The Colorado Perinatal Care Quality Collaborative has a long tradition of serving the mothers and babies of our State through sharing best practices in neonatal and perinatal care. We have a rich network of hospitals and providers, state agencies, the March of Dimes, educators, and professional societies including all of the disciplines providing care to this population. We invite any and all stakeholders to be part of our organization. We have partnered with the Colorado Department of Public Health and Environment to do great work sharing information about Postpartum Depression and Maternal Mortality Review and aftercare for NICU patients. We have shared best practices with “champions” addressing early elective delivery, NICU Bloodstream Infections, Steroid Administration for premature delivery, and Exclusive Breast Milk Feeding just to name a few of our initiatives. We have many smaller and more remote perinatal units that have not been involved with the Collaborative. In an effort to engage these smaller hospitals, CPCQC visited four Level 1 hospitals last fall as a joint effort with CDPHE to share maternal mortality review information and their own regional data around premature birth, preeclampsia, PIH and other perinatal metrics. We shared best practices about post partum hemorrhage, premature birth reduction, and provided information about marijuana use in pregnancy. We also met with neonatal providers with additional education and in-services for their staff. We learned as much from them as they did from us on how to best provide care for our patients.
We were recently approached by the Colorado Hospital Association to work with them on a 2 year grant to reduce premature birth in our state. We plan to help them enroll at least 20 hospitals through our network in order to:
Improve the use of antenatal steroids for all patients who are candidates
Improve access and administration of 17-OH Progesterone for those with a prior history of preterm birth
Continue our outreach efforts to hospitals to use the March of Dimes Premature Labor Tool Kit.
We plan to do additional site visits as a part of the grant, and collect baseline as well as ongoing data to demonstrate improvement in these processes and metrics. We are forming a steering committee of content experts from the Colorado Section of ACOG, ACNM, AWHONN, SMFM, MOD, CDPHE, Family Medicine, CHA, HCPF, hospital leaders and rural providers to help us design this project. We are also reaching out to other state collaboratives and perinatal quality experts from around the country to help us with this project.
Since we are now doing more statewide collaborative work, it was time for us to change our name after 37 years as the Colorado Perinatal Care Council. We are now the Colorado Perinatal Care Quality Collaborative. We will be updating our website with additional presentations, best practices and links to other organizations. We will also provide updates on the progress of our work with the Colorado Hospital Association to reduce the incidence or premature birth in our state as we continue our mission to improve the health of mothers and babies in our state.
Steve Holt, MD Chairman, Colorado Perinatal Care Quality Collaborative