Lower Hudson Valley Perinatal Network Serving Dutchess, Putnam, Rockland & Westchester Counties Presented at the Quarterly Education & Networking Conference.

Slides:

Advertisements

Similar presentations

CAROL L. WAGNER, M.D. PROFESSOR OF PEDIATRICS MUSC EXTENDING ADVANCES IN NEONATAL CARE TO THE COMMUNITY HOSPITAL IS IT EVEN POSSIBLE?

Advertisements

State of the Hudson Valley Region James F. Smith, Jr., MD Chief of Perinatal Medicine Westchester Medical Center/NYMC.

Lower Hudson Valley Perinatal Network (LHVPN) Serving Dutchess, Putnam, Rockland & Westchester Counties Lower Hudson Valley Perinatal Data Profile Presented.

Nevada Medicaid Looks at Increased Cesarean Section Rates and Early Induction of Labor Marti Coté, RN 1.

Case Identification for the Missouri Perinatal Hepatitis B Prevention Program Libby Landrum, RN, MSN Viral Hepatitis Prevention Manager Bureau HIV, STD,

Indiana Panel Presentation Region V Infant Mortality Summit, Chicago, IL March 21, 2013 Bob Bowman, MS, MA, MS Interim Maternal and Child Health Director.

Planned Home Birth: American Academy of Pediatrics Policy Statement Kristi Watterberg For the Committee on Fetus & Newborn.

Perinatal Hepatitis B Prevention

+ Labor of Love Summit: Helping Indiana Reduce Infant Mortality November 13, 2014 Supporting a High Quality, Risk Appropriate System of Care for Pregnant.

XVI National Congress of the Italian Society of Neonatology Education and Research in the Mediterranean area: can we find a common track? Hercília Guimarães,on.

Zsakeba Henderson, MD Maternal and Infant Health Branch Division of Reproductive Health National Center for Chronic Disease Prevention and Health Promotion.

context Now NS (15 patients) Future Sub NICU (2010) 6 critical patients, 10 high risk newborns.

Janet Brown, MSc Disparities in Perinatal Outcomes using PPOR: Regional Results for the Bay Area Data Collaborative.

The impact of managed clinical networks on place of birth and newborn transfers Chris Gale On behalf of the Neonatal Data Analysis Unit and the Medicines.

Identity Resolution: Identifying Relationships Among Clients Within the Texas Medicaid Program Rick Allgeyer, Ph.D. Strategic Decision Support Financial.

PRESENTATION ON SAFETY ISSUES RELEVANT TO HOME BIRTHS AND THE PROFESSIONALS WHO PROVIDE MATERNITY CARE SEPTEMBER 20, 2012 The Maryland Chapter of the American.

Pathway Model: A Tool to Measure Outcomes Target Population Engage those at greatest risk Assure connection to evidence-based intervention Measureable.

Maryland Perinatal System Standards, Revised 2004 Summary of Efforts by the Perinatal Clinical Advisory Committee, Department of Health & Mental Hygiene.

Children Birth 4. Childbirth Setting And Attendants 99% of U.S. births occur in hospitals Other options –Freestanding birth center, home delivery Who.

Perinatal Care in the Community Elizabeth “Betty” Jordan DNSc, RNC Assistant Professor Johns Hopkins School of Nursing Perinatal Care in the Community.

SACIM Assuring Safety & High Quality, Patient-centered services along the continuum of perinatal care Presented by: Virginia Pressler, MD Executive Vice.

District of Columbia QI Collaborative to Improve Birth Outcomes 2011 Practitioner Training Completion of the Obstetrical Authorization & Initial Assessment.

Hudson Valley Perinatal Networks Prevention & Health Promotion: Increasing Access Before, During & After Pregnancy Cheryl Hunter-Grant, LMSW Executive.

Ethical Dilemmas of the Marginally Viable Fetus D. Micah Hester, Ph.D. Asst. Prof. of Medical Humanities UAMS/Arkansas Children’s Hospital 21 st Annual.

The Benefits of Membership. Paterson, Suite 250, Madison, WI (p) , (f) , (e) (w) Wisconsin.

