Louisiana Perinatal Quality Collaborative
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.
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.
About Our Work
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 Perinatal Quality Collaborative; and
- improving the identification, care, and treatment of birthing persons and neonates affected by substance use through the Neonatal Opioid Withdrawal Syndrome (NOWS) Pilot Project.
About the Safe Births Initiative
Today, the Collaborative’s current focus is the Safe Births Initiative, which addresses maternal morbidity associated with hemorrhage and hypertension. In the future, the Initiative will also focus on reducing Louisiana’s low-risk, primary Cesarean section rate. Overall, the goal of Safe Births is to promote safe, equitable, and dignified birth for all birthing persons in Louisiana. The Safe Births Initiative closely follows the Institute for Healthcare Improvement’s evidence-based Collaborative Model for Achieving Breakthrough Improvement.
***UPDATE: The LaPQC has released its first report with early findings from its Safe Births (Reducing Maternal Morbidity) Initiative! To view the report, click here.***
A total of 42 Louisiana birthing facilities are currently participating in the Safe Births Initiative, covering over 92% of births in Louisiana! Facilities interested in learning more or joining the initiative can contact Amy.Ladley@la.gov.
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 Collaborative data portal (Extranet).
- 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.