Measure Status: Active
Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Bottom level: public health services and systems
Service Recipient: Activities related to systems-building
Goal: By June 30, 2020, MO DHSS will increase the number of hospitals with a formal written plan for transport of complicated obstetric/maternal patients from 58.6 to 75.0%.
Numerator: Number of facilities with a formal written transfer plan for complicated obstetric/maternal patients.
Denominator: Number of birthing facilities with known status on transfer policy, as reported through the CDC Levels of Care Assessment Tool (CDC LOCATe) annually.
Significance: LOCATe - The CDC Levels of Care Assessment Tool (CDC LOCATe) is designed to help states and other jurisdictions monitor neonatal and maternal risk appropriate care. CDC LOCATe uses the minimum information necessary to identify a facility’s neonatal level of care, based on criteria by American Academy of Pediatrics, and maternal level of care based recently published criteria by the American College of Obstetricians and Gynecologists/Society for Maternal-Fetal Medicine.
The goal of regionalized maternal care is for pregnant women at high risk to receive care in facilities that are prepared to provide the required level of specialized care. Each facility should have a clear understanding of its capability to handle increasingly complex levels of maternal care, and should have a well-defined threshold for transferring women to health care facilities that offer a higher level of care. These proposed categories of maternal care are meant to facilitate this process. These guidelines also are intended to foster the development of equitably distributed resources throughout the country. To ensure optimal care of all pregnant women, all birth centers, hospitals, and higher-level facilities should collaborate to develop and maintain maternal and neonatal transport plans and cooperative agreements capable of managing the health care needs of women who develop complications; receiving hospitals should openly accept transfers. The appropriate care level for patients should be driven by their medical need for that care and not limited by financial constraint. Because of the importance of accurate data for the assessment of outcomes, all facilities should have requirements for data collection, storage, and retrieval. An important goal of regionalized maternal care is for higher-level facilities to provide training for quality improvement initiatives, educational support, and severe morbidity and mortality case review for lower-level hospitals. Transfer of the complicated pregnant
Data Sources and Data Issues: CDC LOCATe, MO DHSS.
Unit Type: Percentage, Unit Number: 100