Perinatal Quality and Equity-Indicators That Address Disparities.
Journal
The Journal of perinatal & neonatal nursing
ISSN: 1550-5073
Titre abrégé: J Perinat Neonatal Nurs
Pays: United States
ID NLM: 8801387
Informations de publication
Date de publication:
Historique:
entrez:
30
7
2021
pubmed:
31
7
2021
medline:
29
10
2021
Statut:
ppublish
Résumé
There is tremendous attention in maternal and neonatal disparities, particularly disparities of race and ethnicity and subsequent outcomes that continue despite calls to action. The literature has offered potential opportunities for exploring data related to racial and ethnic disparities, including the utilization of a race and ethnicity reporting dashboard. This article reviews definitions of perinatal quality and disparity and provides insight into the development of a nationally targeted race and ethnicity dashboard. This quarterly dashboard provides hospitals with specific key metric outcomes through the lens of race and ethnicity, provides a national benchmark for comparison, and creates a data platform for team exploration and comprehensive review of findings. An overview of the development of the dashboard is provided, and the selection of key maternal and neonatal metrics is reviewed. In addition, recommendations for data science strategic planning and nursing's role in metric development, analysis, and utilization are offered and key steps in accelerating disparity data into everyday clinical care are discussed.
Identifiants
pubmed: 34330140
doi: 10.1097/JPN.0000000000000582
pii: 00005237-202107000-00015
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
E20-E29Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Références
Howell EA, Zeitlin J. Quality of care and disparities in obstetrics. Obstet Gynecol Clin North Am. 2017;44(1):13–25. doi:10.1016/j.ogc.2016.10.002.
Lee RL. The Fundamentals of Good Medical Care: An Outline of the Fundamentals of Good Medical Care and an Estimate of the Service Required to Supply the Medical Needs of the United States. Chicago, IL: University of Chicago Press; 1933.
Donabedian A. Evaluating the quality of medical care. Reprinted from The Milbank Memorial Fund Quarterly, Vol. 44, No. 3, Pt. 2, 1966 (pp. 166–203). Style and usage are unchanged. Milbank Q. 2005;83(4):691–729.
Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
Institute for Healthcare Improvement. Across the chasm: six aims for changing the health care system. http://www.ihi.org/resources/Pages/ImprovementStories/AcrosstheChasmSixAimsforChangingtheHealthCareSystem.aspx . Published 2021. Accessed October 15, 2020.
Callaghan WM. Overview of maternal mortality in the United States. Semin Perinatol. 2012;36(1):2–6. doi:10.1053/j.semperi.2011.09.002.
Martin N. Lost mothers. ProPublica . https://www.propublica.org/article/lost-mothers-maternal-health-died-childbirth-pregnancy?token=PNdp3JnBZi8MNvZOwQA12CU3×1KFZTkE . Accessed November 14, 2020.
Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care; Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care Washington, DC: National Academies Press; 2003. http://www.ncbi.nlm.nih.gov/books/NBK220358 . Accessed January 31, 2021.
KFF. Disparities in health and health care: five key questions and answers. https://www.kff.org/racial-equity-and-health-policy/issue-brief/disparities-in-health-and-health-care-five-key-questions-and-answers . Published March 4, 2020. Accessed November 15, 2020.
Alliance for Early Success. Dr. Joia Crear-Perry speaks to allies about structural racism and maternal/child health. http://earlysuccess.org/dr-joia-crear-perry-delivers-a-powerful-message-to-allies-about-structural-racism-and-maternal-child-health-disparities . Published July 27, 2020. Accessed November 15, 2020.
Knox GE, Simpson KR, Garite TJ. High reliability perinatal units: an approach to the prevention of patient injury and medical malpractice claims. J Healthc Risk Manag. 1999;19(2):24–32. doi:10.1002/jhrm.5600190205.
The Joint Commission. Sentinel Event Alert: preventing maternal death. https://www.jointcommission.org/-/media/deprecated-unorganized/imported-assets/tjc/system-folders/topics-library/sea_44pdf.pdf?db=web&hash=B60AED91686E054DE99B81C9E98F4F34 . Published January 26, 2010. Accessed October 15, 2020.
Bailit JL, Gregory KD, Srinivas S, Westover T, Grobman WA, Saade GR. Society for Maternal-Fetal Medicine (SMFM) special report: current approaches to measuring quality of care in obstetrics. Am J Obstet Gynecol. 2016;215(3):B8–B16.
Edmonds JK, OʼHara M, Clarke SP, Shah NT. Variations in cesarean birth rates by labor and delivery nurses. J Obstet Gynecol Neonatal Nurs. 2017;46(4):486–493.
Simpson KR, Lyndon A. Labor nurses' views of their influence on cesarean birth. MCN Am J Matern Child Nurs. 2017;42(2):81–87.
Bell AD, Joy S, Gullo S, Higgins R, Stevenson E. Implementing a systematic approach to reduce cesarean birth rates in nulliparous women. Obstet Gynecol. 2017;130(5):1082–1089.
