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AIM Maternal Equity Bundle: Resources

This page is home to the PNQIN AIM "The Birth​ Equity Journey:​ Optimizing Racial Equity Action Across Massachusetts ​resources.

If you have resources from your hospital to share with other teams, feel free to email them to PNQINAdmin@pnqinma.org

In the spirit of equity and respectful language, we encourage you to view the following glossaries:

PNQIN Maternal Equity Bundle Toolkit - download PDF here

PNQIN Quality Improvement Toolkit - download PDF here

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EVIDENCE FOR EQUITY WORK

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BUILDING AN EQUITY TEAM

  • Creating a Department Level Equity Team 

    • Ha D, Ghebrendrias S, Meadows A, LaCoursiere DY, Lewis A, Lawson M, Morales M, Gyamfi-Bannerman C, Brubaker L. The Culture and Justice Quorum at University of California, San Diego: A Departmental Approach to Dismantling Structural Racism. Academic Medicine ():e005200, March 01, 2023. | DOI: 10.1097/ACM.0000000000005200 

  • Patient and family engagement​​

    • 2023 NNEPQIN Spring Conference (June 8, 2023)

      • ​Recordings of all the sessions are now available here.

    • Illinois PQC's Patient and Family Engagement Toolkit

    • MoMMA's Voices

      • ​​Training for patients with lived experience and people working in maternal health organizations that would like to partner with community members to aid in creating sustainable, equitable and impactful partnerships
    • National Network of Perinatal Quality Collaboratives - Patient and Family Engagement: Changing the Narrative and Building Trust to Improve Perinatal Health Outcomes (PDF)

      • Watch the recording here (start at 7min 39sec)

      • Read a literature review of family engagement and a proposed framework to engage family at a systems level

    • ​Dworetzky B, Hoover CG, Walker DK. Family Engagement at the Systems Level: A Framework for Action. Matern Child Health J. 2023 Mar 13. doi: 10.1007/s10995-023-03619-2. Epub ahead of print. PMID: 36913032.

    • Voices of Impact: Jamie's Story

      • Like Jamie, nearly 50,000 U.S. women experience unintended, potentially life-threatening maternal conditions or complications each year. In addition to the women who nearly lose their lives, another 700 U.S. women die each year as a result of pregnancy or delivery complications. Obstetric hemorrhage is the most common serious complication of childbirth and the most preventable cause of maternal mortality.

    • Hear Her Texas Video Campaign

      • The Hear Her Maternal Health Campaign aims to empower women and their support networks to know the urgent maternal warning signs and speak up when they have concerns. The campaign is also dedicated to encouraging everyone, including providers, caregivers, friends, and family to listen and act.

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CREATING AN ANTI-RACISM STATEMENT

 

From Dr. Meadows:

"We suggest a structure of the 4As (Acknowledge, Analyze, Action, and Accountability).  A DEI statement that accomplishes that would suffice ( acknowledges and defines racism, pledges to act offering action items / tangible and measurable steps to address and disrupt racism by developing anti-racist policies and creating a culture of antiracism, and announces action for accountability (with expectation for commitment from all employees)."

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BUNDLE SPECIFIC RESOURCES

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EDUCATIONAL WEBINARS and TRAININGS

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EHR RESOURCES

  • Epic

    • Guide on how to collect and report race, ethnicity and language (REaL) data

    • Available Dashboards: 

      • OB Maternal Equity Dashboard (released August 2021)

        • ​ OB clinicians and L&D leadership can view key access, quality, and outcome metrics stratified by race, ethnicity, and preferred language to help identify disparities in their OB population. They can drill down to SlicerDicer sessions from each component to further investigate areas of concern as they plan interventions. Then, they can track whether outcomes are improving based on those interventions.

      • Maternal Safety Pulse Dashboard (released August 2020)

        • ​This dashboard provides insight into statistics related to maternal safety, such as maternal morbidities, hypertension event rates, and the percentage of completed postpartum depression screenings. With this data, L&D managers can benchmark against other Epic community members and monitor the effectiveness of their own organizational procedures or interventions.

      • Pregnancy Dashboard (released May 2021)

        • ​ Obstetric clinicians and leadership can conveniently manage care for their population of pregnant and recently pregnant patients with this dashboard. They can track patients who meet certain criteria, such as those with gestational hypertension, and access patient charts right from the dashboard.

      • OB Provider Metrics Dashboard (released 2015, stratifying by REaL data released November 2022)

        • ​Obstetricians can monitor their own performance, quality, and compliance measures and compare themselves against their department's, location's, or facility's average using the OB Provider Metrics dashboard.

      • OB Nurse Manager Metrics Dashboard (released 2015, stratifying by REaL data released November 2022)

        • ​Nurse managers can monitor performance, quality, and compliance measures for their department and drill down to see the measures for providers in their department, or look to location or facility level metrics, using the OB Nurse Manager Metrics dashboard.

    • For more information about EPIC tools to promote maternal health equity check out the Maternal and Infant Safety Page

    • For questions about how to implement the dashboard please reach out to your individual EPIC technical representative​​​

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GRAPHICS

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PATIENT REPORTED EXPERIENCE MEASURES (PREMs)

  • PNQIN-TeamBirth Patient Reported Experience Measures (PREM) 

    • Download the PREM here

    • We teamed up to create a PREM that allows birthing facilities to assess patients' experience in receiving respectful care during their birthing experience 

      • ​these are are based on the respectful care guidelines from ILPQC and NYSPQC (see below)

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QUALITY IMPROVEMENT TOOLS

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RACE, ETHNICITY & LANGUAGE (REaL) DATA UTILIZATION

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PATIENT AND FAMILY ENGAGEMENT RESOURCES

  • 4 Tips for Including and Engaging Family Partners in Your Work 

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RESPECTFUL CARE RESOURCES

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TOOLKITS (non-PNQIN)

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ADDITIONAL RESOURCES REFERRED TO DURING WEBINARS

Please feel free to email Kali Vitek at PNQINAdmin@pnqinma.org with any questions.

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