to quality care Over 10, 000 labor & delivery staff members engaged 118 of 127 maternity care hospitals participate in the SMI Outreach to 357 core team leads across 118 participating hospitals Extended across 50 out of 62 counties in New York State 92% participation rate exceeds 75% goal Committed to the standardization and improvement of obstetric care across New York State.
21
Hospitals with Complete 1st Quarter Data (September – November)
Adirondack Medical Center - Saranac Lake Site Albany Medical Center Hospital Auburn Community Hospital Aurelia Osborn Fox Memorial Hospital Bassett Medical Center in Cooperstown Beth Israel Medical Center - Petrie Campus Bronx-Lebanon Hospital Center - Concourse Division Brooklyn Hospital Center - Downtown Campus Canton-Potsdam Hospital Claxton-Hepburn Medical Center Columbia Memorial Hospital Crouse Hospital Good Samaritan Hospital Medical Center (West Islip) Good Samaritan Regional Medical Center, Bon Secours Charity Health System Guthrie Corning Hospital Health Alliance Hospital-Broadway Campus (Kingston Hospital) Huntington Hospital-North Shore LIJ Lewis County General Hospital Massena Memorial Hospital Mercy Hospital - Women's Clinic Mercy Medical Center Millard Fillmore Suburban Hospital Kaleida Health (clinical site of University of Buffalo) Montefiore Medical Center (Weiler Division) Montefiore Medical Center-North (Wakefield Division) Mount Sinai Hospital New York NYCHHC - Bellevue NYCHHC - Elmhurst Hospital Center NYCHHC - Harlem Hospital Center NYCHHC - North Central Bronx Hospital NYCHHC - Queens Hospital Center Nassau University Medical Center - NuHealth Nathan Littauer Hospital New York Presbyterian Hospital/Lower Manhattan (NY Downtown) New York Presbyterian Hospital - Allen Hospital New York Presbyterian Hospital - New York Weill Cornell Center Newark-Wayne Community Hospital, Inc. North Shore University Hospital-LIJ North Shore University Hospital at Forest Hills Northern Westchester Hospital. Nyack Hospital Oneida Healthcare Center Oswego Hospital Peconic Bay Medical Center Rochester General Hospital. Rome Memorial Hospital, Inc. Saratoga Hospital Sisters of Charity Hospital. Southside Hospital St. Charles Hospital St. James Mercy Hospital - Mercycare St. Joseph's Hospital Health Center. St. Luke's Cornwall Hospital of Newburgh St. Mary's Hospital at Amsterdam St. Peter's Hospital Staten Island University Hospital Strong Partners - Highland Hospital of Rochester United Memorial Medical Center - North Street Campus Unity Hospital Upstate University Hospital (SUNY)-Community Campus White Plains Hospital Center Women and Children’s Hospital of Buffalo (University at Buffalo) Wyckoff Heights Medical Center As of April 10, 2015
22
Non-Participating Hospitals
Have a contact? Get them involved! Eastern Niagara Hospital Niagara Falls Memorial Medical Center Carthage Area Hospital, Inc. Cayuga Medical Center at Ithaca Samaritan Hospital (Burdett Care Center) St. Anthony Community Hospital Putnam Hospital Center Phelps Memorial Hospital Assoc. NYU Langone Medical Center North Shore University Hospital at Plainview
23
Data Collection Modifications
24
Content Edits: HTN Hypertension Binder Guidance: Persistent defined:
Persistent is defined as more than one value > 160 systolic or > 110 diastolic within 15 minutes (page 5) New algorithm: Monitoring Blood Pressure (before page 9) Algorithm footnote added: 10 mg of nifedipine can be given orally if intravenous access is unavailable (nifedipine is not recommended for sublingual use) (page 11 & 13)
25
SMI Educational Video Series 1.5 CME Credits – Available June 2015
26
SMI bundles at your fingertips
Smartphone App- Coming Soon! OBSTETRIC HEMORRHAGE SEVERE HYPERTENSION IN PREGNANCY VENOUS THROMBOEMBOLISM
27
Salus Global Corporation ACOG District II SMI partner & portal administrator
28
Cynthia Chazotte & Mary D’Alton
Obstetric Hemorrhage THANK YOU! Columbia Data Team Dena Goffman Adiel Fleischer Severe HTN in Pregnancy Cande Ananth Jessica Lavery Burton Rochelson Lynn Simpson Venous Thromboembolism Cynthia Chazotte & Mary D’Alton SMI Co-Chairs Michelle DiVito Ron Wapner Alex Friedman
29
ACOG District II Support: Donna Montalto, MPP Executive Director Kristin Zielinski, MA, MPP Director of Medical Education Kelly Gilchrist Assistant Director, Medical Education Phone: Website:
Similar presentations
