Skidmore College - July 17, 2015


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The Safe Motherhood Initiative quarterly meeting took place in Saratoga Springs, NY on July 17, 2015. Over 120 participants, representing 117 hospitals, assembled at Skidmore College to discuss the Initiative, assess implementation strategies, and plan next steps.

The day-long event consisted of presentations on topics ranging from clinical updates, implementation of best practices, case reviews, and data collection. After an introduction by Nicholas Kulbida, MD, FACOG (ACOG DII Chair), Cynthia Chazotte, MD, FACOG (SMI Co-Chair), and Adiel Fleischer, MD, FACOG, Genevieve B. Sicuranza, MD, FACOG and Eva Chalas, MD, FACOG, FACS presented on surgical management and the optimization of patient outcomes.

Along with guest speaker William Berry, MD, MPA, MPH (Director/CMO, Ariadne Labs), Peter Bernstein, MD, MPH, FACOG, Dena Goffman, MD, FACOG, Komal Bajaj, MD, FACOG, and Enid Y. Rivera-Chiauzzi, MD spoke on clinicians’ use of checklists to reduce clinical mortality and morbidity. Emphasis was placed on the translation of evidence in literature to best practices and improved outcomes. The ensuing question and answer session highlighted the important topic of existing clinical culture and adoption of standardized guidelines.

Cande Ananth, PhD, MPH and Jessica Lavery, MS from the Biostatistics Coordinating Center at Columbia University Medical Center summarized hospitals’ data and noted important updates in measurement collection parameters. This was followed by maternal mortality and morbidity case reviews by James Brown, Jr., MD, FACOG and Natalie Meirowitz, MD, FACOG, in addition

to David J. Wen, MD, a third year OBGYN resident training under Kevin Kiley, MD, FACOG at Albany Medical Center. Attendees were given the opportunity to ask targeted clinical questions and learn from bundle implementation at other institutions.

Guest speaker Elizabeth Howell, MD, MPP gave a fascinating talk on social disparities and quality of maternal care, providing possibilities for future projects within the Safe Motherhood Initiative. Cynthia Chazotte, MD, FACOG, James Brown, Jr., MD, FACOG, and Burton L. Rochelson, MD, FACOG elaborated on specific bundle requirements that have been historically difficult to implement, and responded to clinical questions submitted by attendees. Dena Goffman, MD, FACOG provided a comparison of the SMI bundles to those utilized by the California Maternal Quality Care Collaborative (CMQCC).

Alvin Maloney, MD and Gayle Jech, RN from Samaritan Medical Center spoke on their institution’s successful experience with Salus Global’s Implementation Support Package before representatives from the New York State Partnership for Patients provided an update on collaborative efforts between the State, hospital associations, and ACOG DII. Donna Montalto, MPP (Executive Director, ACOG DII) then introduced new and exciting projects DII is undertaking.

The meeting proved to be an informative and valuable forum for all those who attended, and an important opportunity for SMI participants to collaborate in person.


Meeting Materials


III.   Surgical Management: Optimization of Patient Outcomes
       Optimization of Patient Outcomes in a Suburban RPC

       Hypogastric Embolization

IV.   Do Checklists Reduce Unnecessary Deaths and Complications?
VI.   The SMI Data Report
X.    SMI Bundles & FAQs
       Hemorrhage Bundle FAQs
       SMI-CMQCC Bundle Comparison

       Severe Hypertension Diagnosis and Management

       HTN: Coordination of Care between OB and Emergency Depts & VTE: Heparin Administration

XI.   Samaritan Medical Center's ISP Experience


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