1. Update on the Perinatal Quality Collaborative of North Carolina Marty McCaffrey, MD, CAPT USN (Ret) for the PQCNC

2. PQCNC Update Organizational Efforts –Blueprint –Family recruitment –Site Visits –PQCNC Vermont Oxford Enrollment –Presentations –PQCNC III Funding PQCNC Forward

3. PQCNC Organizational Efforts Blueprint –Mission, strategy, tactics –Structural framework –Responsibilities –Value case for PQCNC Memorandum of Agreement –Requirement to belong to VON –Transparency between hospitals PQCNC III (Nov 13 2007) –Executive Board Selected Providers (Maternal and Neonatal), Families, Administrators, DPH, DMA –Rolling project agenda Immunization Registry, HowsYourBaby, Bubble CPAP, ROP Management, Transition to a Medical Home Family recruitment –Partner with FSN –Expect to have at least 3 family seats on Executive Board –Families represented in all committees/subcommittees

4. PQCNC Organizational Efforts Site Visits –Visit all PQCNC NICU centers (28) by years end –Meet with local teams, quality experts and executives –Identify local issues and interests PQCNC Vermont Oxford Enrollment –2006 PQCNC report, 11 centers, 75% VLBW infants in NC –2007 PQCNC report will be at 13 centers –2008 all tertiary centers, 95% of VLBW infants in NC –Target 20 centers in VON mid-2008 Presentations –MFM Think Tank, April 2007 –ABP Subspecialty Meeting, July 2007 –TIPQC Nov 2007 –VON National Collaborative Meeting, Nov 2007 –National Quality Improvement Initiative, Dec 2007 (ABP, State Collaboratives and NACHRI)

5. PQCNC Funding Investments for the Future Grant –Dean SOM UNC Chapel Hill –Three years, ends 2010 –Funding $655,000 over three years –Support personnel, infrastructure, communication, consultation, travel –Defined timeline for organization, initiation of projects, spread of work from neonatal to perinatal care

6. Funding Committed supporters in the State Legislature (Senators Purcell and Dalton) NC Pediatric Society Perinatal Health Committee Members Recurring funds through the Education Committee for 2 years

7. Future Funding Sources Private Organizations Payers and Purchasers –Private payers/insurers –Private purchasers –State and Federal Agencies Others We are solvent for the next 2 ½ years. Let’s prove our value!

8. PQCNC…Looking Ahead Project development First Executive Board meeting end January Outreach as Quality Outreach and Education –Karen Metzguer at IHI developing PQCNC Education Plan Organizing of Maternal Care Providers –Meetings later this month, larger meeting early 2008 –Identify or develop a complete perinatal data set Pilot development of patient generated electronic data set linked to medical record VON expanding maternal indicators Use current administrative data set: Mission Hospital and NPIC –Maternal provider representation on Executive Board Interstate Collaboration –Data sharing between Ohio, California, Tennessee –Development of joint projects –Possible national collaboration NICHQ and CMS ABP

9. Thank You!

10. PQCNC Structural Organization Data Comm Project Committee Projects & Education Participating Centers PQITs Communications (incl. website) Quality Improvement Consultants Data Management VON Executive Committee Advisory Board Administrative Core ADVISORY RESPONSIBILITIESOPERATIONAL RESPONSIBILITIES Education Committee Other data sets

11. Executive Board Brenda Boberg Mike Cotten Jim Cummings Kate Menard Mildred Carraway John Wimmer Mike O’Shea Ross Vaughan Dave Fischer Jincie Nichols Joe Holliday Barb Beuchler Ginny Raviotta Merry-K Moos Nick Lynn Keith Gallaher Patti Forest Sheri Carrol Rob Silver Jay Kothaida Tom Ivester Heidi Brown Sam Cykert

12. IFF Timeline