National Perinatal Information Center
National Perinatal Information Center



CONTRACTS - MARYLAND PATIENT SAFETY CENTER (MPSC)

Promoting healthy outcomes is among the top priorities identified by the Maryland Department of Health and Mental Hygiene (DHMH) for improving healthcare in the state.

In 2007, the Maryland Patient Safety Center (MPSC) Perinatal Collaborative began a three year initiative to test, adopt, and implement evidence-based improvement strategies to improve patient safety in the labor and delivery units of 26 hospitals in Maryland and the District of Columbia. The statewide program is managed by the Delmarva Foundation in partnership with DHMH. The Perinatal Collaborative is now working with 30 participating hospitals to develop multidisciplinary teams to improve team communication, staff competency, the orientation and training process, and adequate fetal monitoring. Hospital teams participate in state-wide meetings to share their successes and "lessons learned" in improving patient safety at their facilities.

The MPSC has contracted with NPIC/QAS to analyze baseline and post-training data for participating hospitals. These data include the administrative data sets submitted to the Maryland Health Services Cost Review Commission (HSCRC) or District of Columbia Hospital Association along with supplemental files with a select number of perinatal variables. The data is processed, analyzed and reported on by NPIC/QAS using the Adverse Outcome Index (AOI) developed by the Harvard Risk Management Strategies Foundation Team Performance Plus (TPP™) program and the original principals at Beth Israel Deaconess Medical Center, Drs. Benjamin Sachs, Susan Mann, Ronald Marcus and Stephen Pratt.

Each participating hospital received a CY 06 Baseline Report and ten quarters of Follow-up Adverse Outcome Index Reports. We are pleased to announce that the contract was recently extended for another year of data reporting on discharges through 03/31/2011. Reports profile their count of adverse events, their Adverse Outcome Index, Weighted Adverse Outcome Score and Severity Index compared to a target benchmark. Each report displays a 90% confidence interval around the hospital's quarterly rate as well as an analysis to determine if there was a statistically significant change from baseline to follow-up. Summary reports are also provided.


Poster Presentations
    »   "Supporting Culture and Team Work: Perinatal Collaborative" (December 2007)
    »   "Improving Culture and Team Work: Maryland Perinatal Collaborative"  (May 2010)

Click here to see a video describing the work of the Perinatal Collaborative

 
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