The Development of a Regional Perinatal Forum Social Health Marketing Campaign for the Hudson Valley Region Janine Lewis, MPH, PhD(c) Northern Manhattan.

SC birth outcomes initiative: building a statewide perinatal quality collaborative.

Medical Coding II Seminar 6.

 30,000 live births from  Compared courses of babies of weeks to those of 39 weeks or longer.

Early findings: Regional variation in newborn special care in the U.S. David C. Goodman, MD MS Wade Harrison, MPH September 2015 Wennberg International.

Royal College of Obstetricians and Gynaecologists Setting standards to improve women’s health Risk Management and Medico-Legal Issues In Women’s Health.

ASR ANALYTICS, LLC Evaluation Study: Social & Economic Impact of BTOP Grant Curtis Lowery, MD BTOP Grant Principal Investigator Professor & Chair, Department.

Birth Outcomes Initiative Rebekah E. Gee MD MPH FACOG, Director.

Made by: Katie Edwards. Neonatal nursing is a subspecialty of nursing that works with newborn infants born with a variety of problems ranging from prematurity,

Lower Hudson Valley Perinatal Network Quarterly Education & Networking Conference January 22, 2008 Optimizing Birth: A Tale of Two Delivery Modes.

Population Health Management November 3, Sharp Health Care Sharp is a not-for-profit integrated regional health care delivery system based in San.

Newborns 2014 Eija Vuori Mika Gissler 19/03/

State of the Hudson Valley Region HVRHON (Hudson Valley Region Health Officers’ Network) Jean M. Hudson M.D. M.P.H. Commissioner Orange County Dept. of.

Doylestown Health has been caring for expectant mothers for more than 90 years. Our beautifully updated VIA Maternity Center provides a comfortable, homelike.

Interpreting Evidence why values can matter as much as science de Melo-Martínde Melo-Martín and IntemannIntemann Perspect Biol Med Winter; 55(1):

APHA 135 th Annual Meeting – Scientific Session Disparity in Access to Perinatal Tertiary Care in a Regionalized System Gary L. Loy, MD, MPH, Maternal-Fetal.

Introduction Extremely low birth weight (ELBW) infants are those with birth weight of

Perinatal Palliative Care: A Primary Year in Review Jennifer Jonely, MSN, CPLC, RNC-OB St Luke’s Health System, 190 East Bannock, Boise, Idaho Description.

National Neonatal Registry (NNR) Content Neonatal Registry defined Neonatal Registry defined The National Neonatal Registry (NNR) The National Neonatal.

Explaining the Infant Mortality Increase Marian MacDorman, Joyce Martin, T.J.Mathews, Donna Hoyert, and Stephanie Ventura Division of Vital Statistics.

LICENSED MIDWIVES in New York State. What is NYSALM? New York State Association of Licensed Midwives (NYSALM): The voice of Midwives in New York.

何積泓 Infertility The incidence of infertility is increasing The incidence of infertility is increasing 1.3~4.2% newborns in Europe result from.

Working Strategies of Chinese Newborn Healthcare

HYBRID FORM OF TELEMEDICINE: A UNIQUE WAY TO PROVIDE SERVICE IN LEVEL II NICUS Abhishek Makkar, MD, Mike McCoy, CRNP, Gene Hallford, PhD and Edgardo Szyld,

Emergency Department Visits in the Neonatal Period:

Correlation of developmental outcome with severity of bronchopulmonary dysplasia in extremely low gestational age neonates Karen Belen, Chengqiu Lu, Narges.

Why is Education so Important? Infant Mortality in the U.S.

NMBTF 4th Annual Maternity Care and Infant Feeding Summit

Looking Back and Moving Forward in New York State

Bronx Community Health Dashboard: Maternal and Child Health Last Updated: 1/31/2018 See last slide for more information about this project.

Three Steps To Successfully Maintain CDI In the NICU

2015 Core Measures Perinatal Unit

The 5th Annual Lorraine Tregde Patient Safety Leadership Conference “The Will to Pursue Excellence” June 14, 2012.

Deborah K. Steward, RN, PhD, Karen F. Pridham, RN, PhD, FAAN

Evidence‐Based Practice to Improve Outcomes for Late Preterm Infants

Jeffrey B. Gould, MD, MPH Clinics in Perinatology

Welcome West Virginia Perinatal Partnership

Lower Hudson Valley Community Health Dashboard: Maternal and Infant Health in Westchester, Rockland, and Orange counties Last Updated: 3/20/2019.

