Urgent Maternal Mortality Message for Providers from Florida PAMR: Overdoses are now the leading cause of pregnancy-associated death in Florida. Obstetric providers, nurses and hospitals are the first health care contact for most mothers with Opioid Use Disorder (OUD) and need to lead the effort to screen, assess, and refer these mothers for OUD treatment.
The rate of pregnant women diagnosed with opioid use disorder (OUD) during labor and delivery in the U.S. more than quadrupled from 1999 to 2014, according to a 2018 analysis by the Centers for Disease Control and Prevention (CDC). In Florida, the rate climbed from 0.5 per 1,000 delivery hospitalizations in 1999 to 6.6 in 2014.
This project’s purpose is to work with providers, hospitals, and other stakeholders to improve identification, clinical care and coordinated treatment/support for pregnant women with opioid use disorder and their infants.
Project Focus: Standardization related to:
Learn about our parallel infant health NAS Initiative.
In partnership with Tennessee’s perinatal quality collaborative, FPQC is offering a free CME training on Buprenorphine use in obstetrical practice. The first session describes the basics of Buprenorphine treatment during pregnancy. The second session describes how to make prescribing Buprenorphine in your obstetrical practice work. Both of these sessions with assistance from Florida’s Behavioral Impact Project can help you include in your OB practice.
A training discussion webinar entitled "Adding Buprenorphine Treatment in Obstetrical Practice: Lessons Learned" was held on January 18th, 2022, and can also help answer additional questions and concerns.
Resources specific to MORE for Hospital Implementation:
Resources for our Maternal Opioid Recovery Effort and our Neonatal Abstinence Syndrome projects, including provider and staff education, screening tools, community resources, patient education, and more are available at:
Keep checking for new tools!
Slide sets and presentation recordings when available are below. Please e-mail us if you would like these any of these slides for use in your own institution.
MORE Celebration Webinar (May 2022)
MORE 2.0 Mid-Point Meeting (October 2021)
MORE 2.0 Kick Off Presentations (May 2021)
MORE Mid-Project Meeting Presentations (Oct 2020)
MORE 1.0 WEBINARS:
Webinar with Dr. Mishka Terplan: Engaging Women With OUD in the COVID19 Crisis: Tools and Principles - June 2020
Webinar with Dr. Michael Marcotte: Partnering to Help Women with Opioid Use Disorder - June 2020
Overview of the MORE Initiative - February 2020
Data Collection for the MORE Initiative - December 2019
MORE Kick Off Presentations (Nov 2019)
2019 Chiles Lecture: Dr. Elizabeth Krans
The FPQC has worked with partners to create videos for staff education related to substance use disorder and neonatal abstinence syndrome.
These can be used in a variety of ways! Here are some ideas:
Overview of Resources
Resources for Providers
Resources for Patients
Community/Provider Liaison Resources
For additional resources, please visit the MORE Toolbox!
We recommend all folders contain the following items:
Additional items recommended for the MORE Hospital Folder:
Additional items recommended for the MORE Community Provider Screening and Resources Folder/Binder:
AdventHealth Daytona Beach
AdventHealth Winter Park
Ascension Sacred Heart Emerald Coast
Ascension St. Vincent's Riverside
BayCare - Morton Plant Hospital
BayCare - St. Joseph's Women's Hospital
Bayfront Health Port Charlotte
Broward Health Medical Center
Cleveland Clinic Indian River Hospital
Gulf Coast Regional Medical Center
Jackson North Medical Center
Lakeland Regional Health
Lee Health Cape Coral Hospital
Lee Health HealthPark Medical Center
Manatee Memorial Hospital
Memorial Regional Hospital
NCH North Naples Birth Place
Orange Park Medical Center
Orlando Health Winnie Palmer Hospital for Women and Babies
Rockledge Regional Medical Center
Saint Mary's Medical Center
Sarasota Memorial Healthcare System
Tampa General Hospital
UF Health Jacksonville