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Core Measures

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Jessie Bruton

on 1 November 2013

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Transcript of Core Measures

Core Measures
Examples of Core Measures
Venous Thromboembolism
Heart Failure
Emergency Department
Acute Myocardial Infarction

Elective deliveries before 39 weeks
The core measure that is of greatest concern to the well being of the mothers and infants at this time is The Elective deliveries before 39 weeks gestation.
Between 1990-2006, the U.S saw a 50% increase in deliveries at 37-38 weeks gestation. During that period, the rise in rates for elective inductions outpaced the medically indicated induction rates. In a healthy pregnancy, it is safest for both baby and mother to allow the baby to remain in the womb at least 39 weeks.
Overview
Perinatal Care
Previously known as pregnancy in related conditions measure set

Five Measures
What are Core Measures?
Specific clinal measures that when viewed together permit robust assessment of the quality of care provided in a given focus area, such as_______________________________

Every patient-Focused-EBN
Jessie Bruton
Lisa McCune
Stephanie Riffe
Introduction
What are Core Measures?
Why do we have them?
Examples
Why do we have them?
The patient (best care to each patient every time)
Provides a chance to assure community of quality care
Tool (determines how facility is doing in providing care.
Reimbursement (more reimbursement = more benefits and equipment for employee
Perinatal Care
Elective Delivery

Cesarean Section

Antenatal Steroids

Health care-associated bloodstream infection in newborns

Exclusive breast milk feeding
Summary
Core measures ensure the best outcomes for patients, supported by evidenced based practice.
Core measures are tools to regulate the best practice of a facility's policy, to hold each accountable, and promote patient safety.
Core measures outline the best practice to attain the best possible outcome for patients.
Studies have shown that long and short term adverse outcomes may be avoided if a healthy pregnancy is allowed to continue to 39 weeks' gestation.
Clinical evidence shows that a fetus will have a significant amount of development and growth in several key organ systems between 37 and 39 weeks' gestation.
If a mother and baby are healthy, wait to deliver until 39 weeks gestation. An infant born prior to 39 weeks faces a 20% greater risk of several SIGNIFICANT medical consequences.
Why The Concern
Evidence suggest that unnecessary obstetrical procedures such as elective procedures, even those performed prior to 39 weeks gestation,have sharply risen in the US over the past 20 yrs., with associated increases in Cesarean deliveries and late preterm births.
The rate for labor induction has more than doubled since 1990 from 9.5% to 22.5% in 2006.the most recent year for which induction data are available.
It is necessary to reduce these procedures that have the potential to result in prematurity and serious maternal and newborn health conditions.
Cesarean rates on the rise are directly related to the elective inductions <39 weeks.
Tools and ways to initiate the core measure and get the staff to buy in
Non medically
indicated Deliveries <39 weeks.
Full transcript