Dr. Elliott Main: "Reducing Maternal Mortality: Building on the Cal...

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Elliott Main, MD
Medical Director, CMQCC, Stanford University
Director of Implementation, National AIM Project
Reducing Ma...

11.1
7.7
10.0
14.6
11.8 11.7
14.0
7.4
7.3
10.9
9.7
11.6
9.2
6.2
16.9
8.9
15.1
13.1
12.1
9.9
9.9
9.8
13.3
12.7
15.5
16.9
16...

cdc.gov 3
1.6%
2X

Maternal Mortality and Severe Morbidity
Underlying causes, compiled from multiple studies
Cause
Mortality
(1-2 per
10,000)...

Cause of Death North Carolina
“Preventable”
California
“Good or strong
chance to alter
the outcome”
United Kingdom
“Substa...

 Most common preventable causes of
maternal mortality
 Far and away the most common causes
of Severe Maternal Morbidity
...

California Approach to Reduce
Maternal Mortality and SMM
CMQCC
(Professional Orgs.)
CA Hospital
Association (HQI)
CA Medic...

California Approach to Reduce
Maternal Mortality and SMM
•Hemorrhage Taskforce (2009)
•Hemorrhage QI Toolkit (2010)
•Multi...

11.1
7.7
10.0
14.6
11.8 11.7
14.0
7.4
7.3
10.9
9.7
11.6
9.2
6.2
16.9
8.9
15.1
13.1
12.1
9.9
9.9
9.8
13.3
12.7
15.5
16.9
16...

Jeanne Mahoney, RN BSN
Senior Director, ACOG
Director, AIM Project
Elliott Main, MD
Medical Director, CMQCC
Implementation...

AIM Naitional Partners:
Professional Organizations Public Health Organizations
Am. Academy of Family Physicians
(AAFP)
Ass...

AIM Partners (con’t):
Other Quality Improvement Organizations
Am. Society of Health Risk Management (ASHRM)
California Mat...

AIM STRATEGIES
• Adoption of National Safety Bundles
• Thru State Perinatal Quality Collaboratives
• Broad Partnerships
• ...

Maternal Safety Bundles
• Readiness
Every unit—prepare and educate
• Recognition & Prevention
Every patient—before event...

Obstetric
Hemorrhage
Severe
Hypertension
in Pregnancy
Maternal
VTE
Prevention
Safe Reduction
of Primary
Cesarean Births
Pa...

(11+)
(8+)
AIM Participation: July 2017
AIM Impact
Annual Births:
1,520,000+
AIM Hospital Networks
Premier
Trinity
Nationa...

Potential AIM Collective Impact
11 Current AIM States 1,520,000 Annual Births
+21 ‘NEW’ AIM States 1,241,200 Annual Births...

 AIM---MCHB / HRSA
 State PQCs and MMRIA---CDC
 H.R. 1318 / S.1112 Maternal Health
Accountability Act—support for Mater...

Visit: www.CMQCC.org

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