1. LEARNING SESSION ONE 29 TH OCTOBER 2013 MATERNITY QUALITY IMPROVEMENT

2. FORMAT FOR TODAY 10.10 – 11.00 – Dr A Hamilton and Dr J Cartmill – QI Methodology 11.00 – 11.30 – Ms Ann Rath – National Maternity Hospital Dublin 11.30 – 11.50 – TEA /COFFEE 11.50 – 12.35 – Dr Mike Robson - National Maternity Hospital Dublin 12.35 – 13.00 – Q&A session 13.00 – 13.45 – LUNCH 13.45 – 15.20 – Trust Presentations 15.20 – 16.00 – Team time with Tea/coffee 16.00 – 16.30 – Feedback and next steps

3. YOUR SUCCESSES TO DATE

4. WORK IN PROGRESS

5. STRATEGIC CONTEXT

6. MATERNITY STRATEGY IN A DRIVER DIAGRAM

8. Sepsis Run Charts

10. St Luke’s Day Symposium 2013 Intermountain Healthcare Delivery Research Unit: ATP Course - Dr Brent James Care that works Care that is safe Care that leaves no one behind

11. St Luke’s Day Symposium 2013

12. Obstet Gynecol 2009;114:1254

13. The Gestational Age that Women Considered a Baby to be Full Term Obstet Gynecol 2009;114:1254

14. The Gestational Age that Women Considered it Safe to Deliver Obstet Gynecol 2009;114:1254 Weeks of Gestation

15. Morbidity of Late Preterm Infants in Massachusetts Late preterm infants: 22.2% vs Term infants: 3% Sample: Term (377,638), Late Preterm (26,170) Morbidity rates doubled for each gestational week earlier than 38 weeks 40 wks: 2.5% 39 wks: 2.6% 38 wks: 3.3% 37 wks: 5.9% 36 wks: 12.1% 35 wks: 25.6% 34 wks: 51.9% Shapiro-Mendoza CK et al. Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk. Pediatrics. 2008;121:e223–e232

16. NICU Admissions By Weeks Gestation Deliveries Without Complications, 2000-2003 Oshiro et al. Obstet Gynecol 2009;113:804-811. NICU Admissions

17. RDS By Weeks Gestation Deliveries Without Complications, 2000-2003 Oshiro et al. Obstet Gynecol 2009;113:804-811. RDS

18. What Do We Need to Get Started? MAP-IT Mobilize Assess Plan Implement Track Guidry, M., Vischi, T., Han, R., & Passons, O. Healthy people in healthy communities: A community planning guide using healthy people 2010. Washington, D.C.: U.S. Department of Health and Human Services. The Office of Disease Prevention and Health Promotion.