March of Dimes 39+ Weeks Quality Improvement Service Package

1. March of Dimes39+ Weeks Quality Improvement Service Package 2012

2. Elimination of Non-medically Indicated Deliveries Before 39 Weeks Toolkit Available at: marchofdimes.com or cmqcc.org

3. QI Service Package • Grand Rounds • Secure Web Based Data Portal • Webinars • Materials Credit • Access to “Experts in the Field” • Hospital Recognition* • *For those hospitals that achieve clear QI implementation process points

4. QI Service Package • Grand Rounds • A National Speakers Bureau in partnership with ACOG and AWHONN members to support hospital Grand Rounds • Trained experts inperinatal care and quality improvement

5. Secure Web Based Data Portal • Data Portal Goals • To help each hospital monitor its own program effectiveness • To measure initiative’s overall effectiveness across hospitals

6. Secure Web Based Data Portal • Data Portal Reports • Monthly and quarterly reports detailing key indicators and outlining change from previous months both in tabular and graphic form • Reports will include hospital data and comparisons to aggregate data from other hospitals (without hospital identifiers). • Key indicators include the number and percent of early term (37 0/7 – 38 6/7) scheduled inductions and cesarean section deliveries that are non-medically indicated (elective).

7. Sample Hospital (SH) Singleton Early Term Deliveries (37 0/7 through 38 6/7 weeks gestation) January, 2012 1 Cohorts will be defined to determine meaningful benchmarks. An elective delivery is non-medically indicated. Prepared by the March of Dimes Perinatal Data Center, 2011

8. QI Service Package (Cont’d) • Webinars • Presented by content leaders from across the country. • Step-by-step toolkit implementation guidance will be provided via six 30-60 minute archived Webinars entitled: • Overview of the <39 Weeks Problem and Toolkit Change Components • Outline Medical and Non-Medical Indications <39 Weeks • Data Collection – Baseline and Post Implementation • Establishing Physician & Nursing Leadership and a Medical Hard Stop • Building Consensus – Difficult Provider Q&A • Patient Education

9. QI Service Package (Cont’d) March of Dimes educational materials for consumers/patients to support implementation, including: “Why the Last Weeks of Pregnancy Count” brochures, brain card flyer, and posters

10. Sample Materials • Late preterm brain development flyer – consumer. • Late preterm brain development card- - provider. • “Why the last weeks of pregnancy count” brochure –consumer. • Late preterm brain development poster. • Poster of pregnant woman wearing “Healthy Babies are Worth the Wait” • t- shirt image and message identical to print ad.

11. QI Service Package (Cont’d) • Access to “Experts in the Field” • Access to a listserv that includes experts as well as providers and other hospitals participating in March of Dimes-supported QI initiatives (e.g., to ask questions, seek advice, share lessons learned, etc.) • Monthly “office hours”, which are live chats with national QI experts and providers (e.g., to ask questions, etc.) • Experts available on a rotational basis include: • Bryan Oshiro, MD • Donald Dudley, MD • Kathleen Rice Simpson, PhD, RNC, FAAN

12. Hospital Recognition • Hospital QI Recognition as “participating in a March of Dimes 39+ Weeks Quality Improvement Initiative…” that includes: • March of Dimes plaque and banner for hospital • Listing on March of Dimes website (www.prematurityprevention.org) • Opportunity for co-branding on media campaign!

13. Questions? • Contact Lori Reeves @ March of Dimes • 321-274-8674 • lreeves@marchofdimes.com