1. “In God we trust…… all others bring data….”

2. Foundations of CQI: Elements of Data Collection, Sharing, and Learning

3. The Challenge

4. Challenges Money –Time & personnel for data entry –Software –Hardware Data compatibility –Within institutions –Between institutions –With neonatal / pediatric –National initiatives

5. Challenges Who owns the data Data governance / management Misuse / abuse of data –Marketing –Competition –Payer leverage –Formal data agreements

6. Other challenges What do we collect What do we measure –Structure –Process / system –Outcome Standardization –Outcomes –Definitions

7. Current Options Existing data groups Commercial products –NPIC –AWHONN Something new –Independent –Lobby national organizations

8. Limitations Current – mostly administrative datasets –Financial / coding Outcomes oriented –Limited insight into process and structure Limited datasets –VON – VLBW infants; limited maternal data Limited linkage between mother & infant ‘Garbage in – garbage out’

9. Opportunities

10. Establish standardized dataset Links with registries and other databases –Direct link with EMR’s –Birth certificate, other Define our own measures Leadership in national measures

11. Emerging Stories February 21, 2008, 1:13 am Google Health Begins Its Preseason at Cleveland Clinic

12. Other opportunities Partnerships –Tech industry SAS, Google, Microsoft, STI, Premier…… –ACOG, NQF, IHI, other –PQCNC –CMS, other payers –‘VON-P’