Today’s webinar will begin in a few minutes.

1. Today’s webinar will begin in a few minutes. Please press *6 to mute your line or use the “mute” button on your phone. If you have questions for the presenter or need to contact TCPS staff, type your comments into the chat box. Lines will be opened during the call, so attendees may ask questions. Please do not put the conference on hold. Thank you for your patience.

2. THA HEN/TIPQCOB EED Webinar October 27, 2014 A THA/TCPS TIPQC Collaborative Inter-institutional Quality Improvement Project

3. Faculty Course Director: Peter Grubb, MD, Assistant Professor of Pediatrics, Vanderbilt University School of Medicine; Medical Director, TIPQC Faculty: Brenda Barker, MEd, Project Director, TIPQC Faculty: Chris Clarke, RN, Senior Vice-President, Tennessee Center for Patient Safety, Tennessee Hospital Association Planner/Speaker: Jackie Moreland, RN, Clinical Quality Improvement Specialist, Tennessee Center for Patient Safety, Tennessee Hospital Association Speaker: Phil Toothman, State Director of Communications and Marketing, March of Dimes Speaker: Tamara Currin, MS, MCHES, Associate Director of Program Services, Lead Public Affairs Staff, March of Dimes Speaker: Valencia Mormon-Nelson, State Director of Program Services, March of Dimes

4. Welcome! Agenda for today: November is Prematurity Awareness Month Data Performance Trends Team Successes Questions/Answers from Hospital Teams

5. November is Prematurity Awareness Month Phil Toothman, State Director of Communications and Marketing ~ Tamara Currin, MS, MCHES, Associate Director of Program Services, Lead Public Affairs Staff ~ Valencia Mormon-Nelson State Director of Program Services

6. Upcoming Events 6th Annual “Learning for Babies” Conference Thursday November 6, 2014; 7:30a-4:30p CT “The Factory at Franklin” in Franklin, TN For more information, contact: Tamara Currin at 615-399-3200 or tcurrin@marchofdimes.com

7. 6thAnnual “Learning for Babies” Conference • Diabetes and Pregnancy - Connie Graves, MD  • Chorioamnionitis: Maternal and Neonatal Perspective - Chris Sizemore, DO and Travis Crook, MD • Interesting Cases from the NICU - Sarah Hassell, MD • Update on the Care of Babies with NAS - Stephen Patrick, MD • Tips for Dealing with Difficult People - Evelyn Frye, PhD • Care of the Parent Experiencing a Prolonged Antepartum and Neonatal Stay - Jennifer Schiro, RN • What Can You Really See on Fetal Ultrasound - Michael DeRoche, MD • Safe Sleep Practices - Carolyn Riviere, MS, RN

8. Upcoming Events “Promoting Healthy Babies Conference” Thursday November 13, 2014; 7:30am-3:45pm Baptist Memorial Hospital Memphis – “Garrett Auditorium” For more information, contact: Valencia Mormon-Nelson at 901-590-1722 or vnelson@marchofdimes.com

9. Promoting Healthy Babies Conference • The Role of Prematurity Prevention in Improving Tennessee Birth Outcomes – Dr. Michael Warren • Using the Preterm Labor Assessment Toolkit: Strategies for Success – Barbara Hughes • One Family’s Story: Preterm Birth • Current Tennessee Laws Regarding Maternal Opioid Abuse/Neonatal Abstinence Syndrome (NAS): Effects on Children and Families • Break-out sessions on: - Group Prenatal Care - Long Acting Reversible Contraceptive Options for Women - Successfully Breastfeeding Babies Born Prematurely &/or Affected by Neonatal Abstinence Syndrome (NAS) - Ethical Issues Related to Long Term Consequences of Neonatal Abstinence Syndrome (NAS) 

10. Prematurity Awareness Month Logo

11. Healthy Babies are Worth the Wait Billboards

12. Night of Purple Memphis

13. Prematurity Awareness Day Facebook Header

14. Nashville Parthenon Lit Up Purple

15. Parthenon on NBC News

16. Ruby Falls Lit Up Purple

17. Ruby Falls Pathway Signage and Lit Purple

18. Tennessee Courthouse Lit Up Purple

19. World Prematurity Day Mark your calendars to recognize World Prematurity Day on Monday November 17th

20. Prematurity Toolkit To access and download March of Dimes resources such as: • Preterm labor assessment toolkit • Less than 39 weeks toolkit • Prematurity Prevention Resource Center • Healthy Babies are Worth the Wait • Much more….go to http://www.marchofdimes.org/search-results.aspx?search-text=prematurity toolkit

21. Questions

22. OB EED Data TrendsWorking toward our goal of 5% or less

23. HEN OB Data Charts

24. HEN OB Data Charts

25. HEN OB Data Charts

26. HEN OB Data Charts

27. OB Statewide Data Charts

28. OB Statewide Data Charts

29. OB Statewide Data Charts

30. OB Statewide Data Charts

31. Questions

32. Sharing Our Successes

33. Congratulations!

34. Safe Sleep • Safe Sleep education and book project launch on Friday January 10th • 100% of birthing hospitals in Tennessee signed commitment pledge

