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First Baby Initiative

First Baby Initiative. A Partnership Project of West Virginia Perinatal Partnership, West Virginia Health Care Authority, March of Dimes, West Virginia Chapter and West Virginia Birthing Hospitals. First Baby Initiative. CHAMPIONS Dr. Luis Bracero Dr. William Holls Dr. David C. Jude

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First Baby Initiative

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  1. First Baby Initiative A Partnership Project of West Virginia Perinatal Partnership, West Virginia Health Care Authority, March of Dimes, West Virginia Chapter and West Virginia Birthing Hospitals

  2. First Baby Initiative CHAMPIONS Dr. Luis Bracero Dr. William Holls Dr. David C. Jude STAFF CONTRIBUTORS Nancy Tolliver Amy Wenmoth, HCA Ann Stottlemyer Tom Light, WV DHHR Joyce Daniels

  3. First Baby Initiative • SPECIAL RISKS FOR FIRST TIME MOTHERS • 37% had labor induced in 2005, increased to 41.2% in 2009 • Of labor inductions, 50.9% had no documented MRF • More than 30% of those induced ended in C-section • 7% experienced two or more complications of L & D • Other studies show: • Twice the rate of epidural • Almost twice the babies admitted to NICU

  4. First Baby Initiative PROJECT GOALS FOR FIRST TIME MOTHERS • Reduce c-section rate • Reduce early admissions rate • Reduce labor induction rate • Improve birth outcomes

  5. First Baby Initiative • METHODOLOGY • 23 participating hospitals • Each hospital has team • Initial educational meeting held July 2011 • Monthly conference calls to share information and identify issues • Champion presentations to local Medical Associations

  6. First Baby InitiativeParticipating Hospitals • Cabell Huntington Hospital • CAMC Women & Children’s Hospital • Camden Clark Hospital • Davis Memorial Hospital • Fairmont General Hospital • Grant Memorial Hospital • Greenbrier Valley Medical Center • Logan Regional Medical Center • Monongalia General Hospital • Ohio Valley Medical Center • Pleasant Valley Hospital • Princeton Community Hospital • Raleigh General Hospital • St. Joseph’s - Buckhannon • St. Mary’s Hospital • Stonewall Jackson Memorial Hospital • Thomas Memorial Hospital • United Hospital Center • Weirton Medical Center • Wheeling Hospital • WVU Children’s Hospital • WVU East – City Hospital • WVU East – Jefferson Memorial

  7. First Baby Initiative • MONTHLY TELECONFERENCES • Second Wednesday of every month • Presenters on relevant topics • Share change concepts implemented • Share barriers faced • Share solutions applied • Review data reports and progress

  8. First Baby Initiative INFORMATION PROVIDED ON CALLS, WEBSITE, AND ADDITIONAL TRAINING ON: • Advocacy • Comfort Measures • Emotional Support • Environmental And Sensory Stimuli • Family Centered Care • Positioning For Labor & Birth • Text4baby • Child Birth Education

  9. First Baby Initiative HOSPITAL INITIATIVES • Use of Comfort Measures to Reduce Epidural Rate • Internal Audit of Birth Certificate Information • Sent Nurses to Labor Support Training • Use of Bishop Score • Addition of Staff to Meet AWHON Guidelines

  10. First Baby Initiative

  11. First Baby Initiative NEXT STEPS • Survey Participating Hospitals • Continue Compiling Data Thru September 2012 • Analyze Data and Write Report • Make Recommendations for Next Steps • Present Report to December Summit • Recognize Participating Hospitals

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