The Ohio Perinatal Quality Collaborative (OPQC) is a statewide consortium of perinatal clinicians, hospitals, and policy makers and governmental entities that aims, through the use of improvement science, to reduce preterm births and improve birth outcomes across Ohio. OPQC involves subject matter experts, uses successful evidence-informed strategies, and employs data-driven quality improvement methods and well-accepted project management processes. Success comes from a collaborative approach that builds upon an established network of OPQC-member hospitals with a history of executing successful statewide quality improvement initiatives.
INfant Mortality in ohio
Preterm birth is the leading cause of infant mortality in Ohio. Among states, Ohio consistently falls at the bottom of the rankings for infant mortality and prematurity. Further, Ohio’s rates for African-American prematurity are consistently worse than the rates for Caucasian prematurity, indicating underlying disparities in health and care. Infant mortality and prematurity are conditions that are devastating for families, and incur significant health care costs. Being born prematurely has lifelong impact. OPQC has several past and current projects that address both preterm birth and infant mortality in an effort to promote the best outcomes for Ohio’s mothers and babies, Ohio is currently facing a narcotics addiction epidemic. Babies born to mothers who use opiates need particular care and attention. By improving and standardizing the care that these babies receive, OPQC expects to reduce the length of hospitals stays for newborns and improve outcomes at discharge.
Projects in Active Design and Implementation Phase:
- Promoting the Well-Being of NICU Graduates & their Families (2015 - 2017)
- Improving Use of Progesterone in Women at Risk of Preterm Birth (2014 - 2017)
- Providing Compassionate Care for Infants with Neonatal Abstinence Syndrome (2014 - 2017)
Projects in Sustain Phase (ongoing data feedback):
- Antenatal Corticosteroids Administration (2012 - 2013)
- Decreasing Late Onset & Bloodstream Infections in the NICU (2008 - 2013)
- Human Milk as Medicine (2011 - 2013)
- Reducing 39 Week Scheduled Deliveries (2008 – 2014)
Who CAN participate?
All Ohio perinatal providers, hospitals, expecting patients, and parents are welcome to participate. Along with the OPQC participating sites, we also collaborate with The Ohio Department of Health (ODH), the Ohio Department of Medicaid (ODM), the Ohio Colleges of Medicine Government Resource Center (GRC), The Ohio Chapter of the American Academy of Pediatrics (AAP), The Ohio Chapter of The American Congress of Obstetricians and Gynecologists (ACOG), March of Dimes, and the federal Centers for Disease Control and Prevention.
HOW OPQC AND TEAMs do this work
OPQC employs a modified version of the Institute for Healthcare Improvement’s (IHI) Breakthrough Series Model (BTS). This method is based on improvement science and continuing education principles and adult learning. It was designed to accelerate translation of evidence into practice by engaging multiple teams to learn from each other and from recognized experts to make improvements in a specific topic area. Specifically, the BTS promotes use of rapid Plan-Do-Study-Act (PDSA) cycles, in which teams are taught to address problems as they arise by testing interventions and subsequent modifications in small steps to achieve desired change. OPQC uses monthly action period calls face-to-face sessions with teams to review individual and aggregate data, learn from teams that have been successful at making changes and achieving improved outcomes, and with expert guidance, apply the Model for Improvement to test specific strategies.
All OPQC projects involve data collection. OPQC analyzes and aggregates both data collected by participating teams and birth registry data, and then provides monthly data feedback to teams. This rapid-turnaround facilitates data-driven improvement. Participating sites and OPQC sign data sharing agreements that specify that all patient data will be de-identified and that hospitals will not be identified without their permission. Data is an integral part of improving care for Ohio’s mothers and babies.
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