Adebayo S. Ademowore, MD, FACOG, Erika Myers, RN, BS JOGN nursing

Hypoglycemia and the Full-Term Newborn: How Well Does Birth Weight for Gestational Age Predict Risk? Teresa S. Johnson, RN, PhD Journal of Obstetric,

Croatian Association for Neonatology and Neonatal Intensive Care

Professional Bereavement Photographs: One Aspect of a Perinatal Bereavement Program Maggie R. Primeau, RN MBA Journal of Obstetric, Gynecologic & Neonatal.

Risk Factors for Adverse Birth Outcomes

Presentation transcript:

Lower Hudson Valley Perinatal Network Serving Dutchess, Putnam, Rockland & Westchester Counties Presented at the Quarterly Education & Networking Conference January 22, 2008 Optimizing Birth: A Tale of Two Delivery Modes Lower Hudson Valley Perinatal Data Book: Delivery Rates Over Time –

Level 1 hospitals provide care to normal and low-risk pregnant women and newborns, and they do not operate neonatal intensive care units (NICU); Must transfer infants who: –Gestation ≤ 36 weeks –Birth weight ≤ 2500 grams –Major problems requiring “advanced laboratory, radiologic, or consultation services” –Require ventilation above immediate resuscitation Level 2 hospitals provide care to women and newborns at moderate risk and do operate NICUs; Must transfer infants who: –Gestation ≤ 30 weeks –Birth weight ≤ 1250 grams –Require ventilation more than 7 days Level 3 hospitals care for patients requiring increasingly complex care and operate NICUs Must transfer infants who: –Require specialized services such as high frequency ventilator or ECMO NYS Hospitals and Perinatal Designation Level Research strongly supports regionalization as a means of improving maternal and infant outcomes. Perinatal regionalization represents the continuum of care that ensures that all pregnant women, fetuses and newborns have timely access to care. New York State's system of regionalized perinatal services includes a hierarchy of four levels of perinatal care provided by the hospitals within a region and led by a Regional Perinatal Center (RPC). The regional system is led by an RPC that is capable of providing all the services and expertise required by the most acutely sick or at-risk pregnant women and newborns. The concentration of high-risk patients makes it possible to enhance and maintain the level of expertise in the care of high-risk obstetric and neonatal patients, as well as justify the substantial expense required to establish and maintain neonatal intensive care units and attending-level subspecialty consultation. RPCs provide or coordinate maternal-fetal and newborn transfers of high-risk patients from their affiliate hospitals to the RPC, and are responsible for support, education, consultation and improvements in the quality of care in the affiliate hospitals within their region. The four levels of perinatal care within the regionalization system vary by the types of patients that are treated, availability of subspecialty consultation, qualifications of staff, types of equipment available and volume of high-risk perinatal patients treated. Besides the RPC, there are three other levels of care: Adapted from

Source: NYS Department of Health, Maternity Information Pamphlet Data,

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data,

Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data, County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data, County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

Source: NYS Department of Health, Maternity Information Pamphlet Data,

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data,

Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data, County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data, County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

Source: NYS Department of Health, Maternity Information Pamphlet Data,

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data

Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data, County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

* Northern Westchester County constitutes the area above Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data,

* Southern Westchester County constitutes the area below Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data,

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data

* Northern Westchester County constitutes the area above Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

* Southern Westchester County constitutes the area below Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

* Northern Westchester County constitutes the area above Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

* Southern Westchester County constitutes the area below Interstate 287. Source: NYS Department of Health, Maternity Information Pamphlet Data, Data not available for 2004 and 2005.

Source: NYS Department of Health, Maternity Information Pamphlet Data, & Vital Statistics Data, , and CDC National Statistics Reports, Births: Final Data, County, NYC, Rest of NYS & All NYS data not available for 2004 and 2005; 2004 and 2005 National data are available from the CDC National Statistics Reports on Births for those years.

For more information on the data presented in this Data Book please contact the Lower Hudson Valley Perinatal Network at or (914)