NAS PROJECT AGENDA Mission: Through collaborative use of improvement science methods, reduce preterm births and improve perinatal and preterm newborn outcomes in Ohio as quickly as possible Learning Session Objectives By the end of the OPQC Fall 2016 Learning Session, NAS teams will be able to: 1. Identify areas for improvement. 2. Describe OPQC team accomplishments. 3. Demonstrate one new QI skill, innovation, and/or intervention as it relates to implementing your project. 4. Develop the next phase of your project. 5. Recommend project-relevant interventions. Time Session Presenter(s) Objectives Location 7:30-9:00 am Registration and storyboard setup 9:00-9:10 am Welcome and Orientation 9:10-9:30 am OPQC: Ohio s Learning Health System: Learning From Data and Testing 9:30-10:00 am Maternity Medical Home Carole Lannon, MD, MPH, OPQC Mary Applegate, MD, Describe learning objectives for the day Review building safety Describe key accomplishments and opportunities to reduce preterm birth and improve perinatal and preterm birth outcomes in Ohio o Progesterone o NAS Orchestrated Testing o NICU Graduates Review upstream interventions that may collectively impact infant mortality in Ohio Raise visibility of the Patient Centered Medical Home paradigm of care Discuss overarching principles of a Maternity Medical Home, II, III & 10:00-10:45 am MOMS Project Overview Rick Massatti, PhD, Ohio Department of Mental Health and Addiction Services Jennifer Bailit, MD, MetroHealth Medical Center Mike Marcotte, MD, Tri-Health Mona Prasad, DO, STEPP Clinic-OSU Describe state and county data specific to the incidence and increase of NAS in Ohio Describe interventions and prenatal treatments from the MOMS Project sites that improve outcomes for women and babies with NAS 10:45 am-12:00 pm Joint OB/NEO Storyboard Presentation Select NAS Teams Describe 1-2 interventions implemented by presenting teams in the NAS Project supporting OB collaboration
Time Session Presenter(s) Objectives Location 12:00-1:00 pm Lunch 1:00-1:45 pm 1:45-2:30 pm Lessons Learned from Dartmouth-Hitchcock: Benefits of Rooming In for NAS Patients & Families Learning from Data: Aggregate Data Review Analysis of NAS Orchestrated Testing Attitude Measures Survey 2:30-3:00 pm Regional Storyboard Walk 3:00-3:30 pm Team Time Aligning with OB Providers Next Steps: Team Time 3:30 pm Transition to Joint Session Open Air wall 3:35-4:20 pm Continuum Regional OB, HVCLN & NAS Team Time/Report Out 4:20-4:30 pm Wrap Up/Next Steps Bonny Whalen, MD Dartmouth-Hitchcock Medical Center Heather Kaplan, MD, MSCE, OPQC All NAS Teams All NAS Teams Describe 1-2 innovations implemented at Dartmouth-Hitchcock Medical Center that support the NAS infant and mother/family Identify a benefit of described innovations to the parent of an NAS infant Interpret aggregate, regional, group and site specific NAS Data Interpret group specific Orchestrated Testing data Interpret aggregate data from the Attitude Measures Survey Describe 1-2 interventions implemented by regional teams in the NAS Project regarding OB collaboration Develop team plans for future site specific PDSAs based on NAS group and region Describe regional resources to support at risk mothers in Ohio Identify 1-2 resources that can provide services to mothers in each region of the state Identify 1-2 strategies to align and coordinate services in each region of the state Describe highlights from both the OB and Neo breakout sessions St Charles I, II, III &
PROGESTERONE PROJECT AGENDA Mission: Through collaborative use of improvement science methods, reduce preterm births and improve perinatal and preterm newborn outcomes in Ohio as quickly as possible Learning Session Objectives By the end of the OPQC Fall 2016 Learning Session, Progesterone teams will be able to: 1. Identify areas for improvement. 2. Describe OPQC team accomplishments. 3. Demonstrate one new QI skill, innovation, and/or intervention as it relates to implementing your project. 4. Develop the next phase of your project. 5. Recommend project-relevant interventions. Time Session Presenter(s) Objectives Location 7:30-9:00 am Registration and storyboard setup 9:00-9:10 am Welcome and Orientation 9:10-9:30 am OPQC: Ohio s Learning Health System: Learning From Data and Testing 9:30-10:00 am Maternity Medical Home Carole Lannon, MD, MPH, OPQC Mary Applegate, MD, Describe learning objectives for the day Review building safety Describe key accomplishments and opportunities to reduce preterm birth and improve perinatal and preterm birth outcomes in Ohio o Progesterone o NAS Orchestrated Testing o NICU Graduates Review upstream interventions that may collectively impact infant mortality in Ohio Raise visibility of the Patient Centered Medical Home paradigm of care Discuss overarching principles of a Maternity Medical Home, II, III & II, III, IV 10:00-10:45 am MOMS Project Overview Rick Massatti, PhD, Ohio Department of Mental Health and Addiction Services Jennifer Bailit, MD, MetroHealth Medical Center Mike Marcotte, MD, Tri-Health Mona Prasad, MD, STEPP Clinic-OSU Describe state and county data specific to the incidence and increase of NAS in Ohio Describe interventions and prenatal treatments from the MOMS Project sites that improve outcomes for women and babies with NAS 10:45 am-12:00 pm Joint OB/NEO Storyboard Presentations Select NAS Teams Describe 1-2 interventions implemented by presenting teams in the NAS Project supporting OB collaboration
