IHI Virtual Expedition: Triple Aim Approaches to Maternal and Infant Health
Session 1 Chat Log
Kristy Schmidt: Kristy Schmidt SLHS Boise
Janine Reisinger: Janine Reisinger, Washington State Hospital Association
Kate Berrien: Kate Berrien, Community Care of North Carolina
Laurel Durham: Laurel Durham, Providence Health & Services, Oregon
Jeff Rakover: Jeff Rakover, IHI co-worker
Rebecca Smith: Rebecca Smith, Community Care of North Carolina
Leslie Gong: Leslie Gong, KPNW
Debra Darling: Michigan Department of Health and Human Services
Leslie Gong: Jessica Caldwell, KPNW Oregon
Lindsey Walker: Lindsey Walker, Gundersen Health System (WI)
Christina Williams-Harding: Christina Williams Harding at Cincinnati Childrens Hospital Medical Center
Kara Johnson: Kara Johnson, Providence Health & Services, Oregon
Cherie Foster: Cherie Foster, Mednax, Tampa, FL
Cindy Brady: Cindy Brady Austin, TX Mednax
Susan Ford: Susan Ford with Ohio Perinatal Quality Collaborative
Daisy Goodman: Daisy Goodman, Dartmouth-Hitchcock
Lisa Lowery-Smith: Lisa Lowery-Smith, Julie Dyer
Debra Darling: Michigan hopes to learn about successful population approaches to improving Maternal and Infant Health. We're interested in identifying strategies to impact upstream interventions and methods for engaging communities in coordinating statewide efforts.
Pat Heinrich: want to learn about any new or innovative specific evidence-based strategies for improving the care of pregnant women and babies in their own organization, health system, community, or population
Janine Reisinger: Understand ways to move a medical model to a population health model and learn others about their 'best practices'.
Jeff Rakover: To better understand how to introduce models of care that improve population level outcomes in pregnancy, especially for women at risk of poor outcomes and women with challenges to accessing care and community resources
Cherie Foster:learn how obstetricians and neonatologists in a large hospital system in Florida can collaborate together, rather than in separate silos, to improve outcomes for mothers and babies
Laurel Durham:Agree with all!
Christina Williams-Harding: Craddle Cincinnati Learning Collaborative is eager to learn best practices to reducing IMR. Sharing learning theories (Key Driver Diagrams).
Jocelyn Audelo: Improve our integration of population/public health thinking into MCH care delivery strategy
Susan Ford: Hoping to learn more about successful strategies for care of the pregnant patient with substance use disorder.
Cherie Foster: 10% in Hillsborough County, Florida (Greater Tampa Metro Area). Yes, I have looked up before
Debra Darling: Yes, we look local, regionally and statewide each year.
Janine Reisinger: Yes, PTB and mortality has been a large focus of our work over the past year. State-wide data.
Kara Johnson: Yes, lower PTB rate in Oregon.
Christina Williams-Harding: Our Hamilton County, OH IMR is 8.97
Christina Williams-Harding: This did not surprise as we monitor it closely.
Cherie Foster: Yes, no new concepts thus far
Rebecca Smith: Not new to me either!
Laurel Durham: No new concepts, but appreciate getting us all on same page to start
Christina Williams-Harding: No and Yes!
Janine Reisinger: No, not surprising and concepts are familiar.
Debra Darling: Yes, we are all on the same page.
Cherie Foster: There is also a significant amount of literature that providing prenatal care also does NOT prevent preterm birth
Cherie Foster: I meant prenatal care alone...
Lucy Pickard: Absolutely agree Cherie.
Jeff Rakover: Can you say more again about why you focused on prematurity in some of your early research into this topic?
Jeff Rakover: Also, have you found major differences in the application of Triple Aim type approaches in this population context, versus other contexts? (other patient populations)
Cherie Foster: There is a Feb or March 2017 Journal of Pediatrics review by Tonse Raju, et al the NICHD looking at long term outcomes for preterm infants as adults--provocative reading, as there multiple long term multisystem organ effects that will have long term implications for the robustness of the triple aim!
Cherie Foster: I am a Neonatologist
Cherie Foster: Happy to do!
Janine Reisinger: Will you be highlighting the linkage between medical interventions for prematurity prevention (17p, smoking cessation, etc.) with the population health approaches you have mentioned?
Janine Reisinger: Great - thank you!