John S. Curran, MD FPQC Executive Director Associate Vice - PowerPoint PPT Presentation

John S. Curran, MD FPQC Executive Director Associate Vice President, USF Health Senior Executive Associate Dean, Faculty and Academic Affairs USF Health Morsani College of Medicine William M. Sappenfield, MD, MPH FPQC Research and Data Director Chairman, Department of Community and Family Health Director, Lawton and Rhea Chiles Center for Healthy Mothers and Babies USF College of Public Health

Florida Big 5 Pilot Hospitals Reduction of NMI Deliveries <39 Weeks by Delivery Type 2011 National collaborative of the 5 biggest states: FL, CA, TX, NY & IL Published in Obstetrics & Gynecology : "A Multistate Quality Improvement Program to Decrease Elective Deliveries Before 39 Weeks Gestation "

Neonatal Catheter Associated Blood Stream Infections NCABSI/FPQC—Dec. 2011 to Aug. 2012 Catheter Associated Infections Per 100,000 Line Days FL Deaths avoided 18 babies FL Length of stay 1,199 days reduced FL Cost savings $7,940,788 Goals Expanded from 9 states in Phase I to 13 states in Phase II (FL 58.8% Reduction)

Golden Hour Part I: Delivery Room Management  Dr. Maya Balakrishnan of USF Morsani College of Medicine is Clinical Lead Investigator  Improved outcomes in very low birth weight babies ≤30 6/7 weeks gestational age OR ≤1500g birth weight  Goals are to implement evidence-based practices on: • Teamwork • Thermoregulation • Oxygen administration • Delayed cord clamping  Fulfills the requirement for neonatal maintenance of board certification  Participating Hospitals:  St. Joseph’s Hospital Baycare  Sarasota Memorial Hospital  Baptist Hospital Miami  Florida Hospital Tampa  South Miami Hospital  Tampa General Hospital/USF Health  All Children’s Hospital/JHH

Obstetric Hemorrhage Initiative  Dr. Judette Louis from USF Health and Dr. Anthony Gregg from UF Health are Co-Clinical Lead Investigators  Improved outcomes in morbidity and mortality related to obstetric hemorrhage, including hysterectomies and massive transfusions  Goals are to implement evidence-based practices on:  Antepartum Risk Assessment  Active Management of the Third Stage of Labor  Quantification of Blood Loss/Trauma Type Response  Hemorrhage Simulation Drills and Debriefing  Meets new national guidelines for OB patient safety  Obstetric hemorrhage is a leading cause of maternal mortality  31 Florida hospitals and 4 North Carolina hospitals  18-24 month initiative starting Jan 2014