Group Prenatal Care 2 0 Guest speakers Milestones

Group Prenatal Care 2. 0: Guest speakers, Milestones, Funding and More in true Centering. Pregnancy® spirit, add your questions to the “board” i. e. , your gadget [ there will be time for questions throughout! ]

Group Prenatal Care 2. 0: Guest speakers, Milestones, Funding and More Presented by Elizabeth Joy Beckman, MD & Rita Girard, MD Contributing group members: Montiel Rosenthal, MD; Hillary Mount, MD; Barbara Hoffrogge, RN; Judy Piron, BSN; Saundra Regan, Ph. D

disclosures image credit: http: //www. glogster. com/roguefan 95/fast-food-presentation/g-6 mo 1 icicdgm 7 b 1 fig 9 pfia 0

objectives Avoid pitfalls with implementation of a group model of care within residency training programs. Incorporate and share new ideas for furthering the impact of a group model of care. Include a novel approach to milestone assessment of residents in the group care model or maternity care rotation.

Centering. Pregnancy® health assessment education support preterm low birth weight breastfeeding pregnancy spacing engagement self-confidence provider satisfaction source: centeringhealthcare. org

opener: state of prenatal group care at my institution 1. turn to a person next to you 2. share your name 3. share your practice location 4. share if group prenatal care is provided

implementation: family medicine (& psychiatry) residency

implementation: cincinnati, ohio photo credit: http: //www. 50 states. com/ohio. htm

implementation: hamilton county photo credit: https: //en. wikipedia. org/wiki/Cincinnati

implementation: infant mortality importance

implementation: patient population hispanic 1% white 37% 62% african american 11% uninsured 89% medicaid insurance

implementation: foundation

implementation: financing 2013 2014 Centering. Pregnancy® co-facilitator training 2010 snacks clinical sites child care during sessions nursing time for steering committee meetings Centering. Pregnancy® certification fees 2011 -present photo source: http: //www. marchofdimes. org/ohio/ https: //www. facebook. com/Women-Infant-Vitality-Network-144212178943722/info? tab=page_info https: //cctst. uc. edu/about social work yoga instruction 2016

implementation: certification & training 7. 26. 2010 7. 07. 2011

implementation: patient recruitment

agree - disagree: opt out patient recruitment source: https: //bitmoji. com

implementation: facilitation maternity faculty group members nurses resident(s)

agree or disagree: resident facilitation source: https: //bitmoji. com

implementation: problem-based charting

implementation: poc decision-tool

furthering the impact: expert additions g in en e lt cr s h e nta , 8 4 n sio s se m , 10 ea h l session 7 infant CPR wk 33 -35 session 3 yoga instructor wk 22 -26 session 2 lactation consultant wk 18 -22 session 1 registered dietician wk 12 -16

furthering the impact: collaboration

furthering the impact: your institutions source: https: //bitmoji. com

resident evaluation: a unique opportunity “It has given me a positive perspective not only on Group Prenatal Care but Group Visits in general as being something I could participate in and/or start. Very empowering. “ - tchucfm graduate

resident evaluation: milestone assessment

resident evaluation: feedback

resident evaluation: faculty response “we give feedback throughout the course of the rotation instead of just the end so the resident can incorporate feedback in real time when it's not too late to try new things in the safe environment of training” “a huge asset” “ We get to observe our residents counseling patients more than any other setting in residency due to the group model of care. “

resident evaluation: resident response “OB feedback improved greatly over my 3 years” “Appreciated the times faculty had time to discuss / run-through cases after group” “a nonthreatening environment for attendings, residents and patients to learn from one another” 1. 6 point increase since implementation (1 -10 scale)

resident evaluation: your institutions source: https: //bitmoji. com

Lisbeth Lazaron, MD TCHUCFM residents TCHUCFM graduates thank you

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