35. Safe Sleep ABC’s of Safe Sleep Babies should sleep ALONE, on their BACK and in a CRIB. http://charlieskids.org/

36. Hospital Incentive Bundle • Free“Sleep Baby, Safe and Snug” board book for each birth in your facility • Free TDH “ABC’s of Safe Sleep” materials • Free Recognition on TDH website (http://safesleep.tn.gov) • Signed certificate from TDH Commissioner • Press release template

37. Antenatal Steroids Brenda Barker, M.Ed. Brenda.Barker@tipqc.org

38. National Partnership for Maternal Safety Recommends that every birthing facility in the United States should have a Maternal Safety Bundle for each of the following: • Obstetric Hemorrhage • Preeclampsia/ Hypertension • Prevention of VTE in Pregnancy

39. OB Hemorrhage

40. Available OB Hemorrhage Toolkits

41. Preeclampsia • CMQCC Preeclampsia Toolkit is now available @ https://www.cmqcc.org/preeclampsia_toolkit

42. OB VTE Safety Recommendations • For pregnant women, risk of VTE 4-5 times high than for non-pregnant women • This risk is at least twice as much following cesarean delivery • Key emphasis in addressing risk and prevention by PfP in 2011 as well as dually by ACOG & Society of Maternal Fetal Medicine in 2014 as part of The Maternal Harm Prevention Initiative* *Managing Risk and Reducing Readmissions: New Safety Recommendations Prevent Venous Thromboembolism in Maternal Patients by Michael Wong, JD and Lynn Razzano, RN, MSN, ONCC @ http://ppahs.files.wordpress.com/2014/01/rmq-fall-2013.pdf

43. OB VTE Safety Recommendations • Assess each pregnant woman for VTE risk • Initiate VTE prophylaxis • Reassess each pregnant patient • Initiate patient discharge protocols (education to include S/S, prophylaxis post discharge as indicated, long-term effects & prevention strategies)* *Managing Risk and Reducing Readmissions: New Safety Recommendations Prevent Venous Thromboembolism in Maternal Patients by Michael Wong, JD and Lynn Razzano, RN, MSN, ONCC @ http://ppahs.files.wordpress.com/2014/01/rmq-fall-2013.pdf

44. Breastfeeding

45. Ten Steps to Successful Breastfeeding:the Baby Friendly Hospital Initiative Have a written breastfeeding policy Provide staff training in policy implementation Provide breastfeeding education for pregnant women Help initiate breastfeeding within 1 hour of birth Show mothers how to initiate and maintain breastfeeding (even if separated from infant) Give no substitutes unless medically indicated* Practice rooming in 24/7 Encourage breastfeeding on-demand Give no artificial nipples/pacifiers to breastfed infants Support and utilize support groups *Hospitals should accept no free or heavily discounted formulas and/or feeding supplies

46. Tennessee Breastfeeding Hotline • 24/7 breastfeeding hotline! CommissionerJohn Dreyzehner, MD, MPH Dr. Michael Warren, Director, Division of Family Health and Wellness, TN DOH

47. Upcoming Events Next THA TCPS/TIPQC OB Monthly Team Webinar— Monday November 24, 2014; 10:00am CT/11:00 ET. 2014 THA Leadership Summit Wednesday November 5th at the Gaylord Opryland Hotel and Convention Center in Nashville in conjunction with THA’s Annual Meeting. Go to http://www.tha.com/ for more information and to register

48. Upcoming Events November Maternal Affinity Group Call: Tuesday November 11, 2014; 12:00-1:00pm CT/1:00-2:00pm ET “New” Maternal Bundles This session will provide an in-depth overview of the new National Maternal Safety Bundles including suggested resources and recommendations on how to effectively implement these bundles into your organization. facilitators: Elliott Main, MD, FACOGMedical Director of California Maternal Quality Care CollaborativeChairman of the Department of Obstetrics and Gynecology of California Pacific Medical Center and the California Maternal Mortality Review Committee Deb Kilday, MSN, Senior Performance Partner, Premier Inc. Register now Register for this call at http://events.premierinc.com/ei/getdemo.ei?id=510&s=_46W0GFBM6

49. Upcoming Events 6th Annual “Learning for Babies” Conference Thursday November 6, 2014; 7:30a-4:30p CT “The Factory at Franklin” in Franklin, TN For more information, contact: Tamara Currin at 615-399-3200 or tcurrin@marchofdimes.com

50. Upcoming Events “Promoting Healthy Babies Conference” Thursday November 13, 2014; 7:30am-3:45pm Baptist Memorial Hospital Memphis – “Garrett Auditorium” For more information, contact: Valencia Mormon-Nelson at 901-590-1722 or vnelson@marchofdimes.com