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MHA Keystone: Obstetrics (OB)

Problem
Currently in the United States, an estimated three injuries occur for every 1,000 births, some of which are preventable. Neonatal adverse outcomes include preventable morbidities such as respiratory distress syndrome, sepsis, neonatal intensive care unit admission, hospitalization for more than five days and rehospitalization.

What We Are Doing
To ensure all babies born in Michigan come into the world in optimum health, Michigan hospitals participating in MHA Keystone: OB implement evidence-based interventions to eliminate preventable fetal and maternal harm. Today, MHA Keystone: OB impacts nearly 80 percent of all births in Michigan.

The project integrates evidence-based clinical and science-of-safety interventions that, together, support a culture of safety to prevent harmful outcomes. Strategies are incorporated to prevent fetal and maternal harm due to complications of labor induction and management of the second stage of labor.

The interventions for MHA Keystone: OB include a Comprehensive Unit-based Safety Program for improving patient safety through attitudes and practices, implementing best practices and timely interventions for elective induction of labor and elective cesarean birth, coordinating a safe progression of labor, and appropriate responses to fetal distress.

Results
More than $1.7 million in healthcare costs were saved in 2011 by reducing the number of early elective deliveries. From 2010 through 2012, participating hospitals reduced the occurrence of early elective births by nearly 68 percent.

Michigan hospitals reduced the number of babies admitted to the neonatal ICU (NICU) by 35 percent from first quarter 2010 through first quarter 2013. From 2011 to 2012, efforts to reduce NICU admissions resulted in a savings of nearly $15 million in healthcare costs.

In addition, the incidence of Apgar scores less than seven — indicating that the newborn may need additional medical attention — increased 6.5 percent. The Apgar scores for babies born before 39 weeks improved; however, scores for babies born after 39 weeks did not experience the same results. The MHA Keystone Center continues to collaborate with physicians and nurses to identify opportunities to improve Apgar scores, and more importantly, improve the health of newborns.

Staff Contacts
Megan Black

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Sept 17, 2014
MHA Keystone: Safe Care Workshop
Registration is now open for the MHA Keystone: Safe Care workshop, being held Sept. 17 at the Kellogg Hotel & Conference Center, East Lansing. Hospitals participating in any of the MHA Keystone: Safe Care initiatives — falls, pressure ulcers, venous thromboembolism (VTE) and adverse drug events (ADEs) — or the MHA Keystone HEN are strongly encouraged to attend. Multiple presentations will occur simultaneously and will include training on the use of Failure Mode & Effects Analysis, root-cause analysis and examine best practices for reducing harm due to patient falls and immobility, hospital-acquired pressure ulcers, opioids, ADEs and VTEs. Hospital teams will also hear from experts on engaging patients and their families in quality improvement work and high reliability concepts.

To register, visit the MHA Event Registration page or complete the registration form and return via email to Tammy Nault or fax to (517) 703-0605. Registration will close Sept. 3 and all registrations received after this deadline will be taken on a first-come, first-served basis.
Noteworthy
  • Annual Symposium

    Annual Symposium

    The MHA Patient Safety & Quality Symposium offers an opportunity to explore innovative patient safety techniques and dialogue with others about how to enhance patient safety across the continuum. Learn new strategies and ideas from faculty who are game-changes in the healthcare and business world.

  • Patient and Family Engagement

    Patient and Family Engagement

    Michigan hospitals and the MHA Keystone Center are committed to including patients and families in improving care and focusing improvement efforts with a patient-centric approach. To that end, the MHA Keystone Center is a proud Pinwheel Sponsor of the Institute for Patient- and Family-Centered Care.

  • MHA Keystone HEN

    The MHA Keystone Center HEN works with hospitals to identify, share and implement best practices aimed at reducing the number of adverse drug events, catheter-associated urinary tract infections, central-line-associated bloodstream infections, injuries from falls and immobility, obstetrical adverse events, pressure ulcers, surgical-site infections, venous thromboembolisms, ventilator-associated pneumonia and preventable readmissions.