Belinda Johnson-Cornett, Osceola County Health Department Brittany Boyer, Clark County Health Department. Applying qi to maternal child health: initial stories from the nnphi qi award program. Early Access Prenatal Care Eliminating Barriers by Improving Processes.
Brittany Boyer, Clark County Health DepartmentApplying qi to maternal child health: initial stories from the nnphi qi award program
Belinda Johnson-Cornett, MS, RN-BC, MBA
Osceola County Health Department
neighboring Orange County
residents in Osceola County”
From Our 2008-2013 Strategic Plan:
The Joint Commission Accreditation
in Ambulatory Care
Osceola has a majority population (57%) considered more likely to suffer from health disparities:
Late entry into prenatal care (after 1st trimester)
Low birth weight
Infant Mortality (per 1,000 population)
55% Hispanic / Latino
11% Black / African American
GOAL = Improve access to prenatal care
Our Improvement Theory Prediction:
“IF…we reduce barriers to accessing care…
THEN…we will have a positive impact on
What are we trying to
How will we know that a
change is an improvement?
What change can we make that
will result in improvement?
Langley, Nolan, et.al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance.
Pregnant woman needs prenatal care
Pregnant woman gets prenatal care
Better chance for healthy pregnancy and healthy baby!
QI Tools used:
Determined Root Cause…
Artificially imposed barriers to make system work for the agency…not necessarily for the patient!
By November 2012,
Data used to help identify process problems & needed interventions
P-D-Check-A Step 7: Monitor Performance
% 1st prenatal exam within 2 weeks of pregnancy test
Started Early Access Clinic
Brittany Boyer, RN BSN
Clark County Health Department