Barry T Bloom, MD Presented to The Blue Ribbon Commission on Infant Mortality September 24, 2010 A Proposal Kansas Perinatal Quality Improvement Collaborative

History Perinatal Council KDHE sponsored Monthly Executive Team Meetings Quarterly Regional Meetings - Nursing and Physician Education Perinatal Guidelines for Level Designation Perinatal Association of Kansas Volunteers Picked up Educational Component Children’s Health Advisory Council Volunteers

Data Vital Statistics Limited insight into causation and outcomes Time delayed Vermont Oxford Level III sites Neonatal Only VLBW Extended Data Set

VON 3 Year Risk Adjusted Report

Opportunity Quality Improvement science Cultural adaptation Human Factors insight Analysis in near real time Network development experience National precedence California Multiple other state and regional collaboratives VON data is a foundational element of each collaborative

Participants KDHE SRS – Medicaid – KHPA Facilities Level III Neonatal and Perinatal Centers Level II Centers Level I Centers Safety Net Clinics FQHC and Community Health Clinics Multi-Disciplinary Nursing Social Service Respiratory Care Family Medicine, Maternal Fetal, Obstetric, Neonatal and Pediatric Providers

Funding Linked to Medicaid Quality Initiatives KDHE Grant Sources Costs Organization Coordinator Meetings Monthly leadership Quarterly Network wide Web Site Improvement Science Education Data collection at sites Web based data reporting and storage Data Analysis

Intent - Impact Focus on Population Health Include Policy Makers adding Policy as a leverage point Document Access, Effectiveness, Site Quality, Impact of initiatives Compare participating communities to non-participating High Level Targets Reducing Preterm Births- Pre- and Perinatal Improving Preterm Outcomes – Neonatal More Timely Reporting – SPC methods for analysis

Next Steps Kansas Perinatal Quality Improvement Collaborative Initial Funding for planning Invite facilities and providers Discuss two state collaborative experiences California – Long standing – Data Driven – Multiple Projects Ohio, North Carolina, South Carolina, Illinois? Understand the benefit and costs of VON as the core dataset Addition of key quality measures Agree on a Core Pregnancy Dataset Source – Birth Certificate? Additions of key quality measures Improvement Science Introduction