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The 5th Anniversary of the Birth Outcomes Initiative

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by

Kathryn Albano

on 13 July 2016

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Transcript of The 5th Anniversary of the Birth Outcomes Initiative

We've come a long way since 2011
In October
All 44
SC birthing hospital CEOs signed a written commitment to stop
non-medically necessary Early Elective Deliveries (EEDs)
SC
became the
first state
in the nation to revise its Medicaid policy to cover inpatient insertion of
long-acting, reversible contraceptives (LARCs)
immediately after delivery
SC Medicaid & Blue Cross Blue Shield South Carolina
stopped reimbursing hospitals and physicians for non-medically necessary EEDs between 37-38 weeks gestation
Thank you for your continued support to improve the lives of moms and babies in South Carolina
The 5th Anniversary of the South Carolina Birth Outcomes Initiative
July 2016

The South Carolina Infant Mortality Rate (IMR) was
7.4
per 1000 live births

The African American IMR in SC was
12.6
per 1000 live births
The
Supporting Vaginal Birth (SVB) initiative
began with a written commitment from all 44 SC birthing hospital CEOs to reduce C-sections for first time, low risk moms
In April
The Mother's Milk Bank of South Carolina (MMBSC)
opened

as

the first non-profit milk bank in the state
Infant Mortality (IMR)
Neonatal Abstinence Syndrome (NAS)
As of 2014, the SC IMR stands at
6.5
per 1000 live births, compared to the national average of 6.1

The IMR for SC African American babies has dropped to
9.3
per 1000 live births
Annual SCBOI Symposium
In
2012
, the first Annual Symposium was held at the South Carolina Hospital Association, with
125
attendees

By
2013
, it had grown beyond the
200
person room capacity, closing registration early
In
2014
, the event was moved to the
Columbia Marriott
with
280
attendees

The 4th Annual Symposium was moved to the
Columbia Metropolitan Convention Center
in
2015
and hosted
350
guests

SimCOACH Training
as of April 2016
In January, a contract was initiated with GHS to examine the safety, outcomes and cost profiles associated with a palliative treatment model for newborns at risk for opioid withdrawal in the setting of Level 1 newborn care
Baby-Friendly
CenteringPregnancy
11 out of 44
of the state's birthing hospitals have achieved Baby-Friendly designation

36%
of all state births and
34%
of all SC medicaid births occur in a Baby-Friendly hospital, compared with the national average of
17%

Long-Acting Reversible Contraceptives (LARCs)
Showed a
34% reduction
in the odds of preterm birth overall

For African American women, a
60% reduction
in the odds of preterm birth was shown
Early Elective Deliveries (EEDs)
76%
of all SC birthing hospitals are at a
0%
rate of non-medically necessary early elective deliveries
The Mother's Milk Bank of South Carolina (MMBSC)
The bank has received
61,000 oz
. of milk as of June 2016 from
130
donors.
Over
30,000 oz.
have been distributed to SC hospitals
As of June,
11
SC hospitals are inserting inpatient LARCs after delivery

In the 3 largest hospitals, there is approximately a
30%
inpatient
insertion rate
2011
2012
Race to the Date,
a
$1 million
incentive program to achieve Baby-Friendly designation, was announced
2013
A 3-year, 10 practice contract was launched with the Greenville Hospital System
(GHS) for the
CenteringPregnancy
program
4
hospitals achieved Baby-Friendly designation and received $200,000 each
2014
In January, as a part of SVB, a 3-year contract was signed between the
Palmetto Health-USC School of Medicine Simulation Center and SC Medicaid
for onsite training to all 44 birthing hospitals
2015
2016
In May
In January
In January
In October
Screening, Brief Intervention, and Referral to Treatment (SBIRT)
for pregnant women began
In August
Also in January
By September 30
SimCOACH
Physicians Trained:
149
Nurses Trained:
839
Others Trained:
156
Total:
1144
Created by Kathryn Albano & Jennifer Meunier
Full transcript