11 Signs of Maternity Care Transformation in 2011

11 Signs ofMaternity Care Transformation in 2011

Efforts to measure and eliminateelective deliveries before 39 weeksare sweeping the nation.Every month in 2011 brought a new study or report ofhospitals implementing programs to reduce or eliminatethe practice. Not only are these efforts having ameasurable, immediate impact on maternal-newbornhealth, they are fostering a culture of maternity care qualitywithin hospitals and health systems - fertile soil for futureimprovement efforts. Learn more at jointhetransformation.org

Maternity care quality is squarely onthe national agenda.After years of inadequate and poorly coordinated attentionby policy makers and others, maternity care quality hasbecome a priority in health care reform efforts, and publicand private partners are working together more than everbefore. Learn more at jointhetransformation.org

We’ve entered a new era ofcollaboration between doctors andmidwives.A joint practice statement between ACOG and ACNM,jointly published manuscripts on collaborative practice, andthe historic Home Birth Consensus Summit are just threeexamples from 2011. Learn more at jointhetransformation.org

Some troubling trends are slowingor reversing.In December, the CDC released data showing that thecesarean section rate dropped for the first time in over adecade by a modest but welcome 0.1%. The pretermbirth rate and teen pregnancy rates were also lower,following on recent declines. Learn more at jointhetransformation.org

Shared decision making andmaternity care are together at last.As health care reform efforts go after the triple aim ofbetter health, better health care, and lower costs,shared decision making has emerged as a key strategyto achieve all three. 2011 brought a majorannouncement from Childbirth Connection and theFoundation for Informed Medical Decision Making thatthe two organizations are teaming up to produce a suiteof evidence-based shared decision making tools formaternity care. The tools will launch in 2012. Learn more at jointhetransformation.org

The Woman- and Family-CenteredMaternity Care Home was born.Although the concept has been gestating for a few years,we saw lots of activity to design and test maternity careadaptations to the Patient-Centered Medical Home. Earlyefforts in states like North Carolina and Minnesota willhelp identify opportunities and test feasibility. The QualityCare for Moms and Babies Act, if passed, will fund moredemonstration projects. Learn more at jointhetransformation.org

Employers and payers stepped upto the plate.We saw countless examples of payers using theirpurchasing power to drive better quality and value formaternity care. Learn more at jointhetransformation.org

Performance measurement gatheredmomentum.Just a few years ago there was no set of nationallyendorsed measures of maternity care quality but this haschanged rapidly, with efforts gathering steam in 2011. Learn more at jointhetransformation.org

Clinician and hospital leadersembraced patient safety.The year ended with an historic joint Call to Action from themajor maternity professional organizations for inter-professional collaboration to improve safety and quality.This was an exciting cap to a year that also brought us thePartnership for Patients and several major reports ofcomprehensive patient safety programs implemented inhospitals and health systems. Learn more at jointhetransformation.org

Nurses’ leadership in qualityimprovement became clearer thanever.Nurses are natural leaders in hospital improvement effortsas they are at the front lines of care delivery and have aview of the problems that need solutions. In 2011, we sawmore and more quality and safety initiatives in the nursingliterature. Learn more at jointhetransformation.org

The improvement toolbox isoverflowing.2011 brought more new data sources, robust toolkits, andseveral direction-setting reports, like the white paper fromthe California Maternity Quality Care Collaborative setting apublic agenda for reducing cesareans in low risk women,the National Quality Strategy, a new white paper on patient-clinician communication, and new standards for the conductof systematic reviews and creation of clinical practiceguidelines. Learn more at jointhetransformation.org

You can read more about theMaternity Care Transformation in 2011 at bit.ly/2011transformation

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11 Signs of Maternity Care Transformation in 2011

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