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1 What does respectful maternal care look like? Better Maternal Outcomes: IHI Rapid Improvement Network Informational Call for Wave 2 August 6, 2019 WebEx Quick Reference 3 Please use chat to All Participants for discussion


  1. 1 What does respectful maternal care look like?

  2. Better Maternal Outcomes: IHI Rapid Improvement Network Informational Call for Wave 2 August 6, 2019

  3. WebEx Quick Reference 3 • Please use chat to “ All Participants ” for discussion & questions Raise your hand • For technology issues only, Select Chat recipient please chat to “ Host ” Enter Text

  4. 4 Microphone Feature To mute your line, please press the microphone icon Press it again to unmute. Muted Able to speak

  5. Where are you today?

  6. 6 Please type your name and the organization you represent (or most closely align yourself with) in the chat box Example: Mara Lee, Midwest Health Please send your message to All Participants

  7. 7 Today’s Hosts Deborah Bamel, MPH Kelly McCutcheon Adams, LICSW Haley Ladd Senior Project Manager Project Coordinator Senior Director, IHI

  8. 8 Today’s Agenda • Welcome & Introductions • Background: IHI Better Maternal Outcomes Initiative • Better Maternal Outcomes: Rapid Improvement Network – What we are trying to achieve – An invitation to join – What participants can expect – How we will work together • Questions and Next Steps

  9. 9 When you think about the care of women and babies in your community, what keeps you up at night?

  10. Merck for Mothers has an ambitious 10-year goal to end preventable maternal deaths worldwide. The Institute for Healthcare Improvement (IHI) has an aligned mission to improve health and health care worldwide and a deep commitment to improving maternal health and equity.

  11. 13 Network Relationships • IHI would like to thank our partner, the American Hospital Association (AHA), for their leadership and support of the IHI Better Maternal Outcomes Rapid Improvement Network initiative. Learn more about AHA’s work in maternal health at https://www.aha.org/better-health-for- mothers-and-babies • IHI is working closely with the Alliance for Innovation in Maternal Health (AIM) program to actively communicate regarding both efforts for the purpose of better meeting the needs of states, hospitals, and health care professionals in service of improvement maternal and infant outcomes. Learn more about the AIM program at www.safehealthcareforeverywoman.org

  12. The First “Law” of Improvement “ Every system is perfectly designed to get the results it gets” Paul Batalden, MD We must change the system to expect different results.

  13. Better Maternal Outcomes Initiative Overview Rapid Improvement Network Redesigning Systems with Black Women Facilitate locally driven, co-designed, Support national efforts to rapid improvements in 2-5 communities implement reliable evidence-based targeting the interface of health care care for women and newborns around delivery, the experience of birthers, and the time of birth, leading to a reduction community support systems. The goal of in maternal mortality in the United these projects is to test and scale up States (US) in 2021 compared to 2016. maternal care supports and create a learning network across participating communities aimed at improving equity, dignity, and safety while reducing racial inequities in maternal outcomes.

  14. Advisory Network Jodi Abbott, MD, MHCM Amy Bell, DNP, RNC- Debra Bingham, Joia Crear-Perry, MD Andria Cornell, MSPH Tara E. Bristol, MA OB, NEA-BC, CPHQ DrPH, RN, FAAN Deborah Kilday, Daisy Goodman, Rick Foster, MD Victoria Green, MD, Kevin Little, PhD Kate Hilton, JD, MTS RN, MSN APRN, DNP, MPH MHSA, JD, MBA Joseph Thompson, Patricia A. McGaffigan, Monica McLemore, Audra R. Meadows, Neel Shah, MD, MD, MPH RN, MS, CPPS PhD, MPH, RN MD, MPH MPP, FACOG

  15. Rapid Improvement Network The Better Maternal Outcomes: Rapid Improvement Network is a free initiative aimed at connecting hospitals and providers from across the country who are committed to improving health outcomes by delivering safe, equitable, respectful care of women and their babies. The goal of the Network is to equip participants with the knowledge and skills needed to reliably implement promising practices and improve care delivery for all women and newborns.

  16. Please join us! Engagement in the Network As a participant in the will build on IHI's experience in Rapid Improvement improvement; connecting like- minded frontline providers Network you will around the tactics required to receive support aimed make changes work, support at driving testing, in prioritizing where to work based on local data and adoption, and offering learning experiences improvement in your focused on practical ways organizations are putting local settings. improvements into practice.

