Search Results: MCHLine

Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 1 through 5 (5 total).

Smith H, Peterson N, Lagrew D, Main E. 2022. Toolkit to support vaginal birth and reduce primary cesareans: A quality improvement toolkit, addended, part V. Stanford, CA: California Maternal Quality Care Collaborative, 191

Annotation: This toolkit to support vaginal birth and reduce primary cesarean sections includes evidence-based tools and resources to support pregnant patients who transfer to the hospital from a community birth center and to effectively integrate midwifery care and doula support into the hospital setting. The toolkit serves as a “how to” guide to help educate and motivate maternity clinicians to apply best practices to support vaginal birth. Included are strategies to (1) improve the culture of care, awareness, and education for cesarean reduction; (2) support intended Vaginal Birth; (3) manage labor abnormalities and safely reduce cesarean births; and (4) use data to drive reduction in cesareans. Twenty appendices include checklists, guidelines, partograms, performance measures, and assessment tools for healthcare providers.

Keywords: Birthing Centers, California , Cesarean section, Childbirth, Doulas, Hospitals Quality assurance, Labor, Midwives, Model programs, Pregnant women, Prevention, Vaginal birth

Gale J, Coburn A, Pearson K, Croll Z, Shaler G. 2016. Population health strategies of critical access hospitals. Portland, ME: University of Southern Maine, Maine Rural Health Research Center, 24 pp. (Briefing paper #36)

Annotation: This paper presents findings from a study to assess the population health strategies and models that critical access hospitals (CAHs) have undertaken, the challenges they have faced, and the factors that have contributed to their successes. Contents include discussion of initiatives and experiences of eight CAHs and how states and others can assist and support CAHs with population health and community health improvement initiatives. Topics include responsiveness to community health needs assessment; strong board and hospital leadership; a well-developed infrastructure; skilled and dedicated staff; an organizational and governance strategy that allows for community partnerships; and a willingness to share responsibility, resources, and credit with community partners.

Keywords: Access to health care, Community participation, Hospitals, Leadership, Model programs, Needs assessment, Program improvement, Quality assurance

National Quality Forum. 2014. Playbook for the successful elimination of early elective deliveries. Washington, DC: National Quality Forum, 27 pp.

Annotation: This document provides guidance on and strategies for reducing rates of early elective delivery (EED). Topics include the current landscape for eliminating EED, barriers to reducing EED and strategies to overcome them, challenges and barriers to monitoring performance and progress toward eliminating EED, key strategies to promote readiness for EED activities, and measurement guidance. Additional contents include educational tools, resources, and exemplars to support EED elimination efforts, as well as instructions for accessing relevant data.

Keywords: Barriers, Cesarean section, Childbirth, Hospitals, Induced labor, Measures, Obstetrical care, Policy development, Program improvement, Quality assurance

Georgia Department of Public Health, Division of Maternal & Child Health Section. 2013. Recommended guidelines for perinatal care in Georgia (rev.). Atlanta, GA: Georgia Department of Public Health, Division of Maternal & Child Health Section, 56 pp.

Annotation: This document provides standard-of-practice recommendations for perinatal health care professionals in Georgia. It is also intended to be a blueprint for the State Perinatal Health Care System, a system to improve the quality of reproductive health care for women and perinatal health care for pregnant women and infants. Topics include strategy for action, preconception and interconception health care, antepartum care, intrapartum care, postpartum care, and perinatal infection.

Keywords: Consultation, Georgia, Guidelines, Health care systems, Hospitals, Infant health, Infection control, Newborn infants, Perinatal care, Perinatal health, Perinatal services, Postpartum care, Preconception care, Pregnant women, Program improvement, Quality assurance, Reproductive health, Women's health

Kozhimannil K, Hung P, McClellan M, Casey M, Prasad S, Moscovice I. 2013. Obstetric services and quality among critical access, rural, and urban hospitals in nine states. Minneapolis, MN: University of Minnesota, Rural Health Research Center, (Policy brief)

Annotation: This study assesses and compares the characteristics and quality of obstetric care in Critical Access Hospitals (CAHs), other rural hospitals, and their urban counterparts. Included are key findings that compare (1) the ages and likelihood of clinical complications among women who give birth in rural and urban hospitals; (2) obstetric care quality measures,including cesarean delivery among low-risk women, cesarean delivery without medical indication, and labor induction with medical indication; and (3) the percentage of births covered by Medicaid at CAHs, other rural hospitals, and urban hospitals that provided obstetric services in the year 2010. Figures and charts compare outcomes according to age, race, insurance type, clinical condition, hospital type, and number of critical access hospitals that had ten or more births in the states of Iowa, Vermont, New York, North Carolina, Kentucky, Vermont, Washington, Wisconsin, and Colorado.

Keywords: State data, Comparative analysis, Health care, Intensive care, Obstetrics, Quality assurance, Rural hospitals, Urban health