Measure Documentation and High Risk Pregnancies

High risk pregnancy definition--> define what outcomes we are interested in (fetal anomalies, preterm birth, peripartum morbidity, postpartum morbidity/mortality)

Postpartum follow up: comprehensive

Postpartum contraception: modified NQF measure that includes counseling

Postpartum diabetes screening for patients with GDM:

1. Outcome measure: Patients who progress to DM

Postpartum follow up for high risk pregnancies-- stratify by specific high risk categories?

Screening for HTN and proteinuria during pregnancy

Management of chronic HTN, proteinuria, gestational HTN: screening, aspirin and follow up?: national guideline to prevent preeclampsia

1. Outcome measure: Patients who progress to preeclampsia, eclampsia, HELLP

Screening for postpartum depression: HEDIS measure

Follow up for postpartum depression: HEDIS measure

Screening and follow up for substance abuse disorders in pregnancy and postpartum period

Plan of care: postpartum follow up, urgent warning signs checklist (CDC Hear Her campaign)

Process Measure: Documentation of actual delivery (within 72h?)

Transition of Care: transfer to primary care including gestational and postpartum diagnoses (priority for high risk pregnancies or maternal/postpartum complications or conditions)

Health equity in pregnancy outcomes