Ivory CH, Freytsis M, Lagrew DC, Magee D, Vallejo M, Hasley S. Standardizing maternity care data to improve coordination of care. J Obstet Gynecol Neonatal Nurs. 2017;46(2):284–291.
Hire MG, Lange EMS, Vaidyanathan M, Armour KL, Toledo P. Effect of quantification of blood loss on activation of a postpartum hemorrhage protocol and use of resources. J Obstet Gynecol Neonatal Nurs. 2020;49(2):137–143. doi:10.1016/j.jogn.2020.01.002.
Seacrist MJ, VanOtterloo LR, Morton CH, Main EK. Quality improvement opportunities identified through case review of pregnancy-related deaths from obstetric hemorrhage. J Obstet Gynecol Neonatal Nurs. 2019;48(3):288–299. doi:10.1016/j.jogn.2019.03.002.
Dyess-Nugent P, Bouzid J, Roberson A, Quint-Bouzid M, DB Nelson. Development of a quality indicator to measure urgent requests to the bedside. Nurs Womens Health. 2020;24(6):404–412. doi:10.1016/j.nwh.2020.09.003.
Ruhl C, Garpiel SJ, Priddy P, Bozeman LL. Obstetric and fetal triage. Semin Perinatol. 2020;44(4):151240.
Quaile H. Implementing an obstetrics-specific triage acuity tool to increase nurses' knowledge and improve timeliness of care. Nurs Womens Health. 2018;22(4):293–301.
Richter A, Brennan C, Sogn G. Implementation of a contemporary model for obstetric triage using AWHONN's maternal fetal triage index. J Obstet Gynecol Neonatal Nurs. 2019;48(3):S98–S99.
Angelini D, LaFontaine D, eds. Obstetric Triage and Emergency Care Protocols. 2nd ed. New York, NY: Springer Publications; 2017.
Angelini D, Howard E. Obstetric triage: a systematic review of the past fifteen years: 1998-2013. MCN Am J Matern Child Nurs. 2014;39(5):284–297; quiz 298–299. doi:10.1097/NMC.0000000000000069.
Salemi JL, Hansen MA, Modak S, et al. Estimating the obstetric co-morbidity burden using administrative data: the impact of the pregnancy-related assessment window. Paediatr Perinat Epidemiol. 2020;34(4):440–451. doi:10.1111/ppe.12593.
Johnson EK, Nelson CP. Utility and pitfalls in the use of administrative databases for outcomes assessment. J Urol. 2013;190(1):17–18. doi:10.1016/j.juro.2013.04.048.
US Census Bureau. About race. https://www.census.gov/topics/population/race/about.html . Accessed November 4, 2020.
Lopez MM, Bevans M, Wehrlen L, Yang L, Wallen GR. Discrepancies in race and ethnicity documentation: a potential barrier in identifying racial and ethnic disparities. J Racial Ethn Health Disparities. 2016;4(5):812–818.
Polubriaginof FCG, Ryan P, Salmasian H, et al. Challenges with quality of race and ethnicity data in observational databases. J Am Med Inform Assoc. 2019;26(8/9):730–736. doi:10.1093/jamia/ocz113.
Morey BN. Mechanisms by which anti-immigrant stigma exacerbates racial/ethnic health disparities. Am J Public Health. 2018;108(4):460–463. doi:10.2105/AJPH.2017.304266.
Shepherd SM, Willis-Esqueda C, Paradies Y, Sivasubramaniam D, Sherwood J, Brockie T. Racial and cultural minority experiences and perceptions of health care provision in a Mid-Western region. Int J Equity Health. 2018;17(1):33. doi:10.1186/s12939-018-0744-x.
Davis D-A. Obstetric racism: the racial politics of pregnancy, labor, and birthing. Med Anthropol. 2019;38(7):560–573. doi:10.1080/01459740.2018.1549389.
Vedam S, Stoll K, Taiwo TK, et al. The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. Reprod Health. 2019;16(1):77. doi:10.1186/s12978-019-0729-2.
Institute of Medicine (US) Committee on Future Directions for the National Healthcare Quality and Disparities Reports; Ulmer C, Bruno M, Burke S, eds. IOM Subcommittee on Standardized Collection of Race/Ethnicity Data for Healthcare Quality Improvement: Recommendations. Washington, DC: National Academies Press; 2010. https://www.ncbi.nlm.nih.gov/books/NBK220146 . Accessed October 5, 2020.
Howell EA, Brown H, Brumley J, et al. Reduction of peripartum racial and ethnic disparities: a conceptual framework and maternal safety consensus bundle. Obstet Gynecol. 2018;47(3):275–289. doi:10.1016/j.jogn.2018.03.004.
Thorlby R, Jorgensen S, Siegel B, Ayanian JZ. How health care organizations are using data on patients' race and ethnicity to improve quality of care. Milbank Q. 2011;89(2):226–255. doi:10.1111/j.1468-0009.2011.00627.x.
Raghupathi W, Raghupathi V. Big data analytics in healthcare: promise and potential. Health Inf Sci Syst. 2014;2:3. doi:10.1186/2047-2501-2-3.
