Through collaborative use of improvement science methods, the Ohio Perinatal Quality Collaborative (OPQC) aims to reduce preterm births and improve perinatal and preterm newborn outcomes in Ohio as quickly as possible. OPQC involves clinical teams at 52 Level II and III neonatal units, 105 out of 107 maternity hospitals in the state, 23 outpatient maternity care providers, and nine federally qualified health centers. Since 2008, OPQC has shifted more than 65,000 births to term and reduced bloodstream infections by 31 percent in very premature infants hospitalized in Ohio NICUs. OPQC’s NAS Project has increased compassionate care and reduced length of treatment and length of stay for the more than 7,000 infants treated for neonatal abstinence syndrome in Ohio since January 2014. OPQC has also decreased the percentage of infants born at less than 32 weeks’ gestation in all Ohio hospitals and decreased the percentage of African-American infants born at less than 32 weeks’ gestation by identifying and treating women at risk of PTB birth with progesterone. OPQC continues to work with the five Medicaid managed care plans to identify additional women at risk for preterm birth. The NICU Graduates Project has completed design of a care transition and coordination plan for infants with complex conditions in the five Ohio Children’s Hospital NICUs and has started the testing and implementation phase. OPQC works with the Ohio Department of Health-Vital Statistics to offer and promote webinars and workshops educating clinicians and staff on the entry and maintenance of birth registry data in IPHIS.
OPQC kicked off a new obstetrics project on long-action reversible contraception (LARC). This project is applying quality improvement strategies to increase the percentage of women who receive effective contraception at select FQHCs, with a specific focus on LARC. The larger aim of this project is to empower women, promote birth spacing, and reduce the rate of infant mortality in Ohio.
In FY18, OPQC will begin the planning and design phase of a new QI project aiming to reduce perinatal tobacco use in Ohio.
Learn more about the Ohio Perinatal Quality Collaborative.