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MHA Keystone: Obstetrics (OB)

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.

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

Oct. 21, 2014
MHA Keystone: Surgery Workshop
Registration is now open for the annual MHA Keystone: Surgery workshop, being held Oct. 21 at the JW Marriott Grand Rapids. Presentation topics include handoff communication, health literacy and glycemic control. Hospital teams will also hear from experts on physician and executive engagement, culture and reducing surgical-site infections in colon patients.

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. For questions about the event, please contact Michelle Norcross. Registration will close Oct. 13 and all registrations received after this deadline will be taken on a first-come, first-served basis.
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