Early Elective Deliveries (EED)
- NMID <39 Weeks E-Bulletins
- NMID <39 Weeks Video Clips
Reducing EED before 39 weeks gestational age is a priority focus area for the Centers for Medicare and Medicaid Services (CMS) because research has shown that by doing so mothers and babies have better health outcomes – including a reduced length of stay, reduced transfer to an intensified level of care and decreased financial costs to the system.* Elimination of EED requires the education, training and support of all perinatal health-related practitioners, advocates, policymakers and payers as well as patients and their families.
Due to the success of the FPQC’s partnership in the March of Dimes (MOD) 2011 Big 5 Project to reduce non-medically indicated deliveries <39 weeks, the FPQC has expanded this initiative to more Florida hospitals by continuing to partner with the MOD and the Florida Hospital Association (FHA). The three organizations, through the Health Research & Educational Trust (HRET) Hospital Engagement Network (HEN), continue working together to assist participating hospitals in moving towards the goal of reducing EED to 3% or less by the initiative’s conclusion in December 2013, using the toolkit from the MOD Big 5 Project.
Additionally, the FPQC is working with ACOG District XII to reach out to hospitals not yet identified as working with the MOD or the HEN to provide support and technical assistance in addressing EED. Plans are in the works for a multi-hospital meeting in October 2013 to provide education and training to interested hospitals in southeast Florida.
In conjunction with these efforts, the FPQC has launched a three-year coordinated educational and communications campaign regarding the importance of the last weeks of pregnancy to raise awareness and change provider, payer and policymaker attitudes and practices. This campaign will include: establishing a Speaker's Bureau of physician leaders to conduct Grand Rounds and other professional presentations at maternity care institutions throughout the state of Florida; publishing literature summaries of 39 week-related research in quarterly e-bulletins for distribution to providers across the state; and, providing strategic outreach activities to monitor and improve the rates of non-medically indicated deliveries before 39 weeks in Florida's hospitals. The FPQC plans to use MOD campaign materials that already are available in our outreach to providers, payers and policymakers. Expert perinatal health-related practitioners and professionals will be recruited from collaborating organizations to serve on a Professional Education Advisory committee to provide input on materials developed for the project.
Through increasing awareness among providers, payers and policymakers on this issue, the FPQC hopes to foster intermediate outcomes such as greater readiness to implement hospital perinatal quality improvement (QI) initiatives, policies and procedures regarding appropriate scheduling of deliveries as well as revised insurer policies. Ultimately, this project aims to impact long-term outcomes vital to the mission of the MOD and the health of Florida's families including decreasing preterm birth rates, decreasing the number and rate of non-medically indicated deliveries before 39 weeks gestation, and decreasing infant morbidity and mortality associated with these early elective deliveries.This campaign also is in partnership with the Florida Association of Healthy Start Coalition's parallel consumer campaign on the improtance of the last two weeks of pregnancy.
To learn more or to become involved, please contact Linda Detman at email@example.com.
*A California Toolkit to Transform Maternity Care: "Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age," 2010. A collaborative project developed by the March of Dimes, the California Maternal Quality Care Collaborative, and the Maternal, Child and Adolescent Health Division; Center for Family Health California Department of Health.