Valdes E. Examining cesarean delivery rates by race: a population-based analysis using the Robson Ten-Group classification system. J Racial Ethn Health Disparities. 2020. doi:10.1007/s40615-020-00842-3.
Edmonds JK, Yehezkel R, Liao X, Moore Simas TA. Racial and ethnic differences in primary, unscheduled cesarean deliveries among low-risk primiparous women at an academic medical center: a retrospective cohort study. BMC Pregnancy Childbirth. 2013;13(1):168. doi:10.1186/1471-2393-13-168.
Mattocks KM, Kroll-Desrosiers A, Kinney R, et al. Racial differences in the cesarean section rates among women veterans using Department of Veterans Affairs Community Care. Med Care. 2021;59(2):131–138. doi:10.1097/mlr.0000000000001461.
Harvey SA, Lim E, Gandhi KR, Miyamura J, Nakagawa K. Racial-ethnic disparities in postpartum hemorrhage in native Hawaiians, Pacific Islanders, and Asians. Hawaii J Med Public Health. 2017;76(5):128–132.
Gyamfi-Bannerman C, Srinivas SK, Wright JD, et al. Postpartum hemorrhage outcomes and race. Am J Obstet Gynecol. 2018;219(2):185.e1–185.e10. doi:10.1016/j.ajog.2018.04.052.
Connell CL, Wang SC, Crook L, Yadrick K. Barriers to healthcare seeking and provision among African American adults in the rural Mississippi Delta region: community and provider perspectives. J Community Health. 2019;44(4):636–645. doi:10.1007/s10900-019-00620-1.
Howell EA, Egorova N, Balbierz A, Zeitlin J, Hebert PL. Site of delivery contribution to Black-White severe maternal morbidity disparity. Am J Obstet Gynecol. 2016;215(2):143–152. doi:10.1016/j.ajog.2016.05.007.
Hacker FM, Linkov F, Serra AE, et al. Lessons learned from a gap analysis of obstetric hemorrhage protocols across a health system. Matern Child Health J. 2021;25(1):59–65. doi:10.1007/s10995-020-03050-x.
Berg CJ, Harper MA, Atkinson SM, et al. Preventability of pregnancy-related deaths: results of a state-wide review. Obstet Gynecol. 2005;106(6):1228–1234. doi:10.1097/01.AOG.0000187894.71913.e8.
Grobman WA, Parker CB, Willinger M, et al. Racial disparities in adverse pregnancy outcomes and psychosocial stress. Obstet Gynecol. 2018;131(2):328–335. doi:10.1097/AOG.0000000000002441.
Beck AF, Edwards EM, Horbar JD, Howell EA, McCormick MC, Pursley DM. The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families. Pediatr Res. 2020;87(2):227–234. doi:10.1038/s41390-019-0513-6.
Profit J, Gould JB, Bennett M, et al. Racial/ethnic disparity in NICU quality of care delivery. Pediatrics. 2017;140(3):e20170918. doi:10.1542/peds.2017-0918.
Lake ET, Staiger D, Horbar J, et al. Association between hospital recognition for nursing excellence and outcomes of very low-birth-weight infants. JAMA. 2012;307(16):1709–1716. doi:10.1001/jama.2012.504.
Singh J, Reddy UM, Huang C-C, Driggers RW, Landy HJ, Grantz KL. Racial/ethnic differences in labor induction in a contemporary US cohort: a retrospective cohort study. Am J Perinatol. 2018;35(4):361–368. doi:10.1055/s-0037-1607285.
American Hospital Association. ICD-10-CM coding for social determinants of health. https://www.aha.org/system/files/2018-04/value-initiative-icd-10-code-social-determinants-of-health.pdf . Accessed November 16, 2020.
Clark RE, Weinreb L, Flahive JM, Seifert RW. Infants exposed to homelessness: health, health care use, and health spending from birth to age six. Health Aff. 2019;38(5):721–728. doi:10.1377/hlthaff.2019.00090.
Leifheit KM, Schwartz GL, Pollack CE, et al. Severe housing insecurity during pregnancy: association with adverse birth and infant outcomes. Int J Environ Res Public Health. 2020;17(22):8659. doi:10.3390/ijerph17228659.
Chan CS, Sarvet AL, Basu A, Koenen K, Keyes KM. Associations of intimate partner violence and financial adversity with familial homelessness in pregnant and postpartum women: a 7-year prospective study of the ALSPAC cohort. PLoS One. 2021;16(1):e0245507. doi:10.1371/journal.pone.0245507.
Eagen-Torkko M, Low LK, Zielinski R, Seng JS. Prevalence and predictors of breastfeeding after childhood abuse. J Obstet Gynecol Neonatal Nurs. 2017;46(3):465–479. doi:10.1016/j.jogn.2017.01.002.
Hobbins D. Survivors of childhood sexual abuse: implications for perinatal nursing care. J Obstet Gynecol Neonatal Nurs. 2004;33(4):485–497. doi:10.1177/0884217504266908.