CMQCC Welcomes Cathie Markow 

CMQCC is pleased to announce that Catherine (Cathie) Markow has joined CMQCC as our new Administrative Director

Cathie joins us with more than 15 years experience in driving quality improvement in the healthcare system. Prior to joining Stanford University, Cathie served as Senior Director of Quality at Castlight Heath, where she developed strong relationships with both regional and national quality improvement organizations to obtain the best possible clinical quality information. While at Pacific Business Group on Health (PBGH), she managed the California Regional Quality Reporting Collaborative, a multi-stakeholder organization focused on provider performance measurement and reporting, and was involved in a variety of healthcare quality reporting and improvement activities within the state and nationally. She has led product management groups for a variety of health information technology vendors. Cathie holds a BS in Nursing and a BA in Sociology from Hartwick College, and an MBA from Northeastern University. 
 
In her role as the CMQCC Administrative Director, Cathie will be responsible for developing and implementing strategic and tactical plans for growth in quality improvement, educational and research activities. Please join us in welcoming Cathie to CMQCC! 
CPMS Project Update
As the California Partnership for Maternal Safety (CPMS) project is winding down, we, at CMQCC, are looking forward to sharing results of its efforts with the participants at our last in-person meeting in August. As many of you know, almost one half of the birthing hospitals in California have worked on implementation of patient safety bundles for obstetric hemorrhage and preeclampsia.
Our participants have made great strides towards improving care to women through debriefing and drills, creating and updating order sets, and using risk assessment tools for identification of at-risk patients.

The patient safety bundles are available on the CMQCC website, along with other resources to help hospitals through their quality improvement journey. 

 
We send our thanks and congratulations to all of the participating hospitals as they wrap up the formal work of implementation!
Keep up the excellent work!

Collaborative to Support Vaginal Birth Kicks Off

 
The first round of the Collaborative to Support Vaginal Birth and Reduce Primary Cesareans is underway! There are 30 participating hospitals around California in the initial wave of the quality improvement collaborative that started in May.
Most of the teams are from Southern California, yet Northern California represents with four teams ready to get a jump on reducing their primary cesarean birth rate. Our goal is to meet the Healthy People low risk birth primary cesarean rate of 23.9%.

The collaborative is using the Mentor Model, which was first introduced in the California Partnership for Maternal Safety. This framework pairs an expert physician with an expert nurse to lead a small group of 6-8 hospitals through the collaborative activities. These activities consist of grand rounds, monthly calls where teams share successes, challenges, barriers, and ideas. Additional activities include a series of webinars to address educational topics by experts in labor support, data sharing, communication and other topics. 

Furthermore, we are organizing regional labor support workshops throughout the state where nurse leaders, including managers, CNSs and bedside clinicians, can spend the day refreshing their labor support knowledge with both traditional education and hands-on experience. This knowledge can then be taken back to each hospital to reinforce the skills base labor nurses already have. These workshops will have no cost to participate. 

The second round of our quality improvement collaborative will commence in October 2016 with an additional 30-35 hospital teams working together within the same Mentor Model. If your hospital is interested in participating or you have any questions, please contact Julie Vasher at CMQCC jvasher@stanford.edu.
CMQCC Maternal Data Center Update
Participation in the CMQCC Maternal Data Center (MDC) continues to grow consistently. There are currently 219 hospitals across California, Washington and Oregon that use MDC to track clinical performance and inform quality improvement activities in maternal health. In California, more than 75% of deliveries (½ million annually) are represented in MDC! â€¨

We continue to improve MDC and add new features that reflect valuable feedback from MDC users. Recent updates include improved functionality and single sign-on capability for system users and new options for displaying performance benchmarks. MDC also includes special sections to support CMQCC quality improvement initiatives, such as the California Partnership for Maternal Safety (CPMS) project and the new Collaborative to Support Vaginal Birth and Reduce Primary Cesareans. 

The value of MDC participation is recognized and encouraged by an increasing number of state agencies, including DHCS/Medi-Cal, Covered California, CalPERS, CA HHSA, and CDPH. If you would like to learn more about joining the CMQCC Maternal Data Center, please contact CMQCC staff at datacenter@cmqcc.org
The Ohio Gestational Diabetes (GDM) Postpartum Care Learning Collaborative, a quality improvement project sponsored by the Ohio Department of Health and administered by the Ohio Colleges of Medicine Government Resource Center, focuses on increasing knowledge of and improving health outcomes for pregnant women diagnosed with GDM. Project resources have been developed to assist OBGYNs in the detection and treatment of GDM. If you are interested in learning more, please visit the project website.

NEW Publications from CMQCC Staff:

Dekker, Rebecca L., Morton, Christine H., Singleton, Paula and Audrey Lyndon. 2016. Women’s experiences being diagnosed with permpartum cardiomyopathy: A qualitative study. Journal of Midwifery and Women’s Health; 00:1-7 dos:10.1111/jmwh.12448

Kilpatrick SJ, Abreo A, Greene N, Melsop K, Peterson N, Shields LE, Main EKSevere maternal morbidity in a large cohort of women with acute severe intrapartum hypertension. Am J Obstet Gynecol. 2016 Jul;215(1):91.e1-7

Kilpatrick SJ, Abreo A, Gould J, Greene N, Main EKConfirmed Severe Maternal Morbidity Is Associated with High Rate of Preterm Delivery. Am J Obstet Gynecol. 2016 Feb 17


Main EK, Abreo A, McNulty J, Gilbert W, McNally C, Poeltler D, Lanner-Cusin K, Fenton D, Gipps T, Melsop K, Greene N, Gould JB, Kilpatrick S. Measuring severe maternal morbidity: validation of potential measures.  Am J Obstet Gynecol. 2016 May;214(5):643.e1-643.e10

Morgan DM, Main E, Gee RE. The Goldilocks Quandary of Health Care Resources: Too Little, Too Much, or Just Right? Obstetrics and gynecology. 2016; 127(6):1039-44

Morris, Theresa, Meredith, Olivia, Schulman, Mia and Christine H. Morton. 2016. Race, Class, and Nulliparous, Term, Singleton, Vertex Cesarean Indication: A Case Study of a New England Tertiary Hospital. Women’s Health Issues. PMID: 27017294

Snowden JM, Mission JF, Marshall NE, Quigley B, Main E, Gilbert WM, Chung JH, Caughey AB. The Impact of maternal obesity and race/ethnicity on perinatal outcomes: Independent and joint effects. Obesity (Silver Spring, Md.). 2016; May 25. doi: 10.1002/oby.21532

Visit our Website: http://www.CMQCC.org
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