1. OB Standing Committee Logic Model Short- and Long-Term Outcomes
Resources
Activities
Outputs
Short- and Long-Term Outcomes
Impact
Data analytic capabilities
Logistic support
Implementation resources
Subject matter expertise
Develop toolkit
Put together expert panel of physicians, hospitals, stakeholders (ID stakeholders)
Data collection, what to measure, pre/post, define data elements to report
Explore areas of controversy and achieve consensus on key areas
Explore distribution methods
Way to develop and distribute toolkit
Identify champions – have push out to their organizations
Evaluation plan - create
Determine model of implementation
Toolkit in place
Distribution in place
Education of providers (medical community)
# of toolkits distributed, # of providers educated
Data reporting,
Distribution of data through professional associations
Publish results
Short:
S-Decrease in maternal morbidity due to hypertension
S-Creation of toolkit;
Long:
L-Decrease in maternal mortality due to hypertension;
S/L - Reduction in infant mortality;
Reduction in infant morbidity;
Increase appropriate use of antenatal steroids;
Decrease perinatal mortality rate;
L-Distribution/utilization of toolkit;
Change in practice
Sustained reduction of mortality/ morbidity
Establish best practices related to maternal/fetal transport protocols

2. Neonatal Standing Committee Logic Model Short- and Long-Term Outcomes
Resources
Activities
Outputs
Short- and Long-Term Outcomes
Impact
Data:
Availability of state data
Other applicable data sets (HMO, Feds, Hospital)
Benchmarks:
Some hospitals may have low rates – who and why?
Data dependent
Practice plan models (Kaiser, St. David’s)
Broad (MoD)
Black box approach:
Source of data remains anonymous; data translator
Use of toolkit (possible webinar, etc.)
Education at multiple levels (inpatient, outpatient, caretaker, parents, payers, politicians, state support systems such as WIC)
Data collection: cost to MCO to provide these services as inpatient vs. outpatient, etc.
Review existing models
Determine/implement/create best models
Review reimbursement/ payment model
Toolkits:
RN, MD, Hospital , private practitioner education
Specific populations
Participation in VON/CPQCC
Education of families so they can be allies
Reimbursement will need to be considered
Short term:
Decrease in hyperbilirubinemia, hypoglycemia, other clinical sequelae of PTB
Data stratified to see where problems lie
Decrease hospital readmission of preterm infant
Long-term:
Socioeconomic measures improve
School performace improvement among PT school-age children
Reduce overall healthcare costs
Healthier babies
Quality
Properly managed patient (inpatient and outpatient) means decreased hospital cost
Decreased cost to school system, parents
Behavioral health improved=decreased cost and impact on families
Increased patient satisfaction, therefore increased health plan satisfaction

3. Cont’d. Neonatal Standing Committee Logic Model Resources Activities
Outputs
Short- and Long-Term Outcomes
Impact
Best practice data (needs identifiers)
Currently available toolkits
Who will do all this work?
Consultants for SMEs
Data Resources:
Kaiser, Pediatrix, CPQCC
Need some source of money & help
Funding Sources: MCO/Medicaid
Increased self-efficacy (more competence and confidence in caring for the child)
Increase the impact of breastfeeding at 3 & 6 months)

4. Neonatal Barriers No uniform Electronic Medical Record
How to get info to providers after discharge
Information exchange
Getting access to needed de-identified health data
Limit to what volunteers (EP) can do
Health plans, Medicaid need to give money to support this, they will benefit
Volunteers supported Workgroups, but need support like initial workgroups
Don’t want to lose people because there’s no travel money
Parent involvement

5. Neonatal Parking Lot Strong support statement for breastfeeding
Suggest a SWOT analysis for the big group
= Ongoing SWOT analysis: what accomplished, why/why not
ID/Confirm individuals to be on this committee
By working together, everyone from the patient on down benefits – everyone contributes to help the patient