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October 2017

OB Hemorrhage Project goes into Sustainment

Congratulations to the 9 hospital teams completing the OB Hemorrhage Project this month.  Under the leadership of Cathy Ivory, PhD (through 5/2017), and Connie Graves, MD, the teams have worked for 18 months on Quantifying Blood Loss as well as other interventions and PDSA cycles.  The TIPQC REDCap data base for this project will close on November 1, 2017 allowing local teams to enter any final data, update records, and generate project reports. Thanks to the teams....our mothers are safer because of you!
TIPQC Late Preterm Infant Project
The late preterm infant (LPI) is an infant born between 34 0/7 weeks and 36 6/7 weeks’ gestation. LPIs account for approximately 75% of the preterm births in the US, and for approximately 20% of the NICU admissions (McCormick et al, 2006).  
The LPIs are often referred to as the “great imposter” because their size is misleading, being often metabolically and physiologically immature.  The morbidity rate approximately doubles for every week below 38 weeks gestational age at birth.  They are more likely to be re-hospitalized within 2 weeks of discharge, usually due to hyperbilirubinemia or feeding difficulties (Shapiro-Mendoza et al, 2008).  A large Kaiser cohort in 1998-2000 showed readmission occurred in 4.4% of LPIs compared to 2.0% of term infants; 26% of the time due to poor feeding (Escobar et al, 2006).
The TIPQC infant project for 2018 will involve this special population, with Drs. Anna Morad and Vicki DeVito as state leaders.  The Aim for the project is to improve the hospital care of the LPI and decrease their risk of hospital readmission.
Watch for more information as we ready the project for roll-out. 
 McCormick MC, Escobar GJ, Zheng Z, Richardson DK. (2006).  Place of birth and variations in management of late preterm (“near-term”) infants Semin Perinatol. 2006;30;44–47. .
Escobar GJ, Clark RH, Greene JD Short-term outcomes of infants born at 35 and 36 weeks gestation: we need to ask more questions Semin Perinatol. 2006;30:28–33.
 Shapiro-Mendoza CK, Tomashek KM, Kotelchuck M, Bar eld W, Nannini A, Weiss J, et al Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk Pediatrics. 2008;121:e223–232. 
Notes from Dr. Zite, Maternal Medical Director...
I am thrilled to welcome Suzanne Baird, DNP, RN as our Maternal Quality Improvement Specialist.  Suzanne brings with her a wealth of knowledge and experience. 
We are still in the process of selecting our next project, with so many opportunities.  As you may recall from the annual meeting, one of the barriers to a project around access to long acting reversible contraception in the immediate post-partum period was hospitals and providers would likely not get paid for the devices or insertion.  With policy changes this month, this barrier is being removed, so we can more seriously discuss a project related to post-partum contraception.  We also are continuing to explore projects related to the opiate epidemic and decreasing our cesarean delivery rate – both projects that have local, state and national impact.  Feel free to reach out, especially if you are interesting in championing a project.  Thank you for your continued support and involvement in TIPQC. 

PFE SURVEY
TIPQC continues to encourage Patient & Family Engagement  in all our work, could you provide feedback on your challenges & successes by answering 3 quick questions.  Thank you!
Do you have a photo of a mom/baby, demonstrating any of our best practices, you want to see on our web site? Just fill out a photo release, attach it along with the photo, and email it to the office.
TN Team Reception at the Vermont Oxford Meeting on Friday, October 27th after the Antibiotic Summit at 5:45 in the Mississippi Room!  Hope to see you in Chicago!

2018 TIPQC Annual Meeting

March 4-6, 2018
Franklin, TN
2200 Children's Way 11132 DOT, Nashville TN  37232 


2200 Children's Way 11132 DOT | Nashville, TN 37232 US



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