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AIM Patient Safety. OB Hemorrhage Bundle Implementation. How are we doing so far?. 23 of 24 delivery facilities participating in the bundle implementation Kick-Off meeting March 25, 2018 with over 85 attendees Four years of baseline data entered into the AIM Data Portal
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AIM Patient Safety OB Hemorrhage Bundle Implementation
How are we doing so far? • 23 of 24 delivery facilities participating in the bundle implementation • Kick-Off meeting March 25, 2018 with over 85 attendees • Four years of baseline data entered into the AIM Data Portal • Three full quarters of implementation data submitted by the participating facilities • Recognized at the AIM National level for our participation rate and progress!
Bundle elements • Process, Structure and Outcome measures • Checklists and toolkits for facilities to reference and use • Resources, references, videos, webinars and electronic modules for education • Policies, forms and protocol samples for building facility specific
How does wESTvIRGINIAcompare? Comparison to other state collaboratives engaged in the OB Hemorrhage Bundle Implementation
SMM among all delivering WomenOutcome measure 2 – Collaborative comparison
SMM among all delivering WomenOutcome measure 2 – WV Collaborative rate
SMM among all delivering WomenOutcome measure 2 – WV Collaborative rate
Process measure – hospital distributionHemorrhage risk assessment – Q2 2018
Structure measure 4Hemorrhage cart Does your hospital have OB hemorrhage supplies readily available, typically in a cart or mobile box?
Structure measure 5Unit policy and procedure Does your hospital have an OB hemorrhage policy and procedure (reviewed and updated in the last 2-3 years) that provides a unit-standard approach using a stage-based management plan with checklists?
How do all the elements work together? • Outcome measures are received directly from coding and billing process • Structure measures – tangible items in place • Process measures – policies, protocols, checklists, forms etc.
What issues are we working on now? • Quantitative blood loss • Education • OB Hemorrhage Staged Protocols and Policies • Continue implementing the Hemorrhage Risk Assessments
Critical Elements Shift and team huddles to prepare for possible or current changes in patients Immediate debriefs – what went well? What could have gone better? Formal multi-disciplinary case reviews of outlier events and outcomes Support for family during and after event – explanations, education follow up
When will we get there? Data submission for all of 2019 Complete all process and structure measures Celebrate at 2019 Perinatal Summit!