Perinatal Care Quality in the United States in 2020
Perinatal Quality Collaboratives (PQCs)
Some selected PQCs current areas of focus include:
- Reducing severe pregnancy complications associated with high blood pressure and hemorrhage
- Reductions in health care-associated bloodstream infections in newborns
- Improving identification of and care for infants with neonatal abstinence syndrome
- Reducing racial/ethnic and geographic disparity
- Reductions in unnecessary cesarean births among low-risk pregnant women
- Reducing preterm births
The PQC approach
1. Build a network:
2. Collect data and Track Progress:
3. Facilitate Collaborative Learning:
4. Strive for population-based improvements:
Life QI as a tool for PQCs
Perinatal Quality Collaboratives use Life QI to provide:
- A simple solution for teams to contribute data and to aggregate and compare those data between sites.
- A community for sharing ideas, success and learnings across teams to drive more widespread improvements.
- A virtual platform to support and interact with hospital teams in testing changes, regardless of where teams are physically located.
- A way to see the real picture by stratifying population level measures to appreciate disparities based on race, ethnicity and socio-economics.
Louisiana Perinatal Quality Collaborative (LaPQC)
Wisconsin Perinatal Quality Collaborative (WisPQC)
WisPQC is one of the longest established PQC’s, formed in 2014. Their mission is “to improve perinatal health outcomes and equity across the continuum for all women and infants in Wisconsin”. WisPQC, are leveraging the energy of like-minded local, regional, and statewide organizations to form a lasting structure that will formally and systematically improve the quality of perinatal care and outcomes. WisPQC are supporting initiatives on Maternal Hypertension, Human Milk Feeding, and Opiod use disorder. Find out more about the Wisconsin Perinatal Quality Collaborative (WisPQC).
Centers of Disease Control and prevention, National Center for Health Statistics, Infant Mortality Rates by State (https://www.cdc.gov/nchs/pressroom/sosmap/infant_mortality_rates/infant_mortality.htm)
Delbanco et al., 2019. The Rising U.S. Maternal Mortality Rate Demands Action from Employers. Harvard Buisiness Review
Gregory ECW, Drake P, Martin JA. Lack of change in perinatal mortality in the United States, 2014–2016. NCHS Data Brief, no 316. Hyattsville, MD: National Center for Health Statistics. 2018. (https://www.cdc.gov/nchs/products/databriefs/db316.htm)
Kamal et al., 2019, What do we know about infant mortality in the U.S. and comparable countries? (https://www.cdc.gov/nchs/pressroom/sosmap/infant_mortality_rates/infant_mortality.htm)
Richardus, Jan H. MD, PhD; Graafmans, Wilco C. PhD; Verloove-Vanhorick, S. Pauline MD, PhD; Mackenbach, Johan P. MD, PhD. The Perinatal Mortality Rate as an Indicator of Quality of Care in International Comparisons, Medical Care: January 1998 - Volume 36 - Issue 1 - p 54-66