Time Session Presenter(s) Objectives Location 12:00-1:00 pm Lunch 1:00-1:40 pm Panel Management Discussion Regional Storyboard Walk Jennifer Bailit, MD, OPQC NAS Storyboards Discuss panel management and applications to high risk pregnant populations Identify 1-2 models of care for mothers with opioid dependence before and after birth Identify specific maternal programs for women with addiction issues in corresponding regions St Charles I, II, III 1:40-2:30 pm Work Group Break Outs: Work Group A Work Group B HVCLN Participants Mike Marcotte, MD, OPQC Review differences in cost and efficiency in ordering varying Progesterone products using differing processes Identify PDSAs to implement Key Drivers of the Progesterone Change Package (WG A & B) 2:30-3:00 pm Work Group Report Outs Work Group Representatives Discuss key steps to implement the Progesterone Change Package and next steps for spread Columbus I (HVCLN) 3:00-3:30 pm Upcoming opportunities and Key Drivers: LARC, Opioids, Maternity Medical Home Carole Lannon, MD, MPH OPQC Mike Marcotte, MD, OPQC Ted Wymyslo, MD, OACHC Review current status of project work in Ohio related to perinatal health and reduction of infant mortality 3:30 pm Transition to Joint Session Open Airwall 3:35-4:20 pm Continuum Regional OB, HVCLN & NAS Team Time/Report Out 4:20-4:30 pm Wrap Up/Next Steps Describe regional resources to support at risk mothers in Ohio Identify 1-2 resources that can provide services to mothers in each region of the state Identify 1-2 strategies to align and coordinate services in each region of the state Describe highlights from both OB and Neo breakout sessions & II, III, IV
NICU GRADUATES PROJECT AGENDA Mission: Through collaborative use of improvement science methods, reduce preterm births and improve perinatal and preterm newborn outcomes in Ohio as quickly as possible Learning Session Objectives By the end of the OPQC Fall 2016 Learning Session, NICU Graduates teams will be able to: 1. Identify areas for improvement. 2. Describe OPQC team accomplishments. 3. Demonstrate one new QI skill, innovation, and/or intervention as it relates to implementing your project. 4. Develop the next phase of your project. 5. Recommend project-relevant interventions. Time Session Presenter(s) Objectives Location 7:30-9:00 am Registration and storyboard setup 9:00-9:10 am Welcome and Orientation Describe learning objectives for the day Review building safety 9:10-9:30 am OPQC: Ohio s Learning Health System: Learning From Data and Testing Carole Lannon, MD, MPH, OPQC Describe key accomplishments and opportunities to reduce preterm birth and improve perinatal and preterm birth outcomes in Ohio o Progesterone o NAS Orchestrated Testing o NICU Graduates, II, III & II, III, IV 9:30-10:00 am Maternal Medical Home Mary Applegate, MD, Review upstream interventions that may collectively impact infant mortality in Ohio Raise visibility of the Patient Centered Medical Home paradigm of care Discuss overarching principles of a Maternal Medical Home 10:00-10:10 am 10:10-10:30 am Close Airwall NICU Graduates Welcome and Update Dan Benscoter, DO, OPQC Kristin Voos, MD, OPQC Update NICU Graduates teams on progress since last Learning Session, including Key Driver Diagram and data on key drivers tested
Time Session Presenter(s) Objectives Location 10:30-11:30 am 11:30 am- 12:30 pm 12:30-1:15 pm Lunch 1:15-2:15 pm 2:15-3:00 pm 3:00-3:30 pm 3:30-4:00 pm Storyboards: Learning from Teams Medicaid Managed Care Partnership Bridging Hospital and Home Developing Innovative Family- Centered Educational Resources and Support Strategies Breakout Workgroups and Debrief QI Skills Building: Rapid Cycle PDSAs, Sequential Testing ( Ramp it Up ) and Small Populations Team Time Report Out Team presentations facilitated by Kristin Voos, MD, OPQC Medicaid Managed Care Plan Representatives Kim DeDino, MS, RD, LD, Kristin Voos, MD, OPQC Workgroup meetings by disciplines Facilitated by Kristin Voos, MD, Dan Benscoter, DO, Karen Hughes, MPH, Andrea Hoberman, MPH, OPQC Dan Benscoter, DO, OPQC Team meetings facilitated by Andrea Hoberman, MPH Report-out facilitated by Andrea Hoberman, MPH, Kristin Voos, MD and Dan Benscoter, DO, OPQC 4:00-4:15 pm Next Steps and Conclusion Andrea Hoberman, MPH, OPQC Share recent PDSA Highlight resource/strategy for strengthened family capacity for care through transition to home preparation, or early and standardized process for transition to home Review data to identify barriers to getting babies home, including connecting with managed care and discharge delays Identify next area for improvement Understand responsibilities of Managed Care Plans during discharge process Discuss what barriers exist to getting babies home safely and how Managed Care Plans can assist Review transition bundle and status of tools in development Propose components for red flag action plans and resource guides for families of NICU Graduates project patient population Develop framework to test and implement innovative family centered education resources and support tools Describe challenges in engaging in QI work with small populations Understand how to learn from PDSAs on various patient populations and related processes Demonstrate application of Rapid Cycle PDSAs and sequential testing using NICU Graduates Key Driver Diagram Understand how to apply new knowledge to plan for the next test of change Develop and share team plans for next steps, 90 day goals, and PDSAs Identify parent role in PDSA Report out on planned PDSAs to other teams Understand next steps to continue work following Learning Session Capitol I, III and Gahanna (parents)