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Topic | Notes | Action Items |
Northstar “Expending “Expanding 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.
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Discussion re: centering model. Arlene is an expert in it. She will look at learning from Centering that could be further integrated. | ||
Arlene has an extensive evidence table. | ||
Leslie | Next Steps - working with a clinical care workgroup and … meetings will start in July. The Pathway will be operationalized … in health plans. it involves public health outside health plan… discussion with us as outpatient world, connection. | |
Julia | Our work - minimal project this year. We would like to find more funding to execute a more formal model and look at the outcomes.
Leslie - there is difficulty in getting clinic data because of data sharing issues. Hospital has no clinic data; cannot get clinic data… how can we collect data to make a difference - to do QI on it. Julia - PP quality side - last year we added working PQCs in states…. we can help accelerate that work… MMRC data shows x… working on inpatient and outpatient linkage. PQCs are hospital groups focused on inpatient interventions to prevent maternal mortality - CA is also working with march of dimes for low-dose aspirin and outpatient initiatives… | |
The big five states Julia - we are working with partners in those states TX and NY… we could do a focus on those five states. They meet monthly. | ||
CMQCC will send slides… as they are now. Next steps - Implementatoin. |
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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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