WHPP Clinical Decision Support for Contraceptive Practice Guidelines (CDS, GDM, eCQM)
Welcome to the Women's Health Project Space!
This is the home base for the Women's Health Post Partum CDS, GDM, eCQM project funded by CDC in Confluence. This is the place where we can collaborate, plan for the project, and keep important documentation.
Clinical Decision Support for Contraceptive Practice Guidelines
Goal Statement
Goal: To improve quality postpartum care services for health center patients
Objectives:
Identify pregnancy episodes and patients who should receive specific postpartum care services
Increase the proportion of all postpartum patients who receive an initial postpartum visit with their obstetrician–gynecologists or primary care providers based on current or existing guidance and recommendations
Increase the proportion of postpartum patients who receive quality postpartum care services
Cardiovascular care (hypertensive disorders of pregnancy)
Diabetes screening for women with GDM-affected pregnancies
Postpartum depression and anxiety screening, referral, and treatment
Contraceptive counseling and provision
Substance use disorder screening, referral, and treatment
Other evidence-based recommendations for postpartum care services
Quick links to Frequently Used Resources
Year 5: 2022-12-16 Updated Data Request and Definitions .xlsx
2021-10-12 Data Dictionary and Templates - UCSF and Post Partum Combined (4/1/2022 - This is soon to be updated).
Updates
Oct 16, 2020 Creation of the WHPP Front Page
Aliados Health
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Signatory | Brenda GarskeChief Financial | Fred Rachman | Alvaro Fuentes Chief Executive Officer |
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Principal Investigator | Danielle Oryn, OD Michelle Rosaschi (she/her), MPH | |||
Project Manager | @Michele Whitt (Unlicensed) (Primary) @AnnMarie Overholser | Nivedita Mohanty | Arlene Pena (she/her/ella) Why do pronouns matter? Read more here. Valerie Knibb (she/her) Why do pronouns matter? Read more here. Aliados Health, formerly Redwood Community Health Coalition | Elliott Main, MD Medical Director and Executive Committee Chair (retired) Leslie Kowalewski Administrative Director |
Admin | @Seren Karasu | @Arlene Pena @Valerie Knibb (Unlicensed) | ||
Accounting Contact | Sarah Collins Pronouns: she/her/hers (What's this?) P: 503.943.2685 TZ: Eastern Time (ET) Cindy Dulley
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| Kevin King (He/Him) Aliados Health formerly Redwood Community Health Coalition
Michelle Lounibos Russell (she/her) Aliados Health formerly Redwood Community Health Coalition o: 707-285-2967 |
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Data | @Craig Stark (Unlicensed) | @Arjit Jain (Unlicensed) @Ta-Yun Yang (Unlicensed) | ||
Data Uploader | @Seren Karasu @AnnMarie Overholser @Michele Whitt (Unlicensed) | Jena Wallander Gemkow, MPH, BSN, RN CLINICAL RESEARCH MANAGER | ||
EHR | Epic | |||
Workflow | ||||
Communications | via @Seren Karasu | |||
Others | PI - @Anisha Abdul-Alia (Unlicensed) | Arlene Pena apena@rchc.net Valerie Knibb vknibb@rchc.net | ||
CHCs | Clinica Romero (SA74) TrueCare (SA203) LifeLong Medical Care (SA185) All in California | Three participating health centers located in Sonoma and Yolo counties
Petaluma Health Center | ||
Time Zone | PT | CT | PT | PT |
OCHIN. OCHIN is a nonprofit leader in equitable health care innovation and a trusted solutions partner to a growing national provider network. OCHIN's hea | AllianceChicago (Alliance). Alliance is a CHC-controlled health network comprised of 68 national CHCs serving more than 4 million patients annually. All member clinics are Public Health Service 330-funded FQHCs with federal mandates to provide care to the medically underserved. AllianceChicago CHCs share common EHR platforms which are centrally managed to promote quality improvement and research initiatives. | Aliados Health. Aliados Health is a network consisting of 18 CHC members across 6 counties in Northern California. Member CHCs provide care to nearly 300,000 predominately low-income patients; 55% percent of whom are Latino and 45% are best served in a language other than English. | Health Choice Network (HCN). HCN is a CHC-controlled network that consists of 30 member CHCs across 9 states providing care to more than 2 million patients. HCN has a shared EHR system and robust data and administrative infrastructure to support research initiatives. They have expertise in stakeholder engagement and are actively committed to research endeavors at member CHCs. They are a member of ADVANCE, one of 9 PCORnet research networks and longstanding research partners with AllianceChicago. |
