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Topic | Notes | Action Items |
Northstar “Expending Comprehensive Postpartum Care in California”
Critical - link between birth and next step in care Arlene attended a Fed meeting on evidence for post partum… convened CA Dept of Healthcare Services… AHRQ and NIH were the feds with the evidence review.
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Where is the definition of risk? There is a clinician group that will do that - at the CA state level. Clinical experts will join in.
| Julia or Andrea will send email to introduce ac and ochin to arlene and leslie. | |
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Topic | Notes | Action Items |
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Task 2.1 through 2.3 | Review existing guidelines and identifying guidelines that could be reasonably turned into measures. We do not anticipate validated and deployed measures in a few months. Framed for quality improvement rather than value based care etc. There are 2 established postpartum measures in circulation – HEDIS and Postpartum depression screening (2 versions CDC and NCQA). Run a measure for a year or two to make sure it runs well and then include in incentives. Notification of clinic that birth has occurred. Electronic transfer is ideal but not required. Maybe a phone call? Immediate issues/probably need to be seen earlier within 2 weeks: substance abuse, hypertension, cardiovascular disease. Create a high risk definition – these patients need follow up prior to the routine 6-week postpartum visit. CMQCC provides human readable measures. Ray will work on terminology stuff. | |
Task 2.4Task 2.4 – | Have we identified sites for Task 2.4? – OCHIN has sites in California. RCHC has sites in California. Satisfied by existing knowledge of the work in California. Opportunity to review measures with Redwood and OCHIN. |
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