Académique Documents
Professionnel Documents
Culture Documents
PQCNC
Making North Carolina the best place to give
birth and be born!
Batalden PB and Davidoff F. What is "quality improvement" and how can it transform
healthcare? Qual Saf Health Care. 2007;16(1):2-3.
Context and Unexplained Variation:
PQCNC QI Focus
• People
• Expertise
• Communication
• Leadership
• Practices and processes
• Standardization & Compliance
• Technology
• Unit & Hospital
• Organizational structure
• Finances, Volume, Staffing
• Culture
• Beliefs, empowerment, behaviors
• Chain of command
Mission
PQCNC Value Equation
• Partnership with patients and families
• Spread best practice
• Resource optimization
At the PQCNC Table
• Patients and Family Members
• Perinatal providers (65 Hospitals)
• Nurses (Peds, NICU, & OB)
• Practitioners
• Midwives
• Doctors (OB, MFM, Neos, Peds, FP)
• Hospital Executive Leaders
• Lactation consultants, Infection Control, Case Managers, SW
• DPH (Womens and Childrens, State Center for Health Statistics)
• Payers (Medicaid, BCBSNC)
• ORHCC
• State Legislators
• March of Dimes
• NC Hospital Association
• CCNC
PQCNC Core Team
66% reduction
Rose to 80%
Sept
Oct
Nov
Oct
Nov
July
May
April
Aug
March
Dec
Dec
Feb
June
Percent of teams with 50% of patients with Percent of teams reporting 100%
documented QBL documentation of OBH risk assessment
and QBL
Antibiotic Stewardship Newborn Sepsis
35
30
25
20
15
10
35
30
25
15
10
0
Safe Reduction of Primary Cesarean Birth
(RPC) Initiative
• Statewide QI project to work with all birthing units in NC to
decrease unnecessary primary Cesarean Sections and maintain or
improve the health of the mother and newborn
• Expert team has developed specific goals for the project
• Demonstrate 100% compliance with all AIM RPC structure metrics
• https://pqcnc-documents.s3.amazonaws.com/aimrpc/PQCNCAIMRPCActionPlanFINAL20180905.pdf
• Ensure that all NTSV women having a Cesarean Section have met the
ACOG/SMFM Cesarean Criteria for abnormal labor
• Achieve a statewide NTSV Cesarean rate at or below 20.0% and have
each hospital with an NTSV Cesarean rate at or below the Healthy People
2020 goal of 23.9%
• Demonstrate no change in newborn outcome by route of delivery
measured by 5-minute Apgar score < 7 and admission to the NICU
stratified by reason for admission
• 53 hospitals enrolled
Invitation to the PQCNC