Funder | NACHC | Partners | Vendors | |
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Roles | Provide Input Approve Monitor Advise Evaluate | Facilitate Communicate Design Build Evaluate | Design Build Implement Evaluate Document | Collect documents Analyze Communicate Report Back |
Responsibilities | Monthly meeting to monitor and advise on progress Communicate to Leadership re: project status | Facilitate deliverables and products in workplans and SOW Facilitate meetings with partners Communicate project progress to funder |
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Products |
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| Human Centered Design Documentation Flow 1.Define project goals 2A. Develop Use Cases 2. B Develop Personas 3. Define Data Dictionary 4. Create Implementation Plan Document pre and post Clinical and Data Workflows Document Lessons Learned/Evaluation Presentations: local, conferences/webinars, etc. |
NACHC Deliverables Status
outputs | Deliverables/Notes | start date | due date | status | ||||
1. Data and Information Systems | ||||||||
1.1 Fact Sheet | 08/01/2020 | 12/10/2020 | Completed | |||||
1.2 Defined data element dictionary, stakeholder feedback and guidance | Need correct link here | 08/01/2020 | 03/31/2021 | Completed | ||||
1.3 Clinical workflow and dataflow documentation for the HCCNs and health centers | 01/04/2021 | 04/02/2021 | Completed | |||||
1.4 Training Materials | Subtask: Request each site to include training materials in their final report. | 02/28/2021 | 05/31/2021 | Not started | ||||
1.5 Recommendations for scale and spread | Subtask: Will be part of Implementation Guide. | 06/01/2021 | 06/30/2021 | Not started | ||||
1.6 Metrics on impact of QI initiative on post-partum follow up, contraception counseling and use, and post-GDM screening and counseling | Subtask: Design a survey to ask: does this interrupt workflow? Was the experience of care team better or worse? Impact on payment. | 06/01/2021 | 06/30/2021 | in progress | ||||
2. Communication & Information Technology | ||||||||
2.1 Fact Sheet | 08/01/2020 | 09/01/2020 | Completed | |||||
2.2 Defined data element dictionary and feedback from eCQM partners from OPA, CDC, UCSF, NQF stakeholders | Subtask: Put on agenda for a call with CDC. Bring up on the Thursday call at which OPA attends - Julia to speak. | 08/01/2020 | 01/08/2021 | Completed | ||||
2.3 Uniform definition of terms and data capture for delivery dates and patient visit | Subtask: Julia work with Pedro - pregnancy episode, identifying deliveries, identifying post partum visits. Why is AllianceChicago using the codes it is using. Goes in Implementation Guide. | 08/01/2020 | 02/26/2021 | Completed | ||||
2.4 Detailed data dictionary for health center-controlled networks pulling eCQM data | Need Link for 1.2 | 08/01/2020 | 01/08/2021 | Completed | ||||
2.5 Recommendations for scale and spread | Subtask: Should be a section in an implementation guide. | 06/01/2021 | 07/15/2021 | Not started | ||||
2.6 White paper or academic material on misalignment and gaps in data quality for post-partum care | Subtask: Julia has an outline - wait for data so that we can report on a more academic paper. | 01/01/2021 | 07/15/2021 | Not started | ||||
2.7 HCCNs and health center teams contacts drive the QI process for post-partum care | Subtask: Check to see if their implementation plans include answers to these questions: How networks are engaging the partners, what their local QI process is. | 08/01/2020 | 06/30/2021 | Completed | ||||
2.8 Pre-and post-intervention measures that add value and drive shared decision making | Subtask: Insert link data table and graphs - Pedro | 08/01/2020 | 06/30/2021 | Completed | ||||
2.9 Presentation of outcomes to at least one national meeting and one FQHC-focused national forum | Subtask: National: Society for Family Planning. FQHC: Communications: promotion of meeting? slides? | 01/01/2021 | 06/30/2021 | in progress |
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