Maine Prenatal Collaborative. Principal Investigator Project Director Data Analyst. Susan Swartz, M.D. Judy Soper, RT(R), RDMS, BS Tim Cowan, MSPH. December 11, 2003 National Conference on Tobacco or Health. Tobacco and Pregnancy in Maine. ~ 1 in 5 pregnant women 38% on Medicaid.
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Maine Prenatal Collaborative
Susan Swartz, M.D.
Judy Soper, RT(R), RDMS, BS
Tim Cowan, MSPH
December 11, 2003
National Conference on Tobacco or Health
What is the Collaborative?
Bringing practices together to improve systems of care and patient outcomes
Our goal:To enhance interventions with pregnant smokers
LS = Learning Session
AP = Action Period
Clinical Information Systems
Delivery System Design
Informed, Activated Patient
Prepared Practice Team
Functional and Clinical Outcomes
* The Care Modelwas developed by Ed Wagner, MD, MPH, Director of the MacColl Institute for Healthcare Innovation, Group Health Cooperative of Puget Sound, and colleagues support from the Robert Wood Johnson Foundation.
Small Tests of Change The PDSA Road Map
Develop Your Roadmap:
Identify the change you want
to try, and a plan for
Run The Course:
Take the steps that have been planned to make the desired change.
Review Your Progress:
Look at the data you gathered. Evaluate if the change you tried
Choose Your Path:
Are the results what you want? If yes, implement the change. If no, move to a new idea.
Place the Tobacco Treatment Flow Sheet in a folder for end of month review.
Keep the original Tobacco Treatment Flow Sheet in the patient chart and place a copy in the folder for
end of month review.
Complete Tobacco Treatment Flow Sheet for all patients.
Gather Information for Reporting:
1. Generate the established reports in the database for at risk patients.
2. Count the number Tobacco Treatment Flow Sheets of non-smoking patientsin the folder.
3. Determine the total pregnant patient population, using your billing or internal system.
Enter numbers generated from steps above into the Access database
Place a sticker in or on the chart to indicate status.
Enter visit information into the database.
Observational assessment of the office practice and clinical site. Baseline/1 year.
Chart audit assessment. Baseline/1 year.
Use of Every Mother’s Wish proactive referral form. Baseline/1 year.
Utilization of add-on code for brief tobacco intervention. Baseline/1 year.
Beliefs, needs, expectations, themes.
Goal setting, measures, data collection, monthly reporting, degree of improvement.
Monthly during Collaborative.
Learning sessions, materials, Collaborative staff resources, conference calls, tools, etc.
Each Learning Session.
Learning sessions, conference calls, monthly reporting.
Monthly during Collaborative.
Team member evaluation, roles responsibilities, leadership identification, tool use, data collection.
Self reported change in knowledge, confidence, resource use, etc.