SC birth outcomes initiative: building a statewide perinatal quality collaborative

SC birth outcomes initiative public/private partnership established to improve birth outcomes and reduce prematurity and infant mortality statewide comprehensive focus on improving maternal/child health and healthcare specific focus on improving the quality and safety of care for every mom and baby formal commitment from all SC birthing hospitals

NICU admission rates in SC by payment type N=3,557N=3,648N=3,794

Percent of Low Birth Weight (<2500 g) in SC by Payment Type N=5,994N=5,466N=5,768

Percent of Very Low Birth Weight (<1500 g) in SC by Payment Type N=1,117N=1,031N=1,053

Percent of NICU admission of Normal birth weight (2500+ grams) occurring in SC by payment type Medicaid : 2008( N=621) 2009 (N=613) 2010 (N=759) Private: 2008 (N=512) 2009 (N=604) 2010 (N=644)

Primary C-Section rate by Payment type N=13,315N=13.323N=12,215

Medicaid Rates for Primary C-Sections, Inductions and Readmissions

creating a comprehensive birth outcomes improvement model implement health promotion and education efforts to improve birth outcomes and reduce infant mortality ensure quality of care for all women and infants enhance service integration for women and infants improve maternal risk screening for all pregnant women improve access to healthcare for all women before, during and after pregnancy eliminate health disparities and promote health equity use data to understand and inform birth outcomes improvement efforts

ensure quality of care for all women and infants create a statewide perinatal quality collaborative understand and share perinatal health data disseminate and increase adoption of innovative, evidence-based prenatal care models standardized coverage and use of 17P as indicated implement policies to decrease elective delivery rates prior to 39 weeks in all birthing hospitals create a perinatal regionalized system of care pursue neonatal quality improvement initiatives Implement uniform post-partum discharge and access to follow-up care programs

SC birth outcomes initiative: building a statewide perinatal quality collaborative