Florida Perinatal Quality Collaborative
Located at:
Maternal Opioid Recovery Effort (MORE)
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:
- OUD Screening
- Prevention
- Treatment
- Comprehensive Discharge Planning
Learn about our parallel infant health NAS Initiative.
MORE Project News
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MORE Initiative Tool Box
Resources specific to MORE for Hospital Implementation:
- FPQC's MORE Initiative Tool Kit document
- FPQC's MORE Quick Start Checklist for participating teams
- Alliance for Innovation on Maternal Health (AIM) bundle: Obstetric Care for Women with Opioid Use Disorder
- FPQC MORE Clinical Care Algorithms:
Resources for our Maternal Opioid Recovery Effort and our Neonatal Abstinence Syndrome projects, including provider and staff education, screening tools, patient education, and more are available at:
Online Tool Box for Opioid Initiatives
Keep checking for new tools!
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Archived MORE Presentations and Webinars
Slide sets and presentation recordings are available below. Please e-mail us if you would like these any of these slides for use in your own institution.
MORE 2.0 Data Introduction Webinar (May 2021)
MORE 2.0 Kick Off Presentations (May 2021)
MORE Mid-Project Meeting Presentations (Oct 2020)
- Welcome and Intro
- Where We Are Initiative-Wide
- Lessons learned in Massachusetts on System Improvement for Care of Patients with SUD in Pregnancy
- Advancing Health Equity and Social Justice: Using a Trauma-Informed Lens
- Take Home Messages from the Meeting
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)
- Welcome
- Background on the Maternal Opioid Issue
- VIDEO: Mom Panel
- MORE Tool Kit and Resources
- MORE Implementation Guidance
- Essential Community Partnerships
- MORE Data: Key Drivers and Measures
2019 Chiles Lecture: Dr. Elizabeth Krans
"Maternal Opioid Use: Latest Research and Practice" - View Recording - Download Slides
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MORE Videos
The FPQC has worked with partners to create videos for staff education related to substance use disorder and neonatal abstinence syndrome.
or
View our FPQC YouTube MORE Initiative Video Playlist
These can be used in a variety of ways! Here are some ideas:
- Use as a way to kick off a team meeting or a department meeting
- Show at OB division meetings where nursing, physician, and C-suite leaders are present to raise awareness of MORE
- Share on social media and promote via your website
- Show to OB Chief and OB Medical Director and ask for the best way to present the information at their hospital
- Perinatal safety team discussions
- Incorporate into training, education, or events
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Community Provider and Patient Resources
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MORE Folder
Download items:
- Helping Our Parents Excel (MORE HOPE) Booklet
- Naloxone patient education brochure: Opioid safety
- Narcan Provider Info page (ILPQC)
- MORE Checklist Workflow
- MORE SBIRT Pocket Card
- Postpartum LARCs: Are You Ready
- MORE Delivery Hospital Visit Algorithm
- Trauma-Informed Care Flyer (FPQC)
- Florida Behavioral Health Impact Flyer
- Narcan 30-60-90 Day Plan
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Initiative Data Resources
- MORE Measurement Grid v. 11/2019
- MORE Monthly Data Collection Sheet v. 2/2021
- MORE Quarterly Data Collection v. 11/2019
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Participating Hospitals
AdventHealth Celebration
AdventHealth Daytona Beach
AdventHealth Deland
AdventHealth Ocala
AdventHealth Orlando
AdventHealth Sebring
AdventHealth Winter Park
BayCare - Morton Plant Hospital
BayCare - St. Joseph's Women's Hospital
Bayfront Health Port Charlotte
Cleveland Clinic Indian River Hospital
Halifax Health
Jackson North Medical Center
Lakeland Regional Health
Lee Health Cape Coral Hospital
Lee Health HealthPark Medical Center
Manatee Memorial Hospital
Memorial Regional Hospital
Orlando Health Winnie Palmer Hospital for Women and Babies
Sarasota Memorial Healthcare System
Tampa General Hospital
UF Health Jacksonville