Louisiana Perinatal Quality Collaborative (LaPQC)
The Louisiana Perinatal Quality Collaborative (LaPQC) is an initiative of the Bureau of Family Health and an authorized agent of the Louisiana Commission on Perinatal Care and Prevention of Infant Mortality. LaPQC is a network of perinatal care providers, public health professionals, and advocates who work to improve outcomes for birthing persons, families, and newborns in Louisiana. Together, this team responds to the complex challenges birthing persons face during the perinatal period in order to improve population health and achieve equity.
***UPDATE: The LaPQC has released its final report from the Reducing Maternal Morbidity Initiative! Click here to view. ***
About LaPQC’s Priorities
The LaPQC supports continuous quality improvement for better perinatal outcomes. By building partnerships and aligning resources, participating facilities move towards safer births and improved health outcomes. This work aligns with the Bureau of Family Health’s vision to value all Louisianans to reach their full potential, from birth though the next generation. Currently, the LaPQC leads work related to:
- breastfeeding and infant nutrition through The Gift;
- maternal mortality, morbidity, and birth outcomes through the Safe Births Initiative; and
- improving the identification, care, and treatment of birthing persons and newborns affected by opioids and substance use through the Improving Care for the Substance-Exposed Dyad (ICSED) Initiative.
To learn more about joining the LaPQC, contact Dr. Amy Ladley, PhD, State Perinatal Quality Program Manager.
About PQC Participation
What can participating LaPQC facilities expect to do? Typically, hospitals in the initiative work to:
- Assemble a team of one senior sponsor, one day-to-day lead, and one data lead. Ideally, teams will include a nurse and a physician member, as well as a patient or family advisor (or ensure there is a plan for community advisory). However, one person can fulfill more than one of these roles on the team.
- Create an internal facility charter that specifies the team’s aim, measures, change ideas, and team composition.
- Complete pre-work activities to prepare for in-person Learning Sessions and monthly calls.
- Designate one physician and one nurse member of the quality team to attend monthly coaching calls.
- Send team representatives to all in-person Learning Sessions (anticipated as 1 statewide meeting and 2 regional meetings).
- Test change ideas using the Model for Improvement and Plan-Do-Study-Act (PDSA) rapid cycles during Action Periods (time between Learning Sessions) using the Change Package as a guide.
- Collect and report data for process and outcome measures using the Life Quality Improvement (QI) system.
- Share change ideas, best practices and lessons learned with other teams during and between Learning Sessions.
- Report on team experiences and results during Learning Sessions and monthly calls.
- Prepare to sustain the changes beyond the initiative.
In an effort to recognize participating LaPQC facilities and create a system of sustained evidence-based change, the Collaborative now offers the Louisiana Birth Ready Designation. With two tiers of achievement – Louisiana Birth Ready and Louisiana Birth Ready+ – the Designation recognizes facilities’ consistent, thoughtful healthcare improvement work. Birth Ready Designation also celebrates improved perinatal health outcomes, the result of implementing clinical practices that promote safe, equitable, and dignified birth for all birthing persons in Louisiana.
Click here to view the list of Louisiana hospitals that have achieved Birth Ready or Birth Ready+ Designation.
About Health Equity
Why do we say “birthing persons”? The LaPQC commits to using the term birthing person – rather than mom, mother, or woman – in an effort to be more inclusive and respectful of all identities. Similarly, out of respect for all kinds of relationships, the LaPQC uses the word partner to describe those individuals who support birthing persons and parents. Honoring an individual’s identity and experience is an important part of promoting safe, equitable, and dignified birth for all birthing persons in Louisiana.