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Improving prenatal care and continuity for west county patients

Improving prenatal care and continuity for west county patients. Longitudinal Community Medicine Chris Zamani MD. Background. West county residents (Richmond and North Richmond) have historically had a hard time getting the required number of continuity deliveries.

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Improving prenatal care and continuity for west county patients

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  1. Improving prenatal care and continuity for west county patients Longitudinal Community Medicine Chris Zamani MD

  2. Background • West county residents (Richmond and North Richmond) have historically had a hard time getting the required number of continuity deliveries. • Many prenatal patients choose to deliver at Alta Bates Medical Center. • Alta Bates and CCRMC are equidistant from Richmond

  3. Defining the problem • From a patient perspective: • Trusted providers not a part of the delivery process • From a resident perspective: • Difficulty meeting continuity delivery requirements • From an institutional perspective: • Loss of potential revenue from deliveries and perinatal admissions

  4. Research Question • Why are prenatal patients in west county choosing to deliver at ABMC instead of CCRMC?

  5. Hypothesis • There are a few main reasons why prenatal patients in west county are not coming to CCRMC to deliver, these include: • Lack of reliable transportation from West County to Martinez

  6. Hypothesis • There are a few main reasons why prenatal patients in west county are not coming to CCRMC to deliver, these include: • Lack of reliable transportation from West County to Martinez • Richmond culturally aligned with Oakland/Berkeley more so than Martinez/Concord

  7. Project Goals • To design a survey tool that will accurately identify reasons why west county prenatal patients are not choosing to deliver at CCRMC • To choose one or two barriers identified from the survey that can be realistically addressed. • To conceptualize and implement interventions to address the problem • To measure impact on west county deliveries of the implemented measures

  8. Project timeline • Phase 1 • Conduct survey, identify problems and reasonable interventions • Phase 2 • Present interventions to appropriate stakeholders (care coordinators, hospital admin, county sups. Etc.) to gain institutional support for enacting targeted interventions • Phase 3 • Gather data on prenatal continuity delivery rates from RHC and NRCH • Analyze data for a clinically significant increase in continuity deliveries after the implemented interventions

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