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Strengthening the evidence for maternal and child health programs

Find Established Evidence

Displaying records 1 through 2 (2 total).

Kim EW, Teague-Ross TJ, Greenfield WW, Keith Williams D, Kuo D, Hall RW. Telemedicine collaboration improves perinatal regionalization and lowers statewide infant mortality. J Perinatol. 2013;33(9):725-730.

Link: https://www.ncbi.nlm.nih.gov/pubmed/23579490

NPM: 3: Perinatal Regionalization
Intervention Components (click on component to see a list of all articles that use that intervention): Transition Assistance, PATIENT/CONSUMER, HOSPITAL, Continuing Education of Hospital Providers, POPULATION-BASED SYSTEMS, INTER-HOSPITAL SYSTEMS, Neonatal Back-Transport Systems, Consultation Systems, Telemedicine Systems

Intervention Results:

  • Among all VLBW births, there was a change in the birth location distribution. Of these infants, the percentage born in non-NICU hospitals with telemedicine intervention (targeted hospitals) statistically significantly decreased from 13.05% to 7.03% (p=0.0099).
  • Changes in other hospital levels (including UAMS tertiary center) were not statistically significant.

Warner B, Altimier L, Imhoff S. Clinical excellence for high risk neonates: improved perinatal regionalization through coordinated maternal and neonatal transport. Neonatal Intensive Care. 2002;15(6):33-38.

Link: https://www.researchgate.net/publication/272023854_Clinical_Excellence_for_High-Risk_NeonatesImproved_Perinatal_Regionalization_through_Coordinated_maternal_and_Neonatal_Transport

NPM: 3: Perinatal Regionalization
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Continuing Education of Hospital Providers, Peer-Review of Provider Decisions, POPULATION-BASED SYSTEMS, INTER-HOSPITAL SYSTEMS, Neonatal Back-Transport Systems, Medical Staff Integration

Intervention Results:

  • There was a significant decrease of 63% in the number of VLBW births at level II hospital after intervention (p-value and statistical test not indicated).
  • The annual number of maternal transports to level III hospital increased 258% after intervention from an average of 38 per year to 98. The authors do not comment on statistical significance of this result.
   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.