Regional Perinatal Quality Collaboratives October 2018 Perinatal Care
Regional Perinatal Quality Collaboratives October 2018
Perinatal Care System Historical Background • Michigan was national leader in regionalization of perinatal systems in the 1970 s and 1980 s • By 2005, perinatal regionalization no longer existed in Michigan • Between 2005 and 2009 efforts were made to reinstate perinatal regionalization • 2011 Perinatal Care System efforts initiated in Prosperity Region 2 & 3 • 2012 National Neonatal Levels of Care guidelines updated – adopted by Michigan in 2013 • 2015 National Maternal Level of Care guidelines established • 2013 -2015 Perinatal care system infrastructure work continued (Infant Mortality Reduction Plan) • 2016 Regions 4 & 10 initiate Perinatal Care System efforts • 2017 Regions 1 & 8 initiate Perinatal Care System efforts • 2018 Region 5 initiate Perinatal Care System efforts
Regional Perinatal Quality Collaborative • Goal: Assure that mothers are healthy and babies are healthy and thriving • Definition: a locally linked and coordinated network of services for mothers and their babies committed to the highest attainable standard of health available in Michigan • Includes: quality healthcare, mental and behavioral health services, community resources and support, comprehensive continuum, innovative payment models
Current Regional Perinatal Quality Collaboratives (RPQCs)
Mother Infant Health Improvement Plan (MIHIP) 2019 -2022 • Address both maternal and infant morbidity and mortality • Driven by communities – set short term and long term goals unique to that particular community • Work toward 6 key outcomes • Focus on 2 -3 strategies as outlined in logic model • Data-driven decisions • Statewide Regional Town Hall Meetings to garner support and gather feedback from the community
MIHIP Logic Model
MIHIP and RPQCs • Regional Perinatal Quality Collaboratives (RPQCs) will serve as the backbone for the implementation of the MIHIP • Currently, RPQCs focus on 1 -2 strategies identified in the logic model in effort to improve birth outcomes • Data Driven • Cross-sector partners • Address strategies via Quality Improvement
Regional Areas of Focus • Region 1 • Workforce development around Neonatal Abstinence Syndrome (NAS) • Implementing Tobacco reduction/cessation program (SCRIPT) • Working with hospitals to address barriers related to LARC insertion post-partum • Regions 2&3 • Perinatal substance use electronic screening tool • Increasing utilization of home visiting program, Healthy Futures • Tobacco reduction/cessation program (SCRIPT) in local health departments • Region 4 • Expanding perinatal substance use screening tool in prenatal clinics • Increasing utilization of, and retention in, evidence-based home visiting program • Region 5 • Collaborative began July 2018 • Focus on perinatal substance use • Region 8 • Focus on improving early entry into prenatal care • Focus groups with families and pregnant women • Informational postcards and hand fans • Region 10 • Increasing referrals, enrollment and retention in evidence-based home visiting • Facilitate written policies and procedure of member organizations to address equity and the resulting social determinants of health
Contact Information If you’d like more information about the Regional Perinatal Quality Collaboratives or are interested in getting involved in your local Collaborative, please contact: Emily Goerge, MPH, MSN, RN Perinatal Nurse Consultant Goerge. E@Michigan. gov 517. 241. 4816
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