West Virginia Perinatal Partnership

2011 Work PlanBrenda Dawley, MD, Chair, Central Advisory Council

Major Legislative Accomplishments

Over 180 lactation professionals trained – 2008-2010

Newborn testing expanded to 29 metabolic conditions - 2007

Maternal Mortality Review Legislation – 2008 Uniform Maternal Risk Assessment -2009 HCR Teen Pregnancy study – 2009 HCR 104 & 105-insurance coverage 2009 Infant Mortality Review Legislation– 2011 Sustaining funding for Partnership - 2011

Improving the Statewide Perinatal System

Guidelines for OB & newborn practices

One Call system Connect to Care Hospital Self Assessment Joint – MU & SU CNM Program Perinatal Outreach Education Supporting Breastfeeding Alliance

Identified Costly Medical Procedures Associated with Poor Birth Outcomes

High risk newborns transported out of state- lack of NICU beds- 2008

OB QI – 15 hospitals, reduced elective deliveries <39 weeks by 50%. 2009

Cord Tissue Study – 8 hospitals participated – 19 % + cords. 2009

Policy recommendation for Medicaid to extend FP to 24 months post partum. (saving 31.3 M in 5 yrs.) 2007-2011

Guidelines Issued

Issued medical guidelines and legal research reports re: drugs in pregnancy,

Promoted neonatal tool kit VBAC Guidelines

Unplanned Pregnancy Committee

Co-ChairsDenise Smith, MS, CHES; Brenda Dawley, MD; StaffCinny Kittle, MS; Joyce W. Daniels, MA

Legislative initiatives Waiting 24 months Community College project Medicaid extension to 24 mo

after birth

Drug Use During Pregnancy

Chair: Stefan Maxwell, MDStaff: Janine BreyelSandy Young, DNP, Amy Tolliver, MS

1. Collaboration between Behavioral Health and Maternity Care providers - WV|SBIRT2. Outreach Education3. Newborn Tool Kit 4. Research/Data Collection 5. Collaborative Pilot Projects Proposal

 

Maternity Provider Shortage Areas

Chair: Coy Flowers, MD.Co-Charir: Angelita Nixon, CNMStaff: Ann Dacey, RN

- Identify shortage areas- Support MU-SU CNM Program- Help SU develop the Emergency

Childbirth Education program - Identify maternity providers

Transport System

Chair : Luis Bracero, MDStaff: Ann Dacey, RN

Work with STEMS at WV Bureau for PH to set up one call system.

Work with hospitals to assure system operates as needed.

Evaluate one call system.

Connect To Care

PI: Luis Bracero, MD, MFMStaff: Ann Dacey, RN

Robin Rector Doug Young

- Visit hospital and clinic sites - Work with CAMC Partners on roll out

installation, education and training needs.

- With CAMC, seek additional funds for further expansion

Hospital Self Assessment

Staff: Ann Dacey Schedule and conduct self assessment

hospital visits Secure assessment teams Provide hospital’s with evidence of

completion Post hospitals on web site Work to encourage hospital participation Establish 3-5 year process for reviews

Infant Mortality Review

Champions: Joe Werthammer, MD,FAAC and Jay Bringman,

MD, MFM Staff: Nancy Tolliver

Infant Mortality Review legislation – 2011 Marie Frazier, MD of Marshall

OB QI First Time Mothers Initiative

Champions: Luis Bracero, MD, MFM David Jude, MD Jay Bringman, MD,

MFMStaff: Nancy Tolliver

Joyce Daniels Amy

Wenmoth Reduce high section rates

for first time mothers.

Perinatal Outreach Education

Staff: Shauna Popson, RN, EdD Limiting elective labor inductions to 39 weeks Focus on Late Preterm infant - Early inductions Smoke Cessation in pregnancy and beyond Postpartum hemorrhage Metabolic syndrome and diabetes in pregnancy

Breastfeeding education for health providers Preeclampsia Substance abuse in pregnant women Neonatal abstinence syndrome

Support WV Breastfeeding Alliance

Staff: Cinny Kittle Yvonne Snyder Stephanie Whitney Christine Compton Jan Wilkes Jane Barber

Offer professional lactation education

Work with businesses to establish friendly workplace

VBAC

Chair: Brenda Dawley, MD, OB-GYN Staff: Nancy Tolliver, RN, MSIR

To develop guidelines reflecting ACOG & AMA

To respond to request of WV women To improve options for women

requesting TOLAC

Thank You! Work with us 2011