Bundles, Toolkits and Guidelines

• Actionable Patient Safety Solutions™

  • ​Guide to Reducing Unnecessary Cesarean Deliveries

• Agency for Healthcare Research and Quality

  • ​Teamwork and Communication for Perinatal Safety

    • ​This toolkit presents six concepts of the Comprehensive Unit-based Safety Program (CUSP) to help teams understand CUSP and its application to perinatal safety.

    • Specific guidance on how to communicate with a patient a family after an adverse event can be found on slide 17 of the Engage Patients and Families for Perinatal Safety presentation

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• ​American Society of Addiction Medicine

  • National Practice Guideline 2020 Focus Update Webinar - Pregnant Women

    • Date: Tuesday, June 30th 2020

    • Visit here for the recording and slides.

    • The American Society of Addiction Medicine is having a webinar that focuses on updated 2020 recommendations to the ASAM National Practice Guideline for the Treatment of Opioid Use Disorder for pregnant women. Many of the risks associated with opioid use disorder are similar for both pregnant and non-pregnant women. However, opioid use disorder carries additional risks for pregnant women and prenatal risk for the developing fetus. Treatment of pregnant women with MOUD is associated with substantial improvement in outcomes for both mother and child. This webinar will provide an overview of the new and updated recommendations and in-depth information on treating pregnant women from the ASAM NPG.​

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• Louisiana Perinatal Quality Collaborative

  • ​Breastfeeding recommendations and guidelines for birthing persons affected by substance use/misuse.

    • These guidelines are intended as a general educational resource for hospitals and clinicians

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• National Partnership for Maternal Safety: Consensus Bundle on Support after a Severe Maternal Event

  • Morton et al. lay out a bundle on how to support patients and their families after a severe maternal morbidity event, using the AIM format of 4-Rs (Readiness, Recognition, Response, and Reporting and Systems Learning) ​

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Glossaries

 

In the spirit of equity and respectful language, we invite you to utilize the following glossaries:

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• Health Equity Rounds Glossary, Boston Medical Center OBGYN ( shared with permission, written by Elise Mary Lynch MD, Tejumola Adegoke, MD, Carolyn Smith-Lin)

• Glossary for Cultural Transformation, created by Boston Medical Center, Boston University School of Medicine, and Boston University Medical Group

• Updated Guidance on the Reporting of Race and Ethnicity in Medical and Science Journals:  the goal of this guidance is to provide recommendations and suggestions that encourage fairness, equity, consistency, and clarity in use and reporting of race and ethnicity in medical and science journals. As previously summarized, “terminology, usage, and word choice are critically important, especially when describing people and when discussing race and ethnicity

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PQCs in the Media:

• Maternal deaths in US hospitals are declining, study suggests, but birthing complications are rising: The rate of pregnant women dying due to delivery-related causes in the hospital appears to have declined significantly – by more than 50% – across the United States in recent years, a new study suggests.

  • ​Dr. Dorothy Fink, Director of Office on Women's Health, highlights PQCs and AIM as national strategies working to improve maternal care

• More Mothers Are Dying. It Doesn’t Have to Be This Way:  No mother should ever go into childbirth fearful that the cost of bringing a life into the world will be the loss of her own.

  • ​Op-Ed by Veronica Gillispie-Bell, MD, Medical Director - Louisiana PQC highlights the improvements of maternal health and care due to PQCs efforts and initiatives

  • Veronica was a keynote speaker at the PNQIN Spring 2023 Summit!

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Trainings:

• American Academy of Pediatrics  

  • Recovery-friendly Pediatrics series: Educational videos and supportive content for family-centered care for infants exposed to opioids during pregnancy and their birth parents -- click the links below to view!

    • Part 1: Recovery-friendly Pediatric Care​: Shares a framework that supports birth parents with opioid use disorder in their treatment and recovery. ​

      • Building a Therapeutic Alliance with Families in Recovery - Ronald Iverson, MD, FACOG

      • Eat, Sleep, Console - Julia Richerson, MD, FAAP

    • Part 2: Opioid Use and Pregnancy: Exemplifies parent education messages that pediatricians can offer to families

      • Trauma-informed Care - Davida Schiff, MD, MSc, FAAP​

      • Working with Family Strengths to Support Recovery - Steven Chapman, MD, FAAP (PNQIN Spring 2021 Summit Keynote Speaker)

    • Part 3: NOWS - Planning for Maternal and Infant Discharge: Focuses on the benefits of early planning for delivery and hospital discharge to ensure a safe transition to community care.

      • Benefits of Long-term Medication Treatment for OUD - Ronald Iverson, MD, FACOG​

      • Understanding NOWS - Davida Schiff, MD, MSc, FAAP

    • Part 4: Care Coordination to Support Maternal-Infant Health: Discusses the benefits of a family-centered approach to coordinating care with community-based providers to support healthy development.

      • Supporting Mothers During Recovery: The Pediatric Medical Home - Steven Chapman, MD, FAAP (PNQIN Spring 2021 Summit Keynote Speaker)​

      • Developmental Screening and Surveillance - Julia Richerson, MD, FAAP​

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• American Society of Addiction Medicine

  •  Treatment of Opioid Use Disorder Course for women’s health care professionals​​

    • 8 hour on demand online course

    • Cost: $79-99

    • The curriculum for this course has been specifically designed for women's healthcare providers. It covers all medications and treatments for OUD and provides the required education needed to obtain the waiver to prescribe buprenorphine for over 30 patients​​

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• Providers Clinical Support System

  • ​Waiver Training for Advanced Practice Registered Nurses (APRN)

    • Cost: free of charge​

    • Register here!

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Webinars and Educational Materials:

• American College of Obstetrics and Gynecology

  • On the Front Line Podcast on Opioid Use Disorder in Pregnancy can be found here​

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• Florida Perinatal Quality Collaborative​

  • Video series maternal opioid use topics with the AIM states.

    • More information on the series can be found at the following links:

      • <https://files.constantcontact.com/9648b4fd601/1d443076-3f4f-430d-b60d-1dec5934d5ea.pdf>

      • <https://health.usf.edu/publichealth/chiles/fpqc/morevideos>.​​​

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• Engaging Women with OUD in the COVID-19 Crisis webinar presented by Mishka Terplan, MD, MPH.​​

  • View the webinar recording and slides here under the Archived MORE Presentations and Webinars tab!

 

• Massachusetts Department of Public Health 

  • "Do you ever wonder..." Pregnancy brochure developed for Health Resources in Action and the MA Department of Public Health/Bureau of Substance Addiction Services by Enid Watson

    • Special thanks to Janet Smetz from IHR Tobacco and Julia Reddy, formerly of BSAS.

    • Download and print copies can be found here in both English and Spanish.

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• Partners in Contraceptive Choice and Knowledge

  • 10 Tips for Prenatal Contraceptive Counseling

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• TeamBirth

  • TeamBirth Model Presentation 6/28

    • ​View the Recording here

    • Download presentation slides here 

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