Specific Performance Measures will be established by the OB PI committee

Specific Performance Measures will be established by the OB PI committee 1. In general, the following performance improvement processes should be performed by each maternal and neonatal center. The results of these reviews shall be reported to the OB PI committee. a. Each maternal and neonatal center assigns a PI person to oversee the process b. Standards and measures established c. Determine audit filters d. Collect data e. Evaluate data f. Determine PI issues present g. Develop corrective action plan (CAP) h. Re-evaluate to document results/effectiveness of CAP i. The OB Performance Improvement Committee shall develop and maintain a comprehensive set of indicators, comprising both outcome measures and process measures, to promote optimal maternal and neonatal health. Outcome measures shall be designed to assess clinical results for mother and baby, and process measures shall evaluate adherence to evidence-based practices. Examples of desired pregnancy outcomes include, but are not limited to: i Ending preventable morbidity, mortality ii Reducing infections iii. Reducing unnecessary procedures that may cause harm or risk to mother and baby ivIncreasing diagnosis of depression, substance use issues, and domestic violence during pregnancy v Reducing late maternal death (42 days to 1 year due to cardiac disease) vi Reducing postpartum hemorrhages vii. Administration of magnesium sulfate for seizure prophylaxis and IV antihypertensives (30-60 minutes from identification of severe hypertension >160/110) viii. Reducing ICU admission and readmission rates (within 30 days postpartum) ix. Neonatal specific: Infection x. Neonatal specific: intra-ventricular hemorrhage (IVH) xi. Neonatal specific: necrotizing enterocolitis (NEC) xii. Neonatal specific: hypothermia xiii. Additional indicators as identified by the state-wide PI Committee