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PROMPT Initiative

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Pregnancy-Related Optimal Management of Hypertension (PROMPT)

PROMPT: Pregnancy-Related Optimal Management of Hypertension

Hypertension is a common medical disorder in pregnancy. In 2020, 14.2% of women in Florida had hypertension, preeclampsia, or eclampsia during pregnancy, as reported by the Florida Pregnancy Risk Assessment Monitoring System (PRAMS). In 2020, the Florida Maternal Mortality Review Committee (MMRC) found that hypertensive disorders accounted for 18.2% of all pregnancy-related deaths in the state, emerging as the leading cause. Of these deaths, 66% occurred postpartum before hospital discharge, and 100% were considered preventable. Evidence-based hypertension management guidelines are well established but not always utilized by all clinicians who care for pregnant or postpartum patients.

Based on this data, the Florida Perinatal Quality Collaborative (FPQC) launched the Pregnancy-Related Optimal Management of Hypertension (PROMPT) initiative in October 2024. The initiative toolkit followed elements from the Alliance for Innovation on Maternal Health (AIM) Severe Hypertension in Pregnancy Patient Safety Bundle. The PROMPT initiative built and expanded upon FPQC’s earlier Hypertension in Pregnancy (HIP) initiative and complemented efforts from the Postpartum Access and Continuity of Care (PACC) initiative.

The initiative has concluded and will transition into a sustainability phase through June 2029, with 63 hospitals participating to support continued implementation and maintenance of evidence-based hypertension practices.

Participation in PROMPT qualified as one of the two FPQC initiatives required by Florida statute.