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OB Boot Camp Coaching Call

OB Boot Camp Coaching Call. June 24, 2013. Expectations for “New Recruits”. Form a team – no “lone nuts” Pick one topic area to start Participate in as many sessions as possible Measure your progress Participate in the Listserv. The Model for Improvement. Act. Plan. Study. Do.

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OB Boot Camp Coaching Call

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  1. OB Boot CampCoaching Call June 24, 2013

  2. Expectations for “New Recruits” • Form a team – no “lone nuts” • Pick one topic area to start • Participate in as many sessions as possible • Measure your progress • Participate in the Listserv

  3. The Model for Improvement Act Plan Study Do What are we trying to Accomplish? The three questions provide the strategy How will we know that a change is an improvement? What change can we make that will result in improvement? The PDSA cycle provides the tactical approach to work Source: Langley, et al. The Improvement Guide, 1996.

  4. Steps for Process Improvement • Standardize • Measure • Measure against a goal • Brainstorm for innovative ways to improve • Test your ideas to see if they improve Failing to see improvement is not a failure. You have just discovered what not to do!

  5. How Do You Know That a Change is an Improvement? DATA

  6. Data in Improvement • Data tells us where to start and where to focus our efforts • Data tells us if our process is working well “In God We Trust – All Others Bring Data” - W.E. Deming

  7. Maternal Specific Measures in CDS • C-section Delivery Rate - EOM OB 43 • Adverse Outcome Index (OB) - EOM-OB-47 • C-Section Delivery Rate (AHRQ IQI 21)- EOM-OB-49 • OB Trauma - C-Section (AHRQ PSI-Exp-2) - EOM-OB-53 • OB Trauma - Vaginal Delivery with Instrument (AHRQ PSI 18)- EOM-OB-54 • OB Trauma - Vaginal Delivery without Instrument (AHRQ PSI 19)-

  8. Other Measurement Ideas • Post partum length of stay > 4 days for vaginal deliveries or > 6 days for c-section • Maternal admission to ICU • Maternal blood transfusion > 3 units any product • IHI Perinatal Trigger tool – trigger rates

  9. Improvement Barriers What challenges are you facing at the start of this improvement work?

  10. Early Wins Have you had any early successes?

  11. Important Dates June 24: Coaching session 1, 12-1 pm CT July 10: Boot Camp 2 10:30 am - 3:45 pm CT July 22: Coaching session 2, 12-1 pm CT August 7: Boot Camp 3 10:30 am - 3:45 pm CT August 19: Coaching session 3, 12-1 pm CT

  12. Resources • HRET Data Team hendatasupport@aha.org • Improvement Advisor Kim Werkmeister kwerkmeister@cynosurehealth.org • State Hospital Association • Change Packages • OB Listserv (to join send e-mail to HEN@aha.org with request to join OB listserv • Other OB Boot Camp sessions

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