National Network of Perinatal Quality Collaboratives
The National Network of Perinatal Quality Collaboratives (NNPQC) provides resources and expertise to nationwide state-based perinatal quality collaboratives (PQCs) with the goal of deepening and accelerating improvement efforts for maternal and infant health outcomes.
The mission of the NNPQC is to support the development and enhance the ability of state perinatal quality collaboratives to make measurable improvements in statewide maternal and infant healthcare and health outcomes.
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September 2017 to September 2022
- Who: PQCs in 43 states. Thirteen states—Colorado, Delaware, Florida, Georgia, Illinois, Louisiana, Massachusetts, Minnesota, Mississippi, New Jersey, New York, Oregon and Wisconsin—will receive targeted technical assistance as they develop their collaboratives.
- Funder: This project is funded by the Centers for Disease Control and Prevention (CDC).
- Our Role: As the coordinating center, NICHQ will enhance the coordination and communication of PQCs across the nation, advise state PQCs that are in early stages of developing their collaboratives, and give technical assistance focused on quality improvement (QI) methods that improve health outcomes for mothers and newborns.
What is a PQC?
Perinatal Quality Collaboratives (PQCs) are state or multi-state networks of multidisciplinary teams, working to improve outcomes for maternal and infant health. PQCs do that by advancing evidence-informed clinical practices and processes using quality improvement (QI) principles to address gaps in care. PCQs work with clinical teams, experts and stakeholders, including patients and families, to spread best practices, reduce variation and optimize resources to improve perinatal care and outcomes. The goal of PQCs is to achieve improvements in population-level outcomes in maternal and infant health.
PQCs current areas of focus include:
- Reduce preterm births
- Reduce severe pregnancy complications associated with high blood pressure and hemorrhage
- Improve identification of and care for infants with neonatal abstinence syndrome
- Reduce racial/ethnic and geographic disparities
- Reduce cesarean births among low-risk pregnant women
Led an initiative to launch a data center to track performance on maternity care service in real-time to support work to reduce severe maternal morbidity and non-medically indicated deliveries before 30 weeks gestation. It resulted in more than 100 hospitals actively submitting data, which provided benchmark statistics comparing hospital performance to county, system, regional and statewide statistics, as well as allowed for analysis at the patient and physician level to identify specific quality improvement opportunities. Read the full case study.
Led an initiative to improve the accuracy of birth certificate data. It resulted in improved accuracy on all birth certificate variables from 87 percent at baseline to 97 percent at completion. Read the full case study.
Led a statewide initiative to implement safe sleep practices in all level III neonatal intensive care units. Among eligible infants, overall safe sleep compliance improved from 48 percent to 81 percent; variability across hospital sites was significantly improved, with compliance among hospitals ranging from 9 percent to 91 percent in 2015 and from 64 percent to 97 percent in 2017. This in-hospital quality improvement effort is now expanding to collect post-discharge data on adherence to safe sleep practices in the home. Read the full case study.
Led an initiative to reduce scheduled C-sections and inductions without a medical indication from 36 weeks up to 39 weeks gestation. As a result, Regional Perinatal Centers (RPCs) saw a 97 percent decline in scheduled deliveries without a medical indication between September 2010 and November 2014 and affiliates saw a 94 percent decline in scheduled deliveries without a medical indication between June 2012 and November 2014. Read the full case study.
Led a national initiative to reduce central line-associated bloodstream infections (CLABSI) in neonatal intensive care units (NICUs). It resulted in an almost 60 percent decrease in CLABSI rates in 11 months. The project prevented an estimated 131 infections that translated to an estimated 14 to 41 deaths prevented, and over $2.2 million in excess costs avoided. Read the full case study.
Join Our Virtual Community
The NNPQC Collaboratory (CoLab) is a virtual place where NNPQC participants and stakeholders can share ideas and best practices, ask questions, and uncover useful tips to advance their change efforts.
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We've curated several resources for those working on early childhood health:
- CDC PQC Guide
This guide provides states with assistance as they form and develop their PQCs.
- PQC Webinar Series
Learn about upcoming webinars hosted by the CDC's Division of Reproductive Health that allow PQCs to share strategies related to their development as well as specific perinatal quality improvement initiatives.
- Map of PQCs
Discover existing PQCs and contact information or PQC leads.
- Quality Improvement 101 E-Course
This interactive course teaches the fundamentals of quality improvement and how to use this methodology to create effective, beneficial change.
- Quality Improvement 102 E-Course
This interactive course reviews the concepts covered in QI 101 and then gives direction on how to test improvement ideas and increase their impact and effectiveness.
- Essentials of Collaboration E-Course
This interactive course explores how to produce positive population health outcomes through effective collaboration.
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