  17. What you can expect (IHI’s commitments) • Bimonthly webinars on critical quality improvement and maternal safety topics • Drop-in virtual coaching sessions with expert faculty from the field • L Connections to other providers, organizations, and communities O navigating similar work C D • Real-world examples and case studies from a diverse set of A R providers, hospitals, and delivery centers L I • Roadmaps and tools customized to support implementation of best V C I practices and build local improvement skills to bridge the gap H N between “what we know” and “what we do” A G N • Access to selected online quality improvement tools and courses G from IHI E

  18. Working together (your commitment) • Engage a cross-disciplinary team in the virtual shared learning and improvement-oriented efforts • Secure support from physician and nursing leadership for participation • L Collaborate with women who represent those you serve and commit to O working towards equitable outcomes for all women C • D Identify at least one 1 improvement goal related to improving maternal A R health and equitable, respectful maternal care, L I • Participate - at least 1 team member should attend each virtual V C I program H N • A Share your learning with the other participating teams G N • Participate in mid and post-session surveys and interviews to improve G the experience for future waves E

  19. Wave 2 Call Schedule 21 Call Type Date October 8 th Content Call 1 October 22 nd Content Call 2 November 5 th Optional Coaching November 19 th Content Call 3 December 3 rd Content Call 4 December 17 th Optional Coaching January 7 th Content Call 5 January 21 st Content Call 6 February 4 th Optional Coaching Content Call 7 February 18 th March 10 th Content Call 8 Virtual programming will be on Tuesdays from 1:00-2:00 PM ET *Additional special interest webinars will be offered monthly

  20. 22 Content and Coaching Call Topics Content and coaching calls will Content and coaching calls will focus on best practices for highlight core quality improving outcomes in clinical improvement topics, including: areas including: Developing project aims Hemorrhage Testing changes using PDSA (plan-do- Severe Hypertension study-act) cycles Reduction of Primary C-sections Measurement and data VTE (Venus Thromboembolism) Teamwork and communication Substance Use Disorders Reliability and sustainability Reducing Inequities in care and outcomes

  21. FAQ’s • How much does it cost to join? • How do I enroll myself or my team? • Who are the program faculty? • What kind of coaching can I expect? • What data do I need to commit to sharing? • How is this related to the work I do in my (state) Perinatal Quality Collaborative? http://www.ihi.org/maternalhealth

  22. FAQ’s • How much does it cost to join? • How do I enroll myself or my team? • Who are the program faculty? • What kind of coaching can I expect? • What data do I need to commit to sharing? • How is this related to the work I do in my (state) Perinatal Quality Collaborative?

  23. Targeting Community and Safety-Net Hospitals http://www.ihi.org/maternalhealth

  24. FAQ’s • How much does it cost to join? • How do I enroll myself or my team? • Who are the program faculty? • What kind of coaching can I expect? • What data do I need to commit to sharing? • How is this related to the work I do in my (state) Perinatal Quality Collaborative?

  25. Wave 2: Core Faculty Audra R. Meadows, MD, MPH OB/GYN, Brigham and Women's Hospital Leadership, Perinatal-Neonatal Quality Improvement Network of Massachusetts (PNQIN) Debra Bingham, DrPH, RN, FAAN Founder and Executive Director, Institute for Perinatal Quality Improvement (PQI )

  26. FAQ’s • How much does it cost to join? • How do I enroll myself or my team? • Who are the program faculty? • What kind of coaching can I expect? • What data do I need to commit to sharing? • How is this related to the work I do in my (state) Perinatal Quality Collaborative?

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  28. FAQ’s • How much does it cost to join? • How do I enroll myself or my team? • Who are the program faculty? • What kind of coaching can I expect? • What data do I need to commit to sharing? • How is this related to the work I do in my (state) Perinatal Quality Collaborative?

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  30. FAQ’s • How much does it cost to join? • How do I enroll myself or my team? • Who are the program faculty? • What kind of coaching can I expect? • What data do I need to commit to sharing? • How is this related to the work I do in my (state) Perinatal Quality Collaborative?

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  32. Please join us! To enroll: www.ihi.org/maternalhealth Questions: maternalhealth@ihi.org

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